401k Plan data: HOLLYDELL, INC. RETIREMENT PLAN plan

HOLLYDELL, INC. RETIREMENT PLAN 401k Plan overview

Plan Name	HOLLYDELL, INC. RETIREMENT PLAN
Plan identification number	001

HOLLYDELL, INC. RETIREMENT 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

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

Company Name: HOLLYDELL, INC.

Employer identification number (EIN): 210699002

NAIC Classification: 611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOLLYDELL, INC. RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-07-01 JODI H. COATES 2023-04-11
001 2020-07-01 JODI H. COATES 2022-03-22
001 2019-07-01 GRACANNE RYAN 2021-01-22
001 2018-07-01 GRACANNE RYAN 2020-04-13
001 2017-07-01 GRACANNE RYAN 2019-04-08
001 2016-07-01
001 2015-07-01 GRACANNE RYAN 2016-09-19 GRACANNE RYAN 2016-09-19
001 2014-07-01 GRACANNE RYAN 2015-11-18
001 2013-07-01 GRACANNE H. RYAN 2014-09-08 GRACANNE H. RYAN 2014-09-08
001 2012-07-01 GRACANNE H. RYAN 2014-01-02
001 2011-07-01 GRACANNE H. RYAN 2012-11-07 GRACANNE H. RYAN 2012-11-07
001 2010-07-01 GRACANNE H. RYAN 2012-01-26

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2021-07-01	JODI H. COATES	2023-04-11
001	2020-07-01	JODI H. COATES	2022-03-22
001	2019-07-01	GRACANNE RYAN	2021-01-22
001	2018-07-01	GRACANNE RYAN	2020-04-13
001	2017-07-01	GRACANNE RYAN	2019-04-08
001	2016-07-01
001	2015-07-01	GRACANNE RYAN	2016-09-19	GRACANNE RYAN	2016-09-19
001	2014-07-01	GRACANNE RYAN	2015-11-18
001	2013-07-01	GRACANNE H. RYAN	2014-09-08	GRACANNE H. RYAN	2014-09-08
001	2012-07-01	GRACANNE H. RYAN	2014-01-02
001	2011-07-01	GRACANNE H. RYAN	2012-11-07	GRACANNE H. RYAN	2012-11-07
001	2010-07-01	GRACANNE H. RYAN	2012-01-26

Plan Statistics for HOLLYDELL, INC. RETIREMENT PLAN

401k plan membership statisitcs for HOLLYDELL, INC. RETIREMENT PLAN

Measure Date Value
2021: HOLLYDELL, INC. RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 129
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 98
Number of retired or separated participants receiving benefits 2021-07-01 2
Number of other retired or separated participants entitled to future benefits 2021-07-01 22
Total of all active and inactive participants 2021-07-01 122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-07-01 0
Total participants 2021-07-01 122
Number of participants with account balances 2021-07-01 114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-07-01 0
2020: HOLLYDELL, INC. RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 153
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 101
Number of retired or separated participants receiving benefits 2020-07-01 0
Number of other retired or separated participants entitled to future benefits 2020-07-01 24
Total of all active and inactive participants 2020-07-01 125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 0
Total participants 2020-07-01 125
Number of participants with account balances 2020-07-01 121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 0
2019: HOLLYDELL, INC. RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 149
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 129
Number of retired or separated participants receiving benefits 2019-07-01 1
Number of other retired or separated participants entitled to future benefits 2019-07-01 19
Total of all active and inactive participants 2019-07-01 149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-07-01 0
Total participants 2019-07-01 149
Number of participants with account balances 2019-07-01 130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-07-01 0
2018: HOLLYDELL, INC. RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 143
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 122
Number of retired or separated participants receiving benefits 2018-07-01 0
Number of other retired or separated participants entitled to future benefits 2018-07-01 14
Total of all active and inactive participants 2018-07-01 136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 0
Total participants 2018-07-01 136
Number of participants with account balances 2018-07-01 102
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 3
2017: HOLLYDELL, INC. RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 147
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 132
Number of retired or separated participants receiving benefits 2017-07-01 1
Number of other retired or separated participants entitled to future benefits 2017-07-01 13
Total of all active and inactive participants 2017-07-01 146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 0
Total participants 2017-07-01 146
Number of participants with account balances 2017-07-01 112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 3

