401k Plan data: THE TIFFEN COMPANY, LLC 401(K) PLAN plan

THE TIFFEN COMPANY, LLC 401(K) PLAN 401k Plan overview

Plan Name	THE TIFFEN COMPANY, LLC 401(K) PLAN
Plan identification number	001

THE TIFFEN COMPANY, LLC 401(K) PLAN Benefits

401k Plan Type

Defined 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 covering Self-Employed individuals.
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.

401k Sponsoring company profile

THE TIFFEN COMPANY, LLC has sponsored the creation of one or more 401k plans.

Company Name: THE TIFFEN COMPANY, LLC

Employer identification number (EIN): 030523192

NAIC Classification: 334610

Additional information about THE TIFFEN COMPANY, LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 3662585

More information about THE TIFFEN COMPANY, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE TIFFEN COMPANY, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01 MICHAEL CANNATA 2021-09-21
001 2019-01-01 MICHAEL CANNATA 2020-09-29
001 2018-01-01 MICHAEL CANNATA 2019-07-17
001 2017-01-01 MICHAEL CANNATA 2018-05-21 MICHAEL CANNATA 2018-05-21
001 2016-01-01 MICHAEL CANNATA 2017-07-25
001 2015-01-01 MICHAEL CANNATA
001 2014-01-01 MICHAEL CANNATA
001 2013-01-01 MICHAEL CANNATA
001 2012-01-01 MICHAEL CANNATA
001 2011-01-01 MICHAEL CANNATA
001 2010-01-01 MICHAEL CANNATA 2011-07-26 MICHAEL CANNATA 2011-07-26

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01	MICHAEL CANNATA	2021-09-21
001	2019-01-01	MICHAEL CANNATA	2020-09-29
001	2018-01-01	MICHAEL CANNATA	2019-07-17
001	2017-01-01	MICHAEL CANNATA	2018-05-21	MICHAEL CANNATA	2018-05-21
001	2016-01-01	MICHAEL CANNATA	2017-07-25
001	2015-01-01	MICHAEL CANNATA
001	2014-01-01	MICHAEL CANNATA
001	2013-01-01	MICHAEL CANNATA
001	2012-01-01	MICHAEL CANNATA
001	2011-01-01	MICHAEL CANNATA
001	2010-01-01	MICHAEL CANNATA	2011-07-26	MICHAEL CANNATA	2011-07-26

Plan Statistics for THE TIFFEN COMPANY, LLC 401(K) PLAN

401k plan membership statisitcs for THE TIFFEN COMPANY, LLC 401(K) PLAN

Measure Date Value
2022: THE TIFFEN COMPANY, LLC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 69
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 45
Number of retired or separated participants receiving benefits 2022-01-01 2
Number of other retired or separated participants entitled to future benefits 2022-01-01 18
Total of all active and inactive participants 2022-01-01 65
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 1
Total participants 2022-01-01 66
Number of participants with account balances 2022-01-01 46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 1
2021: THE TIFFEN COMPANY, LLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 69
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 47
Number of retired or separated participants receiving benefits 2021-01-01 1
Number of other retired or separated participants entitled to future benefits 2021-01-01 20
Total of all active and inactive participants 2021-01-01 68
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 1
Total participants 2021-01-01 69
Number of participants with account balances 2021-01-01 49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 2
2015: THE TIFFEN COMPANY, LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 77
Number of retired or separated participants receiving benefits 2015-01-01 1
Number of other retired or separated participants entitled to future benefits 2015-01-01 17
Total of all active and inactive participants 2015-01-01 95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 95
Number of participants with account balances 2015-01-01 63
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 2
2014: THE TIFFEN COMPANY, LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 103
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 82
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 18
Total of all active and inactive participants 2014-01-01 100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 100
Number of participants with account balances 2014-01-01 67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 1
2013: THE TIFFEN COMPANY, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 163
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 80
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 20
Total of all active and inactive participants 2013-01-01 100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 100
Number of participants with account balances 2013-01-01 72
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 3
2012: THE TIFFEN COMPANY, LLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 152
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 135
Number of retired or separated participants receiving benefits 2012-01-01 20
Number of other retired or separated participants entitled to future benefits 2012-01-01 2
Total of all active and inactive participants 2012-01-01 157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 157
Number of participants with account balances 2012-01-01 79
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 5
2011: THE TIFFEN COMPANY, LLC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 145
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 129
Number of retired or separated participants receiving benefits 2011-01-01 1
Number of other retired or separated participants entitled to future benefits 2011-01-01 20
Total of all active and inactive participants 2011-01-01 150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 150
Number of participants with account balances 2011-01-01 77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1

