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SMITH DAIRY MEDICAL PLAN TRUST 401k Plan overview

Plan NameSMITH DAIRY MEDICAL PLAN TRUST
Plan identification number 501

SMITH DAIRY MEDICAL PLAN TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental

401k Sponsoring company profile

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

Company Name:SMITHFOODS INC.
Employer identification number (EIN):340536210
NAIC Classification:311500
NAIC Description: Dairy Product Manufacturing

Additional information about SMITHFOODS INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1930-03-04
Company Identification Number: 140607
Legal Registered Office Address: PO BOX 87
-
ORRVILLE
United States of America (USA)
44667

More information about SMITHFOODS INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SMITH DAIRY MEDICAL PLAN TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-07-01AMY MILLER
5012016-07-01
5012015-07-01AMY MILLER
5012015-07-01AMY MILLER
5012014-07-01HEATHER ZIMMERLY
5012014-07-01AMY MILLER
5012013-07-01HEATHER ZIMMERLY
5012012-07-01TAMARA SCRUGGS
5012011-07-01STEPHEN R. HINES
5012009-07-01STEPHEN R. HINES

Plan Statistics for SMITH DAIRY MEDICAL PLAN TRUST

401k plan membership statisitcs for SMITH DAIRY MEDICAL PLAN TRUST

Measure Date Value
2016: SMITH DAIRY MEDICAL PLAN TRUST 2016 401k membership
Total participants, beginning-of-year2016-07-01264
Total number of active participants reported on line 7a of the Form 55002016-07-010
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-010
2015: SMITH DAIRY MEDICAL PLAN TRUST 2015 401k membership
Total participants, beginning-of-year2015-07-01252
Total number of active participants reported on line 7a of the Form 55002015-07-010
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-010
2014: SMITH DAIRY MEDICAL PLAN TRUST 2014 401k membership
Total participants, beginning-of-year2014-07-01257
Total number of active participants reported on line 7a of the Form 55002014-07-01252
Number of retired or separated participants receiving benefits2014-07-013
Total of all active and inactive participants2014-07-01255
Number of other retired or separated participants entitled to future benefits2014-07-010
2013: SMITH DAIRY MEDICAL PLAN TRUST 2013 401k membership
Total participants, beginning-of-year2013-07-01287
Total number of active participants reported on line 7a of the Form 55002013-07-01257
Number of retired or separated participants receiving benefits2013-07-014
Total of all active and inactive participants2013-07-01261
2012: SMITH DAIRY MEDICAL PLAN TRUST 2012 401k membership
Total participants, beginning-of-year2012-07-01284
Total number of active participants reported on line 7a of the Form 55002012-07-01283
Number of retired or separated participants receiving benefits2012-07-014
Total of all active and inactive participants2012-07-01287
2011: SMITH DAIRY MEDICAL PLAN TRUST 2011 401k membership
Total participants, beginning-of-year2011-07-01284
Total number of active participants reported on line 7a of the Form 55002011-07-01282
Number of retired or separated participants receiving benefits2011-07-012
Total of all active and inactive participants2011-07-01284
2009: SMITH DAIRY MEDICAL PLAN TRUST 2009 401k membership
Total participants, beginning-of-year2009-07-01353
Total number of active participants reported on line 7a of the Form 55002009-07-01277
Number of retired or separated participants receiving benefits2009-07-012
Total of all active and inactive participants2009-07-01279

