401k Plan data: PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN plan

PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN 401k Plan overview

Plan Name	PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN
Plan identification number	001

PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily pay related Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021). Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).

401k Sponsoring company profile

PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

Company Name: PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY

Employer identification number (EIN): 230959220

NAIC Classification: 524150

Additional information about PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY

Jurisdiction of Incorporation: Georgia Department of States Corporations Division

Incorporation Date:

Company Identification Number: 572520

More information about PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-05-01 PAUL SELLS
001 2013-05-01 PAUL SELLS
001 2012-05-01 EILEEN SLEUTARIS EILEEN SLEUTARIS 2014-02-14
001 2011-05-01 EILEEN SLEUTARIS EILEEN SLEUTARIS 2014-02-14
001 2010-05-01 PAUL SELLS EILEEN SLEUTARIS 2012-02-15
001 2009-05-01 PAUL SELLS EILEEN SLEUTARIS 2011-02-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2014-05-01	PAUL SELLS
001	2013-05-01	PAUL SELLS
001	2012-05-01	EILEEN SLEUTARIS	EILEEN SLEUTARIS	2014-02-14
001	2011-05-01	EILEEN SLEUTARIS	EILEEN SLEUTARIS	2014-02-14
001	2010-05-01	PAUL SELLS	EILEEN SLEUTARIS	2012-02-15
001	2009-05-01	PAUL SELLS	EILEEN SLEUTARIS	2011-02-15

Plan Statistics for PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN

401k plan membership statisitcs for PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN

Measure Date Value
2014: PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-05-01 293
Total number of active participants reported on line 7a of the Form 5500 2014-05-01 0
Number of retired or separated participants receiving benefits 2014-05-01 0
Number of other retired or separated participants entitled to future benefits 2014-05-01 0
Total of all active and inactive participants 2014-05-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-05-01 0
Total participants 2014-05-01 0
Number of participants with account balances 2014-05-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-05-01 0
2013: PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-05-01 296
Total number of active participants reported on line 7a of the Form 5500 2013-05-01 87
Number of retired or separated participants receiving benefits 2013-05-01 84
Number of other retired or separated participants entitled to future benefits 2013-05-01 103
Total of all active and inactive participants 2013-05-01 274
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-05-01 19
Total participants 2013-05-01 293
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-05-01 0
2012: PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-05-01 305
Total number of active participants reported on line 7a of the Form 5500 2012-05-01 92
Number of retired or separated participants receiving benefits 2012-05-01 85
Number of other retired or separated participants entitled to future benefits 2012-05-01 96
Total of all active and inactive participants 2012-05-01 273
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-05-01 23
Total participants 2012-05-01 296
Number of participants with account balances 2012-05-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-05-01 0
2011: PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-05-01 309
Total number of active participants reported on line 7a of the Form 5500 2011-05-01 99
Number of retired or separated participants receiving benefits 2011-05-01 84
Number of other retired or separated participants entitled to future benefits 2011-05-01 100
Total of all active and inactive participants 2011-05-01 283
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-05-01 24
Total participants 2011-05-01 307
Number of participants with account balances 2011-05-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-05-01 0
2010: PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-05-01 324
Total number of active participants reported on line 7a of the Form 5500 2010-05-01 111
Number of retired or separated participants receiving benefits 2010-05-01 83
Number of other retired or separated participants entitled to future benefits 2010-05-01 100
Total of all active and inactive participants 2010-05-01 294
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-05-01 25
Total participants 2010-05-01 319
Number of participants with account balances 2010-05-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-05-01 1
2009: PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-05-01 317
Total number of active participants reported on line 7a of the Form 5500 2009-05-01 123
Number of retired or separated participants receiving benefits 2009-05-01 75
Number of other retired or separated participants entitled to future benefits 2009-05-01 92
Total of all active and inactive participants 2009-05-01 290
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-05-01 23
Total participants 2009-05-01 313
Number of participants with account balances 2009-05-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-05-01 3