Measure	Date	Value
2021: HOLLYDELL, INC. RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	129
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	98
Number of retired or separated participants receiving benefits	2021-07-01	2
Number of other retired or separated participants entitled to future benefits	2021-07-01	22
Total of all active and inactive participants	2021-07-01	122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-07-01	0
Total participants	2021-07-01	122
Number of participants with account balances	2021-07-01	114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-07-01	0
2020: HOLLYDELL, INC. RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	153
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	101
Number of retired or separated participants receiving benefits	2020-07-01	0
Number of other retired or separated participants entitled to future benefits	2020-07-01	24
Total of all active and inactive participants	2020-07-01	125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	0
Total participants	2020-07-01	125
Number of participants with account balances	2020-07-01	121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	0
2019: HOLLYDELL, INC. RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	149
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	129
Number of retired or separated participants receiving benefits	2019-07-01	1
Number of other retired or separated participants entitled to future benefits	2019-07-01	19
Total of all active and inactive participants	2019-07-01	149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-07-01	0
Total participants	2019-07-01	149
Number of participants with account balances	2019-07-01	130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-07-01	0
2018: HOLLYDELL, INC. RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	143
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	122
Number of retired or separated participants receiving benefits	2018-07-01	0
Number of other retired or separated participants entitled to future benefits	2018-07-01	14
Total of all active and inactive participants	2018-07-01	136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	0
Total participants	2018-07-01	136
Number of participants with account balances	2018-07-01	102
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	3
2017: HOLLYDELL, INC. RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	147
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	132
Number of retired or separated participants receiving benefits	2017-07-01	1
Number of other retired or separated participants entitled to future benefits	2017-07-01	13
Total of all active and inactive participants	2017-07-01	146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	0
Total participants	2017-07-01	146
Number of participants with account balances	2017-07-01	112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	3

