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GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 401k Plan overview

Plan NameGRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN
Plan identification number 001

GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • 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) received services of leased employees, as defined in Code section 414(n), during the plan year.

401k Sponsoring company profile

GRAND RAPIDS FOAM TECHNOLOGIES, INC has sponsored the creation of one or more 401k plans.

Company Name:GRAND RAPIDS FOAM TECHNOLOGIES, INC
Employer identification number (EIN):381812836
NAIC Classification:326200

Additional information about GRAND RAPIDS FOAM TECHNOLOGIES, INC

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2016-01-01
Company Identification Number: 0801629377
Legal Registered Office Address: 2788 REMICO ST SW

WYOMING
United States of America (USA)
49519

More information about GRAND RAPIDS FOAM TECHNOLOGIES, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01DAVID ZUIDEMA2023-10-16
0012021-01-01BENJAMIN AMANN2022-10-17
0012020-01-01BENJAMIN AMANN2021-09-24
0012019-01-01BENJAMIN AMANN2020-09-30
0012018-01-01TIM HARMS2019-10-08
0012017-01-01
0012016-01-01TIM HARMS TIM HARMS2017-10-13
0012015-01-01TIM HARMS TIM HARMS2016-10-14
0012014-01-01TIM HARMS TIM HARMS2015-10-14
0012013-01-01CHAD PERLEBERG CHAD PERLEBERG2014-09-30
0012012-01-01CHAD PERLEBERG
0012011-01-01CHAD PERLEBERG
0012009-01-01BENJAMIN AMANN

Plan Statistics for GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN

401k plan membership statisitcs for GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN

Measure Date Value
2022: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01626
Total number of active participants reported on line 7a of the Form 55002022-01-01332
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-01361
Total of all active and inactive participants2022-01-01693
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01693
Number of participants with account balances2022-01-01691
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0137
2021: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01538
Total number of active participants reported on line 7a of the Form 55002021-01-01300
Number of retired or separated participants receiving benefits2021-01-0121
Number of other retired or separated participants entitled to future benefits2021-01-01288
Total of all active and inactive participants2021-01-01609
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01609
Number of participants with account balances2021-01-01605
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0154
2020: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01526
Total number of active participants reported on line 7a of the Form 55002020-01-01298
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-01227
Total of all active and inactive participants2020-01-01525
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01525
Number of participants with account balances2020-01-01507
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0171
2019: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01507
Total number of active participants reported on line 7a of the Form 55002019-01-01324
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-01166
Total of all active and inactive participants2019-01-01490
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01490
Number of participants with account balances2019-01-01486
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0129
2018: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01430
Total number of active participants reported on line 7a of the Form 55002018-01-01316
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-01134
Total of all active and inactive participants2018-01-01450
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01450
Number of participants with account balances2018-01-01348
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0129
2017: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01395
Total number of active participants reported on line 7a of the Form 55002017-01-01304
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-01103
Total of all active and inactive participants2017-01-01407
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01407
Number of participants with account balances2017-01-01342
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0134
2016: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01378
Total number of active participants reported on line 7a of the Form 55002016-01-01293
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0189
Total of all active and inactive participants2016-01-01382
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01382
Number of participants with account balances2016-01-01337
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0141
2015: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01323
Total number of active participants reported on line 7a of the Form 55002015-01-01318
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0155
Total of all active and inactive participants2015-01-01373
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01373
Number of participants with account balances2015-01-01308
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0118
2014: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01280
Total number of active participants reported on line 7a of the Form 55002014-01-01212
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0145
Total of all active and inactive participants2014-01-01257
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01257
Number of participants with account balances2014-01-01240
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0113
2013: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01226
Total number of active participants reported on line 7a of the Form 55002013-01-01190
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0142
Total of all active and inactive participants2013-01-01232
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01232
Number of participants with account balances2013-01-01218
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0114
2012: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01209
Total number of active participants reported on line 7a of the Form 55002012-01-01167
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0136
Total of all active and inactive participants2012-01-01203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01203
Number of participants with account balances2012-01-01203
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-018
2011: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01199
Total number of active participants reported on line 7a of the Form 55002011-01-01149
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0137
Total of all active and inactive participants2011-01-01186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01186
Number of participants with account balances2011-01-01186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0111
2009: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01216
Total number of active participants reported on line 7a of the Form 55002009-01-01153
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0135
Total of all active and inactive participants2009-01-01188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01188
Number of participants with account balances2009-01-01185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0135

Financial Data on GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN

Measure Date Value
2022 : GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-778,116
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$978,404
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$900,095
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$789,074
Value of total assets at end of year2022-12-31$8,866,815
Value of total assets at beginning of year2022-12-31$10,623,335
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$78,309
Total interest from all sources2022-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$99,250
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$99,250
Administrative expenses professional fees incurred2022-12-31$78,309
Assets. Corporate prefeered stocks other than exployer securities at end of year2022-12-31$434,429
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2022-12-31$507,775
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$425,759
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$8,085
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$26,476
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$24,652
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,756,520
Value of net assets at end of year (total assets less liabilities)2022-12-31$8,866,815
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$10,623,335
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$3,883,250
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$4,906,953
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$578,349
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$451,891
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$451,891
Asset value of US Government securities at end of year2022-12-31$525,958
Asset value of US Government securities at beginning of year2022-12-31$263,221
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,666,440
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$355,230
Employer contributions (assets) at end of year2022-12-31$250,000
Employer contributions (assets) at beginning of year2022-12-31$250,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$900,095
Asset. Corporate debt instrument preferred debt at end of year2022-12-31$1,554,038
Asset. Corporate debt instrument preferred debt at beginning of year2022-12-31$1,797,297
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$1,614,315
Assets. Corporate common stocks other than exployer securities at beginning of year2022-12-31$2,421,546
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31UHY LLP
Accountancy firm EIN2022-12-31200694403
2021 : GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$1,992,087
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$855,641
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$777,642
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$770,950
Value of total assets at end of year2021-12-31$10,623,335
Value of total assets at beginning of year2021-12-31$9,486,889
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$77,999
Total interest from all sources2021-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$829,902
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$644,075
Assets. Corporate prefeered stocks other than exployer securities at end of year2021-12-31$507,775
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2021-12-31$406,171
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$421,621
Participant contributions at end of year2021-12-31$0
Participant contributions at beginning of year2021-12-31$1,001
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$24,652
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$23,732
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,136,446
Value of net assets at end of year (total assets less liabilities)2021-12-31$10,623,335
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$9,486,889
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$77,999
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$4,906,953
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$4,196,316
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$451,891
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$445,970
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$445,970
Asset value of US Government securities at end of year2021-12-31$263,221
Asset value of US Government securities at beginning of year2021-12-31$176,907
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$391,235
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$349,329
Employer contributions (assets) at end of year2021-12-31$250,000
Employer contributions (assets) at beginning of year2021-12-31$2,001
Income. Dividends from preferred stock2021-12-31$175,195
Income. Dividends from common stock2021-12-31$10,632
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$777,642
Asset. Corporate debt instrument preferred debt at end of year2021-12-31$1,797,297
Asset. Corporate debt instrument preferred debt at beginning of year2021-12-31$1,823,877
Assets. Corporate common stocks other than exployer securities at end of year2021-12-31$2,421,546
Assets. Corporate common stocks other than exployer securities at beginning of year2021-12-31$2,410,914
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31JANSEN VALK THOMPSON & REAHM PC
Accountancy firm EIN2021-12-31383186775
2020 : GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$1,510,028
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$512,240
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$449,149
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$475,308
Value of total assets at end of year2020-12-31$9,486,889
Value of total assets at beginning of year2020-12-31$8,489,101
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$63,091
Total interest from all sources2020-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Assets. Corporate prefeered stocks other than exployer securities at end of year2020-12-31$406,171
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2020-12-31$524,544
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$376,654
Participant contributions at end of year2020-12-31$1,001
Participant contributions at beginning of year2020-12-31$1,250
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$23,732
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$23,796
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$997,788
Value of net assets at end of year (total assets less liabilities)2020-12-31$9,486,889
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$8,489,101
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$4,196,316
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$3,724,249
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$445,970
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$74,255
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$74,255
Asset value of US Government securities at end of year2020-12-31$176,907
Asset value of US Government securities at beginning of year2020-12-31$1,755,219
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,034,720
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$98,654
Employer contributions (assets) at end of year2020-12-31$2,001
Employer contributions (assets) at beginning of year2020-12-31$202,035
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$449,149
Asset. Corporate debt instrument preferred debt at end of year2020-12-31$1,823,877
Asset. Corporate debt instrument preferred debt at beginning of year2020-12-31$339,863
Contract administrator fees2020-12-31$63,091
Assets. Corporate common stocks other than exployer securities at end of year2020-12-31$2,410,914
Assets. Corporate common stocks other than exployer securities at beginning of year2020-12-31$1,843,890
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31JANSEN VALK THOMPSON & REAHM PC
Accountancy firm EIN2020-12-31383186775
2019 : GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$2,180,279
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$878,660
Total of all expenses incurred2019-12-31$878,660
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$815,522
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$815,522
Value of total corrective distributions2019-12-31$1,732
Value of total corrective distributions2019-12-31$1,732
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$675,028
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$675,028
Value of total assets at end of year2019-12-31$8,489,101
Value of total assets at end of year2019-12-31$8,489,101
Value of total assets at beginning of year2019-12-31$7,187,482
Value of total assets at beginning of year2019-12-31$7,187,482
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$61,406
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$61,406
Total interest from all sources2019-12-31$0
Total interest from all sources2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Assets. Corporate prefeered stocks other than exployer securities at end of year2019-12-31$524,544
