401k Plan data: FMS 401(K) PROFIT SHARING PLAN AND TRUST plan

FMS 401(K) PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan Name	FMS 401(K) PROFIT SHARING PLAN AND TRUST
Plan identification number	004

FMS 401(K) PROFIT SHARING PLAN AND TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

UTILITRA, LLC has sponsored the creation of one or more 401k plans.

Company Name: UTILITRA, LLC

Employer identification number (EIN): 273700872

NAIC Classification: 541219
NAIC Description: Other Accounting Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FMS 401(K) PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2019-01-01
004 2018-01-01
004 2016-01-01 RONDA WESEMANN RONDA WESEMANN 2017-10-12
004 2015-01-01 RONDA WESEMANN
004 2014-01-01 KATHLEEN A. BURSTADT
004 2013-01-01 KATHLEEN A. BURSTADT 2014-06-12

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
004	2019-01-01
004	2018-01-01
004	2016-01-01	RONDA WESEMANN		RONDA WESEMANN	2017-10-12
004	2015-01-01	RONDA WESEMANN
004	2014-01-01	KATHLEEN A. BURSTADT
004	2013-01-01	KATHLEEN A. BURSTADT	2014-06-12

Plan Statistics for FMS 401(K) PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for FMS 401(K) PROFIT SHARING PLAN AND TRUST

Measure Date Value
2019: FMS 401(K) PROFIT SHARING PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year 2019-01-01 273
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 237
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 42
Total of all active and inactive participants 2019-01-01 279
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 279
Number of participants with account balances 2019-01-01 220
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: FMS 401(K) PROFIT SHARING PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year 2018-01-01 238
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 234
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 31
Total of all active and inactive participants 2018-01-01 265
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 265
Number of participants with account balances 2018-01-01 202
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2016: FMS 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year 2016-01-01 166
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 175
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 25
Total of all active and inactive participants 2016-01-01 200
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 200
Number of participants with account balances 2016-01-01 129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: FMS 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 146
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 150
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 16
Total of all active and inactive participants 2015-01-01 166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 166
Number of participants with account balances 2015-01-01 111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: FMS 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 123
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 133
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 13
Total of all active and inactive participants 2014-01-01 146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 146
Number of participants with account balances 2014-01-01 92
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 1

Measure	Date	Value
2019: FMS 401(K) PROFIT SHARING PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year	2019-01-01	273
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	237
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	42
Total of all active and inactive participants	2019-01-01	279
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	279
Number of participants with account balances	2019-01-01	220
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: FMS 401(K) PROFIT SHARING PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year	2018-01-01	238
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	234
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	31
Total of all active and inactive participants	2018-01-01	265
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	265
Number of participants with account balances	2018-01-01	202
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2016: FMS 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	166
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	175
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	25
Total of all active and inactive participants	2016-01-01	200
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	200
Number of participants with account balances	2016-01-01	129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: FMS 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	146
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	150
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	16
Total of all active and inactive participants	2015-01-01	166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	166
Number of participants with account balances	2015-01-01	111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: FMS 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	123
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	133
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	13
Total of all active and inactive participants	2014-01-01	146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	146
Number of participants with account balances	2014-01-01	92
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	1