Measure	Date	Value
2022: THE TIFFEN COMPANY, LLC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	69
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	45
Number of retired or separated participants receiving benefits	2022-01-01	2
Number of other retired or separated participants entitled to future benefits	2022-01-01	18
Total of all active and inactive participants	2022-01-01	65
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	1
Total participants	2022-01-01	66
Number of participants with account balances	2022-01-01	46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	1
2021: THE TIFFEN COMPANY, LLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	69
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	47
Number of retired or separated participants receiving benefits	2021-01-01	1
Number of other retired or separated participants entitled to future benefits	2021-01-01	20
Total of all active and inactive participants	2021-01-01	68
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	1
Total participants	2021-01-01	69
Number of participants with account balances	2021-01-01	49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	2
2015: THE TIFFEN COMPANY, LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	77
Number of retired or separated participants receiving benefits	2015-01-01	1
Number of other retired or separated participants entitled to future benefits	2015-01-01	17
Total of all active and inactive participants	2015-01-01	95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	95
Number of participants with account balances	2015-01-01	63
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	2
2014: THE TIFFEN COMPANY, LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	103
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	82
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	18
Total of all active and inactive participants	2014-01-01	100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	100
Number of participants with account balances	2014-01-01	67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	1
2013: THE TIFFEN COMPANY, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	163
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	80
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	20
Total of all active and inactive participants	2013-01-01	100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	100
Number of participants with account balances	2013-01-01	72
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	3
2012: THE TIFFEN COMPANY, LLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	152
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	135
Number of retired or separated participants receiving benefits	2012-01-01	20
Number of other retired or separated participants entitled to future benefits	2012-01-01	2
Total of all active and inactive participants	2012-01-01	157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	157
Number of participants with account balances	2012-01-01	79
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	5
2011: THE TIFFEN COMPANY, LLC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	145
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	129
Number of retired or separated participants receiving benefits	2011-01-01	1
Number of other retired or separated participants entitled to future benefits	2011-01-01	20
Total of all active and inactive participants	2011-01-01	150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	150
Number of participants with account balances	2011-01-01	77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1

