401k Plan data: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN plan

MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 401k Plan overview

Plan Name	MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN
Plan identification number	001

MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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

401k Sponsoring company profile

MID-STATE GROUP INC. has sponsored the creation of one or more 401k plans.

Company Name: MID-STATE GROUP INC.

Employer identification number (EIN): 391661482

NAIC Classification: 423800

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-12-01 VICKI KALSCHEUER 2023-08-10
001 2020-12-01 VICKI KALSCHEUER 2022-09-09
001 2019-12-01 VICKI KALSCHEUER 2021-08-04
001 2018-12-01 LINDA M. HANSON 2020-09-14
001 2017-12-01 LINDA M. HANSON 2019-08-13
001 2016-12-01 LINDA M. HANSON
001 2015-12-01 LINDA M. HANSON
001 2014-12-01 LINDA M. HANSON LINDA M. HANSON 2016-06-13
001 2013-12-01 LINDA M. HANSON LINDA M. HANSON 2015-08-06
001 2012-12-01 LINDA M. HANSON LINDA M. HANSON 2014-06-25
001 2011-12-01 LINDA M. HANSON LINDA M. HANSON 2013-06-20
001 2010-12-01 LINDA M HANSON LINDA M HANSON 2012-04-13
001 2009-12-01 LINDA M HANSON LINDA M HANSON 2011-08-31

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2021-12-01	VICKI KALSCHEUER	2023-08-10
001	2020-12-01	VICKI KALSCHEUER	2022-09-09
001	2019-12-01	VICKI KALSCHEUER	2021-08-04
001	2018-12-01	LINDA M. HANSON	2020-09-14
001	2017-12-01	LINDA M. HANSON	2019-08-13
001	2016-12-01	LINDA M. HANSON
001	2015-12-01	LINDA M. HANSON
001	2014-12-01	LINDA M. HANSON		LINDA M. HANSON	2016-06-13
001	2013-12-01	LINDA M. HANSON		LINDA M. HANSON	2015-08-06
001	2012-12-01	LINDA M. HANSON		LINDA M. HANSON	2014-06-25
001	2011-12-01	LINDA M. HANSON		LINDA M. HANSON	2013-06-20
001	2010-12-01	LINDA M HANSON		LINDA M HANSON	2012-04-13
001	2009-12-01	LINDA M HANSON		LINDA M HANSON	2011-08-31

Plan Statistics for MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN

401k plan membership statisitcs for MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN

