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APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 401k Plan overview

Plan NameAPPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN
Plan identification number 001

APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan not intended to be qualified - A plan not intended to be qualified under Code sections 401, 403, or 408.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

APPLIED TECHNICAL SYSTEMS, INC has sponsored the creation of one or more 401k plans.

Company Name:APPLIED TECHNICAL SYSTEMS, INC
Employer identification number (EIN):911098556
NAIC Classification:541511
NAIC Description:Custom Computer Programming Services

Additional information about APPLIED TECHNICAL SYSTEMS, INC

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1980-02-29
Company Identification Number: 600357234
Legal Registered Office Address: 9307 BAYSHORE DR NW SUITE 301

SILVERDALE
United States of America (USA)
983839113

More information about APPLIED TECHNICAL SYSTEMS, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-10-01FELICIA POLING2023-11-10 FELICIA POLING2023-11-10
0012021-10-01FELICIA POLING2023-01-04 FELICIA POLING2023-01-04
0012021-10-01FELICIA POLING2023-11-10 FELICIA POLING2023-11-10
0012020-10-01FELICIA HUDLOW2022-04-25 FELICIA HUDLOW2022-04-25
0012020-10-01FELICIA HUDLOW2022-04-28 FELICIA HUDLOW2022-04-28
0012019-10-01FELICIA A. HUDLOW2021-07-15
0012018-10-01FELICIA A. HUDLOW2020-02-21
0012017-10-01FELICIA HUDLOW2019-04-17
0012016-10-01
0012015-10-01FELICIA KING
0012014-10-01FELICIA KING
0012013-10-01FELICIA KING
0012012-10-01FELICIA KING
0012011-10-01AIDAN FOGARTY
0012009-10-01AIDAN FOGARTY
0012008-10-01

Plan Statistics for APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN

Measure Date Value
2019: APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01114
Total number of active participants reported on line 7a of the Form 55002019-10-0143
Number of retired or separated participants receiving benefits2019-10-014
Number of other retired or separated participants entitled to future benefits2019-10-0163
Total of all active and inactive participants2019-10-01110
Total participants2019-10-01110
Number of participants with account balances2019-10-01100
2018: APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01135
Total number of active participants reported on line 7a of the Form 55002018-10-0138
Number of retired or separated participants receiving benefits2018-10-016
Number of other retired or separated participants entitled to future benefits2018-10-0170
Total of all active and inactive participants2018-10-01114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-10-010
Total participants2018-10-01114
Number of participants with account balances2018-10-01109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-10-010
2017: APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01154
Total number of active participants reported on line 7a of the Form 55002017-10-0149
Number of retired or separated participants receiving benefits2017-10-018
Number of other retired or separated participants entitled to future benefits2017-10-0178
Total of all active and inactive participants2017-10-01135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-10-010
Total participants2017-10-01135
Number of participants with account balances2017-10-01129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-10-010
2016: APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01224
Total number of active participants reported on line 7a of the Form 55002016-10-0168
Number of retired or separated participants receiving benefits2016-10-0110
Number of other retired or separated participants entitled to future benefits2016-10-0176
Total of all active and inactive participants2016-10-01154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-10-010
Total participants2016-10-01154
Number of participants with account balances2016-10-01147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-10-010
2015: APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01195
Total number of active participants reported on line 7a of the Form 55002015-10-01143
Number of retired or separated participants receiving benefits2015-10-017
Number of other retired or separated participants entitled to future benefits2015-10-0174
Total of all active and inactive participants2015-10-01224
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-10-010
Total participants2015-10-01224
Number of participants with account balances2015-10-01159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-10-010
2014: APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01196
Total number of active participants reported on line 7a of the Form 55002014-10-01143
Number of retired or separated participants receiving benefits2014-10-013
Number of other retired or separated participants entitled to future benefits2014-10-0149
Total of all active and inactive participants2014-10-01195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-10-010
Total participants2014-10-01195
Number of participants with account balances2014-10-01185
2013: APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-01161
Total number of active participants reported on line 7a of the Form 55002013-10-01142
Number of retired or separated participants receiving benefits2013-10-013
Number of other retired or separated participants entitled to future benefits2013-10-0150
Total of all active and inactive participants2013-10-01195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-10-010
Total participants2013-10-01195
Number of participants with account balances2013-10-01185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-10-010
2012: APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-01150
Total number of active participants reported on line 7a of the Form 55002012-10-01123
Number of retired or separated participants receiving benefits2012-10-012
Number of other retired or separated participants entitled to future benefits2012-10-0136
Total of all active and inactive participants2012-10-01161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-10-010
Total participants2012-10-01161
Number of participants with account balances2012-10-01154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-10-010
2011: APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-01114
Total number of active participants reported on line 7a of the Form 55002011-10-01118
Number of retired or separated participants receiving benefits2011-10-010
Number of other retired or separated participants entitled to future benefits2011-10-0132
Total of all active and inactive participants2011-10-01150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-10-010
Total participants2011-10-01150
Number of participants with account balances2011-10-01150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-10-010
2009: APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01113
Total number of active participants reported on line 7a of the Form 55002009-10-0162
Number of retired or separated participants receiving benefits2009-10-010
Number of other retired or separated participants entitled to future benefits2009-10-0144
Total of all active and inactive participants2009-10-01106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-10-010
Total participants2009-10-01106
Number of participants with account balances2009-10-01106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-10-0120