Assets. Corporate prefeered stocks other than exployer securities at end of year2019-12-31$524,544
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2019-12-31$569,259
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2019-12-31$569,259
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$358,999
Contributions received from participants2019-12-31$358,999
Participant contributions at end of year2019-12-31$1,250
Participant contributions at end of year2019-12-31$1,250
Participant contributions at beginning of year2019-12-31$1,000
Participant contributions at beginning of year2019-12-31$1,000
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$30,867
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$30,867
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$23,796
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$23,796
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$25,685
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$25,685
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,301,619
Value of net income/loss2019-12-31$1,301,619
Value of net assets at end of year (total assets less liabilities)2019-12-31$8,489,101
Value of net assets at end of year (total assets less liabilities)2019-12-31$8,489,101
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$7,187,482
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$7,187,482
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$3,724,249
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$3,724,249
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$3,059,450
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$3,059,450
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$74,255
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$74,255
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$86,682
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$86,682
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$86,682
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$86,682
Asset value of US Government securities at end of year2019-12-31$1,755,219
Asset value of US Government securities at end of year2019-12-31$1,755,219
Asset value of US Government securities at beginning of year2019-12-31$1,682,911
Asset value of US Government securities at beginning of year2019-12-31$1,682,911
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,505,251
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,505,251
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$285,162
Contributions received in cash from employer2019-12-31$285,162
Employer contributions (assets) at end of year2019-12-31$202,035
Employer contributions (assets) at end of year2019-12-31$202,035
Employer contributions (assets) at beginning of year2019-12-31$1,041
Employer contributions (assets) at beginning of year2019-12-31$1,041
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$815,522
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$815,522
Asset. Corporate debt instrument preferred debt at end of year2019-12-31$339,863
Asset. Corporate debt instrument preferred debt at end of year2019-12-31$339,863
Asset. Corporate debt instrument preferred debt at beginning of year2019-12-31$272,750
Asset. Corporate debt instrument preferred debt at beginning of year2019-12-31$272,750
Contract administrator fees2019-12-31$61,406
Contract administrator fees2019-12-31$61,406
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$1,843,890
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$1,488,704
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$1,488,704
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31JANSEN VALK THOMPSON & REAHM PC
Accountancy firm name2019-12-31JANSEN VALK THOMPSON & REAHM PC
Accountancy firm EIN2019-12-31383186775
Accountancy firm EIN2019-12-31383186775
2018 : GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$287,479
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$826,538
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$791,133
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$498,632
Value of total assets at end of year2018-12-31$7,187,482
Value of total assets at beginning of year2018-12-31$7,726,541
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$35,405
Total interest from all sources2018-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Assets. Corporate prefeered stocks other than exployer securities at end of year2018-12-31$569,259
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2018-12-31$504,950
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$325,039
Participant contributions at end of year2018-12-31$1,000
Participant contributions at beginning of year2018-12-31$6,227
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$91,365
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$25,685
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$23,750
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-539,059
Value of net assets at end of year (total assets less liabilities)2018-12-31$7,187,482
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$7,726,541
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$35,405
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$3,059,450
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$2,633,010
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$86,682
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$2,332
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$2,332
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$1,207
Asset value of US Government securities at end of year2018-12-31$1,682,911
Asset value of US Government securities at beginning of year2018-12-31$1,597,531
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-211,153
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$82,228
Employer contributions (assets) at end of year2018-12-31$1,041
Employer contributions (assets) at beginning of year2018-12-31$203,596
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$789,926
Asset. Corporate debt instrument preferred debt at end of year2018-12-31$272,750
Asset. Corporate debt instrument preferred debt at beginning of year2018-12-31$253,225
Assets. Corporate common stocks other than exployer securities at end of year2018-12-31$1,488,704
Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$2,501,920
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31JANSEN VALK THOMPSON & REAHM PC
Accountancy firm EIN2018-12-31383186775
2017 : GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$1,581,089
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$874,905
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$801,203
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$556,976
Value of total assets at end of year2017-12-31$7,726,541
Value of total assets at beginning of year2017-12-31$7,020,357
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$73,702
Total interest from all sources2017-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Assets. Corporate prefeered stocks other than exployer securities at end of year2017-12-31$504,950
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2017-12-31$558,742
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$289,054
Participant contributions at end of year2017-12-31$6,227
Participant contributions at beginning of year2017-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$23,750
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$772
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$706,184
Value of net assets at end of year (total assets less liabilities)2017-12-31$7,726,541
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$7,020,357
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$73,702
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$2,633,010
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$2,132,152
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$2,332
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$316,347
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$316,347
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$4,764
Asset value of US Government securities at end of year2017-12-31$1,597,531
Asset value of US Government securities at beginning of year2017-12-31$395,923
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,024,113
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$267,922
Employer contributions (assets) at end of year2017-12-31$203,596
Employer contributions (assets) at beginning of year2017-12-31$50,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$801,203
Asset. Corporate debt instrument preferred debt at end of year2017-12-31$253,225
Asset. Corporate debt instrument preferred debt at beginning of year2017-12-31$1,393,991
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31Yes
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$2,501,920
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$2,167,666