Measure Date Value
2021: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-12-01 207
Total number of active participants reported on line 7a of the Form 5500 2021-12-01 149
Number of retired or separated participants receiving benefits 2021-12-01 2
Number of other retired or separated participants entitled to future benefits 2021-12-01 43
Total of all active and inactive participants 2021-12-01 194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-12-01 0
Total participants 2021-12-01 194
Number of participants with account balances 2021-12-01 172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-12-01 11
2020: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-12-01 193
Total number of active participants reported on line 7a of the Form 5500 2020-12-01 148
Number of retired or separated participants receiving benefits 2020-12-01 0
Number of other retired or separated participants entitled to future benefits 2020-12-01 41
Total of all active and inactive participants 2020-12-01 189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-12-01 0
Total participants 2020-12-01 189
Number of participants with account balances 2020-12-01 176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-12-01 10
2019: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-12-01 188
Total number of active participants reported on line 7a of the Form 5500 2019-12-01 156
Number of retired or separated participants receiving benefits 2019-12-01 0
Number of other retired or separated participants entitled to future benefits 2019-12-01 36
Total of all active and inactive participants 2019-12-01 192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-12-01 0
Total participants 2019-12-01 192
Number of participants with account balances 2019-12-01 178
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-12-01 8
2018: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-12-01 199
Total number of active participants reported on line 7a of the Form 5500 2018-12-01 149
Number of retired or separated participants receiving benefits 2018-12-01 1
Number of other retired or separated participants entitled to future benefits 2018-12-01 36
Total of all active and inactive participants 2018-12-01 186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-12-01 0
Total participants 2018-12-01 186
Number of participants with account balances 2018-12-01 172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-12-01 9
2017: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-12-01 193
Total number of active participants reported on line 7a of the Form 5500 2017-12-01 155
Number of retired or separated participants receiving benefits 2017-12-01 3
Number of other retired or separated participants entitled to future benefits 2017-12-01 31
Total of all active and inactive participants 2017-12-01 189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-12-01 0
Total participants 2017-12-01 189
Number of participants with account balances 2017-12-01 176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-12-01 11
2016: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-12-01 178
Total number of active participants reported on line 7a of the Form 5500 2016-12-01 162
Number of retired or separated participants receiving benefits 2016-12-01 2
Number of other retired or separated participants entitled to future benefits 2016-12-01 25
Total of all active and inactive participants 2016-12-01 189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-12-01 0
Total participants 2016-12-01 189
Number of participants with account balances 2016-12-01 176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-12-01 5
2015: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-12-01 183
Total number of active participants reported on line 7a of the Form 5500 2015-12-01 179
Number of retired or separated participants receiving benefits 2015-12-01 0
Number of other retired or separated participants entitled to future benefits 2015-12-01 15
Total of all active and inactive participants 2015-12-01 194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-12-01 0
Total participants 2015-12-01 194
Number of participants with account balances 2015-12-01 177
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-12-01 6
2014: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-12-01 181
Total number of active participants reported on line 7a of the Form 5500 2014-12-01 179
Number of retired or separated participants receiving benefits 2014-12-01 0
Number of other retired or separated participants entitled to future benefits 2014-12-01 15
Total of all active and inactive participants 2014-12-01 194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-12-01 0
Total participants 2014-12-01 194
Number of participants with account balances 2014-12-01 168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-12-01 0
2013: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-12-01 180
Total number of active participants reported on line 7a of the Form 5500 2013-12-01 167
Number of retired or separated participants receiving benefits 2013-12-01 0
Number of other retired or separated participants entitled to future benefits 2013-12-01 14
Total of all active and inactive participants 2013-12-01 181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-12-01 0
Total participants 2013-12-01 181
Number of participants with account balances 2013-12-01 162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-12-01 0
2012: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-12-01 166
Total number of active participants reported on line 7a of the Form 5500 2012-12-01 165
Number of retired or separated participants receiving benefits 2012-12-01 0
Number of other retired or separated participants entitled to future benefits 2012-12-01 12
Total of all active and inactive participants 2012-12-01 177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-12-01 0
Total participants 2012-12-01 177
Number of participants with account balances 2012-12-01 156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-12-01 0
2011: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-12-01 153
Total number of active participants reported on line 7a of the Form 5500 2011-12-01 142
Number of retired or separated participants receiving benefits 2011-12-01 0
Number of other retired or separated participants entitled to future benefits 2011-12-01 18
Total of all active and inactive participants 2011-12-01 160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-12-01 0
Total participants 2011-12-01 160
Number of participants with account balances 2011-12-01 148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-12-01 0
2010: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-12-01 155
Total number of active participants reported on line 7a of the Form 5500 2010-12-01 136
Number of retired or separated participants receiving benefits 2010-12-01 0
Number of other retired or separated participants entitled to future benefits 2010-12-01 12
Total of all active and inactive participants 2010-12-01 148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-12-01 0
Total participants 2010-12-01 148
Number of participants with account balances 2010-12-01 137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-12-01 4
2009: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-12-01 153
Total number of active participants reported on line 7a of the Form 5500 2009-12-01 141
Number of retired or separated participants receiving benefits 2009-12-01 0
Number of other retired or separated participants entitled to future benefits 2009-12-01 9
Total of all active and inactive participants 2009-12-01 150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-12-01 0
Total participants 2009-12-01 150
Number of participants with account balances 2009-12-01 138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-12-01 4