Financial Data on APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN

Measure Date Value
2020 : APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-09-30$1,294,891
Total of all expenses incurred2020-09-30$1,389,150
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-09-30$1,283,357
Expenses. Certain deemed distributions of participant loans2020-09-30$34,493
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-09-30$417,103
Value of total assets at end of year2020-09-30$9,343,101
Value of total assets at beginning of year2020-09-30$9,437,360
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-09-30$71,300
Total interest from all sources2020-09-30$5,485
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-09-30No
Was this plan covered by a fidelity bond2020-09-30Yes
Value of fidelity bond cover2020-09-30$500,000
If this is an individual account plan, was there a blackout period2020-09-30No
Were there any nonexempt tranactions with any party-in-interest2020-09-30No
Contributions received from participants2020-09-30$290,920
Participant contributions at end of year2020-09-30$123,972
Participant contributions at beginning of year2020-09-30$156,319
Participant contributions at beginning of year2020-09-30$434
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Value of net income/loss2020-09-30$-94,259
Value of net assets at end of year (total assets less liabilities)2020-09-30$9,343,101
Value of net assets at beginning of year (total assets less liabilities)2020-09-30$9,437,360
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-09-30No
Were any leases to which the plan was party in default or uncollectible2020-09-30No
Investment advisory and management fees2020-09-30$71,300
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-09-30$9,001,797
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-09-30$9,149,616
Income. Interest from loans (other than to participants)2020-09-30$5,485
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-09-30$217,332
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-09-30$130,644
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-09-30$872,303
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-09-30No
Was there a failure to transmit to the plan any participant contributions2020-09-30Yes
Has the plan failed to provide any benefit when due under the plan2020-09-30No
Contributions received in cash from employer2020-09-30$126,183
Employer contributions (assets) at beginning of year2020-09-30$347
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-09-30$1,283,357
Did the plan have assets held for investment2020-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-09-30Yes
Opinion of an independent qualified public accountant for this plan2020-09-30Disclaimer
Accountancy firm name2020-09-30SWEENY CONRAD P.S.
Accountancy firm EIN2020-09-30911301672
2019 : APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-09-30$780,338
Total of all expenses incurred2019-09-30$1,844,761
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-09-30$1,770,992
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-09-30$516,023
Value of total assets at end of year2019-09-30$9,437,360
Value of total assets at beginning of year2019-09-30$10,501,783
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-09-30$73,769
Total interest from all sources2019-09-30$7,309
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-09-30No
Was this plan covered by a fidelity bond2019-09-30Yes
Value of fidelity bond cover2019-09-30$500,000
If this is an individual account plan, was there a blackout period2019-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-09-30$0
Were there any nonexempt tranactions with any party-in-interest2019-09-30No
Contributions received from participants2019-09-30$361,272
Participant contributions at end of year2019-09-30$156,319
Participant contributions at beginning of year2019-09-30$218,666
Participant contributions at end of year2019-09-30$434
Participant contributions at beginning of year2019-09-30$0
Income. Received or receivable in cash from other sources (including rollovers)2019-09-30$1,294
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Value of net income/loss2019-09-30$-1,064,423
Value of net assets at end of year (total assets less liabilities)2019-09-30$9,437,360
Value of net assets at beginning of year (total assets less liabilities)2019-09-30$10,501,783
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-09-30No
Were any leases to which the plan was party in default or uncollectible2019-09-30No
Investment advisory and management fees2019-09-30$73,769
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-09-30$9,149,616
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-09-30$9,922,796
Interest on participant loans2019-09-30$7,309
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-09-30$130,644
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-09-30$360,321
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-09-30$257,006
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-09-30No
Was there a failure to transmit to the plan any participant contributions2019-09-30Yes
Has the plan failed to provide any benefit when due under the plan2019-09-30No
Contributions received in cash from employer2019-09-30$153,457
Employer contributions (assets) at end of year2019-09-30$347
Employer contributions (assets) at beginning of year2019-09-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-09-30$1,770,992
Did the plan have assets held for investment2019-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-09-30Yes
Opinion of an independent qualified public accountant for this plan2019-09-30Disclaimer
Accountancy firm name2019-09-30SWEENEY CONRAD, P.S.
Accountancy firm EIN2019-09-30911301672
2018 : APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$0
Total income from all sources (including contributions)2018-09-30$1,497,860
Total loss/gain on sale of assets2018-09-30$0
Total of all expenses incurred2018-09-30$1,663,006
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-09-30$1,544,950
Expenses. Certain deemed distributions of participant loans2018-09-30$37,240
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-09-30$621,516
Value of total assets at end of year2018-09-30$10,501,783
Value of total assets at beginning of year2018-09-30$10,666,929
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-09-30$80,816
Total interest from all sources2018-09-30$8,442
