401k Plan data: SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS plan

SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS 401k Plan overview

Plan Name	SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS
Plan identification number	002

SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS 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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MAKOTO OSUGA has sponsored the creation of one or more 401k plans.

Company Name: MAKOTO OSUGA

Employer identification number (EIN): 200491405

NAIC Classification: 339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-01-01 MAKOTO OSUGA MAKOTO OSUGA 2016-06-28
002 2014-01-01 YUKIKO OSHIMA
002 2013-01-01 YUKIKO OSHIMA
002 2012-01-01 REYMOND F UMALI REYMOND F UMALI 2013-10-07
002 2009-01-01 REYMOND UMALI REYMOND UMALI 2010-10-14
002 2009-01-01 REYMOND UMALI REYMOND UMALI 2010-10-13

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2015-01-01	MAKOTO OSUGA	MAKOTO OSUGA	2016-06-28
002	2014-01-01	YUKIKO OSHIMA
002	2013-01-01	YUKIKO OSHIMA
002	2012-01-01	REYMOND F UMALI	REYMOND F UMALI	2013-10-07
002	2009-01-01	REYMOND UMALI	REYMOND UMALI	2010-10-14
002	2009-01-01	REYMOND UMALI	REYMOND UMALI	2010-10-13

Plan Statistics for SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS

401k plan membership statisitcs for SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS

Measure Date Value
2015: SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS 2015 401k membership
Total participants, beginning-of-year 2015-01-01 142
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS 2014 401k membership
Total participants, beginning-of-year 2014-01-01 153
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 99
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 43
Total of all active and inactive participants 2014-01-01 142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 142
Number of participants with account balances 2014-01-01 118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 6
2013: SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS 2013 401k membership
Total participants, beginning-of-year 2013-01-01 148
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 108
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 42
Total of all active and inactive participants 2013-01-01 150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 150
Number of participants with account balances 2013-01-01 127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 3
2012: SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS 2012 401k membership
Total participants, beginning-of-year 2012-01-01 131
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 104
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 41
Total of all active and inactive participants 2012-01-01 145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 145
Number of participants with account balances 2012-01-01 124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 6
2009: SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS 2009 401k membership
Total participants, beginning-of-year 2009-01-01 171
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 128
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 21
Total of all active and inactive participants 2009-01-01 149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 149
Number of participants with account balances 2009-01-01 131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 8

Measure	Date	Value
2015: SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS 2015 401k membership
Total participants, beginning-of-year	2015-01-01	142
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS 2014 401k membership
Total participants, beginning-of-year	2014-01-01	153
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	99
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	43
Total of all active and inactive participants	2014-01-01	142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	142
Number of participants with account balances	2014-01-01	118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	6
2013: SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS 2013 401k membership
Total participants, beginning-of-year	2013-01-01	148
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	108
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	42
Total of all active and inactive participants	2013-01-01	150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	150
Number of participants with account balances	2013-01-01	127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	3
2012: SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS 2012 401k membership
Total participants, beginning-of-year	2012-01-01	131
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	104
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	41
Total of all active and inactive participants	2012-01-01	145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	145
Number of participants with account balances	2012-01-01	124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	6
2009: SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS 2009 401k membership
Total participants, beginning-of-year	2009-01-01	171
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	128
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	21
Total of all active and inactive participants	2009-01-01	149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	149
Number of participants with account balances	2009-01-01	131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	8

