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| Plan Name | THE JAY SHOP, INC. 403(B) PLAN |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | THE JAY SHOP, INC. |
| Employer identification number (EIN): | 381815551 |
| NAIC Classification: | 336300 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 002 | 2013-01-01 | SUZANNE DAVENPORT | 2014-03-11 | ||
| 002 | 2012-01-01 | SUZANNE DAVENPORT | 2013-02-27 | ||
| 002 | 2011-01-01 | SUZANNE DAVENPORT | |||
| 002 | 2009-01-01 | SUZANNE DAVENPORT |
| Measure | Date | Value |
|---|---|---|
| 2011: THE JAY SHOP, INC. 403(B) PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-01-01 | 12 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 8 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-01-01 | 4 |
| Total of all active and inactive participants | 2011-01-01 | 12 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2011-01-01 | 0 |
| Total participants | 2011-01-01 | 12 |
| Number of participants with account balances | 2011-01-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2011-01-01 | 0 |
| 2009: THE JAY SHOP, INC. 403(B) PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 13 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 8 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-01-01 | 4 |
| Total of all active and inactive participants | 2009-01-01 | 12 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-01-01 | 0 |
| Total participants | 2009-01-01 | 12 |
| Number of participants with account balances | 2009-01-01 | 12 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2009-01-01 | 0 |
| Measure | Date | Value |
|---|---|---|
| 2011 : THE JAY SHOP, INC. 403(B) PLAN 2011 401k financial data | ||
| Total income from all sources | 2011-12-31 | $0 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $5,397 |
| Benefits paid (including direct rollovers) | 2011-12-31 | $5,207 |
| Total plan assets at end of year | 2011-12-31 | $0 |
| Total plan assets at beginning of year | 2011-12-31 | $0 |
| Total contributions received or receivable from participants | 2011-12-31 | $7,410 |
| Other income received | 2011-12-31 | $3,046 |
| Net income (gross income less expenses) | 2011-12-31 | $5,059 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2011-12-31 | $190 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2011-12-31 | $0 |
| 2010 : THE JAY SHOP, INC. 403(B) PLAN 2010 401k financial data | ||
| Total income from all sources | 2010-12-31 | $20,201 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $3,876 |
| Total plan assets at end of year | 2010-12-31 | $138,910 |
| Total plan assets at beginning of year | 2010-12-31 | $122,585 |
| Total contributions received or receivable from participants | 2010-12-31 | $14,925 |
| Expenses. Other expenses not covered elsewhere | 2010-12-31 | $3,876 |
| Other income received | 2010-12-31 | $5,276 |
| Net income (gross income less expenses) | 2010-12-31 | $16,325 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $138,910 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $122,585 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2010-12-31 | $3,876 |
| 2011: THE JAY SHOP, INC. 403(B) PLAN 2011 form 5500 responses | ||
|---|---|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | Yes |
| 2011-01-01 | This submission is the final filing | No |
| 2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-01-01 | Plan is a collectively bargained plan | No |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: THE JAY SHOP, INC. 403(B) PLAN 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | No |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | No |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) | |||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 007388-J | ||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||
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| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) | |||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 007388-J | ||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||
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