Total dividends received (eg from common stock, registered investment company shares)2018-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-09-30No
Was this plan covered by a fidelity bond2018-09-30Yes
Value of fidelity bond cover2018-09-30$500,000
If this is an individual account plan, was there a blackout period2018-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-09-30$0
Were there any nonexempt tranactions with any party-in-interest2018-09-30No
Contributions received from participants2018-09-30$419,397
Participant contributions at end of year2018-09-30$218,666
Participant contributions at beginning of year2018-09-30$184,270
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Value of net income/loss2018-09-30$-165,146
Value of net assets at end of year (total assets less liabilities)2018-09-30$10,501,783
Value of net assets at beginning of year (total assets less liabilities)2018-09-30$10,666,929
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-09-30No
Were any leases to which the plan was party in default or uncollectible2018-09-30No
Investment advisory and management fees2018-09-30$80,816
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-09-30$9,922,796
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-09-30$10,136,306
Interest on participant loans2018-09-30$8,442
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-09-30$360,321
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-09-30$346,353
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-09-30$867,902
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-09-30No
Was there a failure to transmit to the plan any participant contributions2018-09-30No
Has the plan failed to provide any benefit when due under the plan2018-09-30No
Contributions received in cash from employer2018-09-30$202,119
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-09-30$1,544,950
Did the plan have assets held for investment2018-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-09-30Yes
Opinion of an independent qualified public accountant for this plan2018-09-30Disclaimer
Accountancy firm name2018-09-30SWEENEY CONRAD, P.S.
Accountancy firm EIN2018-09-30911301672
2017 : APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$0
Total income from all sources (including contributions)2017-09-30$2,192,251
Total loss/gain on sale of assets2017-09-30$0
Total of all expenses incurred2017-09-30$1,799,448
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-09-30$1,561,057
Expenses. Certain deemed distributions of participant loans2017-09-30$153,607
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-09-30$887,874
Value of total assets at end of year2017-09-30$10,666,929
Value of total assets at beginning of year2017-09-30$10,274,126
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-09-30$84,784
Total interest from all sources2017-09-30$11,757
Total dividends received (eg from common stock, registered investment company shares)2017-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-09-30No
Was this plan covered by a fidelity bond2017-09-30Yes
Value of fidelity bond cover2017-09-30$500,000
If this is an individual account plan, was there a blackout period2017-09-30No
Were there any nonexempt tranactions with any party-in-interest2017-09-30No
Contributions received from participants2017-09-30$569,682
Participant contributions at end of year2017-09-30$184,270
Participant contributions at beginning of year2017-09-30$340,072
Income. Received or receivable in cash from other sources (including rollovers)2017-09-30$40,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Value of net income/loss2017-09-30$392,803
Value of net assets at end of year (total assets less liabilities)2017-09-30$10,666,929
Value of net assets at beginning of year (total assets less liabilities)2017-09-30$10,274,126
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-09-30No
Were any leases to which the plan was party in default or uncollectible2017-09-30No
Investment advisory and management fees2017-09-30$84,784
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-09-30$10,136,306
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-09-30$9,569,930
Interest on participant loans2017-09-30$11,757
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-09-30$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-09-30$6,450
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-09-30$6,450
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-09-30$346,353
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-09-30$357,674
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-09-30$1,292,620
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-09-30No
Was there a failure to transmit to the plan any participant contributions2017-09-30No
Has the plan failed to provide any benefit when due under the plan2017-09-30No
Contributions received in cash from employer2017-09-30$278,192
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-09-30$1,561,057
Did the plan have assets held for investment2017-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-09-30Yes
Opinion of an independent qualified public accountant for this plan2017-09-30Disclaimer
Accountancy firm name2017-09-30SWEENEY CONRAD, P.S.
Accountancy firm EIN2017-09-30911301672
2016 : APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-09-30$2,480,829
Total of all expenses incurred2016-09-30$2,556,217
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-09-30$2,448,661
Expenses. Certain deemed distributions of participant loans2016-09-30$25,177
Value of total corrective distributions2016-09-30$140
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-09-30$1,298,614
Value of total assets at end of year2016-09-30$10,274,126
Value of total assets at beginning of year2016-09-30$10,349,514
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-09-30$82,239
Total interest from all sources2016-09-30$12,420
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-09-30No
Was this plan covered by a fidelity bond2016-09-30Yes
Value of fidelity bond cover2016-09-30$1,000,000
If this is an individual account plan, was there a blackout period2016-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-09-30$0
Were there any nonexempt tranactions with any party-in-interest2016-09-30No
Contributions received from participants2016-09-30$868,739
Participant contributions at end of year2016-09-30$340,072