Financial Data on SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS

Measure	Date	Value
2015 : SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-10-29	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-10-29	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-10-29	$0
Total income from all sources (including contributions)	2015-10-29	$127,692
Total loss/gain on sale of assets	2015-10-29	$0
Total of all expenses incurred	2015-10-29	$3,188,956
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-10-29	$3,181,036
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-10-29	$92,910
Value of total assets at end of year	2015-10-29	$0
Value of total assets at beginning of year	2015-10-29	$3,061,264
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-10-29	$7,920
Total interest from all sources	2015-10-29	$917
Total dividends received (eg from common stock, registered investment company shares)	2015-10-29	$8,765
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-10-29	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-10-29	$0
Total dividends received from registered investment company shares (eg mutual funds)	2015-10-29	$8,765
Was this plan covered by a fidelity bond	2015-10-29	Yes
Value of fidelity bond cover	2015-10-29	$1,000,000
If this is an individual account plan, was there a blackout period	2015-10-29	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-10-29	$0
Were there any nonexempt tranactions with any party-in-interest	2015-10-29	No
Contributions received from participants	2015-10-29	$83,135
Participant contributions at end of year	2015-10-29	$0
Participant contributions at beginning of year	2015-10-29	$76,752
Assets. Other investments not covered elsewhere at end of year	2015-10-29	$0
Assets. Other investments not covered elsewhere at beginning of year	2015-10-29	$0
Other income not declared elsewhere	2015-10-29	$-373
Administrative expenses (other) incurred	2015-10-29	$2,284
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-10-29	No
Value of net income/loss	2015-10-29	$-3,061,264
Value of net assets at end of year (total assets less liabilities)	2015-10-29	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-10-29	$3,061,264
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-10-29	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-10-29	No
Were any leases to which the plan was party in default or uncollectible	2015-10-29	No
Investment advisory and management fees	2015-10-29	$1,963
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-10-29	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-10-29	$2,451,780
Value of interest in pooled separate accounts at end of year	2015-10-29	$0
Value of interest in pooled separate accounts at beginning of year	2015-10-29	$0
Interest on participant loans	2015-10-29	$917
Value of interest in common/collective trusts at end of year	2015-10-29	$0
Value of interest in common/collective trusts at beginning of year	2015-10-29	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-10-29	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-10-29	$532,732
Expenses. Payments to insurance carriers foe the provision of benefits	2015-10-29	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-10-29	$25,473
Net investment gain/loss from pooled separate accounts	2015-10-29	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-10-29	Yes
Was there a failure to transmit to the plan any participant contributions	2015-10-29	No
Has the plan failed to provide any benefit when due under the plan	2015-10-29	No
Assets. Invements in employer securities at end of year	2015-10-29	$0
Assets. Invements in employer securities at beginning of year	2015-10-29	$0
Contributions received in cash from employer	2015-10-29	$9,775
Income. Dividends from common stock	2015-10-29	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-10-29	$3,181,036
Contract administrator fees	2015-10-29	$3,673
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	2015-10-29	Yes
Did the plan have assets held for investment	2015-10-29	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	2015-10-29	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-10-29	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-10-29	Yes
Opinion of an independent qualified public accountant for this plan	2015-10-29	Disclaimer
Accountancy firm name	2015-10-29	KUSHNER, SMITH, JOANOU, & GREGSON
Accountancy firm EIN	2015-10-29	953322166
2014 : SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS 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	$0
Total income from all sources (including contributions)	2014-12-31	$324,705
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$497,900
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$494,926
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$179,426
Value of total assets at end of year	2014-12-31	$3,061,264
Value of total assets at beginning of year	2014-12-31	$3,234,459
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$2,974
Total interest from all sources	2014-12-31	$13,695
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$30,557
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	$30,557
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$159,085
Participant contributions at end of year	2014-12-31	$76,752
Participant contributions at beginning of year	2014-12-31	$103,207
Other income not declared elsewhere	2014-12-31	$49
Administrative expenses (other) incurred	2014-12-31	$2,974
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	$-173,195
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$3,061,264
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$3,234,459
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	$2,451,780
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$2,528,507
Interest on participant loans	2014-12-31	$2,914
Interest earned on other investments	2014-12-31	$10,781
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$532,732
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$602,745
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$100,978
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	$20,341
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$494,926
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	KUSHNER,SMITH,JOANOU & GREGSON
Accountancy firm EIN	2014-12-31	953322166
2013 : SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$594,280
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$231,761
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$226,966
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$174,007
Value of total assets at end of year	2013-12-31	$3,234,459
Value of total assets at beginning of year	2013-12-31	$2,871,940
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$4,795
Total interest from all sources	2013-12-31	$15,981
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$52,195
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	$52,195
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$151,373
Participant contributions at end of year	2013-12-31	$103,207
Participant contributions at beginning of year	2013-12-31	$70,350
Administrative expenses (other) incurred	2013-12-31	$4,795
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	$362,519
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$3,234,459
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$2,871,940
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	$2,528,507
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$2,198,579
Interest on participant loans	2013-12-31	$3,204
Interest earned on other investments	2013-12-31	$12,777
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$602,745
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$603,011
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$352,097
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	$22,634
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$226,966
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	KUSHNER, SMITH, JOANOU & GREGSON
Accountancy firm EIN	2013-12-31	953322166
2012 : SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS 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	$0
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	$480,825
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$133,832
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$119,283
Expenses. Certain deemed distributions of participant loans	2012-12-31	$13,979
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$225,967
Value of total assets at end of year	2012-12-31	$2,871,940
Value of total assets at beginning of year	2012-12-31	$2,524,947
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$570
Total interest from all sources	2012-12-31	$16,764
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$41,524
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	$41,524
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
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	$163,216
Participant contributions at end of year	2012-12-31	$70,350
Participant contributions at beginning of year	2012-12-31	$77,174
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$38,894
Administrative expenses (other) incurred	2012-12-31	$570
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	$346,993
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$2,871,940
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,524,947
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$2,198,579
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$1,898,096
Interest on participant loans	2012-12-31	$2,439
Interest earned on other investments	2012-12-31	$14,325
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$603,011
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$549,677
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$196,570
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	$23,857
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$119,283
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	KUSHNER, SMITH, JOANOU & GREGSON
Accountancy firm EIN	2012-12-31	953322166
2011 : SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS 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	$335,807
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$580,939
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$578,668
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$316,440
Value of total assets at end of year	2011-12-31	$2,524,947
Value of total assets at beginning of year	2011-12-31	$2,770,079
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$2,271
Total interest from all sources	2011-12-31	$18,173
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$37,876
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2011-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$37,876
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$220,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$187,206
Participant contributions at end of year	2011-12-31	$77,174
Participant contributions at beginning of year	2011-12-31	$77,294
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$107,116
Other income not declared elsewhere	2011-12-31	$653
Administrative expenses (other) incurred	2011-12-31	$2,271
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	$-245,132
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,524,947
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,770,079
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$1,898,096
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$2,172,766
Interest on participant loans	2011-12-31	$2,897
Interest earned on other investments	2011-12-31	$15,276
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$549,677
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$520,019
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-37,335
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	$22,118
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$578,668
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	KSJG CERTIFIED PUBLIC ACCOUNTANTS
Accountancy firm EIN	2011-12-31	953322166
2010 : SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$535,519
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$561,619
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$557,998
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$237,750
Value of total assets at end of year	2010-12-31	$2,770,079
Value of total assets at beginning of year	2010-12-31	$2,796,179
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$3,621
Total interest from all sources	2010-12-31	$21,540
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$43,968
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$43,968
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$220,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$211,340
Participant contributions at end of year	2010-12-31	$77,294
Participant contributions at beginning of year	2010-12-31	$94,239
Administrative expenses (other) incurred	2010-12-31	$3,621
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$-26,100
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,770,079
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$2,796,179
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$2,172,766
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$2,102,101
Interest on participant loans	2010-12-31	$3,383
Interest earned on other investments	2010-12-31	$18,157
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$520,019
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$599,839
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$232,261
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$26,410
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$557,998
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	KUSHNER SMITH JOANOU & GREGSON LLP
Accountancy firm EIN	2010-12-31	953322166

