401k Plan data: BLACKWELL EPI 401(K) PLAN AND TRUST plan

BLACKWELL EPI 401(K) PLAN AND TRUST 401k Plan overview

Plan Name	BLACKWELL EPI 401(K) PLAN AND TRUST
Plan identification number	001

BLACKWELL EPI 401(K) PLAN AND TRUST 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.
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

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

Company Name: BLACKWELL CONSTRUCTION, INC.

Employer identification number (EIN): 330953394

NAIC Classification: 236200

Additional information about BLACKWELL CONSTRUCTION, INC.

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 2007-04-22

Company Identification Number: 602718796

Legal Registered Office Address: 744 NW 18TH AVE

CAMAS
United States of America (USA)
986071273

More information about BLACKWELL CONSTRUCTION, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLACKWELL EPI 401(K) PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01 GARY BLACKWELL 2022-05-19 GARY BLACKWELL 2022-05-19
001 2020-01-01 SILVANA MINASIAN 2021-10-12 SILVANA MINASIAN 2021-10-12
001 2020-01-01 SILVANA MINASIAN 2021-12-09 SILVANA MINASIAN 2021-12-09
001 2019-01-01 SILVANA MINASIAN 2020-06-15
001 2018-01-01 SILVANA MINASIAN 2019-10-03
001 2017-01-01
001 2016-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01 CYNDI LEGER
001 2013-01-01 CYNDI LEGER
001 2012-01-01 CYNDI LEGER 2013-09-30
001 2011-01-01 GARY BLACKWELL 2012-06-13
001 2010-01-01 GARY BLACKWELL 2011-07-20

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01	GARY BLACKWELL	2022-05-19	GARY BLACKWELL	2022-05-19
001	2020-01-01	SILVANA MINASIAN	2021-10-12	SILVANA MINASIAN	2021-10-12
001	2020-01-01	SILVANA MINASIAN	2021-12-09	SILVANA MINASIAN	2021-12-09
001	2019-01-01	SILVANA MINASIAN	2020-06-15
001	2018-01-01	SILVANA MINASIAN	2019-10-03
001	2017-01-01
001	2016-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01	CYNDI LEGER
001	2013-01-01	CYNDI LEGER
001	2012-01-01	CYNDI LEGER	2013-09-30
001	2011-01-01	GARY BLACKWELL	2012-06-13
001	2010-01-01	GARY BLACKWELL	2011-07-20

Plan Statistics for BLACKWELL EPI 401(K) PLAN AND TRUST

401k plan membership statisitcs for BLACKWELL EPI 401(K) PLAN AND TRUST

Measure Date Value
2021: BLACKWELL EPI 401(K) PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year 2021-01-01 31
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 27
Number of retired or separated participants receiving benefits 2021-01-01 3
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 30
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 30
Number of participants with account balances 2021-01-01 30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: BLACKWELL EPI 401(K) PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year 2020-01-01 31
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 28
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 8
Total of all active and inactive participants 2020-01-01 36
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 36
Number of participants with account balances 2020-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: BLACKWELL EPI 401(K) PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year 2019-01-01 31
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 28
Number of retired or separated participants receiving benefits 2019-01-01 3
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 31
Number of participants with account balances 2019-01-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: BLACKWELL EPI 401(K) PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year 2018-01-01 32
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 29
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 4
Total of all active and inactive participants 2018-01-01 33
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 33
Number of participants with account balances 2018-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: BLACKWELL EPI 401(K) PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year 2017-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 13
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 2
Total of all active and inactive participants 2017-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 15
Number of participants with account balances 2017-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: BLACKWELL EPI 401(K) PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year 2016-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 14
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 0
Total of all active and inactive participants 2016-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 14
Number of participants with account balances 2016-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: BLACKWELL EPI 401(K) PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 14
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 1
Total of all active and inactive participants 2015-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 15
Number of participants with account balances 2015-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: BLACKWELL EPI 401(K) PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 15
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 2
Total of all active and inactive participants 2014-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 17
Number of participants with account balances 2014-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: BLACKWELL EPI 401(K) PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 15
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 2
Total of all active and inactive participants 2013-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 17
Number of participants with account balances 2013-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0