Participant contributions at beginning of year2016-09-30$274,254
Participant contributions at beginning of year2016-09-30$337
Income. Received or receivable in cash from other sources (including rollovers)2016-09-30$9,540
Other income not declared elsewhere2016-09-30$6,465
Administrative expenses (other) incurred2016-09-30$70,935
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Value of net income/loss2016-09-30$-75,388
Value of net assets at end of year (total assets less liabilities)2016-09-30$10,274,126
Value of net assets at beginning of year (total assets less liabilities)2016-09-30$10,349,514
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-09-30No
Were any leases to which the plan was party in default or uncollectible2016-09-30No
Investment advisory and management fees2016-09-30$11,304
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-09-30$9,569,930
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-09-30$9,611,588
Interest on participant loans2016-09-30$12,450
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-09-30$6,450
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-09-30$3,751
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-09-30$3,751
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-09-30$-30
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-09-30$357,674
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-09-30$459,359
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-09-30$1,163,330
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-09-30No
Was there a failure to transmit to the plan any participant contributions2016-09-30No
Has the plan failed to provide any benefit when due under the plan2016-09-30No
Contributions received in cash from employer2016-09-30$420,335
Employer contributions (assets) at beginning of year2016-09-30$225
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-09-30$2,448,661
Did the plan have assets held for investment2016-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-09-30Yes
Opinion of an independent qualified public accountant for this plan2016-09-30Disclaimer
Accountancy firm name2016-09-30SWEENEY CONRAD, P.S.
Accountancy firm EIN2016-09-30911301672
2015 : APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-09-30$1,404,707
Total of all expenses incurred2015-09-30$657,294
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$607,257
Expenses. Certain deemed distributions of participant loans2015-09-30$44,576
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$1,765,493
Value of total assets at end of year2015-09-30$10,349,514
Value of total assets at beginning of year2015-09-30$9,602,101
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$5,461
Total interest from all sources2015-09-30$13,562
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-30No
Was this plan covered by a fidelity bond2015-09-30Yes
Value of fidelity bond cover2015-09-30$1,000,000
If this is an individual account plan, was there a blackout period2015-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-09-30$0
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Contributions received from participants2015-09-30$1,114,202
Participant contributions at end of year2015-09-30$274,254
Participant contributions at beginning of year2015-09-30$322,359
Participant contributions at end of year2015-09-30$337
Income. Received or receivable in cash from other sources (including rollovers)2015-09-30$141,354
Administrative expenses (other) incurred2015-09-30$5,461
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$747,413
Value of net assets at end of year (total assets less liabilities)2015-09-30$10,349,514
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$9,602,101
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-09-30$9,611,588
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-09-30$9,272,355
Interest on participant loans2015-09-30$13,618
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-09-30$3,751
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-09-30$7,387
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-09-30$7,387
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-09-30$-56
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-09-30$459,359
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-09-30$-374,348
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30No
Was there a failure to transmit to the plan any participant contributions2015-09-30No
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Contributions received in cash from employer2015-09-30$509,937
Employer contributions (assets) at end of year2015-09-30$225
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-09-30$607,257
Did the plan have assets held for investment2015-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30Yes
Opinion of an independent qualified public accountant for this plan2015-09-30Disclaimer
Accountancy firm name2015-09-30SWEENEY CONRAD, P.S.
Accountancy firm EIN2015-09-30911301672
2014 : APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-09-30$2,195,877
Total of all expenses incurred2014-09-30$389,342
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-09-30$353,193
Expenses. Certain deemed distributions of participant loans2014-09-30$35,399
Value of total corrective distributions2014-09-30$750
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-09-30$1,415,997
Value of total assets at end of year2014-09-30$9,602,101
Value of total assets at beginning of year2014-09-30$7,795,566
Total interest from all sources2014-09-30$14,600
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-09-30No
Was this plan covered by a fidelity bond2014-09-30Yes
Value of fidelity bond cover2014-09-30$960,210
If this is an individual account plan, was there a blackout period2014-09-30Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-09-30$0
Were there any nonexempt tranactions with any party-in-interest2014-09-30No
Contributions received from participants2014-09-30$941,548
Participant contributions at end of year2014-09-30$322,359
Participant contributions at beginning of year2014-09-30$365,679
Participant contributions at beginning of year2014-09-30$131
Income. Received or receivable in cash from other sources (including rollovers)2014-09-30$30,176
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Value of net income/loss2014-09-30$1,806,535
Value of net assets at end of year (total assets less liabilities)2014-09-30$9,602,101