Financial Data on SMITH DAIRY MEDICAL PLAN TRUST

Measure Date Value
2016 : SMITH DAIRY MEDICAL PLAN TRUST 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total transfer of assets from this plan2016-12-31$396,492
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$524,042
Total income from all sources (including contributions)2016-12-31$1,968,875
Total loss/gain on sale of assets2016-12-31$14,290
Total of all expenses incurred2016-12-31$1,149,747
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,038,282
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,954,585
Value of total assets at end of year2016-12-31$0
Value of total assets at beginning of year2016-12-31$101,406
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$111,465
Total interest from all sources2016-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2016-12-31$396,492
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$251,835
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$43,126
Total non interest bearing cash at end of year2016-12-31$0
Total non interest bearing cash at beginning of year2016-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$819,128
Value of net assets at end of year (total assets less liabilities)2016-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$-422,636
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$20,298
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$1,531
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$1,531
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$1,038,282
Asset value of US Government securities at end of year2016-12-31$0
Asset value of US Government securities at beginning of year2016-12-31$99,875
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$1,659,624
Contract administrator fees2016-12-31$91,167
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$0
Liabilities. Value of benefit claims payable at end of year2016-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$524,042
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31Yes
Aggregate proceeds on sale of assets2016-12-31$100,000
Aggregate carrying amount (costs) on sale of assets2016-12-31$85,710
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2016-12-31410746749
Unrealized appreciation/depreciation of other (non real estate) assets2016-06-30$26,915
Total unrealized appreciation/depreciation of assets2016-06-30$0
Total transfer of assets from this plan2016-06-30$1,744,345
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$0
Total income from all sources (including contributions)2016-06-30$1,446,189
Total loss/gain on sale of assets2016-06-30$-3,571
Total of all expenses incurred2016-06-30$3,136,718
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$2,923,542
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$1,387,233
Value of total assets at end of year2016-06-30$101,406
Value of total assets at beginning of year2016-06-30$1,791,935
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$213,176
Total interest from all sources2016-06-30$62,527
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2016-06-30$2,262,988
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$500,000
If this is an individual account plan, was there a blackout period2016-06-30No
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$438,962
Income. Received or receivable in cash from other sources (including rollovers)2016-06-30$79,682
Administrative expenses (other) incurred2016-06-30$5,140
Total non interest bearing cash at end of year2016-06-30$0
Total non interest bearing cash at beginning of year2016-06-30$71
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$-1,690,529
Value of net assets at end of year (total assets less liabilities)2016-06-30$101,406
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$1,791,935
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Investment advisory and management fees2016-06-30$83,919
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-06-30$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-06-30$725,110
Income. Interest from US Government securities2016-06-30$62,527
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$1,531
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$86,704
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$86,704
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$83,919
Asset value of US Government securities at end of year2016-06-30$99,875
Asset value of US Government securities at beginning of year2016-06-30$764,307
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-06-30$132,091
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30Yes
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$868,589
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$2,839,623
Contract administrator fees2016-06-30$208,036
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-06-30No
Assets. Corporate common stocks other than exployer securities at end of year2016-06-30$0
Assets. Corporate common stocks other than exployer securities at beginning of year2016-06-30$215,743
Liabilities. Value of benefit claims payable at end of year2016-06-30$524,042
Liabilities. Value of benefit claims payable at beginning of year2016-06-30$540,136
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Aggregate proceeds on sale of assets2016-06-30$-4,887
Aggregate carrying amount (costs) on sale of assets2016-06-30$-1,316
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30No
Opinion of an independent qualified public accountant for this plan2016-06-30Unqualified
Accountancy firm name2016-06-30CLIFTONLARSONALLEN LLP
Accountancy firm EIN2016-06-30340641962
2015 : SMITH DAIRY MEDICAL PLAN TRUST 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-06-30$23,182
Total unrealized appreciation/depreciation of assets2015-06-30$23,182
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$498,256
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$540,136
Total income from all sources (including contributions)2015-06-30$3,184,928
Total loss/gain on sale of assets2015-06-30$0
Total of all expenses incurred2015-06-30$3,068,310
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$2,883,976
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$3,104,754
Value of total assets at end of year2015-06-30$1,791,935
Value of total assets at beginning of year2015-06-30$1,717,197
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$184,334
Total interest from all sources2015-06-30$39,391
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$17,601
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-06-30$13,672
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$500,000
If this is an individual account plan, was there a blackout period2015-06-30No
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$407,520
Income. Received or receivable in cash from other sources (including rollovers)2015-06-30$103,112
Total non interest bearing cash at end of year2015-06-30$71
Total non interest bearing cash at beginning of year2015-06-30$155
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$116,618
Value of net assets at end of year (total assets less liabilities)2015-06-30$1,293,679
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$1,177,061
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-06-30$725,110
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-06-30$705,983
