401k Plan data: HARBOR HOMES, INC. TAX DEFERRED ANNUITY PLAN plan

HARBOR HOMES, INC. TAX DEFERRED ANNUITY PLAN 401k Plan overview

Plan Name	HARBOR HOMES, INC. TAX DEFERRED ANNUITY PLAN
Plan identification number	001

HARBOR HOMES, INC. TAX DEFERRED ANNUITY PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.

401k Sponsoring company profile

HARBOR HOMES, INC. has sponsored the creation of one or more 401k plans.

Company Name: HARBOR HOMES, INC.

Employer identification number (EIN): 020351932

NAIC Classification: 624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HARBOR HOMES, INC. TAX DEFERRED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-07-01 PATRICIA ROBITAILLE PATRICIA ROBITAILLE 2017-09-08
001 2015-07-01 2017-04-15
001 2015-07-01 PATRICIA ROBITAILLE
001 2014-07-01 PETER KELLEHER
001 2013-07-01 PETER KELLEHER
001 2012-07-01 PETER KELLEHER 2014-01-14
001 2012-01-01 PETER KELLEHER 2013-02-13
001 2011-01-01 PETER KELLEHER 2012-07-25
001 2010-01-01 PETER KELLEHER 2011-10-06

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2016-07-01	PATRICIA ROBITAILLE		PATRICIA ROBITAILLE	2017-09-08
001	2015-07-01		2017-04-15
001	2015-07-01	PATRICIA ROBITAILLE
001	2014-07-01	PETER KELLEHER
001	2013-07-01	PETER KELLEHER
001	2012-07-01	PETER KELLEHER	2014-01-14
001	2012-01-01	PETER KELLEHER	2013-02-13
001	2011-01-01	PETER KELLEHER	2012-07-25
001	2010-01-01	PETER KELLEHER	2011-10-06

Plan Statistics for HARBOR HOMES, INC. TAX DEFERRED ANNUITY PLAN

401k plan membership statisitcs for HARBOR HOMES, INC. TAX DEFERRED ANNUITY PLAN

Measure Date Value
2016: HARBOR HOMES, INC. TAX DEFERRED ANNUITY PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 173
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 0
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 0
Total of all active and inactive participants 2016-07-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 0
Total participants 2016-07-01 0
Number of participants with account balances 2016-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 0
2015: HARBOR HOMES, INC. TAX DEFERRED ANNUITY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 196
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 153
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 20
Total of all active and inactive participants 2015-07-01 173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 173
Number of participants with account balances 2015-07-01 125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 0
2014: HARBOR HOMES, INC. TAX DEFERRED ANNUITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 249
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 172
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 24
Total of all active and inactive participants 2014-07-01 196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 196
Number of participants with account balances 2014-07-01 111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 0
2013: HARBOR HOMES, INC. TAX DEFERRED ANNUITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 159
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 223
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 26
Total of all active and inactive participants 2013-07-01 249
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 0
Total participants 2013-07-01 249
Number of participants with account balances 2013-07-01 83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 0

Measure	Date	Value
2016: HARBOR HOMES, INC. TAX DEFERRED ANNUITY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	173
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	0
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	0
Total of all active and inactive participants	2016-07-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	0
Total participants	2016-07-01	0
Number of participants with account balances	2016-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	0
2015: HARBOR HOMES, INC. TAX DEFERRED ANNUITY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	196
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	153
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	20
Total of all active and inactive participants	2015-07-01	173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	173
Number of participants with account balances	2015-07-01	125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	0
2014: HARBOR HOMES, INC. TAX DEFERRED ANNUITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	249
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	172
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	24
Total of all active and inactive participants	2014-07-01	196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	196
Number of participants with account balances	2014-07-01	111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	0
2013: HARBOR HOMES, INC. TAX DEFERRED ANNUITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	159
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	223
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	26
Total of all active and inactive participants	2013-07-01	249
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	249
Number of participants with account balances	2013-07-01	83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	0