Financial Data on THE TIFFEN COMPANY, LLC 401(K) PLAN

Measure	Date	Value
2022 : THE TIFFEN COMPANY, LLC 401(K) PLAN 2022 401k financial data
Transfers to/from the plan	2022-12-31	$0
Total plan liabilities at end of year	2022-12-31	$0
Total plan liabilities at beginning of year	2022-12-31	$0
Total income from all sources	2022-12-31	$-672,888
Expenses. Total of all expenses incurred	2022-12-31	$480,177
Benefits paid (including direct rollovers)	2022-12-31	$461,820
Total plan assets at end of year	2022-12-31	$4,530,661
Total plan assets at beginning of year	2022-12-31	$5,683,726
Value of fidelity bond covering the plan	2022-12-31	$500,000
Total contributions received or receivable from participants	2022-12-31	$284,680
Expenses. Other expenses not covered elsewhere	2022-12-31	$0
Contributions received from other sources (not participants or employers)	2022-12-31	$0
Other income received	2022-12-31	$-981,880
Noncash contributions received	2022-12-31	$0
Net income (gross income less expenses)	2022-12-31	$-1,153,065
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$4,530,661
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$5,683,726
Assets. Value of participant loans	2022-12-31	$68,422
Total contributions received or receivable from employer(s)	2022-12-31	$24,312
Value of certain deemed distributions of participant loans	2022-12-31	$0
Value of corrective distributions	2022-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2022-12-31	$18,357
2021 : THE TIFFEN COMPANY, LLC 401(K) PLAN 2021 401k financial data
Transfers to/from the plan	2021-12-31	$0
Total plan liabilities at end of year	2021-12-31	$0
Total plan liabilities at beginning of year	2021-12-31	$0
Total income from all sources	2021-12-31	$1,066,609
Expenses. Total of all expenses incurred	2021-12-31	$700,799
Benefits paid (including direct rollovers)	2021-12-31	$677,548
Total plan assets at end of year	2021-12-31	$5,683,726
Total plan assets at beginning of year	2021-12-31	$5,317,916
Value of fidelity bond covering the plan	2021-12-31	$500,000
Total contributions received or receivable from participants	2021-12-31	$226,566
Expenses. Other expenses not covered elsewhere	2021-12-31	$0
Contributions received from other sources (not participants or employers)	2021-12-31	$59,330
Other income received	2021-12-31	$760,956
Noncash contributions received	2021-12-31	$0
Net income (gross income less expenses)	2021-12-31	$365,810
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$5,683,726
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$5,317,916
Assets. Value of participant loans	2021-12-31	$27,764
Total contributions received or receivable from employer(s)	2021-12-31	$19,757
Value of certain deemed distributions of participant loans	2021-12-31	$0
Value of corrective distributions	2021-12-31	$3,765
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$19,486
2015 : THE TIFFEN COMPANY, LLC 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$352,369
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$287,711
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$283,816
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$318,295
Value of total assets at end of year	2015-12-31	$5,035,891
Value of total assets at beginning of year	2015-12-31	$4,971,233
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$3,895
Total interest from all sources	2015-12-31	$7,949
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$305,003
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$305,003
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$292,343
Participant contributions at end of year	2015-12-31	$161,966
Participant contributions at beginning of year	2015-12-31	$199,966
Other income not declared elsewhere	2015-12-31	$32,535
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$64,658
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$5,035,891
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$4,971,233
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$3,803,030
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$3,834,063
Interest on participant loans	2015-12-31	$7,949
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$1,070,895
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$936,925
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-311,413
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$25,952
Employer contributions (assets) at beginning of year	2015-12-31	$279
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$283,816
Contract administrator fees	2015-12-31	$3,895
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	GRASSI & CO.
Accountancy firm EIN	2015-12-31	113266576
2014 : THE TIFFEN COMPANY, LLC 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$9,800
Total income from all sources (including contributions)	2014-12-31	$608,104
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$153,020
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$151,745
Value of total corrective distributions	2014-12-31	$860
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$325,311
Value of total assets at end of year	2014-12-31	$4,971,233
Value of total assets at beginning of year	2014-12-31	$4,525,949
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$415
Total interest from all sources	2014-12-31	$8,464
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$165,601
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$165,601
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$298,776
Participant contributions at end of year	2014-12-31	$199,966
Participant contributions at beginning of year	2014-12-31	$184,565
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$9,800
Other income not declared elsewhere	2014-12-31	$39
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$455,084
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$4,971,233
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$4,516,149
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$3,834,063
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$3,485,600
Income. Interest from loans (other than to participants)	2014-12-31	$8,464
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$936,925
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$855,505
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$108,689
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$26,535
Employer contributions (assets) at end of year	2014-12-31	$279
Employer contributions (assets) at beginning of year	2014-12-31	$279
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$151,745
Contract administrator fees	2014-12-31	$415
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	GRASSI & CO.
Accountancy firm EIN	2014-12-31	113266576
2013 : THE TIFFEN COMPANY, LLC 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$9,800
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$10,287
Total income from all sources (including contributions)	2013-12-31	$1,113,317
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$578,661
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$557,576
Value of total corrective distributions	2013-12-31	$10,553
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$378,538
Value of total assets at end of year	2013-12-31	$4,525,949
Value of total assets at beginning of year	2013-12-31	$3,991,780
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$10,532
Total interest from all sources	2013-12-31	$5,777
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$101,688
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$101,688
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$351,350
Participant contributions at end of year	2013-12-31	$184,565
Participant contributions at beginning of year	2013-12-31	$105,048
Participant contributions at beginning of year	2013-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$34
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$9,800
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$10,287
Other income not declared elsewhere	2013-12-31	$1,673
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$534,656
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$4,516,149
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$3,981,493
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$3,485,600
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$3,018,894
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$0
Interest on participant loans	2013-12-31	$5,777
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$855,505
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$865,952
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$625,641
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$27,154
Employer contributions (assets) at end of year	2013-12-31	$279
Employer contributions (assets) at beginning of year	2013-12-31	$1,886
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$557,576
Contract administrator fees	2013-12-31	$10,532
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	GRASSI & CO
Accountancy firm EIN	2013-12-31	113266576
2012 : THE TIFFEN COMPANY, LLC 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$10,287
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$801,209
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$512,924
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$499,157
Expenses. Certain deemed distributions of participant loans	2012-12-31	$1,471
Value of total corrective distributions	2012-12-31	$10,287
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$444,802
Value of total assets at end of year	2012-12-31	$3,991,780
Value of total assets at beginning of year	2012-12-31	$3,693,208
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$2,009
Total interest from all sources	2012-12-31	$23,685
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$56,871
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$56,871
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$412,200
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$8,771
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$1,123
Assets. Loans (other than to participants) at end of year	2012-12-31	$105,048
Assets. Loans (other than to participants) at beginning of year	2012-12-31	$76,629
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$10,287
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$288,285
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$3,981,493
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$3,693,208
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$2,009
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$3,018,894
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$0
Value of interest in pooled separate accounts at end of year	2012-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$2,925,548
Interest on participant loans	2012-12-31	$5,084
Interest earned on other investments	2012-12-31	$18,601
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$865,952
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$678,594
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$98,090
Net investment gain/loss from pooled separate accounts	2012-12-31	$177,761
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$32,602
Employer contributions (assets) at end of year	2012-12-31	$1,886
Employer contributions (assets) at beginning of year	2012-12-31	$2,543
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$499,157
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	Yes
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	GRASSI & CO.
Accountancy firm EIN	2012-12-31	113266576
2011 : THE TIFFEN COMPANY, LLC 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$367,192
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$255,460
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$225,539
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$412,063
Value of total assets at end of year	2011-12-31	$3,681,053
Value of total assets at beginning of year	2011-12-31	$3,569,321
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$29,921
Total interest from all sources	2011-12-31	$22,278
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$250,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$381,646
Participant contributions at end of year	2011-12-31	$8,771
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$1,123
Assets. Loans (other than to participants) at end of year	2011-12-31	$76,629
Assets. Loans (other than to participants) at beginning of year	2011-12-31	$101,646
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$111,732
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$3,681,053
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$3,569,321
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$29,921
Value of interest in pooled separate accounts at end of year	2011-12-31	$2,925,548
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$2,862,714
Interest on participant loans	2011-12-31	$4,431
Interest earned on other investments	2011-12-31	$17,847
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$666,439
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$603,077
Net investment gain/loss from pooled separate accounts	2011-12-31	$-67,149
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$30,417
Employer contributions (assets) at end of year	2011-12-31	$2,543
Employer contributions (assets) at beginning of year	2011-12-31	$1,884
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$225,539
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	GRASSI & CO.
Accountancy firm EIN	2011-12-31	113266576