Form 5500 Responses for SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS

2015: SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS 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	Yes
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS 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: SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS 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: SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS 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
2009: SEKISUI TA INDUSTRIES, LLC RETIREMENT SAVINGS 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 funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

040745

Policy instance

Insurance contract or identification number	040745
Number of Individuals Covered	0
Insurance policy start date	2015-01-01
Insurance policy end date	2015-03-31
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?	Yes
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
Other information about contract	GUARANTEED GENERAL ACCOUNT CONTRACT

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

61717-5

Policy instance

Insurance contract or identification number	61717-5
Number of Individuals Covered	0
Insurance policy start date	2015-04-01
Insurance policy end date	2015-10-29
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?	Yes
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
Other information about contract	GUARANTEED GENERAL ACCOUNT CONTRACT

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

040745

Policy instance

Insurance contract or identification number	040745
Number of Individuals Covered	142
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

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

040745

Policy instance

Insurance contract or identification number	040745
Number of Individuals Covered	150
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
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

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

040745

Policy instance

Insurance contract or identification number	040745
Number of Individuals Covered	145
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
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

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

040745

Policy instance

Insurance contract or identification number	040745
Number of Individuals Covered	141
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
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

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Company Name:	MAKOTO OSUGA
Employer identification number (EIN):	200491405
NAIC Classification:	339900