Financial Data on HARBOR HOMES, INC. TAX DEFERRED ANNUITY PLAN

Measure	Date	Value
2016 : HARBOR HOMES, INC. TAX DEFERRED ANNUITY PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-11-10	$0
Total transfer of assets to this plan	2016-11-10	$380,261
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-11-10	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-11-10	$0
Total income from all sources (including contributions)	2016-11-10	$399,629
Total loss/gain on sale of assets	2016-11-10	$0
Total of all expenses incurred	2016-11-10	$5,101,122
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-11-10	$5,101,062
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-11-10	$256,862
Value of total assets at end of year	2016-11-10	$0
Value of total assets at beginning of year	2016-11-10	$4,321,232
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-11-10	$60
Total interest from all sources	2016-11-10	$561
Total dividends received (eg from common stock, registered investment company shares)	2016-11-10	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-11-10	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-11-10	$0
Was this plan covered by a fidelity bond	2016-11-10	Yes
Value of fidelity bond cover	2016-11-10	$500,000
If this is an individual account plan, was there a blackout period	2016-11-10	No
Were there any nonexempt tranactions with any party-in-interest	2016-11-10	No
Contributions received from participants	2016-11-10	$135,897
Participant contributions at end of year	2016-11-10	$0
Participant contributions at beginning of year	2016-11-10	$68,612
Participant contributions at end of year	2016-11-10	$0
Participant contributions at beginning of year	2016-11-10	$17,657
Other income not declared elsewhere	2016-11-10	$21,115
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-11-10	No
Value of net income/loss	2016-11-10	$-4,701,493
Value of net assets at end of year (total assets less liabilities)	2016-11-10	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-11-10	$4,321,232
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-11-10	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-11-10	No
Were any leases to which the plan was party in default or uncollectible	2016-11-10	No
Value of interest in pooled separate accounts at end of year	2016-11-10	$0
Value of interest in pooled separate accounts at beginning of year	2016-11-10	$2,627,064
Interest on participant loans	2016-11-10	$561
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-11-10	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-11-10	$1,581,391
Expenses. Payments to insurance carriers foe the provision of benefits	2016-11-10	$5,078,822
Net investment gain/loss from pooled separate accounts	2016-11-10	$121,091
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-11-10	No
Was there a failure to transmit to the plan any participant contributions	2016-11-10	Yes
Has the plan failed to provide any benefit when due under the plan	2016-11-10	No
Contributions received in cash from employer	2016-11-10	$120,965
Employer contributions (assets) at end of year	2016-11-10	$0
Employer contributions (assets) at beginning of year	2016-11-10	$26,508
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-11-10	$22,240
Contract administrator fees	2016-11-10	$60
Did the plan have assets held for investment	2016-11-10	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-11-10	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-11-10	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-11-10	Yes
Opinion of an independent qualified public accountant for this plan	2016-11-10	Disclaimer
Accountancy firm name	2016-11-10	TAWNEY, PLLC
Accountancy firm EIN	2016-11-10	464585449
Total unrealized appreciation/depreciation of assets	2016-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total income from all sources (including contributions)	2016-06-30	$869,195
Total loss/gain on sale of assets	2016-06-30	$0
Total of all expenses incurred	2016-06-30	$117,986
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$117,821
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$848,315
Value of total assets at end of year	2016-06-30	$4,321,232
Value of total assets at beginning of year	2016-06-30	$3,570,023
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$165
Total interest from all sources	2016-06-30	$2,778
Total dividends received (eg from common stock, registered investment company shares)	2016-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-30	No
Was this plan covered by a fidelity bond	2016-06-30	Yes
Value of fidelity bond cover	2016-06-30	$500,000
If this is an individual account plan, was there a blackout period	2016-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Contributions received from participants	2016-06-30	$180,196
Participant contributions at end of year	2016-06-30	$68,612
Participant contributions at beginning of year	2016-06-30	$65,758
Participant contributions at end of year	2016-06-30	$17,657
Participant contributions at beginning of year	2016-06-30	$20,972
Income. Received or receivable in cash from other sources (including rollovers)	2016-06-30	$340,571
Other income not declared elsewhere	2016-06-30	$55,584
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Value of net income/loss	2016-06-30	$751,209
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$4,321,232
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$3,570,023
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-06-30	No
Were any leases to which the plan was party in default or uncollectible	2016-06-30	No
Value of interest in pooled separate accounts at end of year	2016-06-30	$2,627,064
Value of interest in pooled separate accounts at beginning of year	2016-06-30	$1,935,226
Interest on participant loans	2016-06-30	$2,778
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-06-30	$1,581,391
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-06-30	$1,454,935
Net investment gain/loss from pooled separate accounts	2016-06-30	$-37,482
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-06-30	No
Was there a failure to transmit to the plan any participant contributions	2016-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2016-06-30	No
