401k Plan data: BLOCKSOM & COMPANY 401(K) PLAN & TRUST plan

BLOCKSOM & COMPANY 401(K) PLAN & TRUST 401k Plan overview

Plan Name	BLOCKSOM & COMPANY 401(K) PLAN & TRUST
Plan identification number	003

BLOCKSOM & COMPANY 401(K) PLAN & TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

BLOCKSOM & COMPANY has sponsored the creation of one or more 401k plans.

Company Name: BLOCKSOM & COMPANY

Employer identification number (EIN): 362142174

NAIC Classification: 314000
NAIC Description: Textile Product Mills

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLOCKSOM & COMPANY 401(K) PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2018-01-01 ANDREW SWAN 2019-06-05 ANDREW SWAN 2019-06-05
003 2017-01-01 ANDREW SWAN 2018-07-24 ANDREW SWAN 2018-07-24
003 2016-01-01 ANDREW SWAN 2017-07-21 ANDREW SWAN 2017-07-21
003 2015-01-01 MATT DIMKE 2016-07-19
003 2014-01-01 ANDREW P SWAN 2015-06-19 ANDREW P SWAN 2015-06-19
003 2013-01-01 ANDREW SWAN 2014-06-09 ANDREW SWAN 2014-06-09
003 2012-01-01 ANDREW P SWAN 2013-06-14
003 2011-01-01 ANDREW P. SWAN 2012-07-09 ANDREW P. SWAN 2012-07-09
003 2010-01-01 ANDREW P. SWAN
003 2009-01-01 ANDREW SWAN

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
003	2018-01-01	ANDREW SWAN	2019-06-05	ANDREW SWAN	2019-06-05
003	2017-01-01	ANDREW SWAN	2018-07-24	ANDREW SWAN	2018-07-24
003	2016-01-01	ANDREW SWAN	2017-07-21	ANDREW SWAN	2017-07-21
003	2015-01-01	MATT DIMKE	2016-07-19
003	2014-01-01	ANDREW P SWAN	2015-06-19	ANDREW P SWAN	2015-06-19
003	2013-01-01	ANDREW SWAN	2014-06-09	ANDREW SWAN	2014-06-09
003	2012-01-01	ANDREW P SWAN	2013-06-14
003	2011-01-01	ANDREW P. SWAN	2012-07-09	ANDREW P. SWAN	2012-07-09
003	2010-01-01	ANDREW P. SWAN
003	2009-01-01	ANDREW SWAN

Financial Data on BLOCKSOM & COMPANY 401(K) PLAN & TRUST

Measure	Date	Value
2010 : BLOCKSOM & COMPANY 401(K) PLAN & TRUST 2010 401k financial data
Total income from all sources	2010-12-31	$271,241
Expenses. Total of all expenses incurred	2010-12-31	$75
Total plan assets at end of year	2010-12-31	$1,706,506
Total plan assets at beginning of year	2010-12-31	$1,435,340
Value of fidelity bond covering the plan	2010-12-31	$200,000
Total contributions received or receivable from participants	2010-12-31	$85,737
Expenses. Other expenses not covered elsewhere	2010-12-31	$75
Contributions received from other sources (not participants or employers)	2010-12-31	$3,485
Other income received	2010-12-31	$165,398
Net income (gross income less expenses)	2010-12-31	$271,166
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,706,506
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,435,340
Assets. Value of participant loans	2010-12-31	$1,387
Total contributions received or receivable from employer(s)	2010-12-31	$16,621
2009 : BLOCKSOM & COMPANY 401(K) PLAN & TRUST 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 BLOCKSOM & COMPANY 401(K) PLAN & TRUST

2010: BLOCKSOM & COMPANY 401(K) PLAN & TRUST 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 – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: BLOCKSOM & COMPANY 401(K) PLAN & TRUST 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

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Company Name:	BLOCKSOM & COMPANY
Employer identification number (EIN):	362142174
NAIC Classification:	314000
NAIC Description:	Textile Product Mills