Income. Interest from US Government securities2015-06-30$39,378
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$86,704
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$103,203
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$103,203
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$13
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$75,760
Asset value of US Government securities at end of year2015-06-30$764,307
Asset value of US Government securities at beginning of year2015-06-30$711,557
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30Yes
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$2,594,122
Income. Dividends from common stock2015-06-30$3,929
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$2,808,216
Contract administrator fees2015-06-30$184,334
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-06-30No
Assets. Corporate common stocks other than exployer securities at end of year2015-06-30$215,743
Assets. Corporate common stocks other than exployer securities at beginning of year2015-06-30$196,299
Liabilities. Value of benefit claims payable at end of year2015-06-30$498,256
Liabilities. Value of benefit claims payable at beginning of year2015-06-30$540,136
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30No
Opinion of an independent qualified public accountant for this plan2015-06-30Unqualified
Accountancy firm name2015-06-30BRUNER COX LLP
Accountancy firm EIN2015-06-30340641962
2014 : SMITH DAIRY MEDICAL PLAN TRUST 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-06-30$168,878
Total unrealized appreciation/depreciation of assets2014-06-30$168,878
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$540,136
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$494,065
Total income from all sources (including contributions)2014-06-30$3,578,572
Total loss/gain on sale of assets2014-06-30$7,622
Total of all expenses incurred2014-06-30$3,405,988
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$3,262,580
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$3,355,123
Value of total assets at end of year2014-06-30$1,717,197
Value of total assets at beginning of year2014-06-30$1,498,542
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$143,408
Total interest from all sources2014-06-30$25,995
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$20,954
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-06-30$14,673
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$500,000
If this is an individual account plan, was there a blackout period2014-06-30No
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$336,952
Income. Received or receivable in cash from other sources (including rollovers)2014-06-30$98,501
Total non interest bearing cash at end of year2014-06-30$155
Total non interest bearing cash at beginning of year2014-06-30$175
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$172,584
Value of net assets at end of year (total assets less liabilities)2014-06-30$1,177,061
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$1,004,477
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-06-30$705,983
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-06-30$573,011
Income. Interest from US Government securities2014-06-30$25,980
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$103,203
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$39,945
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$39,945
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$15
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$62,672
Asset value of US Government securities at end of year2014-06-30$711,557
Asset value of US Government securities at beginning of year2014-06-30$666,800
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30Yes
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$2,919,670
Income. Dividends from common stock2014-06-30$6,281
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$3,199,908
Contract administrator fees2014-06-30$143,408
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-06-30No
Assets. Corporate common stocks other than exployer securities at end of year2014-06-30$196,299
Assets. Corporate common stocks other than exployer securities at beginning of year2014-06-30$218,611
Liabilities. Value of benefit claims payable at end of year2014-06-30$540,136
Liabilities. Value of benefit claims payable at beginning of year2014-06-30$494,065
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Aggregate proceeds on sale of assets2014-06-30$341,288
Aggregate carrying amount (costs) on sale of assets2014-06-30$333,666
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30No
Opinion of an independent qualified public accountant for this plan2014-06-30Unqualified
Accountancy firm name2014-06-30BRUNER-COX LLP
Accountancy firm EIN2014-06-30340641962
2013 : SMITH DAIRY MEDICAL PLAN TRUST 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-06-30$99,084
Total unrealized appreciation/depreciation of assets2013-06-30$99,084
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$494,065
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$410,863
Total income from all sources (including contributions)2013-06-30$2,919,388
Total loss/gain on sale of assets2013-06-30$4,171
Total of all expenses incurred2013-06-30$2,865,359
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$2,702,967
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$2,778,234
Value of total assets at end of year2013-06-30$1,498,542
Value of total assets at beginning of year2013-06-30$1,361,311
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$162,392
Total interest from all sources2013-06-30$24,727
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$13,172
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-06-30$4,436
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$500,000
If this is an individual account plan, was there a blackout period2013-06-30No
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$379,840
Income. Received or receivable in cash from other sources (including rollovers)2013-06-30$87,367
Total non interest bearing cash at end of year2013-06-30$175
Total non interest bearing cash at beginning of year2013-06-30$195
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$54,029
Value of net assets at end of year (total assets less liabilities)2013-06-30$1,004,477
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$950,448
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-06-30$573,011
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-06-30$465,758
Income. Interest from US Government securities2013-06-30$22,736
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$39,945
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$131,413
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$131,413
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-06-30$1,991
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$59,070
Asset value of US Government securities at end of year2013-06-30$666,800
Asset value of US Government securities at beginning of year2013-06-30$532,200
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30Yes
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$2,311,027
Income. Dividends from common stock2013-06-30$8,736
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$2,643,897
Contract administrator fees2013-06-30$162,392
