401k Plan data: FITCHBURG ART MUSEUM TAX DEFERRED ANNUITY PLAN plan

FITCHBURG ART MUSEUM TAX DEFERRED ANNUITY PLAN 401k Plan overview

Plan Name	FITCHBURG ART MUSEUM TAX DEFERRED ANNUITY PLAN
Plan identification number	002

FITCHBURG ART MUSEUM TAX DEFERRED ANNUITY PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	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

FITCHBURG ART MUSEUM, INC. has sponsored the creation of one or more 401k plans.

Company Name: FITCHBURG ART MUSEUM, INC.

Employer identification number (EIN): 046111758

NAIC Classification: 712100
NAIC Description: Museums, Historical Sites, and Similar Institutions

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FITCHBURG ART MUSEUM TAX DEFERRED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01 REBECCA WRIGHT 2023-10-20 REBECCA WRIGHT 2023-10-20
002 2021-01-01 REBECCA WRIGHT 2022-07-28
002 2020-01-01 SHERYL L. DEMERS 2021-07-02
002 2019-01-01 SHERYL L. DEMERS 2020-07-29
002 2018-01-01 SHERYL L. DEMERS 2019-07-29
002 2017-01-01 SHERYL L. DEMERS 2018-07-31
002 2016-01-01 SHERYL L. DEMERS 2017-07-31 SHERYL L. DEMERS 2017-07-31
002 2015-01-01 SHERYL L. DEMERS 2016-08-01 SHERYL L. DEMERS 2016-08-01
002 2014-01-01 SHERYL L. DEMERS 2015-07-02 SHERYL L. DEMERS 2015-07-02
002 2013-01-01 SHERYL L. DEMERS 2014-08-01 SHERYL L. DEMERS 2014-08-01
002 2012-01-01 SHERYL L. DEMERS
002 2011-01-01 SHERYL L DEMERS
002 2010-01-01 SHERYL L DEMERS
002 2009-01-01 SHERYL L DEMERS 2010-07-08

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2022-01-01	REBECCA WRIGHT	2023-10-20	REBECCA WRIGHT	2023-10-20
002	2021-01-01	REBECCA WRIGHT	2022-07-28
002	2020-01-01	SHERYL L. DEMERS	2021-07-02
002	2019-01-01	SHERYL L. DEMERS	2020-07-29
002	2018-01-01	SHERYL L. DEMERS	2019-07-29
002	2017-01-01	SHERYL L. DEMERS	2018-07-31
002	2016-01-01	SHERYL L. DEMERS	2017-07-31	SHERYL L. DEMERS	2017-07-31
002	2015-01-01	SHERYL L. DEMERS	2016-08-01	SHERYL L. DEMERS	2016-08-01
002	2014-01-01	SHERYL L. DEMERS	2015-07-02	SHERYL L. DEMERS	2015-07-02
002	2013-01-01	SHERYL L. DEMERS	2014-08-01	SHERYL L. DEMERS	2014-08-01
002	2012-01-01	SHERYL L. DEMERS
002	2011-01-01	SHERYL L DEMERS
002	2010-01-01	SHERYL L DEMERS
002	2009-01-01	SHERYL L DEMERS	2010-07-08

Plan Statistics for FITCHBURG ART MUSEUM TAX DEFERRED ANNUITY PLAN

401k plan membership statisitcs for FITCHBURG ART MUSEUM TAX DEFERRED ANNUITY PLAN

Measure Date Value
2012: FITCHBURG ART MUSEUM TAX DEFERRED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 7
Total of all active and inactive participants 2012-01-01 7
Total participants 2012-01-01 7
Number of participants with account balances 2012-01-01 7
2011: FITCHBURG ART MUSEUM TAX DEFERRED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 7
Total of all active and inactive participants 2011-01-01 7
Total participants 2011-01-01 7
Number of participants with account balances 2011-01-01 7
2010: FITCHBURG ART MUSEUM TAX DEFERRED ANNUITY PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 7
Total of all active and inactive participants 2010-01-01 7
Total participants 2010-01-01 7
Number of participants with account balances 2010-01-01 7
2009: FITCHBURG ART MUSEUM TAX DEFERRED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 10
Total of all active and inactive participants 2009-01-01 10
Total participants 2009-01-01 10
Number of participants with account balances 2009-01-01 7

Measure	Date	Value
2012: FITCHBURG ART MUSEUM TAX DEFERRED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	7
Total of all active and inactive participants	2012-01-01	7
Total participants	2012-01-01	7
Number of participants with account balances	2012-01-01	7
2011: FITCHBURG ART MUSEUM TAX DEFERRED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	7
Total of all active and inactive participants	2011-01-01	7
Total participants	2011-01-01	7
Number of participants with account balances	2011-01-01	7
2010: FITCHBURG ART MUSEUM TAX DEFERRED ANNUITY PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	7
Total of all active and inactive participants	2010-01-01	7
Total participants	2010-01-01	7
Number of participants with account balances	2010-01-01	7
2009: FITCHBURG ART MUSEUM TAX DEFERRED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	10
Total of all active and inactive participants	2009-01-01	10
Total participants	2009-01-01	10
Number of participants with account balances	2009-01-01	7

Financial Data on FITCHBURG ART MUSEUM TAX DEFERRED ANNUITY PLAN

Measure	Date	Value
2012 : FITCHBURG ART MUSEUM TAX DEFERRED ANNUITY PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$31,612
Total plan assets at end of year	2012-12-31	$256,226
Total plan assets at beginning of year	2012-12-31	$224,614
Total contributions received or receivable from participants	2012-12-31	$4,200
Other income received	2012-12-31	$27,412
Net income (gross income less expenses)	2012-12-31	$31,612
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$256,226
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$224,614
2011 : FITCHBURG ART MUSEUM TAX DEFERRED ANNUITY PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$6,778
Total plan assets at end of year	2011-12-31	$224,614
Total plan assets at beginning of year	2011-12-31	$217,836
Total contributions received or receivable from participants	2011-12-31	$6,600
Other income received	2011-12-31	$178
Net income (gross income less expenses)	2011-12-31	$6,778
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$224,614
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$217,836
2010 : FITCHBURG ART MUSEUM TAX DEFERRED ANNUITY PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$30,377
Total plan assets at end of year	2010-12-31	$217,836
Total plan assets at beginning of year	2010-12-31	$187,459
Total contributions received or receivable from participants	2010-12-31	$8,550
Other income received	2010-12-31	$21,827
Net income (gross income less expenses)	2010-12-31	$30,377
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$217,836
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$187,459

Form 5500 Responses for FITCHBURG ART MUSEUM TAX DEFERRED ANNUITY PLAN

2012: FITCHBURG ART MUSEUM TAX DEFERRED ANNUITY PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: FITCHBURG ART MUSEUM TAX DEFERRED ANNUITY PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: FITCHBURG ART MUSEUM TAX DEFERRED ANNUITY PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: FITCHBURG ART MUSEUM TAX DEFERRED ANNUITY PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	FITCHBURG ART MUSEUM, INC.
Employer identification number (EIN):	046111758
NAIC Classification:	712100
NAIC Description:	Museums, Historical Sites, and Similar Institutions