401k Plan data: GW COMMERCIAL SERVICES, INC. HEALTH & WELFARE PLAN plan

GW COMMERCIAL SERVICES, INC. HEALTH & WELFARE PLAN 401k Plan overview

Plan Name	GW COMMERCIAL SERVICES, INC. HEALTH & WELFARE PLAN
Plan identification number	510

GW COMMERCIAL SERVICES, INC. HEALTH & WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

GOODWILL OF CENTRAL AND SOUTHERN INDIANA, INC. has sponsored the creation of one or more 401k plans.

Company Name: GOODWILL OF CENTRAL AND SOUTHERN INDIANA, INC.

Employer identification number (EIN): 350893506

NAIC Classification: 813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GW COMMERCIAL SERVICES, INC. HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
510 2012-01-01 LISA ALLEN
510 2011-01-01 STACEY L. SPENCER
510 2009-01-01 KEITH REISSAUS KEITH REISSAUS 2010-07-30

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
510	2012-01-01	LISA ALLEN
510	2011-01-01	STACEY L. SPENCER
510	2009-01-01	KEITH REISSAUS	KEITH REISSAUS	2010-07-30

Plan Statistics for GW COMMERCIAL SERVICES, INC. HEALTH & WELFARE PLAN

401k plan membership statisitcs for GW COMMERCIAL SERVICES, INC. HEALTH & WELFARE PLAN

Measure Date Value
2012: GW COMMERCIAL SERVICES, INC. HEALTH & WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 215
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 257
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 0
Total of all active and inactive participants 2012-01-01 257
2011: GW COMMERCIAL SERVICES, INC. HEALTH & WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 230
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 215
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 0
Total of all active and inactive participants 2011-01-01 215
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
2009: GW COMMERCIAL SERVICES, INC. HEALTH & WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 236
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 219
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 219

Measure	Date	Value
2012: GW COMMERCIAL SERVICES, INC. HEALTH & WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	215
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	257
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	0
Total of all active and inactive participants	2012-01-01	257
2011: GW COMMERCIAL SERVICES, INC. HEALTH & WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	230
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	215
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	0
Total of all active and inactive participants	2011-01-01	215
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
2009: GW COMMERCIAL SERVICES, INC. HEALTH & WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	236
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	219
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	219

Financial Data on GW COMMERCIAL SERVICES, INC. HEALTH & WELFARE PLAN

Measure	Date	Value
2012 : GW COMMERCIAL SERVICES, INC. HEALTH & WELFARE 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	$1,259,873
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$1,136,575
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$918,062
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,259,873
Value of total assets at end of year	2012-12-31	$390,984
Value of total assets at beginning of year	2012-12-31	$267,686
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$218,513
Total interest from all sources	2012-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Total non interest bearing cash at end of year	2012-12-31	$342,091
Total non interest bearing cash at beginning of year	2012-12-31	$223,107
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	$123,298
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$390,984
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$267,686
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
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	$1,259,873
Employer contributions (assets) at end of year	2012-12-31	$48,893
Employer contributions (assets) at beginning of year	2012-12-31	$44,579
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$918,062
Contract administrator fees	2012-12-31	$218,513
Did the plan have assets held for investment	2012-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	GREENWALT CPAS, INC.
Accountancy firm EIN	2012-12-31	351489521
2011 : GW COMMERCIAL SERVICES, INC. HEALTH & WELFARE 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	$72,676
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$72,676
Total income from all sources (including contributions)	2011-12-31	$1,237,096
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$1,087,474
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$837,642
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,237,096
Value of total assets at end of year	2011-12-31	$267,686
Value of total assets at beginning of year	2011-12-31	$118,064
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$249,832
Total interest from all sources	2011-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$0
Liabilities. Value of operating payables at end of year	2011-12-31	$25,862
Total non interest bearing cash at end of year	2011-12-31	$223,107
Total non interest bearing cash at beginning of year	2011-12-31	$75,718
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	$149,622
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$195,010
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$45,388
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
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	$1,237,096
Employer contributions (assets) at end of year	2011-12-31	$44,579
Employer contributions (assets) at beginning of year	2011-12-31	$42,346
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$837,642
Contract administrator fees	2011-12-31	$249,832
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$46,814
Liabilities. Value of benefit claims payable at beginning of year	2011-12-31	$72,676
Did the plan have assets held for investment	2011-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	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	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	GREENWALT CPAS, INC.
Accountancy firm EIN	2011-12-31	351489521
2010 : GW COMMERCIAL SERVICES, INC. HEALTH & WELFARE 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	$72,676
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$87,980
Total income from all sources (including contributions)	2010-12-31	$1,071,318
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$1,282,662
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,061,662
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,071,318
Value of total assets at end of year	2010-12-31	$118,064
Value of total assets at beginning of year	2010-12-31	$344,712
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$221,000
Total interest from all sources	2010-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$1,326
Total non interest bearing cash at end of year	2010-12-31	$75,718
Total non interest bearing cash at beginning of year	2010-12-31	$303,081
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	$-211,344
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$45,388
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$256,732
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
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	No
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	$1,071,318
Employer contributions (assets) at end of year	2010-12-31	$42,346
Employer contributions (assets) at beginning of year	2010-12-31	$40,305
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,061,662
Contract administrator fees	2010-12-31	$221,000
Liabilities. Value of benefit claims payable at end of year	2010-12-31	$72,676
Liabilities. Value of benefit claims payable at beginning of year	2010-12-31	$87,980
Did the plan have assets held for investment	2010-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	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	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	GREENWALT CPAS, INC.
Accountancy firm EIN	2010-12-31	351489521

Form 5500 Responses for GW COMMERCIAL SERVICES, INC. HEALTH & WELFARE PLAN

2012: GW COMMERCIAL SERVICES, INC. HEALTH & WELFARE 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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: GW COMMERCIAL SERVICES, INC. HEALTH & WELFARE 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: GW COMMERCIAL SERVICES, INC. HEALTH & WELFARE PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Potentially related plans

GW COMMERCIAL SERVICES, INC. HEALTH & WELFARE PLAN [EIN = 352082941]

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Company Name:	GOODWILL OF CENTRAL AND SOUTHERN INDIANA, INC.
Employer identification number (EIN):	350893506
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations