401k Plan data: DSA MANAGEMENT, INC. 401(K) PLAN plan

DSA MANAGEMENT, INC. 401(K) PLAN 401k Plan overview

Plan Name	DSA MANAGEMENT, INC. 401(K) PLAN
Plan identification number	001

DSA MANAGEMENT, INC. 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.
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

DSA MANAGEMENT, INC. has sponsored the creation of one or more 401k plans.

Company Name: DSA MANAGEMENT, INC.

Employer identification number (EIN): 042523900

NAIC Classification: 812990
NAIC Description: All Other Personal Services

Additional information about DSA MANAGEMENT, INC.

Jurisdiction of Incorporation: Nevada Department of State

Incorporation Date: 2005-02-23

Company Identification Number: 20051268164

Legal Registered Office Address: 6375 S PECOS RD STE 216

LAS VEGAS
United States of America (USA)
89120

More information about DSA MANAGEMENT, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DSA MANAGEMENT, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01
001 2015-01-01
001 2014-01-01
001 2013-01-01 NORMAN O. PETRI 2014-06-18
001 2012-01-01 NORMAN O. PETRI 2013-06-12
001 2011-01-01 NORMAN O. PETRI 2012-06-11
001 2010-01-01 MARY O'MALLEY
001 2009-01-01 MARY OMALLEY
001 2009-01-01 MARY O'MALLEY
001 2009-01-01 MARY OMALLEY
001 2008-01-01

Plan Statistics for DSA MANAGEMENT, INC. 401(K) PLAN

401k plan membership statisitcs for DSA MANAGEMENT, INC. 401(K) PLAN

Measure Date Value
2010: DSA MANAGEMENT, INC. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 2
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 2
Number of participants with account balances 2010-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: DSA MANAGEMENT, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 2
Number of participants with account balances 2009-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2010: DSA MANAGEMENT, INC. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	2
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	2
Number of participants with account balances	2010-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: DSA MANAGEMENT, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	2
Number of participants with account balances	2009-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on DSA MANAGEMENT, INC. 401(K) PLAN

Measure	Date	Value
2010 : DSA MANAGEMENT, INC. 401(K) PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$4,445
Expenses. Total of all expenses incurred	2010-12-31	$1,797
Benefits paid (including direct rollovers)	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$28,812
Total plan assets at beginning of year	2010-12-31	$26,164
Total contributions received or receivable from participants	2010-12-31	$422
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$4,015
Net income (gross income less expenses)	2010-12-31	$2,648
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$28,812
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$26,164
Assets. Value of participant loans	2010-12-31	$4,085
Total contributions received or receivable from employer(s)	2010-12-31	$8
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$497
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$1,300

Form 5500 Responses for DSA MANAGEMENT, INC. 401(K) PLAN

2010: DSA MANAGEMENT, INC. 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: DSA MANAGEMENT, INC. 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2008: DSA MANAGEMENT, INC. 401(K) PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No

Insurance Providers Used on plan

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )

Policy contract number

942462

Policy instance

Insurance contract or identification number	041983
Number of Individuals Covered	168
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $87
Insurance broker organization code?	4
Insurance broker name	MORGAN STANLEY SMITH BARNEY LLC

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Company Name:	DSA MANAGEMENT, INC.
Employer identification number (EIN):	042523900
NAIC Classification:	812990
NAIC Description:	All Other Personal Services

Jurisdiction of Incorporation:	Nevada Department of State
Incorporation Date:	2005-02-23
Company Identification Number:	20051268164
Legal Registered Office Address:	6375 S PECOS RD STE 216 LAS VEGAS United States of America (USA) 89120

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2016-01-01
001	2015-01-01
001	2014-01-01
001	2013-01-01	NORMAN O. PETRI	2014-06-18
001	2012-01-01	NORMAN O. PETRI	2013-06-12
001	2011-01-01	NORMAN O. PETRI	2012-06-11
001	2010-01-01	MARY O'MALLEY
001	2009-01-01	MARY OMALLEY
001	2009-01-01	MARY O'MALLEY
001	2009-01-01	MARY OMALLEY
001	2008-01-01