Measure	Date	Value
2014: PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-05-01	293
Total number of active participants reported on line 7a of the Form 5500	2014-05-01	0
Number of retired or separated participants receiving benefits	2014-05-01	0
Number of other retired or separated participants entitled to future benefits	2014-05-01	0
Total of all active and inactive participants	2014-05-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-05-01	0
Total participants	2014-05-01	0
Number of participants with account balances	2014-05-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-05-01	0
2013: PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-05-01	296
Total number of active participants reported on line 7a of the Form 5500	2013-05-01	87
Number of retired or separated participants receiving benefits	2013-05-01	84
Number of other retired or separated participants entitled to future benefits	2013-05-01	103
Total of all active and inactive participants	2013-05-01	274
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-05-01	19
Total participants	2013-05-01	293
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-05-01	0
2012: PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-05-01	305
Total number of active participants reported on line 7a of the Form 5500	2012-05-01	92
Number of retired or separated participants receiving benefits	2012-05-01	85
Number of other retired or separated participants entitled to future benefits	2012-05-01	96
Total of all active and inactive participants	2012-05-01	273
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-05-01	23
Total participants	2012-05-01	296
Number of participants with account balances	2012-05-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-05-01	0
2011: PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-05-01	309
Total number of active participants reported on line 7a of the Form 5500	2011-05-01	99
Number of retired or separated participants receiving benefits	2011-05-01	84
Number of other retired or separated participants entitled to future benefits	2011-05-01	100
Total of all active and inactive participants	2011-05-01	283
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-05-01	24
Total participants	2011-05-01	307
Number of participants with account balances	2011-05-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-05-01	0
2010: PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-05-01	324
Total number of active participants reported on line 7a of the Form 5500	2010-05-01	111
Number of retired or separated participants receiving benefits	2010-05-01	83
Number of other retired or separated participants entitled to future benefits	2010-05-01	100
Total of all active and inactive participants	2010-05-01	294
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-05-01	25
Total participants	2010-05-01	319
Number of participants with account balances	2010-05-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-05-01	1
2009: PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-05-01	317
Total number of active participants reported on line 7a of the Form 5500	2009-05-01	123
Number of retired or separated participants receiving benefits	2009-05-01	75
Number of other retired or separated participants entitled to future benefits	2009-05-01	92
Total of all active and inactive participants	2009-05-01	290
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-05-01	23
Total participants	2009-05-01	313
Number of participants with account balances	2009-05-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-05-01	3