Financial Data on FMS 401(K) PROFIT SHARING PLAN AND TRUST

Measure	Date	Value
2019 : FMS 401(K) PROFIT SHARING PLAN AND TRUST 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$25,149
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$5,443,301
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$1,827,115
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,761,659
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$2,354,413
Value of total assets at end of year	2019-12-31	$15,971,765
Value of total assets at beginning of year	2019-12-31	$12,330,430
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$65,456
Total interest from all sources	2019-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$1,393,064
Participant contributions at end of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$67
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$140,103
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$25,149
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$0
Other income not declared elsewhere	2019-12-31	$9,528
Administrative expenses (other) incurred	2019-12-31	$65,456
Total non interest bearing cash at end of year	2019-12-31	$0
Total non interest bearing cash at beginning of year	2019-12-31	$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	2019-12-31	No
Value of net income/loss	2019-12-31	$3,616,186
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$15,946,616
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$12,330,430
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$15,913,651
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$12,325,097
Value of interest in common/collective trusts at end of year	2019-12-31	$0
Value of interest in common/collective trusts at beginning of year	2019-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$0
Asset value of US Government securities at end of year	2019-12-31	$0
Asset value of US Government securities at beginning of year	2019-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$3,079,360
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$821,246
Employer contributions (assets) at end of year	2019-12-31	$58,114
Employer contributions (assets) at beginning of year	2019-12-31	$5,266
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,761,659
Asset. Corporate debt instrument debt (other) at end of year	2019-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2019-12-31	$0
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	BROWN SMITH WALLACE LLP
Accountancy firm EIN	2019-12-31	431001367
2018 : FMS 401(K) PROFIT SHARING PLAN AND TRUST 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$26,036
Total income from all sources (including contributions)	2018-12-31	$1,142,777
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$1,647,340
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$1,593,972
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$2,229,399
Value of total assets at end of year	2018-12-31	$12,330,430
Value of total assets at beginning of year	2018-12-31	$12,861,029
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$53,368
Total interest from all sources	2018-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$1,246,982
Participant contributions at end of year	2018-12-31	$67
Participant contributions at beginning of year	2018-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$292,576
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$9,804
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$26,036
Total non interest bearing cash at end of year	2018-12-31	$0
Total non interest bearing cash at beginning of year	2018-12-31	$37,203
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-504,563
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$12,330,430
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$12,834,993
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$53,368
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$12,325,097
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$11,142,795
Value of interest in common/collective trusts at end of year	2018-12-31	$0
Value of interest in common/collective trusts at beginning of year	2018-12-31	$32,420
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$108,047
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$108,047
Asset value of US Government securities at end of year	2018-12-31	$0
Asset value of US Government securities at beginning of year	2018-12-31	$806,790
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-1,086,622
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$689,841
Employer contributions (assets) at end of year	2018-12-31	$5,266
Employer contributions (assets) at beginning of year	2018-12-31	$175,724
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$1,593,972
Asset. Corporate debt instrument debt (other) at end of year	2018-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2018-12-31	$548,246
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-12-31	Yes
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	BROWN SMITH WALLACE LLP
Accountancy firm EIN	2018-12-31	431001367
2016 : FMS 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$1,984,802
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$299,513
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$264,844
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,312,486
Value of total assets at end of year	2016-12-31	$10,229,904
Value of total assets at beginning of year	2016-12-31	$8,544,615
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$34,669
Total interest from all sources	2016-12-31	$21,823
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$156,509
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$156,509
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$843,261
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$7,728
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$9,163
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$4,945
Administrative expenses (other) incurred	2016-12-31	$34,669
Total non interest bearing cash at end of year	2016-12-31	$15,828
Total non interest bearing cash at beginning of year	2016-12-31	$105,607
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$1,685,289
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$10,229,904
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$8,544,615
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$8,508,994
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$6,924,612
Income. Interest from US Government securities	2016-12-31	$10,790
Income. Interest from corporate debt instruments	2016-12-31	$10,586
Value of interest in common/collective trusts at end of year	2016-12-31	$32,907
Value of interest in common/collective trusts at beginning of year	2016-12-31	$14,306
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$94,642
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$86,200
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$86,200
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$447
Asset value of US Government securities at end of year	2016-12-31	$717,304
Asset value of US Government securities at beginning of year	2016-12-31	$809,439