Contributions received in cash from employer	2016-06-30	$327,548
Employer contributions (assets) at end of year	2016-06-30	$26,508
Employer contributions (assets) at beginning of year	2016-06-30	$93,132
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$117,821
Contract administrator fees	2016-06-30	$165
Did the plan have assets held for investment	2016-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-06-30	Disclaimer
Accountancy firm name	2016-06-30	TAWNEY, PLLC
Accountancy firm EIN	2016-06-30	464585449
2015 : HARBOR HOMES, INC. TAX DEFERRED ANNUITY PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total income from all sources (including contributions)	2015-06-30	$663,933
Total loss/gain on sale of assets	2015-06-30	$0
Total of all expenses incurred	2015-06-30	$763,984
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$763,692
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$570,493
Value of total assets at end of year	2015-06-30	$3,570,023
Value of total assets at beginning of year	2015-06-30	$3,670,074
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$292
Total interest from all sources	2015-06-30	$1,977
Total dividends received (eg from common stock, registered investment company shares)	2015-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	No
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$500,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Contributions received from participants	2015-06-30	$208,482
Participant contributions at end of year	2015-06-30	$65,758
Participant contributions at beginning of year	2015-06-30	$21,332
Participant contributions at end of year	2015-06-30	$20,972
Income. Received or receivable in cash from other sources (including rollovers)	2015-06-30	$73,167
Other income not declared elsewhere	2015-06-30	$61,881
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Value of net income/loss	2015-06-30	$-100,051
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$3,570,023
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$3,670,074
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-30	No
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Value of interest in pooled separate accounts at end of year	2015-06-30	$1,935,226
Value of interest in pooled separate accounts at beginning of year	2015-06-30	$1,798,613
Interest on participant loans	2015-06-30	$1,977
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-06-30	$1,454,935
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-06-30	$1,850,129
Net investment gain/loss from pooled separate accounts	2015-06-30	$29,582
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-30	No
Was there a failure to transmit to the plan any participant contributions	2015-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2015-06-30	No
Contributions received in cash from employer	2015-06-30	$288,844
Employer contributions (assets) at end of year	2015-06-30	$93,132
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$763,692
Contract administrator fees	2015-06-30	$292
Did the plan have assets held for investment	2015-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-06-30	Disclaimer
Accountancy firm name	2015-06-30	TAWNEY & ASSOCIATES, PLLC
Accountancy firm EIN	2015-06-30	464585449
2014 : HARBOR HOMES, INC. TAX DEFERRED ANNUITY PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total income from all sources (including contributions)	2014-06-30	$802,734
Total loss/gain on sale of assets	2014-06-30	$0
Total of all expenses incurred	2014-06-30	$80,433
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-06-30	$76,650
Expenses. Certain deemed distributions of participant loans	2014-06-30	$3,356
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-06-30	$458,383
Value of total assets at end of year	2014-06-30	$3,670,074
Value of total assets at beginning of year	2014-06-30	$2,947,773
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-06-30	$427
Total interest from all sources	2014-06-30	$65,298
Total dividends received (eg from common stock, registered investment company shares)	2014-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-06-30	No
Was this plan covered by a fidelity bond	2014-06-30	Yes
Value of fidelity bond cover	2014-06-30	$500,000
If this is an individual account plan, was there a blackout period	2014-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-06-30	No
Contributions received from participants	2014-06-30	$285,035
Participant contributions at end of year	2014-06-30	$21,332
Participant contributions at beginning of year	2014-06-30	$3,503
Other income not declared elsewhere	2014-06-30	$20,064
Administrative expenses (other) incurred	2014-06-30	$427
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Value of net income/loss	2014-06-30	$722,301
Value of net assets at end of year (total assets less liabilities)	2014-06-30	$3,670,074
Value of net assets at beginning of year (total assets less liabilities)	2014-06-30	$2,947,773
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-06-30	No
Were any leases to which the plan was party in default or uncollectible	2014-06-30	No
Value of interest in pooled separate accounts at end of year	2014-06-30	$1,798,613
Value of interest in pooled separate accounts at beginning of year	2014-06-30	$1,220,543
Interest on participant loans	2014-06-30	$679
Interest earned on other investments	2014-06-30	$64,619
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-06-30	$1,850,129
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-06-30	$1,723,727
Net investment gain/loss from pooled separate accounts	2014-06-30	$258,989
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-06-30	No
Was there a failure to transmit to the plan any participant contributions	2014-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2014-06-30	No
Contributions received in cash from employer	2014-06-30	$173,348
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-06-30	$76,650
Did the plan have assets held for investment	2014-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-06-30	Disclaimer
Accountancy firm name	2014-06-30	TAWNEY & ASSOCIATES, PLLC
Accountancy firm EIN	2014-06-30	464585449