Financial Data on PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN

Measure	Date	Value
2015 : PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-04-30	$0
Total transfer of assets from this plan	2015-04-30	$33,084,383
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-04-30	$0
Total income from all sources (including contributions)	2015-04-30	$2,562,611
Total loss/gain on sale of assets	2015-04-30	$0
Total of all expenses incurred	2015-04-30	$1,136,576
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-04-30	$1,105,142
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-04-30	$0
Value of total assets at end of year	2015-04-30	$0
Value of total assets at beginning of year	2015-04-30	$31,658,348
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-04-30	$31,434
Total interest from all sources	2015-04-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2015-04-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-04-30	No
Was this plan covered by a fidelity bond	2015-04-30	Yes
Value of fidelity bond cover	2015-04-30	$1,000,000
If this is an individual account plan, was there a blackout period	2015-04-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-04-30	No
Participant contributions at end of year	2015-04-30	$0
Participant contributions at beginning of year	2015-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-04-30	$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	2015-04-30	No
Value of net income/loss	2015-04-30	$1,426,035
Value of net assets at end of year (total assets less liabilities)	2015-04-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-04-30	$31,658,348
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-04-30	No
Were any leases to which the plan was party in default or uncollectible	2015-04-30	No
Value of interest in pooled separate accounts at end of year	2015-04-30	$0
Value of interest in pooled separate accounts at beginning of year	2015-04-30	$31,658,348
Net investment gain/loss from pooled separate accounts	2015-04-30	$2,562,611
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-04-30	Yes
Was there a failure to transmit to the plan any participant contributions	2015-04-30	No
Has the plan failed to provide any benefit when due under the plan	2015-04-30	No
Employer contributions (assets) at end of year	2015-04-30	$0
Employer contributions (assets) at beginning of year	2015-04-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-04-30	$1,105,142
Contract administrator fees	2015-04-30	$31,434
Did the plan have assets held for investment	2015-04-30	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	2015-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-04-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-04-30	Disclaimer
Accountancy firm name	2015-04-30	EISNER AMPER LLP
Accountancy firm EIN	2015-04-30	131639826
2014 : PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-04-30	$0
Total income from all sources (including contributions)	2014-04-30	$2,692,394
Total loss/gain on sale of assets	2014-04-30	$0
Total of all expenses incurred	2014-04-30	$1,042,153
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-04-30	$1,020,292
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-04-30	$0
Value of total assets at end of year	2014-04-30	$31,658,348
Value of total assets at beginning of year	2014-04-30	$30,008,107
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-04-30	$21,861
Total interest from all sources	2014-04-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-04-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-04-30	No
Was this plan covered by a fidelity bond	2014-04-30	Yes
Value of fidelity bond cover	2014-04-30	$1,000,000
If this is an individual account plan, was there a blackout period	2014-04-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-04-30	No
Participant contributions at end of year	2014-04-30	$0
Participant contributions at beginning of year	2014-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-04-30	$0
Administrative expenses (other) incurred	2014-04-30	$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	2014-04-30	No
Value of net income/loss	2014-04-30	$1,650,241
Value of net assets at end of year (total assets less liabilities)	2014-04-30	$31,658,348
Value of net assets at beginning of year (total assets less liabilities)	2014-04-30	$30,008,107
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-04-30	No
Were any leases to which the plan was party in default or uncollectible	2014-04-30	No
Value of interest in pooled separate accounts at end of year	2014-04-30	$31,658,348
Value of interest in pooled separate accounts at beginning of year	2014-04-30	$30,008,107
Net investment gain/loss from pooled separate accounts	2014-04-30	$2,692,394
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-04-30	No
Was there a failure to transmit to the plan any participant contributions	2014-04-30	No
Has the plan failed to provide any benefit when due under the plan	2014-04-30	No
Employer contributions (assets) at end of year	2014-04-30	$0
Employer contributions (assets) at beginning of year	2014-04-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-04-30	$1,020,292
Contract administrator fees	2014-04-30	$21,861
Did the plan have assets held for investment	2014-04-30	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	2014-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-04-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-04-30	Disclaimer
Accountancy firm name	2014-04-30	EISNER AMPER LLP
Accountancy firm EIN	2014-04-30	131639826
2013 : PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets	2013-04-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2013-04-30	$0
Total unrealized appreciation/depreciation of assets	2013-04-30	$0
Total transfer of assets to this plan	2013-04-30	$0
Total transfer of assets from this plan	2013-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-04-30	$0
Total income from all sources (including contributions)	2013-04-30	$3,294,535
Total loss/gain on sale of assets	2013-04-30	$0
Total of all expenses incurred	2013-04-30	$1,015,677
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-04-30	$992,065
Value of total corrective distributions	2013-04-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-04-30	$712,580
Value of total assets at end of year	2013-04-30	$30,008,107
Value of total assets at beginning of year	2013-04-30	$27,729,249
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-04-30	$23,612
Total income from rents	2013-04-30	$0
Total interest from all sources	2013-04-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-04-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-04-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-04-30	$0