Measure	Date	Value
2021: BLACKWELL EPI 401(K) PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year	2021-01-01	31
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	27
Number of retired or separated participants receiving benefits	2021-01-01	3
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	30
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	30
Number of participants with account balances	2021-01-01	30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: BLACKWELL EPI 401(K) PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year	2020-01-01	31
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	28
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	8
Total of all active and inactive participants	2020-01-01	36
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	36
Number of participants with account balances	2020-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: BLACKWELL EPI 401(K) PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year	2019-01-01	31
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	28
Number of retired or separated participants receiving benefits	2019-01-01	3
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	31
Number of participants with account balances	2019-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: BLACKWELL EPI 401(K) PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year	2018-01-01	32
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	29
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	4
Total of all active and inactive participants	2018-01-01	33
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	33
Number of participants with account balances	2018-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: BLACKWELL EPI 401(K) PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year	2017-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	13
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	2
Total of all active and inactive participants	2017-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	15
Number of participants with account balances	2017-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: BLACKWELL EPI 401(K) PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	14
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	0
Total of all active and inactive participants	2016-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	14
Number of participants with account balances	2016-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: BLACKWELL EPI 401(K) PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	14
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	1
Total of all active and inactive participants	2015-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	15
Number of participants with account balances	2015-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: BLACKWELL EPI 401(K) PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	15
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	2
Total of all active and inactive participants	2014-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	17
Number of participants with account balances	2014-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: BLACKWELL EPI 401(K) PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	15
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	2
Total of all active and inactive participants	2013-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	17
Number of participants with account balances	2013-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0