Measure	Date	Value
2021: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-12-01	207
Total number of active participants reported on line 7a of the Form 5500	2021-12-01	149
Number of retired or separated participants receiving benefits	2021-12-01	2
Number of other retired or separated participants entitled to future benefits	2021-12-01	43
Total of all active and inactive participants	2021-12-01	194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-12-01	0
Total participants	2021-12-01	194
Number of participants with account balances	2021-12-01	172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-12-01	11
2020: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-12-01	193
Total number of active participants reported on line 7a of the Form 5500	2020-12-01	148
Number of retired or separated participants receiving benefits	2020-12-01	0
Number of other retired or separated participants entitled to future benefits	2020-12-01	41
Total of all active and inactive participants	2020-12-01	189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-12-01	0
Total participants	2020-12-01	189
Number of participants with account balances	2020-12-01	176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-12-01	10
2019: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-12-01	188
Total number of active participants reported on line 7a of the Form 5500	2019-12-01	156
Number of retired or separated participants receiving benefits	2019-12-01	0
Number of other retired or separated participants entitled to future benefits	2019-12-01	36
Total of all active and inactive participants	2019-12-01	192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-12-01	0
Total participants	2019-12-01	192
Number of participants with account balances	2019-12-01	178
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-12-01	8
2018: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-12-01	199
Total number of active participants reported on line 7a of the Form 5500	2018-12-01	149
Number of retired or separated participants receiving benefits	2018-12-01	1
Number of other retired or separated participants entitled to future benefits	2018-12-01	36
Total of all active and inactive participants	2018-12-01	186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-12-01	0
Total participants	2018-12-01	186
Number of participants with account balances	2018-12-01	172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-12-01	9
2017: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-12-01	193
Total number of active participants reported on line 7a of the Form 5500	2017-12-01	155
Number of retired or separated participants receiving benefits	2017-12-01	3
Number of other retired or separated participants entitled to future benefits	2017-12-01	31
Total of all active and inactive participants	2017-12-01	189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-12-01	0
Total participants	2017-12-01	189
Number of participants with account balances	2017-12-01	176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-12-01	11
2016: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-12-01	178
Total number of active participants reported on line 7a of the Form 5500	2016-12-01	162
Number of retired or separated participants receiving benefits	2016-12-01	2
Number of other retired or separated participants entitled to future benefits	2016-12-01	25
Total of all active and inactive participants	2016-12-01	189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-12-01	0
Total participants	2016-12-01	189
Number of participants with account balances	2016-12-01	176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-12-01	5
2015: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-12-01	183
Total number of active participants reported on line 7a of the Form 5500	2015-12-01	179
Number of retired or separated participants receiving benefits	2015-12-01	0
Number of other retired or separated participants entitled to future benefits	2015-12-01	15
Total of all active and inactive participants	2015-12-01	194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-12-01	0
Total participants	2015-12-01	194
Number of participants with account balances	2015-12-01	177
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-12-01	6
2014: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-12-01	181
Total number of active participants reported on line 7a of the Form 5500	2014-12-01	179
Number of retired or separated participants receiving benefits	2014-12-01	0
Number of other retired or separated participants entitled to future benefits	2014-12-01	15
Total of all active and inactive participants	2014-12-01	194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-12-01	0
Total participants	2014-12-01	194
Number of participants with account balances	2014-12-01	168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-12-01	0
2013: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-12-01	180
Total number of active participants reported on line 7a of the Form 5500	2013-12-01	167
Number of retired or separated participants receiving benefits	2013-12-01	0
Number of other retired or separated participants entitled to future benefits	2013-12-01	14
Total of all active and inactive participants	2013-12-01	181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-12-01	0
Total participants	2013-12-01	181
Number of participants with account balances	2013-12-01	162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-12-01	0
2012: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-12-01	166
Total number of active participants reported on line 7a of the Form 5500	2012-12-01	165
Number of retired or separated participants receiving benefits	2012-12-01	0
Number of other retired or separated participants entitled to future benefits	2012-12-01	12
Total of all active and inactive participants	2012-12-01	177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-12-01	0
Total participants	2012-12-01	177
Number of participants with account balances	2012-12-01	156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-12-01	0
2011: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-12-01	153
Total number of active participants reported on line 7a of the Form 5500	2011-12-01	142
Number of retired or separated participants receiving benefits	2011-12-01	0
Number of other retired or separated participants entitled to future benefits	2011-12-01	18
Total of all active and inactive participants	2011-12-01	160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-12-01	0
Total participants	2011-12-01	160
Number of participants with account balances	2011-12-01	148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-12-01	0
2010: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-12-01	155
Total number of active participants reported on line 7a of the Form 5500	2010-12-01	136
Number of retired or separated participants receiving benefits	2010-12-01	0
Number of other retired or separated participants entitled to future benefits	2010-12-01	12
Total of all active and inactive participants	2010-12-01	148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-12-01	0
Total participants	2010-12-01	148
Number of participants with account balances	2010-12-01	137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-12-01	4
2009: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-12-01	153
Total number of active participants reported on line 7a of the Form 5500	2009-12-01	141
Number of retired or separated participants receiving benefits	2009-12-01	0
Number of other retired or separated participants entitled to future benefits	2009-12-01	9
Total of all active and inactive participants	2009-12-01	150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-12-01	0
Total participants	2009-12-01	150
Number of participants with account balances	2009-12-01	138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-12-01	4