Administrative expenses professional fees incurred	2013-04-30	$0
Was this plan covered by a fidelity bond	2013-04-30	Yes
Value of fidelity bond cover	2013-04-30	$1,000,000
If this is an individual account plan, was there a blackout period	2013-04-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-04-30	No
Amount of non-exempt transactions with any party-in-interest	2013-04-30	$0
Contributions received from participants	2013-04-30	$0
Participant contributions at end of year	2013-04-30	$0
Participant contributions at beginning of year	2013-04-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2013-04-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2013-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-04-30	$0
Other income not declared elsewhere	2013-04-30	$0
Administrative expenses (other) incurred	2013-04-30	$0
Liabilities. Value of operating payables at beginning of year	2013-04-30	$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	2013-04-30	No
Value of net income/loss	2013-04-30	$2,278,858
Value of net assets at end of year (total assets less liabilities)	2013-04-30	$30,008,107
Value of net assets at beginning of year (total assets less liabilities)	2013-04-30	$27,729,249
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-04-30	No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2013-04-30	$0
Were any leases to which the plan was party in default or uncollectible	2013-04-30	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2013-04-30	$0
Investment advisory and management fees	2013-04-30	$0
Value of interest in pooled separate accounts at end of year	2013-04-30	$30,008,107
Value of interest in pooled separate accounts at beginning of year	2013-04-30	$22,729,249
Income. Interest from loans (other than to participants)	2013-04-30	$0
Interest earned on other investments	2013-04-30	$0
Income. Interest from US Government securities	2013-04-30	$0
Income. Interest from corporate debt instruments	2013-04-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-04-30	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2013-04-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-04-30	$0
Net investment gain/loss from pooled separate accounts	2013-04-30	$2,581,955
Net investment gain or loss from common/collective trusts	2013-04-30	$0
Net gain/loss from 103.12 investment entities	2013-04-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-04-30	Yes
Was there a failure to transmit to the plan any participant contributions	2013-04-30	No
Has the plan failed to provide any benefit when due under the plan	2013-04-30	No
Contributions received in cash from employer	2013-04-30	$712,580
Employer contributions (assets) at end of year	2013-04-30	$0
Employer contributions (assets) at beginning of year	2013-04-30	$5,000,000
Income. Dividends from preferred stock	2013-04-30	$0
Income. Dividends from common stock	2013-04-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-04-30	$992,065
Contract administrator fees	2013-04-30	$23,612
Liabilities. Value of benefit claims payable at beginning of year	2013-04-30	$0
Did the plan have assets held for investment	2013-04-30	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	2013-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-04-30	No
Aggregate proceeds on sale of assets	2013-04-30	$0
Aggregate carrying amount (costs) on sale of assets	2013-04-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2013-04-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-04-30	Disclaimer
Accountancy firm name	2013-04-30	EISNER AMPER LLP
Accountancy firm EIN	2013-04-30	131639826
2012 : PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN 2012 401k financial data
Unrealized appreciation/depreciation of real estate assets	2012-04-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2012-04-30	$0
Total unrealized appreciation/depreciation of assets	2012-04-30	$0
Total transfer of assets to this plan	2012-04-30	$0
Total transfer of assets from this plan	2012-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-04-30	$0
Total income from all sources (including contributions)	2012-04-30	$9,107,123
Total loss/gain on sale of assets	2012-04-30	$0
Total of all expenses incurred	2012-04-30	$908,501
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-04-30	$886,195
Value of total corrective distributions	2012-04-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-04-30	$7,875,000
Value of total assets at end of year	2012-04-30	$27,729,249
Value of total assets at beginning of year	2012-04-30	$19,530,627
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-04-30	$22,306
Total income from rents	2012-04-30	$0
Total interest from all sources	2012-04-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-04-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-04-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-04-30	$0
Administrative expenses professional fees incurred	2012-04-30	$0
Was this plan covered by a fidelity bond	2012-04-30	Yes
Value of fidelity bond cover	2012-04-30	$1,000,000
If this is an individual account plan, was there a blackout period	2012-04-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-04-30	No
Amount of non-exempt transactions with any party-in-interest	2012-04-30	$0
Contributions received from participants	2012-04-30	$0
Participant contributions at end of year	2012-04-30	$0
Participant contributions at beginning of year	2012-04-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2012-04-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2012-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-04-30	$0
Other income not declared elsewhere	2012-04-30	$0
Administrative expenses (other) incurred	2012-04-30	$0
Liabilities. Value of operating payables at beginning of year	2012-04-30	$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	2012-04-30	No
Value of net income/loss	2012-04-30	$8,198,622
Value of net assets at end of year (total assets less liabilities)	2012-04-30	$27,729,249
Value of net assets at beginning of year (total assets less liabilities)	2012-04-30	$19,530,627
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-04-30	No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2012-04-30	$0
Were any leases to which the plan was party in default or uncollectible	2012-04-30	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2012-04-30	$0
Investment advisory and management fees	2012-04-30	$0
Value of interest in pooled separate accounts at end of year	2012-04-30	$22,729,249
Value of interest in pooled separate accounts at beginning of year	2012-04-30	$19,280,627
Income. Interest from loans (other than to participants)	2012-04-30	$0