Financial Data on BLACKWELL EPI 401(K) PLAN AND TRUST

Measure	Date	Value
2021 : BLACKWELL EPI 401(K) PLAN AND TRUST 2021 401k financial data
Transfers to/from the plan	2021-12-31	$0
Total plan liabilities at end of year	2021-12-31	$0
Total plan liabilities at beginning of year	2021-12-31	$0
Total income from all sources	2021-12-31	$2,128,104
Expenses. Total of all expenses incurred	2021-12-31	$8,742
Benefits paid (including direct rollovers)	2021-12-31	$1,742
Total plan assets at end of year	2021-12-31	$5,857,882
Total plan assets at beginning of year	2021-12-31	$3,738,520
Value of fidelity bond covering the plan	2021-12-31	$1,000,000
Total contributions received or receivable from participants	2021-12-31	$190,875
Expenses. Other expenses not covered elsewhere	2021-12-31	$0
Contributions received from other sources (not participants or employers)	2021-12-31	$375,000
Other income received	2021-12-31	$1,474,202
Noncash contributions received	2021-12-31	$0
Net income (gross income less expenses)	2021-12-31	$2,119,362
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$5,857,882
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$3,738,520
Assets. Value of assets in partnership/joint-venture interests	2021-12-31	$255,000
Assets. Value of real-estate (other than employer real property)	2021-12-31	$2,940,000
Total contributions received or receivable from employer(s)	2021-12-31	$88,027
Value of certain deemed distributions of participant loans	2021-12-31	$0
Value of corrective distributions	2021-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$7,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
2020 : BLACKWELL EPI 401(K) PLAN AND TRUST 2020 401k financial data
Total income from all sources	2020-12-31	$566,422
Expenses. Total of all expenses incurred	2020-12-31	$21,952
Benefits paid (including direct rollovers)	2020-12-31	$16,645
Total plan assets at end of year	2020-12-31	$3,738,463
Total plan assets at beginning of year	2020-12-31	$3,193,993
Value of fidelity bond covering the plan	2020-12-31	$1,885,000
Total contributions received or receivable from participants	2020-12-31	$169,771
Other income received	2020-12-31	$334,636
Net income (gross income less expenses)	2020-12-31	$544,470
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$3,738,463
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$3,193,993
Assets. Value of real-estate (other than employer real property)	2020-12-31	$1,725,581
Total contributions received or receivable from employer(s)	2020-12-31	$62,015
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$5,307
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
2019 : BLACKWELL EPI 401(K) PLAN AND TRUST 2019 401k financial data
Total income from all sources	2019-12-31	$559,959
Expenses. Total of all expenses incurred	2019-12-31	$165,970
Benefits paid (including direct rollovers)	2019-12-31	$161,580
Total plan assets at end of year	2019-12-31	$3,193,993
Total plan assets at beginning of year	2019-12-31	$2,800,004
Value of fidelity bond covering the plan	2019-12-31	$1,390,000
Total contributions received or receivable from participants	2019-12-31	$130,266
Other income received	2019-12-31	$381,161
Net income (gross income less expenses)	2019-12-31	$393,989
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$3,193,993
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$2,800,004
Assets. Value of real-estate (other than employer real property)	2019-12-31	$1,660,465
Total contributions received or receivable from employer(s)	2019-12-31	$48,532
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$4,390
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : BLACKWELL EPI 401(K) PLAN AND TRUST 2018 401k financial data
Total income from all sources	2018-12-31	$61,171
Expenses. Total of all expenses incurred	2018-12-31	$19,363
Benefits paid (including direct rollovers)	2018-12-31	$16,043
Total plan assets at end of year	2018-12-31	$2,800,004
Total plan assets at beginning of year	2018-12-31	$2,758,196
Value of fidelity bond covering the plan	2018-12-31	$1,390,000
Total contributions received or receivable from participants	2018-12-31	$94,449
Contributions received from other sources (not participants or employers)	2018-12-31	$2,150
Other income received	2018-12-31	$-75,332
Net income (gross income less expenses)	2018-12-31	$41,808
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$2,800,004
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$2,758,196
Assets. Value of real-estate (other than employer real property)	2018-12-31	$1,571,864
Total contributions received or receivable from employer(s)	2018-12-31	$39,904
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$3,320
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : BLACKWELL EPI 401(K) PLAN AND TRUST 2017 401k financial data
Total income from all sources	2017-12-31	$584,555
Expenses. Total of all expenses incurred	2017-12-31	$2,611
Benefits paid (including direct rollovers)	2017-12-31	$2,611
Total plan assets at end of year	2017-12-31	$2,758,196
Total plan assets at beginning of year	2017-12-31	$2,176,252
Value of fidelity bond covering the plan	2017-12-31	$1,590,000
Total contributions received or receivable from participants	2017-12-31	$88,364
Other income received	2017-12-31	$459,234
Net income (gross income less expenses)	2017-12-31	$581,944
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$2,758,196
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$2,176,252
Assets. Value of real-estate (other than employer real property)	2017-12-31	$1,571,864
Total contributions received or receivable from employer(s)	2017-12-31	$36,957
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : BLACKWELL EPI 401(K) PLAN AND TRUST 2016 401k financial data
Total income from all sources	2016-12-31	$486,529
Expenses. Total of all expenses incurred	2016-12-31	$174,817
Benefits paid (including direct rollovers)	2016-12-31	$166,828
Total plan assets at end of year	2016-12-31	$2,092,818
Total plan assets at beginning of year	2016-12-31	$1,781,106
Value of fidelity bond covering the plan	2016-12-31	$1,000,000
Total contributions received or receivable from participants	2016-12-31	$97,338
Other income received	2016-12-31	$331,801
Net income (gross income less expenses)	2016-12-31	$311,712
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$2,092,818
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,781,106
Assets. Value of real-estate (other than employer real property)	2016-12-31	$1,188,695
Total contributions received or receivable from employer(s)	2016-12-31	$57,390
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$7,989
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : BLACKWELL EPI 401(K) PLAN AND TRUST 2015 401k financial data
Total income from all sources	2015-12-31	$398,244
Expenses. Total of all expenses incurred	2015-12-31	$36,117
Benefits paid (including direct rollovers)	2015-12-31	$36,117
Total plan assets at end of year	2015-12-31	$1,781,106
Total plan assets at beginning of year	2015-12-31	$1,418,979
Value of fidelity bond covering the plan	2015-12-31	$734,000
Total contributions received or receivable from participants	2015-12-31	$104,924
Other income received	2015-12-31	$243,041
Net income (gross income less expenses)	2015-12-31	$362,127
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,781,106
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,418,979
Assets. Value of real-estate (other than employer real property)	2015-12-31	$938,695
Total contributions received or receivable from employer(s)	2015-12-31	$50,279
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : BLACKWELL EPI 401(K) PLAN AND TRUST 2014 401k financial data
Total income from all sources	2014-12-31	$458,283
Expenses. Total of all expenses incurred	2014-12-31	$25,248
Benefits paid (including direct rollovers)	2014-12-31	$25,238
Total plan assets at end of year	2014-12-31	$1,418,979
Total plan assets at beginning of year	2014-12-31	$985,944
Value of fidelity bond covering the plan	2014-12-31	$544,000
Total contributions received or receivable from participants	2014-12-31	$95,136
Assets. Value of loans (other than to participants)	2014-12-31	$0
Other income received	2014-12-31	$323,364
Net income (gross income less expenses)	2014-12-31	$433,035
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,418,979
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$985,944
Assets. Value of real-estate (other than employer real property)	2014-12-31	$679,419
Total contributions received or receivable from employer(s)	2014-12-31	$39,783
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$10
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : BLACKWELL EPI 401(K) PLAN AND TRUST 2013 401k financial data
Total income from all sources	2013-12-31	$104,185
Expenses. Total of all expenses incurred	2013-12-31	$38,540
Benefits paid (including direct rollovers)	2013-12-31	$38,540
Total plan assets at end of year	2013-12-31	$985,944
Total plan assets at beginning of year	2013-12-31	$920,299
Value of fidelity bond covering the plan	2013-12-31	$95,000
Total contributions received or receivable from participants	2013-12-31	$103,343
Assets. Value of loans (other than to participants)	2013-12-31	$100,000
Other income received	2013-12-31	$-40,070
Net income (gross income less expenses)	2013-12-31	$65,645
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$985,944
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$920,299
Assets. Value of real-estate (other than employer real property)	2013-12-31	$394,675
Total contributions received or receivable from employer(s)	2013-12-31	$40,912
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0