Financial Data on MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN

Measure	Date	Value
2022 : MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-11-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-11-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-11-30	$0
Total income from all sources (including contributions)	2022-11-30	$-909,838
Total loss/gain on sale of assets	2022-11-30	$0
Total of all expenses incurred	2022-11-30	$1,242,341
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-11-30	$1,148,124
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-11-30	$1,268,186
Value of total assets at end of year	2022-11-30	$21,247,319
Value of total assets at beginning of year	2022-11-30	$23,399,498
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-11-30	$94,217
Total interest from all sources	2022-11-30	$5,693
Total dividends received (eg from common stock, registered investment company shares)	2022-11-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-11-30	No
Was this plan covered by a fidelity bond	2022-11-30	Yes
Value of fidelity bond cover	2022-11-30	$500,000
If this is an individual account plan, was there a blackout period	2022-11-30	No
Were there any nonexempt tranactions with any party-in-interest	2022-11-30	No
Contributions received from participants	2022-11-30	$963,354
Participant contributions at end of year	2022-11-30	$109,067
Participant contributions at beginning of year	2022-11-30	$126,352
Income. Received or receivable in cash from other sources (including rollovers)	2022-11-30	$139,079
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-11-30	No
Value of net income/loss	2022-11-30	$-2,152,179
Value of net assets at end of year (total assets less liabilities)	2022-11-30	$21,247,319
Value of net assets at beginning of year (total assets less liabilities)	2022-11-30	$23,399,498
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-11-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-11-30	No
Were any leases to which the plan was party in default or uncollectible	2022-11-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-11-30	$17,470,699
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-11-30	$19,050,491
Value of interest in pooled separate accounts at end of year	2022-11-30	$0
Value of interest in pooled separate accounts at beginning of year	2022-11-30	$0
Interest on participant loans	2022-11-30	$5,693
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-11-30	$3,667,553
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-11-30	$4,222,655
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-11-30	$-2,259,144
Net investment gain/loss from pooled separate accounts	2022-11-30	$75,427
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-11-30	No
Was there a failure to transmit to the plan any participant contributions	2022-11-30	No
Has the plan failed to provide any benefit when due under the plan	2022-11-30	No
Contributions received in cash from employer	2022-11-30	$165,753
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-11-30	$1,148,124
Contract administrator fees	2022-11-30	$94,217
Did the plan have assets held for investment	2022-11-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-11-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-11-30	No
Opinion of an independent qualified public accountant for this plan	2022-11-30	Unqualified
Accountancy firm name	2022-11-30	VRAKAS ADVISORS
Accountancy firm EIN	2022-11-30	831819454
2021 : MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-11-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-11-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-11-30	$0
Total income from all sources (including contributions)	2021-11-30	$4,050,946
Total loss/gain on sale of assets	2021-11-30	$0
Total of all expenses incurred	2021-11-30	$1,432,170
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-11-30	$1,329,479
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-11-30	$1,197,648
Value of total assets at end of year	2021-11-30	$23,399,498
Value of total assets at beginning of year	2021-11-30	$20,780,722
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-11-30	$102,691
Total interest from all sources	2021-11-30	$4,356
Total dividends received (eg from common stock, registered investment company shares)	2021-11-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-11-30	No
Was this plan covered by a fidelity bond	2021-11-30	Yes
Value of fidelity bond cover	2021-11-30	$500,000
If this is an individual account plan, was there a blackout period	2021-11-30	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-11-30	$0
Were there any nonexempt tranactions with any party-in-interest	2021-11-30	No
Contributions received from participants	2021-11-30	$903,748
Participant contributions at end of year	2021-11-30	$126,352
Participant contributions at beginning of year	2021-11-30	$100,930
Income. Received or receivable in cash from other sources (including rollovers)	2021-11-30	$173,605
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-11-30	No
Value of net income/loss	2021-11-30	$2,618,776
Value of net assets at end of year (total assets less liabilities)	2021-11-30	$23,399,498
Value of net assets at beginning of year (total assets less liabilities)	2021-11-30	$20,780,722
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-11-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-11-30	No
Were any leases to which the plan was party in default or uncollectible	2021-11-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-11-30	$19,050,491
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-11-30	$17,022,228
Value of interest in pooled separate accounts at end of year	2021-11-30	$0
Value of interest in pooled separate accounts at beginning of year	2021-11-30	$0
Interest on participant loans	2021-11-30	$4,356
