401k Plan data: NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN plan

NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 401k Plan overview

Plan Name	NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN
Plan identification number	001

NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Participant-directed brokerage accounts provided as an investment option under the plan.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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

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

Company Name: NORTHERN STAMPING, INC.

Employer identification number (EIN): 341930826

NAIC Classification: 332110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 MATTHEW FRIEDMAN
001 2014-01-01 MATTHEW FRIEDMAN
001 2013-01-01 MATTHEW FRIEDMAN
001 2012-01-01 MATTHEW FRIEDMAN
001 2011-01-01 MATTHEW FRIEDMAN
001 2010-01-01 MATTHEW FRIEDMAN
001 2009-08-01 MATTHEW FRIEDMAN

Plan id#	Filing Submission Date	Name of Administrator
001	2015-01-01	MATTHEW FRIEDMAN
001	2014-01-01	MATTHEW FRIEDMAN
001	2013-01-01	MATTHEW FRIEDMAN
001	2012-01-01	MATTHEW FRIEDMAN
001	2011-01-01	MATTHEW FRIEDMAN
001	2010-01-01	MATTHEW FRIEDMAN
001	2009-08-01	MATTHEW FRIEDMAN

Plan Statistics for NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN

401k plan membership statisitcs for NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN

Measure Date Value
2015: NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 173
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 141
Number of retired or separated participants receiving benefits 2015-01-01 3
Number of other retired or separated participants entitled to future benefits 2015-01-01 48
Total of all active and inactive participants 2015-01-01 192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 192
Number of participants with account balances 2015-01-01 183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 34
2014: NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 155
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 181
Number of retired or separated participants receiving benefits 2014-01-01 1
Number of other retired or separated participants entitled to future benefits 2014-01-01 32
Total of all active and inactive participants 2014-01-01 214
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 214
Number of participants with account balances 2014-01-01 186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 10
2013: NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 151
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 93
Number of retired or separated participants receiving benefits 2013-01-01 2
Number of other retired or separated participants entitled to future benefits 2013-01-01 33
Total of all active and inactive participants 2013-01-01 128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 128
Number of participants with account balances 2013-01-01 120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 4
2012: NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 168
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 98
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 53
Total of all active and inactive participants 2012-01-01 151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 151
Number of participants with account balances 2012-01-01 146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 183
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 100
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 67
Total of all active and inactive participants 2011-01-01 167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 167
Number of participants with account balances 2011-01-01 159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 204
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 117
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 65
Total of all active and inactive participants 2010-01-01 182
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 182
Number of participants with account balances 2010-01-01 176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-08-01 138
Total number of active participants reported on line 7a of the Form 5500 2009-08-01 130
Number of retired or separated participants receiving benefits 2009-08-01 0
Number of other retired or separated participants entitled to future benefits 2009-08-01 74
Total of all active and inactive participants 2009-08-01 204
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-08-01 0
Total participants 2009-08-01 204
Number of participants with account balances 2009-08-01 204
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-08-01 0

Measure	Date	Value
2015: NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	173
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	141
Number of retired or separated participants receiving benefits	2015-01-01	3
Number of other retired or separated participants entitled to future benefits	2015-01-01	48
Total of all active and inactive participants	2015-01-01	192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	192
Number of participants with account balances	2015-01-01	183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	34
2014: NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	155
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	181
Number of retired or separated participants receiving benefits	2014-01-01	1
Number of other retired or separated participants entitled to future benefits	2014-01-01	32
Total of all active and inactive participants	2014-01-01	214
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	214
Number of participants with account balances	2014-01-01	186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	10
2013: NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	151
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	93
Number of retired or separated participants receiving benefits	2013-01-01	2
Number of other retired or separated participants entitled to future benefits	2013-01-01	33
Total of all active and inactive participants	2013-01-01	128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	128
Number of participants with account balances	2013-01-01	120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	4
2012: NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	168
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	98
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	53
Total of all active and inactive participants	2012-01-01	151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	151
Number of participants with account balances	2012-01-01	146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	183
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	100
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	67
Total of all active and inactive participants	2011-01-01	167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	167
Number of participants with account balances	2011-01-01	159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	204
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	117
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	65
Total of all active and inactive participants	2010-01-01	182
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	182
Number of participants with account balances	2010-01-01	176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-08-01	138
Total number of active participants reported on line 7a of the Form 5500	2009-08-01	130
Number of retired or separated participants receiving benefits	2009-08-01	0
Number of other retired or separated participants entitled to future benefits	2009-08-01	74
Total of all active and inactive participants	2009-08-01	204
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-08-01	0
Total participants	2009-08-01	204
Number of participants with account balances	2009-08-01	204
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-08-01	0