Interest earned on other investments	2012-04-30	$0
Income. Interest from US Government securities	2012-04-30	$0
Income. Interest from corporate debt instruments	2012-04-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-04-30	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2012-04-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-04-30	$0
Net investment gain/loss from pooled separate accounts	2012-04-30	$1,232,123
Net investment gain or loss from common/collective trusts	2012-04-30	$0
Net gain/loss from 103.12 investment entities	2012-04-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-04-30	Yes
Was there a failure to transmit to the plan any participant contributions	2012-04-30	No
Has the plan failed to provide any benefit when due under the plan	2012-04-30	No
Contributions received in cash from employer	2012-04-30	$7,875,000
Employer contributions (assets) at end of year	2012-04-30	$5,000,000
Employer contributions (assets) at beginning of year	2012-04-30	$250,000
Income. Dividends from preferred stock	2012-04-30	$0
Income. Dividends from common stock	2012-04-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-04-30	$886,195
Contract administrator fees	2012-04-30	$22,306
Liabilities. Value of benefit claims payable at beginning of year	2012-04-30	$0
Did the plan have assets held for investment	2012-04-30	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	2012-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-04-30	No
Aggregate proceeds on sale of assets	2012-04-30	$0
Aggregate carrying amount (costs) on sale of assets	2012-04-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2012-04-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-04-30	Disclaimer
Accountancy firm name	2012-04-30	EISNERAMPER LLP
Accountancy firm EIN	2012-04-30	131639826
2011 : PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets	2011-04-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2011-04-30	$0
Total unrealized appreciation/depreciation of assets	2011-04-30	$0
Total transfer of assets to this plan	2011-04-30	$0
Total transfer of assets from this plan	2011-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-04-30	$0
Total income from all sources (including contributions)	2011-04-30	$4,045,849
Total loss/gain on sale of assets	2011-04-30	$0
Total of all expenses incurred	2011-04-30	$818,633
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-04-30	$793,747
Value of total corrective distributions	2011-04-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-04-30	$2,137,904
Value of total assets at end of year	2011-04-30	$19,530,627
Value of total assets at beginning of year	2011-04-30	$16,303,411
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-04-30	$24,886
Total income from rents	2011-04-30	$0
Total interest from all sources	2011-04-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2011-04-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-04-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-04-30	$0
Administrative expenses professional fees incurred	2011-04-30	$0
Was this plan covered by a fidelity bond	2011-04-30	Yes
Value of fidelity bond cover	2011-04-30	$1,000,000
If this is an individual account plan, was there a blackout period	2011-04-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2011-04-30	No
Amount of non-exempt transactions with any party-in-interest	2011-04-30	$0
Contributions received from participants	2011-04-30	$0
Participant contributions at end of year	2011-04-30	$0
Participant contributions at beginning of year	2011-04-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2011-04-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2011-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-04-30	$0
Other income not declared elsewhere	2011-04-30	$0
Administrative expenses (other) incurred	2011-04-30	$0
Liabilities. Value of operating payables at beginning of year	2011-04-30	$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	2011-04-30	No
Value of net income/loss	2011-04-30	$3,227,216
Value of net assets at end of year (total assets less liabilities)	2011-04-30	$19,530,627
Value of net assets at beginning of year (total assets less liabilities)	2011-04-30	$16,303,411
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-04-30	No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2011-04-30	$0
Were any leases to which the plan was party in default or uncollectible	2011-04-30	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2011-04-30	$0
Investment advisory and management fees	2011-04-30	$0
Value of interest in pooled separate accounts at end of year	2011-04-30	$19,280,627
Value of interest in pooled separate accounts at beginning of year	2011-04-30	$16,003,411
Income. Interest from loans (other than to participants)	2011-04-30	$0
Interest earned on other investments	2011-04-30	$0
Income. Interest from US Government securities	2011-04-30	$0
Income. Interest from corporate debt instruments	2011-04-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-04-30	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2011-04-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-04-30	$0
Net investment gain/loss from pooled separate accounts	2011-04-30	$1,907,945
Net investment gain or loss from common/collective trusts	2011-04-30	$0
Net gain/loss from 103.12 investment entities	2011-04-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-04-30	Yes
Was there a failure to transmit to the plan any participant contributions	2011-04-30	No
Has the plan failed to provide any benefit when due under the plan	2011-04-30	No
Contributions received in cash from employer	2011-04-30	$2,137,904
Employer contributions (assets) at end of year	2011-04-30	$250,000
Employer contributions (assets) at beginning of year	2011-04-30	$300,000
Income. Dividends from preferred stock	2011-04-30	$0
Income. Dividends from common stock	2011-04-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-04-30	$793,747
Contract administrator fees	2011-04-30	$24,886
Liabilities. Value of benefit claims payable at beginning of year	2011-04-30	$0
Did the plan have assets held for investment	2011-04-30	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	2011-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-04-30	No
Aggregate proceeds on sale of assets	2011-04-30	$0
Aggregate carrying amount (costs) on sale of assets	2011-04-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2011-04-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-04-30	Disclaimer
Accountancy firm name	2011-04-30	EISENRAMPER LLP
Accountancy firm EIN	2011-04-30	131639826
2010 : PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-04-30	$0