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-11-30	$4,222,655
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-11-30	$3,657,564
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-11-30	$2,770,513
Net investment gain/loss from pooled separate accounts	2021-11-30	$78,429
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-11-30	No
Was there a failure to transmit to the plan any participant contributions	2021-11-30	No
Has the plan failed to provide any benefit when due under the plan	2021-11-30	No
Contributions received in cash from employer	2021-11-30	$120,295
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-11-30	$1,329,479
Contract administrator fees	2021-11-30	$102,691
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2021-11-30	Yes
Did the plan have assets held for investment	2021-11-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-11-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-11-30	No
Opinion of an independent qualified public accountant for this plan	2021-11-30	Disclaimer
Accountancy firm name	2021-11-30	VRAKAS ADVISORS
Accountancy firm EIN	2021-11-30	831819454
2020 : MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-11-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-11-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-11-30	$0
Total income from all sources (including contributions)	2020-11-30	$3,132,636
Total loss/gain on sale of assets	2020-11-30	$0
Total of all expenses incurred	2020-11-30	$1,077,637
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-11-30	$1,027,951
Expenses. Certain deemed distributions of participant loans	2020-11-30	$1,844
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-11-30	$912,279
Value of total assets at end of year	2020-11-30	$20,780,722
Value of total assets at beginning of year	2020-11-30	$18,725,723
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-11-30	$47,842
Total interest from all sources	2020-11-30	$70,148
Total dividends received (eg from common stock, registered investment company shares)	2020-11-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-11-30	No
Was this plan covered by a fidelity bond	2020-11-30	Yes
Value of fidelity bond cover	2020-11-30	$500,000
If this is an individual account plan, was there a blackout period	2020-11-30	Yes
Were there any nonexempt tranactions with any party-in-interest	2020-11-30	No
Contributions received from participants	2020-11-30	$790,672
Participant contributions at end of year	2020-11-30	$100,930
Participant contributions at beginning of year	2020-11-30	$155,414
Income. Received or receivable in cash from other sources (including rollovers)	2020-11-30	$12,916
Other income not declared elsewhere	2020-11-30	$216,781
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-11-30	No
Value of net income/loss	2020-11-30	$2,054,999
Value of net assets at end of year (total assets less liabilities)	2020-11-30	$20,780,722
Value of net assets at beginning of year (total assets less liabilities)	2020-11-30	$18,725,723
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-11-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-11-30	No
Were any leases to which the plan was party in default or uncollectible	2020-11-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-11-30	$17,022,228
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-11-30	$0
Value of interest in pooled separate accounts at end of year	2020-11-30	$0
Value of interest in pooled separate accounts at beginning of year	2020-11-30	$15,197,634
Interest on participant loans	2020-11-30	$6,850
Interest earned on other investments	2020-11-30	$63,298
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-11-30	$3,657,564
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-11-30	$3,372,675
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-11-30	$1,209,013
Net investment gain/loss from pooled separate accounts	2020-11-30	$724,415
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-11-30	No
Was there a failure to transmit to the plan any participant contributions	2020-11-30	No
Has the plan failed to provide any benefit when due under the plan	2020-11-30	No
Contributions received in cash from employer	2020-11-30	$108,691
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-11-30	$1,027,951
Contract administrator fees	2020-11-30	$47,842
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2020-11-30	Yes
Did the plan have assets held for investment	2020-11-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-11-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-11-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-11-30	Yes
Opinion of an independent qualified public accountant for this plan	2020-11-30	Disclaimer
Accountancy firm name	2020-11-30	VRAKAS ADVISORS
Accountancy firm EIN	2020-11-30	831819454
2019 : MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-11-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-11-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-11-30	$0
Total income from all sources (including contributions)	2019-11-30	$2,578,082
Total loss/gain on sale of assets	2019-11-30	$0
Total of all expenses incurred	2019-11-30	$1,367,709
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-11-30	$1,363,159
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-11-30	$937,057
Value of total assets at end of year	2019-11-30	$18,725,723
Value of total assets at beginning of year	2019-11-30	$17,515,350
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-11-30	$4,550
Total interest from all sources	2019-11-30	$108,048
Total dividends received (eg from common stock, registered investment company shares)	2019-11-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-11-30	No
Administrative expenses professional fees incurred	2019-11-30	$4,550
Was this plan covered by a fidelity bond	2019-11-30	Yes