Form 5500 Responses for THE TIFFEN COMPANY, LLC 401(K) PLAN

2022: THE TIFFEN COMPANY, LLC 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: THE TIFFEN COMPANY, LLC 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2015: THE TIFFEN COMPANY, LLC 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: THE TIFFEN COMPANY, LLC 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: THE TIFFEN COMPANY, LLC 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: THE TIFFEN COMPANY, LLC 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: THE TIFFEN COMPANY, LLC 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )

Policy contract number

386372-01

Policy instance

Insurance contract or identification number	386372-01
Number of Individuals Covered	34
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
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
Insurance broker organization code?	3
Insurance broker name

FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )

Policy contract number

386372-01

Policy instance

Insurance contract or identification number	386372-01
Number of Individuals Covered	35
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
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
Insurance broker organization code?	3
Insurance broker name

FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )

Policy contract number

386372-01

Policy instance

Insurance contract or identification number	386372-01
Number of Individuals Covered	37
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $1,233
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
Commission paid to Insurance Broker	USD $1,233
Insurance broker organization code?	3
Insurance broker name	ALAN PFEFFER

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP02E92504E926

Policy instance

Insurance contract or identification number	GAP02E92504E926
Number of Individuals Covered	79
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $11,192
Total amount of fees paid to insurance company	USD $2,798
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?	Yes
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 $11,192
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	INVESTMENT ADVISORY SERVICES
Insurance broker organization code?	4
Insurance broker name	SENTINEL BENEFITS GROUP, LLC

FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )

Policy contract number

386372-01

Policy instance

Insurance contract or identification number	386372-01
Number of Individuals Covered	79
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $6,165
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?	Yes
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 $6,165
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	INVESTMENT ADVISORY SERVICES
Insurance broker organization code?	3
Insurance broker name	SENTINEL SECURITIES, INC.

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP02E92504E926

Policy instance

Insurance contract or identification number	GAP02E92504E926
Number of Individuals Covered	75
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $23,178
Total amount of fees paid to insurance company	USD $5,792
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?	Yes
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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The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
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See full terms and conditions

Company Name:	THE TIFFEN COMPANY, LLC
Employer identification number (EIN):	030523192
NAIC Classification:	334610

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	3662585