Form 5500 Responses for HARBOR HOMES, INC. TAX DEFERRED ANNUITY PLAN

2016: HARBOR HOMES, INC. TAX DEFERRED ANNUITY PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	Yes
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2015: HARBOR HOMES, INC. TAX DEFERRED ANNUITY PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2014: HARBOR HOMES, INC. TAX DEFERRED ANNUITY PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2013: HARBOR HOMES, INC. TAX DEFERRED ANNUITY PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VF6666

Policy instance

Insurance contract or identification number	VF6666
Number of Individuals Covered	14
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $339
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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
Commission paid to Insurance Broker	USD $250
Insurance broker organization code?	3
Insurance broker name	MML INSURANCE AGENCY INC

GREAT AMERICAN (National Association of Insurance Commissioners NAIC id number: 63312 )

Policy contract number

OTB114

Policy instance

Insurance contract or identification number	OTB114
Number of Individuals Covered	18
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $3,167
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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
Commission paid to Insurance Broker	USD $2,433
Insurance broker organization code?	3
Insurance broker name	HORIZON GROUP INSURANCE AGENCY

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

SE1618446

Policy instance

Insurance contract or identification number	SE1618446
Number of Individuals Covered	13
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $1,550
Total amount of fees paid to insurance company	USD $1,121
Are there contracts with allocated funds for individual policies?	Yes
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $1,274
Amount paid for insurance broker fees	43
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3
Insurance broker name	HECTOR ARANIZ

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

SE7513485

Policy instance

Insurance contract or identification number	SE7513485
Number of Individuals Covered	90
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $29,108
Total amount of fees paid to insurance company	USD $40,422
Are there contracts with allocated funds for individual policies?	Yes
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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
Commission paid to Insurance Broker	USD $22,905
Amount paid for insurance broker fees	1647
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3
Insurance broker name	HECTOR ARANIZ

GREAT AMERICAN (National Association of Insurance Commissioners NAIC id number: 63312 )

Policy contract number

OTB114

Policy instance

Insurance contract or identification number	OTB114
Number of Individuals Covered	18
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $2,934
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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
Commission paid to Insurance Broker	USD $2,263
Insurance broker organization code?	3
Insurance broker name	HORIZON GROUP INSURANCE AGENCY

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

SE1618446

Policy instance

Insurance contract or identification number	SE1618446
Number of Individuals Covered	9
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $1,235
Total amount of fees paid to insurance company	USD $969
Are there contracts with allocated funds for individual policies?	Yes
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $1,015
Amount paid for insurance broker fees	55
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3
Insurance broker name	GREGG ANDERSON

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

SE7513485

Policy instance

Insurance contract or identification number	SE7513485
Number of Individuals Covered	57
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $52,779
Total amount of fees paid to insurance company	USD $62,184
Are there contracts with allocated funds for individual policies?	Yes
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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
Commission paid to Insurance Broker	USD $37,864
Amount paid for insurance broker fees	3159
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3
Insurance broker name	GREGG ANDERSON

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VF6666

Policy instance

Insurance contract or identification number	VF6666
Number of Individuals Covered	28
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $1,872
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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
Commission paid to Insurance Broker	USD $1,822
Insurance broker organization code?	3
Insurance broker name	CHRISTOPHER KUHN

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

ART0130451EE

Policy instance

Insurance contract or identification number	ART0130451EE
Number of Individuals Covered	47
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $10,571
Total amount of fees paid to insurance company	USD $7,052
Are there contracts with allocated funds for individual policies?	Yes
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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
Commission paid to Insurance Broker	USD $8,689
Amount paid for insurance broker fees	328
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3
Insurance broker name	RICHARD A ST JEAN JR.

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

ART0131550EE

Policy instance

Insurance contract or identification number	ART0131550EE
Number of Individuals Covered	7
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $579
Total amount of fees paid to insurance company	USD $333
Are there contracts with allocated funds for individual policies?	Yes
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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
Commission paid to Insurance Broker	USD $476
Amount paid for insurance broker fees	14
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3
Insurance broker name	HECTOR N ARANIZ

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VF6666

Policy instance

Insurance contract or identification number	VF6666
Number of Individuals Covered	27
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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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Company Name:	HARBOR HOMES, INC.
Employer identification number (EIN):	020351932
NAIC Classification:	624100
NAIC Description:	Individual and Family Services