Financial Data on HOLLYDELL, INC. RETIREMENT PLAN

Measure	Date	Value
2022 : HOLLYDELL, INC. RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total income from all sources (including contributions)	2022-06-30	$-502,285
Total loss/gain on sale of assets	2022-06-30	$0
Total of all expenses incurred	2022-06-30	$1,017,598
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-06-30	$1,005,043
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-06-30	$612,346
Value of total assets at end of year	2022-06-30	$6,961,864
Value of total assets at beginning of year	2022-06-30	$8,481,747
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-06-30	$12,555
Total interest from all sources	2022-06-30	$2,908
Total dividends received (eg from common stock, registered investment company shares)	2022-06-30	$319
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-06-30	$319
Was this plan covered by a fidelity bond	2022-06-30	Yes
Value of fidelity bond cover	2022-06-30	$500,000
If this is an individual account plan, was there a blackout period	2022-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2022-06-30	No
Contributions received from participants	2022-06-30	$378,895
Participant contributions at end of year	2022-06-30	$44,605
Participant contributions at beginning of year	2022-06-30	$76,468
Participant contributions at end of year	2022-06-30	$16,156
Participant contributions at beginning of year	2022-06-30	$16,708
Income. Received or receivable in cash from other sources (including rollovers)	2022-06-30	$1,951
Other income not declared elsewhere	2022-06-30	$3,335
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Value of net income/loss	2022-06-30	$-1,519,883
Value of net assets at end of year (total assets less liabilities)	2022-06-30	$6,961,864
Value of net assets at beginning of year (total assets less liabilities)	2022-06-30	$8,481,747
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-06-30	No
Were any leases to which the plan was party in default or uncollectible	2022-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-06-30	$266,535
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-06-30	$320,876
Value of interest in pooled separate accounts at end of year	2022-06-30	$1,003,020
Value of interest in pooled separate accounts at beginning of year	2022-06-30	$1,080,175
Interest on participant loans	2022-06-30	$2,908
Value of interest in common/collective trusts at end of year	2022-06-30	$5,258,250
Value of interest in common/collective trusts at beginning of year	2022-06-30	$6,575,045
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-06-30	$362,889
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-06-30	$402,632
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-06-30	$-86,980
Net investment gain/loss from pooled separate accounts	2022-06-30	$-164,787
Net investment gain or loss from common/collective trusts	2022-06-30	$-869,426
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-06-30	No
Was there a failure to transmit to the plan any participant contributions	2022-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2022-06-30	No
Contributions received in cash from employer	2022-06-30	$231,500
Employer contributions (assets) at end of year	2022-06-30	$10,409
Employer contributions (assets) at beginning of year	2022-06-30	$9,843
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-06-30	$1,005,043
Contract administrator fees	2022-06-30	$12,555
Did the plan have assets held for investment	2022-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-06-30	No
Opinion of an independent qualified public accountant for this plan	2022-06-30	Disclaimer
Accountancy firm name	2022-06-30	ANDERSON & COMPANY PC
Accountancy firm EIN	2022-06-30	222892865
2021 : HOLLYDELL, INC. RETIREMENT PLAN 2021 401k financial data
Unrealized appreciation/depreciation of real estate assets	2021-06-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2021-06-30	$0
Total unrealized appreciation/depreciation of assets	2021-06-30	$0
Total transfer of assets to this plan	2021-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$0
Total income from all sources (including contributions)	2021-06-30	$2,197,701
Total loss/gain on sale of assets	2021-06-30	$0
Total of all expenses incurred	2021-06-30	$236,412
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-06-30	$224,012
Expenses. Certain deemed distributions of participant loans	2021-06-30	$0
Value of total corrective distributions	2021-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-06-30	$620,035
Value of total assets at end of year	2021-06-30	$8,481,747
Value of total assets at beginning of year	2021-06-30	$6,520,458
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-06-30	$12,400
Total income from rents	2021-06-30	$0
Total interest from all sources	2021-06-30	$5,124
Total dividends received (eg from common stock, registered investment company shares)	2021-06-30	$708
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-06-30	$708
Administrative expenses professional fees incurred	2021-06-30	$0
Was this plan covered by a fidelity bond	2021-06-30	Yes
Value of fidelity bond cover	2021-06-30	$500,000
If this is an individual account plan, was there a blackout period	2021-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2021-06-30	No
Contributions received from participants	2021-06-30	$379,887
Participant contributions at end of year	2021-06-30	$76,468
Participant contributions at beginning of year	2021-06-30	$106,526
Participant contributions at end of year	2021-06-30	$16,708
Participant contributions at beginning of year	2021-06-30	$18,098
Income. Received or receivable in cash from other sources (including rollovers)	2021-06-30	$9,788
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2021-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-06-30	$0
Other income not declared elsewhere	2021-06-30	$0
Administrative expenses (other) incurred	2021-06-30	$0