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-06-30No
Assets. Corporate common stocks other than exployer securities at end of year2013-06-30$218,611
Assets. Corporate common stocks other than exployer securities at beginning of year2013-06-30$231,745
Liabilities. Value of benefit claims payable at end of year2013-06-30$494,065
Liabilities. Value of benefit claims payable at beginning of year2013-06-30$410,863
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Aggregate proceeds on sale of assets2013-06-30$842,481
Aggregate carrying amount (costs) on sale of assets2013-06-30$838,310
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30No
Opinion of an independent qualified public accountant for this plan2013-06-30Unqualified
Accountancy firm name2013-06-30BRUNER COX, LLP
Accountancy firm EIN2013-06-30340641962
2012 : SMITH DAIRY MEDICAL PLAN TRUST 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-06-30$-16,264
Total unrealized appreciation/depreciation of assets2012-06-30$-16,264
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$410,863
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$429,391
Total income from all sources (including contributions)2012-06-30$2,745,824
Total loss/gain on sale of assets2012-06-30$-1,804
Total of all expenses incurred2012-06-30$2,702,421
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$2,550,165
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$2,720,949
Value of total assets at end of year2012-06-30$1,361,311
Value of total assets at beginning of year2012-06-30$1,336,436
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$152,256
Total interest from all sources2012-06-30$22,306
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$20,637
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$500,000
If this is an individual account plan, was there a blackout period2012-06-30No
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$333,076
Income. Received or receivable in cash from other sources (including rollovers)2012-06-30$76,296
Total non interest bearing cash at end of year2012-06-30$195
Total non interest bearing cash at beginning of year2012-06-30$243
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$43,403
Value of net assets at end of year (total assets less liabilities)2012-06-30$950,448
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$907,045
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-06-30$465,758
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-06-30$378,300
Income. Interest from US Government securities2012-06-30$17,417
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$131,413
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$310,700
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$310,700
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$4,889
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$51,626
Asset value of US Government securities at end of year2012-06-30$532,200
Asset value of US Government securities at beginning of year2012-06-30$294,654
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30Yes
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$2,311,577
Income. Dividends from common stock2012-06-30$20,637
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$2,498,539
Contract administrator fees2012-06-30$152,256
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-06-30No
Assets. Corporate common stocks other than exployer securities at end of year2012-06-30$231,745
Assets. Corporate common stocks other than exployer securities at beginning of year2012-06-30$352,539
Liabilities. Value of benefit claims payable at end of year2012-06-30$410,863
Liabilities. Value of benefit claims payable at beginning of year2012-06-30$429,391
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Aggregate proceeds on sale of assets2012-06-30$299,328
Aggregate carrying amount (costs) on sale of assets2012-06-30$301,132
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30No
Opinion of an independent qualified public accountant for this plan2012-06-30Unqualified
Accountancy firm name2012-06-30BRUNER-COX, LLP
Accountancy firm EIN2012-06-30340641962
2011 : SMITH DAIRY MEDICAL PLAN TRUST 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-06-30$100,858
Total unrealized appreciation/depreciation of assets2011-06-30$100,858
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$429,391
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$368,325
Total income from all sources (including contributions)2011-06-30$3,089,908
Total loss/gain on sale of assets2011-06-30$15,818
Total of all expenses incurred2011-06-30$2,978,817
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$2,876,490
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$2,917,752
Value of total assets at end of year2011-06-30$1,336,436
Value of total assets at beginning of year2011-06-30$1,164,279
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$102,327
Total interest from all sources2011-06-30$24,079
Total dividends received (eg from common stock, registered investment company shares)2011-06-30$31,401
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$500,000
If this is an individual account plan, was there a blackout period2011-06-30No
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$275,554
Total non interest bearing cash at end of year2011-06-30$243
Total non interest bearing cash at beginning of year2011-06-30$242
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$111,091
Value of net assets at end of year (total assets less liabilities)2011-06-30$907,045
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$795,954
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-06-30$378,300
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-06-30$242,307
Income. Interest from US Government securities2011-06-30$19,140
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$310,700
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$194,086
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$194,086
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$4,939
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$48,945
Asset value of US Government securities at end of year2011-06-30$294,654
Asset value of US Government securities at beginning of year2011-06-30$339,558
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30Yes
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$2,642,198
Income. Dividends from common stock2011-06-30$31,401
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$2,827,545
Contract administrator fees2011-06-30$102,327
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-06-30No
Assets. Corporate common stocks other than exployer securities at end of year2011-06-30$352,539
Assets. Corporate common stocks other than exployer securities at beginning of year2011-06-30$388,086
Liabilities. Value of benefit claims payable at end of year2011-06-30$429,391
Liabilities. Value of benefit claims payable at beginning of year2011-06-30$368,325
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Aggregate proceeds on sale of assets2011-06-30$363,173
Aggregate carrying amount (costs) on sale of assets2011-06-30$347,355
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30No
Opinion of an independent qualified public accountant for this plan2011-06-30Unqualified
Accountancy firm name2011-06-30BRUNER-COX, LLP
Accountancy firm EIN2011-06-30340641962