Value of net assets at beginning of year (total assets less liabilities)2014-09-30$7,795,566
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-09-30No
Were any leases to which the plan was party in default or uncollectible2014-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-09-30$9,272,355
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-09-30$6,198,430
Interest on participant loans2014-09-30$14,632
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-09-30$7,387
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-09-30$-32
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-09-30$1,231,273
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-09-30$765,280
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-09-30Yes
Was there a failure to transmit to the plan any participant contributions2014-09-30No
Has the plan failed to provide any benefit when due under the plan2014-09-30No
Contributions received in cash from employer2014-09-30$444,273
Employer contributions (assets) at beginning of year2014-09-30$53
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-09-30$353,193
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-09-30Yes
Did the plan have assets held for investment2014-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-09-30Yes
Opinion of an independent qualified public accountant for this plan2014-09-30Disclaimer
Accountancy firm name2014-09-30SWEENEY CONRAD, P.S.
Accountancy firm EIN2014-09-30911301672
2013 : APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-09-30$2,521,279
Total of all expenses incurred2013-09-30$310,034
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-09-30$301,513
Expenses. Certain deemed distributions of participant loans2013-09-30$4,967
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-09-30$1,590,272
Value of total assets at end of year2013-09-30$7,795,566
Value of total assets at beginning of year2013-09-30$5,584,321
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-09-30$3,554
Total interest from all sources2013-09-30$45,148
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-09-30No
Was this plan covered by a fidelity bond2013-09-30No
If this is an individual account plan, was there a blackout period2013-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-09-30$0
Were there any nonexempt tranactions with any party-in-interest2013-09-30No
Contributions received from participants2013-09-30$787,736
Participant contributions at end of year2013-09-30$365,679
Participant contributions at beginning of year2013-09-30$197,656
Participant contributions at end of year2013-09-30$131
Income. Received or receivable in cash from other sources (including rollovers)2013-09-30$403,265
Administrative expenses (other) incurred2013-09-30$3,554
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Value of net income/loss2013-09-30$2,211,245
Value of net assets at end of year (total assets less liabilities)2013-09-30$7,795,566
Value of net assets at beginning of year (total assets less liabilities)2013-09-30$5,584,321
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-09-30No
Were any leases to which the plan was party in default or uncollectible2013-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-09-30$6,198,430
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-09-30$4,340,810
Interest on participant loans2013-09-30$11,096
Interest earned on other investments2013-09-30$34,052
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-09-30$1,231,273
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-09-30$1,045,855
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-09-30$885,859
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-09-30No
Was there a failure to transmit to the plan any participant contributions2013-09-30No
Has the plan failed to provide any benefit when due under the plan2013-09-30No
Contributions received in cash from employer2013-09-30$399,271
Employer contributions (assets) at end of year2013-09-30$53
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-09-30$301,513
Did the plan have assets held for investment2013-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-09-30No
Opinion of an independent qualified public accountant for this plan2013-09-30Unqualified
Accountancy firm name2013-09-30SWEENEY CONRAD, P.S.
Accountancy firm EIN2013-09-30911301672
2012 : APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2012 401k financial data
Total income from all sources2012-09-30$1,586,469
Expenses. Total of all expenses incurred2012-09-30$140,677
Benefits paid (including direct rollovers)2012-09-30$138,553
Total plan assets at end of year2012-09-30$5,584,321
Total plan assets at beginning of year2012-09-30$4,141,682
Value of fidelity bond covering the plan2012-09-30$400,000
Total contributions received or receivable from participants2012-09-30$505,879
Expenses. Other expenses not covered elsewhere2012-09-30$2,124
Contributions received from other sources (not participants or employers)2012-09-30$822,029
Other income received2012-09-30$-8,062
Net income (gross income less expenses)2012-09-30$1,445,792
Net plan assets at end of year (total assets less liabilities)2012-09-30$5,584,321
Net plan assets at beginning of year (total assets less liabilities)2012-09-30$4,141,682
Assets. Value of participant loans2012-09-30$197,656
Total contributions received or receivable from employer(s)2012-09-30$266,623
2011 : APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2011 401k financial data
Total income from all sources2011-09-30$534,632
Expenses. Total of all expenses incurred2011-09-30$128,118
Benefits paid (including direct rollovers)2011-09-30$126,259
Total plan assets at end of year2011-09-30$4,141,682
Total plan assets at beginning of year2011-09-30$3,735,168
Value of fidelity bond covering the plan2011-09-30$400,000
Total contributions received or receivable from participants2011-09-30$390,476
Expenses. Other expenses not covered elsewhere2011-09-30$1,859
Contributions received from other sources (not participants or employers)2011-09-30$-39,364
Other income received2011-09-30$5,924
Net income (gross income less expenses)2011-09-30$406,514
Net plan assets at end of year (total assets less liabilities)2011-09-30$4,141,682
Net plan assets at beginning of year (total assets less liabilities)2011-09-30$3,735,168
Assets. Value of participant loans2011-09-30$129,214
Total contributions received or receivable from employer(s)2011-09-30$177,596