Total non interest bearing cash at end of year	2021-06-30	$0
Total non interest bearing cash at beginning of year	2021-06-30	$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	2021-06-30	No
Value of net income/loss	2021-06-30	$1,961,289
Value of net assets at end of year (total assets less liabilities)	2021-06-30	$8,481,747
Value of net assets at beginning of year (total assets less liabilities)	2021-06-30	$6,520,458
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-06-30	No
Were any leases to which the plan was party in default or uncollectible	2021-06-30	No
Investment advisory and management fees	2021-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-06-30	$320,876
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-06-30	$292,123
Value of interest in pooled separate accounts at end of year	2021-06-30	$1,080,175
Value of interest in pooled separate accounts at beginning of year	2021-06-30	$721,131
Interest on participant loans	2021-06-30	$5,112
Income. Interest from loans (other than to participants)	2021-06-30	$0
Interest earned on other investments	2021-06-30	$12
Income. Interest from US Government securities	2021-06-30	$0
Income. Interest from corporate debt instruments	2021-06-30	$0
Value of interest in common/collective trusts at end of year	2021-06-30	$6,575,045
Value of interest in common/collective trusts at beginning of year	2021-06-30	$5,040,097
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-06-30	$402,632
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-06-30	$332,031
Expenses. Payments to insurance carriers foe the provision of benefits	2021-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-06-30	$106,559
Net investment gain/loss from pooled separate accounts	2021-06-30	$231,071
Net investment gain or loss from common/collective trusts	2021-06-30	$1,234,204
Net gain/loss from 103.12 investment entities	2021-06-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-06-30	No
Was there a failure to transmit to the plan any participant contributions	2021-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2021-06-30	No
Contributions received in cash from employer	2021-06-30	$230,360
Employer contributions (assets) at end of year	2021-06-30	$9,843
Employer contributions (assets) at beginning of year	2021-06-30	$10,452
Income. Dividends from preferred stock	2021-06-30	$0
Income. Dividends from common stock	2021-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-06-30	$224,012
Contract administrator fees	2021-06-30	$12,400
Did the plan have assets held for investment	2021-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-06-30	No
Aggregate proceeds on sale of assets	2021-06-30	$0
Aggregate carrying amount (costs) on sale of assets	2021-06-30	$0
Opinion of an independent qualified public accountant for this plan	2021-06-30	Disclaimer
Accountancy firm name	2021-06-30	ANDERSON & COMPANY PC
Accountancy firm EIN	2021-06-30	222892865
2020 : HOLLYDELL, INC. RETIREMENT PLAN 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets	2020-06-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2020-06-30	$0
Total unrealized appreciation/depreciation of assets	2020-06-30	$0
Total transfer of assets to this plan	2020-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total income from all sources (including contributions)	2020-06-30	$854,171
Total loss/gain on sale of assets	2020-06-30	$0
Total of all expenses incurred	2020-06-30	$723,908
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-06-30	$713,635
Expenses. Certain deemed distributions of participant loans	2020-06-30	$0
Value of total corrective distributions	2020-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-06-30	$594,052
Value of total assets at end of year	2020-06-30	$6,520,458
Value of total assets at beginning of year	2020-06-30	$6,390,195
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-06-30	$10,273
Total income from rents	2020-06-30	$0
Total interest from all sources	2020-06-30	$9,035
Total dividends received (eg from common stock, registered investment company shares)	2020-06-30	$1,492
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-06-30	$1,492
Administrative expenses professional fees incurred	2020-06-30	$0
Was this plan covered by a fidelity bond	2020-06-30	Yes
Value of fidelity bond cover	2020-06-30	$500,000
If this is an individual account plan, was there a blackout period	2020-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2020-06-30	No
Contributions received from participants	2020-06-30	$383,070
Participant contributions at end of year	2020-06-30	$106,526
Participant contributions at beginning of year	2020-06-30	$105,951
Participant contributions at end of year	2020-06-30	$18,098
Participant contributions at beginning of year	2020-06-30	$1,967
Income. Received or receivable in cash from other sources (including rollovers)	2020-06-30	$895
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2020-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-06-30	$0
Other income not declared elsewhere	2020-06-30	$0
Administrative expenses (other) incurred	2020-06-30	$0
Total non interest bearing cash at end of year	2020-06-30	$0
Total non interest bearing cash at beginning of year	2020-06-30	$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	2020-06-30	No
Value of net income/loss	2020-06-30	$130,263
Value of net assets at end of year (total assets less liabilities)	2020-06-30	$6,520,458
Value of net assets at beginning of year (total assets less liabilities)	2020-06-30	$6,390,195
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-06-30	No
Were any leases to which the plan was party in default or uncollectible	2020-06-30	No
Investment advisory and management fees	2020-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-06-30	$292,123
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-06-30	$189,781
Value of interest in pooled separate accounts at end of year	2020-06-30	$721,131