Value of fidelity bond cover	2019-11-30	$500,000
If this is an individual account plan, was there a blackout period	2019-11-30	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-11-30	$0
Were there any nonexempt tranactions with any party-in-interest	2019-11-30	No
Contributions received from participants	2019-11-30	$796,255
Participant contributions at end of year	2019-11-30	$155,414
Participant contributions at beginning of year	2019-11-30	$188,759
Income. Received or receivable in cash from other sources (including rollovers)	2019-11-30	$35,068
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-11-30	No
Value of net income/loss	2019-11-30	$1,210,373
Value of net assets at end of year (total assets less liabilities)	2019-11-30	$18,725,723
Value of net assets at beginning of year (total assets less liabilities)	2019-11-30	$17,515,350
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-11-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-11-30	No
Were any leases to which the plan was party in default or uncollectible	2019-11-30	No
Value of interest in pooled separate accounts at end of year	2019-11-30	$15,197,634
Value of interest in pooled separate accounts at beginning of year	2019-11-30	$13,507,879
Interest on participant loans	2019-11-30	$9,745
Interest earned on other investments	2019-11-30	$98,303
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-11-30	$3,372,675
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-11-30	$3,818,712
Net investment gain/loss from pooled separate accounts	2019-11-30	$1,532,977
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-11-30	No
Was there a failure to transmit to the plan any participant contributions	2019-11-30	No
Has the plan failed to provide any benefit when due under the plan	2019-11-30	No
Contributions received in cash from employer	2019-11-30	$105,734
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-11-30	$1,363,159
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-11-30	Yes
Did the plan have assets held for investment	2019-11-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-11-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-11-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-11-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-11-30	Disclaimer
Accountancy firm name	2019-11-30	BDO USA LLP
Accountancy firm EIN	2019-11-30	135381590
2018 : MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-11-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-11-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-11-30	$0
Total income from all sources (including contributions)	2018-11-30	$1,345,164
Total loss/gain on sale of assets	2018-11-30	$0
Total of all expenses incurred	2018-11-30	$1,833,961
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-11-30	$1,833,711
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-11-30	$1,358,890
Value of total assets at end of year	2018-11-30	$17,515,350
Value of total assets at beginning of year	2018-11-30	$18,004,147
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-11-30	$250
Total interest from all sources	2018-11-30	$109,139
Total dividends received (eg from common stock, registered investment company shares)	2018-11-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-11-30	No
Was this plan covered by a fidelity bond	2018-11-30	Yes
Value of fidelity bond cover	2018-11-30	$500,000
If this is an individual account plan, was there a blackout period	2018-11-30	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-11-30	$0
Were there any nonexempt tranactions with any party-in-interest	2018-11-30	No
Contributions received from participants	2018-11-30	$787,793
Participant contributions at end of year	2018-11-30	$188,759
Participant contributions at beginning of year	2018-11-30	$122,025
Income. Received or receivable in cash from other sources (including rollovers)	2018-11-30	$470,323
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-11-30	No
Value of net income/loss	2018-11-30	$-488,797
Value of net assets at end of year (total assets less liabilities)	2018-11-30	$17,515,350
Value of net assets at beginning of year (total assets less liabilities)	2018-11-30	$18,004,147
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-11-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-11-30	No
Were any leases to which the plan was party in default or uncollectible	2018-11-30	No
Value of interest in pooled separate accounts at end of year	2018-11-30	$13,507,879
Value of interest in pooled separate accounts at beginning of year	2018-11-30	$14,108,524
Interest on participant loans	2018-11-30	$1,961
Interest earned on other investments	2018-11-30	$107,178
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-11-30	$3,818,712
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-11-30	$3,773,598
Net investment gain/loss from pooled separate accounts	2018-11-30	$-122,865
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-11-30	No
Was there a failure to transmit to the plan any participant contributions	2018-11-30	No
Has the plan failed to provide any benefit when due under the plan	2018-11-30	No
Contributions received in cash from employer	2018-11-30	$100,774
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-11-30	$1,833,711
Contract administrator fees	2018-11-30	$250
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-11-30	Yes
Did the plan have assets held for investment	2018-11-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-11-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-11-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-11-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-11-30	Disclaimer
Accountancy firm name	2018-11-30	BDO USA LLP
Accountancy firm EIN	2018-11-30	135381590