Form 5500 Responses for BLACKWELL EPI 401(K) PLAN AND TRUST

2021: BLACKWELL EPI 401(K) PLAN AND TRUST 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: BLACKWELL EPI 401(K) PLAN AND TRUST 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: BLACKWELL EPI 401(K) 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: BLACKWELL EPI 401(K) 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
2017: BLACKWELL EPI 401(K) PLAN AND TRUST 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: BLACKWELL EPI 401(K) 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: BLACKWELL EPI 401(K) 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: BLACKWELL EPI 401(K) 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
2013: BLACKWELL EPI 401(K) PLAN AND TRUST 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	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

943367-01

Policy instance

Insurance contract or identification number	943367-01
Number of Individuals Covered	12
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $6,711
Total amount of fees paid to insurance company	USD $0
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 $5,033
Insurance broker organization code?	3

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

Policy contract number

943367-01

Policy instance

Insurance contract or identification number	943367-01
Number of Individuals Covered	13
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $4,719
Total amount of fees paid to insurance company	USD $0
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 $3,539
Insurance broker organization code?	3

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Company Name:	BLACKWELL CONSTRUCTION, INC.
Employer identification number (EIN):	330953394
NAIC Classification:	236200

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	2007-04-22
Company Identification Number:	602718796
Legal Registered Office Address:	744 NW 18TH AVE CAMAS United States of America (USA) 986071273