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31JANSEN VALK THOMPSON & REAHM PC
Accountancy firm EIN2017-12-31383186775
2016 : GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
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$0
Total income from all sources (including contributions)2016-12-31$851,974
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$505,786
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$439,528
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$422,706
Value of total assets at end of year2016-12-31$7,020,357
Value of total assets at beginning of year2016-12-31$6,674,169
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$66,258
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 year2016-12-31No
Assets. Corporate prefeered stocks other than exployer securities at end of year2016-12-31$558,742
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2016-12-31$555,493
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$299,307
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$732
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$772
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$346,188
Value of net assets at end of year (total assets less liabilities)2016-12-31$7,020,357
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$6,674,169
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$66,258
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$2,132,152
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$1,798,171
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$316,347
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$225,029
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$225,029
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$4,764
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$3,638
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$2,463
Asset value of US Government securities at end of year2016-12-31$395,923
Asset value of US Government securities at beginning of year2016-12-31$404,067
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$429,268
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
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$123,399
Employer contributions (assets) at end of year2016-12-31$50,000
Employer contributions (assets) at beginning of year2016-12-31$150,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$436,333
Asset. Corporate debt instrument preferred debt at end of year2016-12-31$1,393,991
Asset. Corporate debt instrument preferred debt at beginning of year2016-12-31$1,408,425
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$2,167,666
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$2,129,346
Did the plan have assets held for investment2016-12-31Yes
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 PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31JANSEN VALK THOMPSON & REAHM PC
Accountancy firm EIN2016-12-31383186775
2015 : GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$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$553,161
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$535,191
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$474,577
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$564,029
Value of total assets at end of year2015-12-31$6,674,169
Value of total assets at beginning of year2015-12-31$6,656,199
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$60,614
Total interest from all sources2015-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Assets. Corporate prefeered stocks other than exployer securities at end of year2015-12-31$555,493
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2015-12-31$377,565
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$288,687
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$1,199
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$17,970
Value of net assets at end of year (total assets less liabilities)2015-12-31$6,674,169
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$6,656,199
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$60,614
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$1,798,171
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$1,827,258
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$225,029
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$128,543
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$128,543
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$3,638
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$2,731
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$3,193
Asset value of US Government securities at end of year2015-12-31$404,067
Asset value of US Government securities at beginning of year2015-12-31$364,965
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-10,868
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$274,143
Employer contributions (assets) at end of year2015-12-31$150,000
Employer contributions (assets) at beginning of year2015-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$471,384
Asset. Corporate debt instrument preferred debt at end of year2015-12-31$1,408,425
Asset. Corporate debt instrument preferred debt at beginning of year2015-12-31$1,458,005
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$2,129,346
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$2,497,132
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31JANSEN VALK THOMPSON & REAHM PC
Accountancy firm EIN2015-12-31383186775
2014 : GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total transfer of assets from this plan2014-12-31$141,612
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$774,794
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$758,881
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$696,259
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$342,041
Value of total assets at end of year2014-12-31$6,656,199
Value of total assets at beginning of year2014-12-31$6,781,898
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$62,622
Total interest from all sources2014-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Assets. Corporate prefeered stocks other than exployer securities at end of year2014-12-31$377,565
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2014-12-31$399,519
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$261,615
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$15,913
Value of net assets at end of year (total assets less liabilities)2014-12-31$6,656,199
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$6,781,898
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$62,622
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$1,827,258
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$1,812,672
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$128,543
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$96,513
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$96,513
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$2,731
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$1,276
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$2,713
Asset value of US Government securities at end of year2014-12-31$364,965
Asset value of US Government securities at beginning of year2014-12-31$385,485
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$432,753
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$80,426
Employer contributions (assets) at end of year2014-12-31$0
Employer contributions (assets) at beginning of year2014-12-31$50,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$693,546
Asset. Corporate debt instrument preferred debt at end of year2014-12-31$1,458,005
Asset. Corporate debt instrument preferred debt at beginning of year2014-12-31$1,531,202
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$2,497,132
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$2,505,231
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31JANSEN VALK THOMPSON & REAHM PC
Accountancy firm EIN2014-12-31383186775
2013 : GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total transfer of assets from this plan2013-12-31$100,864
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$1,186,138
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$366,684
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$308,883
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$328,153
Value of total assets at end of year2013-12-31$6,781,898
Value of total assets at beginning of year2013-12-31$6,063,308
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$57,801
Total interest from all sources2013-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Assets. Corporate prefeered stocks other than exployer securities at end of year2013-12-31$399,519
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2013-12-31$583,962
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$215,621
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$6,881
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$819,454