Value of interest in pooled separate accounts at beginning of year	2020-06-30	$444,013
Interest on participant loans	2020-06-30	$5,928
Income. Interest from loans (other than to participants)	2020-06-30	$0
Interest earned on other investments	2020-06-30	$3,107
Income. Interest from US Government securities	2020-06-30	$0
Income. Interest from corporate debt instruments	2020-06-30	$0
Value of interest in common/collective trusts at end of year	2020-06-30	$5,040,097
Value of interest in common/collective trusts at beginning of year	2020-06-30	$5,484,732
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-06-30	$332,031
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-06-30	$162,300
Expenses. Payments to insurance carriers foe the provision of benefits	2020-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-06-30	$7,991
Net investment gain/loss from pooled separate accounts	2020-06-30	$14,423
Net investment gain or loss from common/collective trusts	2020-06-30	$227,178
Net gain/loss from 103.12 investment entities	2020-06-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-06-30	No
Was there a failure to transmit to the plan any participant contributions	2020-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2020-06-30	No
Contributions received in cash from employer	2020-06-30	$210,087
Employer contributions (assets) at end of year	2020-06-30	$10,452
Employer contributions (assets) at beginning of year	2020-06-30	$1,451
Income. Dividends from preferred stock	2020-06-30	$0
Income. Dividends from common stock	2020-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-06-30	$713,635
Contract administrator fees	2020-06-30	$10,273
Did the plan have assets held for investment	2020-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-06-30	No
Aggregate proceeds on sale of assets	2020-06-30	$0
Aggregate carrying amount (costs) on sale of assets	2020-06-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2020-06-30	Disclaimer
Accountancy firm name	2020-06-30	ANDERSON & COMPANY PC
Accountancy firm EIN	2020-06-30	222892865
2019 : HOLLYDELL, INC. RETIREMENT PLAN 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets	2019-06-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2019-06-30	$0
Total unrealized appreciation/depreciation of assets	2019-06-30	$0
Total transfer of assets to this plan	2019-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total income from all sources (including contributions)	2019-06-30	$830,331
Total loss/gain on sale of assets	2019-06-30	$0
Total of all expenses incurred	2019-06-30	$193,610
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-06-30	$184,531
Expenses. Certain deemed distributions of participant loans	2019-06-30	$0
Value of total corrective distributions	2019-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-06-30	$556,436
Value of total assets at end of year	2019-06-30	$6,390,195
Value of total assets at beginning of year	2019-06-30	$5,753,474
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-06-30	$9,079
Total income from rents	2019-06-30	$0
Total interest from all sources	2019-06-30	$5,403
Total dividends received (eg from common stock, registered investment company shares)	2019-06-30	$699
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-06-30	$699
Administrative expenses professional fees incurred	2019-06-30	$0
Was this plan covered by a fidelity bond	2019-06-30	Yes
Value of fidelity bond cover	2019-06-30	$500,000
If this is an individual account plan, was there a blackout period	2019-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2019-06-30	No
Contributions received from participants	2019-06-30	$360,572
Participant contributions at end of year	2019-06-30	$105,951
Participant contributions at beginning of year	2019-06-30	$89,802
Participant contributions at end of year	2019-06-30	$1,967
Participant contributions at beginning of year	2019-06-30	$1,968
Income. Received or receivable in cash from other sources (including rollovers)	2019-06-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2019-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-06-30	$0
Other income not declared elsewhere	2019-06-30	$2,535
Administrative expenses (other) incurred	2019-06-30	$0
Total non interest bearing cash at end of year	2019-06-30	$0
Total non interest bearing cash at beginning of year	2019-06-30	$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	2019-06-30	No
Value of net income/loss	2019-06-30	$636,721
Value of net assets at end of year (total assets less liabilities)	2019-06-30	$6,390,195
Value of net assets at beginning of year (total assets less liabilities)	2019-06-30	$5,753,474
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-06-30	No
Were any leases to which the plan was party in default or uncollectible	2019-06-30	No
Investment advisory and management fees	2019-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-06-30	$189,781
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-06-30	$184,820
Value of interest in pooled separate accounts at end of year	2019-06-30	$444,013
Value of interest in pooled separate accounts at beginning of year	2019-06-30	$451,763
Interest on participant loans	2019-06-30	$4,440
Income. Interest from loans (other than to participants)	2019-06-30	$0
Interest earned on other investments	2019-06-30	$963
Income. Interest from US Government securities	2019-06-30	$0
Income. Interest from corporate debt instruments	2019-06-30	$0
Value of interest in common/collective trusts at end of year	2019-06-30	$5,484,732
Value of interest in common/collective trusts at beginning of year	2019-06-30	$5,010,646
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-06-30	$162,300
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-06-30	$12,999
Expenses. Payments to insurance carriers foe the provision of benefits	2019-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-06-30	$2,536
Net investment gain/loss from pooled separate accounts	2019-06-30	$24,431