Financial Data on NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN

Measure	Date	Value
2015 : NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 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	$475,223
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$675,950
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$642,435
Expenses. Certain deemed distributions of participant loans	2015-12-31	$14,447
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$517,475
Value of total assets at end of year	2015-12-31	$6,738,789
Value of total assets at beginning of year	2015-12-31	$6,939,516
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$19,068
Total interest from all sources	2015-12-31	$10,549
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$435,543
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	$435,543
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$349,848
Participant contributions at end of year	2015-12-31	$229,536
Participant contributions at beginning of year	2015-12-31	$228,926
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$635,710
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$569,359
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$17,936
Other income not declared elsewhere	2015-12-31	$9,559
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	$-200,727
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$6,738,789
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$6,939,516
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	$5,688,318
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$5,677,712
Interest on participant loans	2015-12-31	$7,284
Interest earned on other investments	2015-12-31	$3,265
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$185,225
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$463,519
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-497,903
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	Yes
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	$149,691
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$642,435
Contract administrator fees	2015-12-31	$19,068
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	COHEN & COMPANY
Accountancy firm EIN	2015-12-31	341818419
2014 : NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 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	$785,724
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$560,361
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$558,692
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$427,798
Value of total assets at end of year	2014-12-31	$6,939,516
Value of total assets at beginning of year	2014-12-31	$6,714,153
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$1,669
Total interest from all sources	2014-12-31	$13,159
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$417,332
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	$417,332
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$281,881
Participant contributions at end of year	2014-12-31	$228,926
Participant contributions at beginning of year	2014-12-31	$266,841
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$569,359
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$433,954
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$10,669
Other income not declared elsewhere	2014-12-31	$53,586
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	$225,363
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$6,939,516
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$6,714,153
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	$5,677,712
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$5,607,674
Interest on participant loans	2014-12-31	$7,838
Interest earned on other investments	2014-12-31	$5,321
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$463,519
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$405,684
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$-126,151
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	$135,248
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$558,692
Contract administrator fees	2014-12-31	$1,669
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	COHEN & COMPANY
Accountancy firm EIN	2014-12-31	341818419
2013 : NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$1,141,381
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$575,036
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$570,197
Expenses. Certain deemed distributions of participant loans	2013-12-31	$3,220
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$301,742
Value of total assets at end of year	2013-12-31	$6,714,153
Value of total assets at beginning of year	2013-12-31	$6,147,808
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$1,619
Total interest from all sources	2013-12-31	$14,027
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$346,114
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$346,114
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$212,358
Participant contributions at end of year	2013-12-31	$266,841
Participant contributions at beginning of year	2013-12-31	$288,372
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$433,954
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$143,161
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$0
Other income not declared elsewhere	2013-12-31	$56,825
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Income. Non cash contributions	2013-12-31	$0
Value of net income/loss	2013-12-31	$566,345
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$6,714,153
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$6,147,808
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$5,607,674
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$5,241,342
Interest on participant loans	2013-12-31	$8,551
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$5,476
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$405,684
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$474,933
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$422,673
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$89,384
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$570,197
Contract administrator fees	2013-12-31	$1,619
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	THORNHILL FINANCIAL, INC.
Accountancy firm EIN	2013-12-31	341818419
2012 : NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$974,346
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$552,236
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$506,903
Expenses. Certain deemed distributions of participant loans	2012-12-31	$40,753
Value of total corrective distributions	2012-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$286,421
Value of total assets at end of year	2012-12-31	$6,147,808
Value of total assets at beginning of year	2012-12-31	$5,725,698
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$4,580
Total interest from all sources	2012-12-31	$8,593
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$205,540
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$205,540
Administrative expenses professional fees incurred	2012-12-31	$0
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$194,645
Participant contributions at end of year	2012-12-31	$288,372
Participant contributions at beginning of year	2012-12-31	$324,904
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$143,161
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$116,071
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$2,230
Other income not declared elsewhere	2012-12-31	$10,001
Administrative expenses (other) incurred	2012-12-31	$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	2012-12-31	No
Value of net income/loss	2012-12-31	$422,110
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$6,147,808
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$5,725,698
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$5,241,342
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$4,706,621
Interest on participant loans	2012-12-31	$8,593
Interest earned on other investments	2012-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$474,933
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$578,102
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$463,791
Net investment gain/loss from pooled separate accounts	2012-12-31	$0
Net investment gain or loss from common/collective trusts	2012-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$89,546
Employer contributions (assets) at end of year	2012-12-31	$0
Employer contributions (assets) at beginning of year	2012-12-31	$0
Income. Dividends from common stock	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$506,903
Contract administrator fees	2012-12-31	$4,580
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Aggregate proceeds on sale of assets	2012-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2012-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	THORNHILL FINANCIAL, INC.
Accountancy firm EIN	2012-12-31	341818419
2011 : NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$280,961
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$806,203
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$800,972
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$325,953
Value of total assets at end of year	2011-12-31	$5,725,698
Value of total assets at beginning of year	2011-12-31	$6,250,940
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$5,231
Total interest from all sources	2011-12-31	$12,955
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$279,983
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$279,983
Administrative expenses professional fees incurred	2011-12-31	$0
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$203,333
Participant contributions at end of year	2011-12-31	$324,904
Participant contributions at beginning of year	2011-12-31	$358,010
Participant contributions at end of year	2011-12-31	$0
Participant contributions at beginning of year	2011-12-31	$807
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$116,071
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$113,025
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$16,943
Other income not declared elsewhere	2011-12-31	$7,846
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-525,242
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$5,725,698
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$6,250,940
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$4,706,621
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$5,354,164
Value of interest in pooled separate accounts at end of year	2011-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$0
Interest on participant loans	2011-12-31	$12,955
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$578,102
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$424,689
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-345,776
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$105,677
Employer contributions (assets) at end of year	2011-12-31	$0
Employer contributions (assets) at beginning of year	2011-12-31	$245
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$800,972
Contract administrator fees	2011-12-31	$5,231
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	THORNHILL FINANCIAL, INC.
Accountancy firm EIN	2011-12-31	341818419
2010 : NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$1,020,654
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$1,105,481
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$980,052
Expenses. Certain deemed distributions of participant loans	2010-12-31	$123,254
Value of total corrective distributions	2010-12-31	$1,367
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$310,184
Value of total assets at end of year	2010-12-31	$6,250,940
Value of total assets at beginning of year	2010-12-31	$6,335,767
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$808
Total interest from all sources	2010-12-31	$27,179
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$148,021
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$148,021
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$199,952
Participant contributions at end of year	2010-12-31	$358,010
Participant contributions at beginning of year	2010-12-31	$443,343
Participant contributions at end of year	2010-12-31	$807
Participant contributions at beginning of year	2010-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$113,025
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$97,553
Other income not declared elsewhere	2010-12-31	$19,892
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$-84,827
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$6,250,940
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$6,335,767
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$5,354,164
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$0
Value of interest in pooled separate accounts at end of year	2010-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$5,601,596
Interest on participant loans	2010-12-31	$21,498
Interest earned on other investments	2010-12-31	$5,681
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$424,689
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$193,275
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$515,378
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$110,232
Employer contributions (assets) at end of year	2010-12-31	$245
Employer contributions (assets) at beginning of year	2010-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$980,052
Contract administrator fees	2010-12-31	$808
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	THORNHILL FINANCIAL, INC.
Accountancy firm EIN	2010-12-31	341818419
2009 : NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN

2015: NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 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 – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 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 – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 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 – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: NORTHERN STAMPING COMPANY 401(K) RETIREMENT & SAVINGS PLAN 2009 form 5500 responses
2009-08-01	Type of plan entity	Single employer plan
2009-08-01	First time form 5500 has been submitted	Yes
2009-08-01	Submission has been amended	No
2009-08-01	This submission is the final filing	No
2009-08-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2009-08-01	Plan is a collectively bargained plan	No
2009-08-01	Plan funding arrangement – Insurance	Yes
2009-08-01	Plan funding arrangement – Trust	Yes
2009-08-01	Plan benefit arrangement – Insurance	Yes
2009-08-01	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

331102-01

Policy instance

Insurance contract or identification number	331102-01
Number of Individuals Covered	11
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $457
Total amount of fees paid to insurance company	USD $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 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 $457
Insurance broker organization code?	3
Insurance broker name	DAVID KRASNOW

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

Policy contract number

331102-01

Policy instance

Insurance contract or identification number	331102-01
Number of Individuals Covered	13
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $1,550
Total amount of fees paid to insurance company	USD $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 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 $1,550
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	BROKER FEES
Insurance broker organization code?	3
Insurance broker name	DAVID KRASNOW

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

Policy contract number

331102-01

Policy instance

Insurance contract or identification number	331102-01
Number of Individuals Covered	11
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,311
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 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
Amount paid for insurance broker fees	1311
Additional information about fees paid to insurance broker	BROKER FEES
Insurance broker organization code?	3
Insurance broker name	DAVID KRASNOW

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

Policy contract number

331102-01

Policy instance

Insurance contract or identification number	331102-01
Number of Individuals Covered	12
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $1,493
Total amount of fees paid to insurance company	USD $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 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 $1,493
Insurance broker organization code?	3
Insurance broker name	DAVID KRASNOW

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

Policy contract number

331102-01

Policy instance

Insurance contract or identification number	331102-01
Number of Individuals Covered	12
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $2,034
Total amount of fees paid to insurance company	USD $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 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

331102-01

Policy instance

Insurance contract or identification number	331102-01
Number of Individuals Covered	9
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $1,687
Total amount of fees paid to insurance company	USD $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 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:	NORTHERN STAMPING, INC.
Employer identification number (EIN):	341930826
NAIC Classification:	332110