Value of net assets at end of year (total assets less liabilities)2013-12-31$6,781,898
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$6,063,308
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$57,801
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$1,812,672
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$1,431,224
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$96,513
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$196,466
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$196,466
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$1,276
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$7
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$2,968
Asset value of US Government securities at end of year2013-12-31$385,485
Asset value of US Government securities at beginning of year2013-12-31$369,032
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$857,985
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$105,651
Employer contributions (assets) at end of year2013-12-31$50,000
Employer contributions (assets) at beginning of year2013-12-31$200,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$305,915
Asset. Corporate debt instrument preferred debt at end of year2013-12-31$1,531,202
Asset. Corporate debt instrument preferred debt at beginning of year2013-12-31$1,718,765
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$2,505,231
Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$1,563,852
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31JANSEN VALK THOMPSON & REAHM PC
Accountancy firm EIN2013-12-31383186775
2012 : GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$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$953,548
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$262,020
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$209,284
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$436,561
Value of total assets at end of year2012-12-31$6,063,308
Value of total assets at beginning of year2012-12-31$5,371,780
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$52,736
Total interest from all sources2012-12-31$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 year2012-12-31No
Assets. Corporate prefeered stocks other than exployer securities at end of year2012-12-31$583,962
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2012-12-31$522,064
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$188,634
Participant contributions at beginning of year2012-12-31$250,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$691,528
Value of net assets at end of year (total assets less liabilities)2012-12-31$6,063,308
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$5,371,780
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$52,736
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$1,431,224
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$927,655
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$196,466
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$107,890
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$107,890
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$7
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$7,479
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$2,857
Asset value of US Government securities at end of year2012-12-31$369,032
Asset value of US Government securities at beginning of year2012-12-31$384,016
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$516,987
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$247,927
Employer contributions (assets) at end of year2012-12-31$200,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$206,427
Asset. Corporate debt instrument preferred debt at end of year2012-12-31$1,718,765
Asset. Corporate debt instrument preferred debt at beginning of year2012-12-31$1,732,829
Assets. Corporate common stocks other than exployer securities at end of year2012-12-31$1,563,852
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$1,439,847
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31JANSEN VALK THOMPSON & REAHM PC
Accountancy firm EIN2012-12-31383186775
2011 : GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$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$438,085
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$320,325
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$279,933
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$455,876
Value of total assets at end of year2011-12-31$5,371,780
Value of total assets at beginning of year2011-12-31$5,254,020
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$40,392
Total interest from all sources2011-12-31$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 year2011-12-31No
Assets. Corporate prefeered stocks other than exployer securities at end of year2011-12-31$522,064
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2011-12-31$383,210
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$165,018
Participant contributions at end of year2011-12-31$250,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$117,760
Value of net assets at end of year (total assets less liabilities)2011-12-31$5,371,780
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$5,254,020
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$40,392
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$927,655
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$972,563
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$107,890
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$72,764
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$72,764
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$7,479
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$5,968
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$2,721
Asset value of US Government securities at end of year2011-12-31$384,016
Asset value of US Government securities at beginning of year2011-12-31$239,805
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-17,791
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$290,858
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$277,212
Asset. Corporate debt instrument preferred debt at end of year2011-12-31$1,732,829
Asset. Corporate debt instrument preferred debt at beginning of year2011-12-31$1,745,746
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$1,439,847
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$1,833,964
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31JANSEN VALK THOMPSON & REAHM PC
Accountancy firm EIN2011-12-31383186775
2010 : GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$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$834,755
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$173,478
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$132,531
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$203,281
Value of total assets at end of year2010-12-31$5,254,020
Value of total assets at beginning of year2010-12-31$4,592,743
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$40,947
Total interest from all sources2010-12-31$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 year2010-12-31No
Assets. Corporate prefeered stocks other than exployer securities at end of year2010-12-31$383,210
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2010-12-31$301,482
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$161,607
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$661,277
Value of net assets at end of year (total assets less liabilities)2010-12-31$5,254,020
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$4,592,743
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$40,947
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$972,563
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$960,257
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$72,764
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$91,504
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$91,504
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$5,968
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$4,447
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$2,991
Asset value of US Government securities at end of year2010-12-31$239,805
Asset value of US Government securities at beginning of year2010-12-31$445,598
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$631,474
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$41,674
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$129,540
Asset. Corporate debt instrument preferred debt at end of year2010-12-31$1,745,746
Asset. Corporate debt instrument preferred debt at beginning of year2010-12-31$1,418,362
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$1,833,964
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$1,371,093
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31JANSEN VALK THOMPSON & REAHM PC
Accountancy firm EIN2010-12-31383186775
2009 : GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN

2022: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: GRAND RAPIDS FOAM TECHNOLOGIES INC RETIREMENT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract numberOA0512
Policy instance 1
Insurance contract or identification numberOA0512
Number of Individuals Covered4
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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?1
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract numberOA0512
Policy instance 2
Insurance contract or identification numberOA0512
Number of Individuals Covered4
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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?1
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B3-VP39
Policy instance 1
Insurance contract or identification numberGAP-B3-VP39
Number of Individuals Covered407
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?Yes
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
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?4
Insurance broker namePRINCIPAL SECURITIES
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B3-VP39
Policy instance 2
Insurance contract or identification numberGAP-B3-VP39
Number of Individuals Covered300
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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?Yes
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
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract numberOA0512
Policy instance 1
Insurance contract or identification numberOA0512
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 $2,713
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract numberOA0512
Policy instance 2
Insurance contract or identification numberOA0512
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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 $2,713
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B3-VP39
Policy instance 1
Insurance contract or identification numberGAP-B3-VP39
Number of Individuals Covered257
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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?Yes
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
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract numberOA0512
Policy instance 2
Insurance contract or identification numberOA0512
Number of Individuals Covered8
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $143
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 BenefitYes
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
Commission paid to Insurance BrokerUSD $143
Insurance broker organization code?3
Insurance broker nameWAYNE AMANN
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B3-VP39
Policy instance 1
Insurance contract or identification numberGAP-B3-VP39
Number of Individuals Covered232
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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?Yes
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
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B3-VP39
Policy instance 2
Insurance contract or identification numberGAP-B3-VP39
Number of Individuals Covered209
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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?Yes
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
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract numberOA0512
Policy instance 1
Insurance contract or identification numberOA0512
Number of Individuals Covered8
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $143
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 BenefitYes
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
Commission paid to Insurance BrokerUSD $143
Insurance broker organization code?3
Insurance broker nameWAYNE AMANN
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B3-VP39
Policy instance 2
Insurance contract or identification numberGAP-B3-VP39
Number of Individuals Covered199
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
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?Yes
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
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract numberOA0512
Policy instance 1
Insurance contract or identification numberOA0512
Number of Individuals Covered8
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $143
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 BenefitYes
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
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B3-VP39
Policy instance 2
Insurance contract or identification numberGAP-B3-VP39
Number of Individuals Covered177
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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?Yes
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
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract numberOA0512
Policy instance 1
Insurance contract or identification numberOA0512
Number of Individuals Covered8
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $162
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 BenefitYes
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

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