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$493,785
Net investment gain or loss from common/collective trusts	2016-12-31	$199
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$461,497
Employer contributions (assets) at end of year	2016-12-31	$141,413
Employer contributions (assets) at beginning of year	2016-12-31	$126,165
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$264,844
Asset. Corporate debt instrument debt (other) at end of year	2016-12-31	$709,653
Asset. Corporate debt instrument debt (other) at beginning of year	2016-12-31	$473,341
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	BROWN SMITH WALLACE LLP
Accountancy firm EIN	2016-12-31	431001367
2015 : FMS 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$1,081,193
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$757,842
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$721,748
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,163,259
Value of total assets at end of year	2015-12-31	$8,544,615
Value of total assets at beginning of year	2015-12-31	$8,221,264
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$36,094
Total interest from all sources	2015-12-31	$26,556
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$131,768
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$119,730
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$712,124
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$66,791
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$4,945
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$8,157
Administrative expenses (other) incurred	2015-12-31	$36,094
Total non interest bearing cash at end of year	2015-12-31	$105,607
Total non interest bearing cash at beginning of year	2015-12-31	$9,191
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$323,351
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$8,544,615
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$8,221,264
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$6,924,612
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$5,760,866
Income. Interest from US Government securities	2015-12-31	$8,093
Income. Interest from corporate debt instruments	2015-12-31	$17,021
Value of interest in common/collective trusts at end of year	2015-12-31	$14,306
Value of interest in common/collective trusts at beginning of year	2015-12-31	$11,500
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$86,200
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$279,005
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$279,005
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$1,442
Asset value of US Government securities at end of year	2015-12-31	$809,439
Asset value of US Government securities at beginning of year	2015-12-31	$148,444
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-240,504
Net investment gain or loss from common/collective trusts	2015-12-31	$114
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$384,344
Employer contributions (assets) at end of year	2015-12-31	$126,165
Employer contributions (assets) at beginning of year	2015-12-31	$100,866
Income. Dividends from common stock	2015-12-31	$12,038
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$721,748
Asset. Corporate debt instrument debt (other) at end of year	2015-12-31	$473,341
Asset. Corporate debt instrument debt (other) at beginning of year	2015-12-31	$872,580
Assets. Corporate common stocks other than exployer securities at beginning of year	2015-12-31	$1,030,655
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	BROWN SMITH WALLACE LLP
Accountancy firm EIN	2015-12-31	431001367
2014 : FMS 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$1,577,900
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$183,518
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$146,944
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,128,224
Value of total assets at end of year	2014-12-31	$8,221,264
Value of total assets at beginning of year	2014-12-31	$6,826,882
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$36,574
Total interest from all sources	2014-12-31	$33,136
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$131,941
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$115,528
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$595,911
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$169,751
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$8,157
Administrative expenses (other) incurred	2014-12-31	$36,574
Total non interest bearing cash at end of year	2014-12-31	$9,191
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$1,394,382
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$8,221,264
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$6,826,882
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$5,760,866
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$6,826,882
Income. Interest from US Government securities	2014-12-31	$1,531
Income. Interest from corporate debt instruments	2014-12-31	$30,162
Value of interest in common/collective trusts at end of year	2014-12-31	$11,500
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$279,005
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$1,443
Asset value of US Government securities at end of year	2014-12-31	$148,444
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$284,498
Net investment gain or loss from common/collective trusts	2014-12-31	$101
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$362,562
Employer contributions (assets) at end of year	2014-12-31	$100,866
Income. Dividends from common stock	2014-12-31	$16,413
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$146,944
Asset. Corporate debt instrument debt (other) at end of year	2014-12-31	$872,580
Assets. Corporate common stocks other than exployer securities at end of year	2014-12-31	$1,030,655
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	BROWN SMITH WALLACE LLC
Accountancy firm EIN	2014-12-31	431001367

Form 5500 Responses for FMS 401(K) PROFIT SHARING PLAN AND TRUST

2019: FMS 401(K) PROFIT SHARING PLAN AND TRUST 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: FMS 401(K) PROFIT SHARING PLAN AND TRUST 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2016: FMS 401(K) PROFIT SHARING PLAN AND TRUST 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: FMS 401(K) PROFIT SHARING PLAN AND TRUST 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: FMS 401(K) PROFIT SHARING PLAN AND TRUST 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

504024-01

Policy instance

Insurance contract or identification number	504024-01
Number of Individuals Covered	21
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
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

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

504024-01

Policy instance

Insurance contract or identification number	504024-01
Number of Individuals Covered	18
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
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

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Company Name:	UTILITRA, LLC
Employer identification number (EIN):	273700872
NAIC Classification:	541219
NAIC Description:	Other Accounting Services