Net investment gain or loss from common/collective trusts	2019-06-30	$238,291
Net gain/loss from 103.12 investment entities	2019-06-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-06-30	No
Was there a failure to transmit to the plan any participant contributions	2019-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2019-06-30	No
Contributions received in cash from employer	2019-06-30	$195,864
Employer contributions (assets) at end of year	2019-06-30	$1,451
Employer contributions (assets) at beginning of year	2019-06-30	$1,476
Income. Dividends from preferred stock	2019-06-30	$0
Income. Dividends from common stock	2019-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-06-30	$184,531
Contract administrator fees	2019-06-30	$9,079
Did the plan have assets held for investment	2019-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-06-30	No
Aggregate proceeds on sale of assets	2019-06-30	$0
Aggregate carrying amount (costs) on sale of assets	2019-06-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-06-30	Disclaimer
Accountancy firm name	2019-06-30	ANDERSON& COMPANY PC
Accountancy firm EIN	2019-06-30	222892865
2018 : HOLLYDELL, INC. RETIREMENT PLAN 2018 401k financial data
Unrealized appreciation/depreciation of real estate assets	2018-06-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2018-06-30	$0
Total unrealized appreciation/depreciation of assets	2018-06-30	$0
Total transfer of assets to this plan	2018-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total income from all sources (including contributions)	2018-06-30	$881,157
Total loss/gain on sale of assets	2018-06-30	$0
Total of all expenses incurred	2018-06-30	$85,119
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$77,044
Expenses. Certain deemed distributions of participant loans	2018-06-30	$0
Value of total corrective distributions	2018-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-06-30	$526,492
Value of total assets at end of year	2018-06-30	$5,753,474
Value of total assets at beginning of year	2018-06-30	$4,957,436
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-06-30	$8,075
Total income from rents	2018-06-30	$0
Total interest from all sources	2018-06-30	$4,171
Total dividends received (eg from common stock, registered investment company shares)	2018-06-30	$606
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-06-30	$606
Administrative expenses professional fees incurred	2018-06-30	$0
Was this plan covered by a fidelity bond	2018-06-30	Yes
Value of fidelity bond cover	2018-06-30	$500,000
If this is an individual account plan, was there a blackout period	2018-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2018-06-30	No
Contributions received from participants	2018-06-30	$337,244
Participant contributions at end of year	2018-06-30	$89,802
Participant contributions at beginning of year	2018-06-30	$95,466
Participant contributions at end of year	2018-06-30	$1,968
Participant contributions at beginning of year	2018-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-06-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-06-30	$0
Other income not declared elsewhere	2018-06-30	$0
Administrative expenses (other) incurred	2018-06-30	$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	2018-06-30	No
Value of net income/loss	2018-06-30	$796,038
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$5,753,474
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$4,957,436
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-06-30	No
Were any leases to which the plan was party in default or uncollectible	2018-06-30	No
Investment advisory and management fees	2018-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-06-30	$184,820
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-06-30	$123,261
Value of interest in pooled separate accounts at end of year	2018-06-30	$451,763
Value of interest in pooled separate accounts at beginning of year	2018-06-30	$398,901
Interest on participant loans	2018-06-30	$3,980
Income. Interest from loans (other than to participants)	2018-06-30	$0
Interest earned on other investments	2018-06-30	$191
Income. Interest from US Government securities	2018-06-30	$0
Income. Interest from corporate debt instruments	2018-06-30	$0
Value of interest in common/collective trusts at end of year	2018-06-30	$5,010,646
Value of interest in common/collective trusts at beginning of year	2018-06-30	$4,278,386
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-06-30	$12,999
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-06-30	$61,422
Expenses. Payments to insurance carriers foe the provision of benefits	2018-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-06-30	$17,934
Net investment gain/loss from pooled separate accounts	2018-06-30	$36,827
Net investment gain or loss from common/collective trusts	2018-06-30	$295,127
Net gain/loss from 103.12 investment entities	2018-06-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-06-30	No
Was there a failure to transmit to the plan any participant contributions	2018-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2018-06-30	No
Contributions received in cash from employer	2018-06-30	$189,248
Employer contributions (assets) at end of year	2018-06-30	$1,476
Employer contributions (assets) at beginning of year	2018-06-30	$0
Income. Dividends from preferred stock	2018-06-30	$0
Income. Dividends from common stock	2018-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$77,044
Contract administrator fees	2018-06-30	$8,075
Did the plan have assets held for investment	2018-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-06-30	No
Aggregate proceeds on sale of assets	2018-06-30	$0
Aggregate carrying amount (costs) on sale of assets	2018-06-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-06-30	Disclaimer
Accountancy firm name	2018-06-30	ANDERSON & COMPANY PC
Accountancy firm EIN	2018-06-30	222892865