Form 5500 Responses for SMITH DAIRY MEDICAL PLAN TRUST

2016: SMITH DAIRY MEDICAL PLAN TRUST 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedYes
2016-07-01This submission is the final filingYes
2016-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: SMITH DAIRY MEDICAL PLAN TRUST 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: SMITH DAIRY MEDICAL PLAN TRUST 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedYes
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planYes
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: SMITH DAIRY MEDICAL PLAN TRUST 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan is a collectively bargained planYes
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: SMITH DAIRY MEDICAL PLAN TRUST 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan is a collectively bargained planYes
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: SMITH DAIRY MEDICAL PLAN TRUST 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan is a collectively bargained planYes
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2009: SMITH DAIRY MEDICAL PLAN TRUST 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01This submission is the final filingNo
2009-07-01Plan is a collectively bargained planYes
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number402704 0010 SSL
Policy instance 1
Insurance contract or identification number402704 0010 SSL
Number of Individuals Covered454
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $149,288
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
Insurance broker nameHAYLOR FREYER & COON
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number402704 0010 SSL
Policy instance 1
Insurance contract or identification number402704 0010 SSL
Number of Individuals Covered424
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $75,760
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameHAYLOR FREYER & COON
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number402704 0010 SSL
Policy instance 1
Insurance contract or identification number402704 0010 SSL
Number of Individuals Covered443
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $60,682
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameCENTERSTONE INS & FIN SERVICES INC.
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number402704 0010 SSL
Policy instance 1
Insurance contract or identification number402704 0010 SSL
Number of Individuals Covered441
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $53,242
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameCENTERSTONE INS & FIN SERVICES INC.
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number402704 0010 SSL
Policy instance 1
Insurance contract or identification number402704 0010 SSL
Number of Individuals Covered442
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $46,267
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number402704 0010 SSL
Policy instance 1
Insurance contract or identification number402704 0010 SSL
Number of Individuals Covered435
Insurance policy start date2009-10-01
Insurance policy end date2010-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $88,364
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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