Form 5500 Responses for APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN

2019: APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – TrustYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement - TrustYes
2018: APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan funding arrangement – TrustYes
2018-10-01Plan benefit arrangement – InsuranceYes
2018-10-01Plan benefit arrangement - TrustYes
2017: APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Submission has been amendedNo
2017-10-01This submission is the final filingNo
2017-10-01This return/report is a short plan year return/report (less than 12 months)No
2017-10-01Plan is a collectively bargained planNo
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan funding arrangement – TrustYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-10-01Plan benefit arrangement - TrustYes
2016: APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – TrustYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-10-01Plan benefit arrangement - TrustYes
2015: APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement - TrustYes
2014: APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement - TrustYes
2013: APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedYes
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement – InsuranceYes
2013-10-01Plan benefit arrangement - TrustYes
2012: APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement - TrustYes
2011: APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01First time form 5500 has been submittedYes
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – InsuranceYes
2009: APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – InsuranceYes
2008: APPLIED TECHNICAL SYSTEMS INC RETIREMENT SAVINGS PLAN 2008 form 5500 responses
2008-10-01Type of plan entitySingle employer plan
2008-10-01Submission has been amendedNo
2008-10-01This submission is the final filingNo
2008-10-01This return/report is a short plan year return/report (less than 12 months)No
2008-10-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-FS3C
Policy instance 1
Insurance contract or identification numberGAP-CP-FS3C
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of fees paid to insurance companyUSD $28
Insurance broker organization code?4
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-FS3C
Policy instance 1
Insurance contract or identification numberGAP-CP-FS3C
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $735
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $735
Insurance broker organization code?4
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-FS3C
Policy instance 1
Insurance contract or identification numberGAP-CP-FS3C
Number of Individuals Covered3
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $867
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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