Form 5500 Responses for HOLLYDELL, INC. RETIREMENT PLAN

2021: HOLLYDELL, INC. RETIREMENT PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Submission has been amended	No
2021-07-01	This submission is the final filing	No
2021-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-07-01	Plan is a collectively bargained plan	No
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan funding arrangement – Trust	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement - Trust	Yes
2020: HOLLYDELL, INC. RETIREMENT PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Submission has been amended	No
2020-07-01	This submission is the final filing	No
2020-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-07-01	Plan is a collectively bargained plan	No
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan funding arrangement – Trust	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement - Trust	Yes
2019: HOLLYDELL, INC. RETIREMENT PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Submission has been amended	No
2019-07-01	This submission is the final filing	No
2019-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-07-01	Plan is a collectively bargained plan	No
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan funding arrangement – Trust	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement - Trust	Yes
2018: HOLLYDELL, INC. RETIREMENT PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Submission has been amended	No
2018-07-01	This submission is the final filing	No
2018-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-07-01	Plan is a collectively bargained plan	No
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan funding arrangement – Trust	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement - Trust	Yes
2017: HOLLYDELL, INC. RETIREMENT PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Submission has been amended	No
2017-07-01	This submission is the final filing	No
2017-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-07-01	Plan is a collectively bargained plan	No
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan funding arrangement – Trust	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

813344

Policy instance

Insurance contract or identification number	813344
Number of Individuals Covered	116
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $2,767
Total amount of fees paid to insurance company	USD $553
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,767
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	116
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $950
Total amount of fees paid to insurance company	USD $190
Are there contracts with allocated funds for individual policies?	0
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 $950
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

813344

Policy instance

Insurance contract or identification number	813344
Number of Individuals Covered	124
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $2,126
Total amount of fees paid to insurance company	USD $425
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,126
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	124
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $896
Total amount of fees paid to insurance company	USD $179
Are there contracts with allocated funds for individual policies?	0
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 $896
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	150
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $617
Total amount of fees paid to insurance company	USD $123
Are there contracts with allocated funds for individual policies?	0
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 $617
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

813344

Policy instance

Insurance contract or identification number	813344
Number of Individuals Covered	150
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $1,438
Total amount of fees paid to insurance company	USD $288
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,438
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	150
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $153
Total amount of fees paid to insurance company	USD $31
Are there contracts with allocated funds for individual policies?	0
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 $153
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	ADVISOR
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

813344

Policy instance

Insurance contract or identification number	813344
Number of Individuals Covered	150
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $1,129
Total amount of fees paid to insurance company	USD $226
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,129
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	ADVISOR
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

813344

Policy instance

Insurance contract or identification number	813344
Number of Individuals Covered	148
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $617
Total amount of fees paid to insurance company	USD $210
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	148
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $24
Total amount of fees paid to insurance company	USD $11
Are there contracts with allocated funds for individual policies?	0
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:	HOLLYDELL, INC.
Employer identification number (EIN):	210699002
NAIC Classification:	611000