Form 5500 Responses for PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN

2014: PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN 2014 form 5500 responses
2014-05-01	Type of plan entity	Single employer plan
2014-05-01	Submission has been amended	No
2014-05-01	This submission is the final filing	Yes
2014-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-05-01	Plan is a collectively bargained plan	No
2014-05-01	Plan funding arrangement – Insurance	Yes
2014-05-01	Plan benefit arrangement – Insurance	Yes
2013: PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN 2013 form 5500 responses
2013-05-01	Type of plan entity	Single employer plan
2013-05-01	Submission has been amended	No
2013-05-01	This submission is the final filing	No
2013-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-05-01	Plan is a collectively bargained plan	No
2013-05-01	Plan funding arrangement – Insurance	Yes
2013-05-01	Plan benefit arrangement – Insurance	Yes
2012: PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN 2012 form 5500 responses
2012-05-01	Type of plan entity	Single employer plan
2012-05-01	This submission is the final filing	No
2012-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-05-01	Plan is a collectively bargained plan	No
2012-05-01	Plan funding arrangement – Insurance	Yes
2012-05-01	Plan benefit arrangement – Insurance	Yes
2011: PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN 2011 form 5500 responses
2011-05-01	Type of plan entity	Single employer plan
2011-05-01	Submission has been amended	Yes
2011-05-01	This submission is the final filing	No
2011-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-05-01	Plan is a collectively bargained plan	No
2011-05-01	Plan funding arrangement – Insurance	Yes
2011-05-01	Plan benefit arrangement – Insurance	Yes
2010: PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN 2010 form 5500 responses
2010-05-01	Type of plan entity	Single employer plan
2010-05-01	This submission is the final filing	No
2010-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-05-01	Plan is a collectively bargained plan	No
2010-05-01	Plan funding arrangement – Insurance	Yes
2010-05-01	Plan benefit arrangement – Insurance	Yes
2009: PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY RETIREMENT PLAN 2009 form 5500 responses
2009-05-01	Type of plan entity	Single employer plan
2009-05-01	This submission is the final filing	No
2009-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-05-01	Plan is a collectively bargained plan	No
2009-05-01	Plan funding arrangement – Insurance	Yes
2009-05-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY
Employer identification number (EIN):	230959220
NAIC Classification:	524150

Jurisdiction of Incorporation:	Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number:	572520