2017 : MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-11-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-11-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-11-30	$12,362
Total income from all sources (including contributions)	2017-11-30	$3,409,088
Total loss/gain on sale of assets	2017-11-30	$0
Total of all expenses incurred	2017-11-30	$652,453
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-11-30	$651,036
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-11-30	$1,096,373
Value of total assets at end of year	2017-11-30	$18,004,147
Value of total assets at beginning of year	2017-11-30	$15,259,874
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-11-30	$1,417
Total interest from all sources	2017-11-30	$114,702
Total dividends received (eg from common stock, registered investment company shares)	2017-11-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-11-30	No
Was this plan covered by a fidelity bond	2017-11-30	Yes
Value of fidelity bond cover	2017-11-30	$500,000
If this is an individual account plan, was there a blackout period	2017-11-30	Yes
Were there any nonexempt tranactions with any party-in-interest	2017-11-30	No
Contributions received from participants	2017-11-30	$786,201
Participant contributions at end of year	2017-11-30	$122,025
Participant contributions at beginning of year	2017-11-30	$130,052
Income. Received or receivable in cash from other sources (including rollovers)	2017-11-30	$209,231
Total non interest bearing cash at beginning of year	2017-11-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-11-30	No
Value of net income/loss	2017-11-30	$2,756,635
Value of net assets at end of year (total assets less liabilities)	2017-11-30	$18,004,147
Value of net assets at beginning of year (total assets less liabilities)	2017-11-30	$15,247,512
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-11-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-11-30	No
Were any leases to which the plan was party in default or uncollectible	2017-11-30	No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-11-30	$0
Value of interest in pooled separate accounts at end of year	2017-11-30	$14,108,524
Value of interest in pooled separate accounts at beginning of year	2017-11-30	$11,008,936
Interest on participant loans	2017-11-30	$6,479
Interest earned on other investments	2017-11-30	$108,223
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-11-30	$3,773,598
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-11-30	$4,120,886
Net investment gain/loss from pooled separate accounts	2017-11-30	$2,198,013
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-11-30	No
Was there a failure to transmit to the plan any participant contributions	2017-11-30	No
Has the plan failed to provide any benefit when due under the plan	2017-11-30	No
Contributions received in cash from employer	2017-11-30	$100,941
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-11-30	$651,036
Contract administrator fees	2017-11-30	$1,417
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-11-30	Yes
Liabilities. Value of benefit claims payable at beginning of year	2017-11-30	$12,362
Did the plan have assets held for investment	2017-11-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-11-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-11-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-11-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-11-30	Disclaimer
Accountancy firm name	2017-11-30	SMITH & GESTELAND LLP
Accountancy firm EIN	2017-11-30	390857178
2016 : MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-11-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-11-30	$12,362
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-11-30	$0
Total income from all sources (including contributions)	2016-11-30	$1,507,410
Total loss/gain on sale of assets	2016-11-30	$0
Total of all expenses incurred	2016-11-30	$562,266
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-11-30	$552,325
Expenses. Certain deemed distributions of participant loans	2016-11-30	$9,816
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-11-30	$874,750
Value of total assets at end of year	2016-11-30	$15,259,874
Value of total assets at beginning of year	2016-11-30	$14,302,368
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-11-30	$125
Total interest from all sources	2016-11-30	$83,584
Total dividends received (eg from common stock, registered investment company shares)	2016-11-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-11-30	No
Was this plan covered by a fidelity bond	2016-11-30	Yes
Value of fidelity bond cover	2016-11-30	$500,000
If this is an individual account plan, was there a blackout period	2016-11-30	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-11-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-11-30	No
Contributions received from participants	2016-11-30	$770,159
Participant contributions at end of year	2016-11-30	$130,052
Participant contributions at beginning of year	2016-11-30	$137,193
Participant contributions at beginning of year	2016-11-30	$26,070
Total non interest bearing cash at end of year	2016-11-30	$0
Total non interest bearing cash at beginning of year	2016-11-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-11-30	No
Value of net income/loss	2016-11-30	$945,144
Value of net assets at end of year (total assets less liabilities)	2016-11-30	$15,247,512
Value of net assets at beginning of year (total assets less liabilities)	2016-11-30	$14,302,368
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-11-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-11-30	No
Were any leases to which the plan was party in default or uncollectible	2016-11-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-11-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-11-30	$13,798,681
Value of interest in pooled separate accounts at end of year	2016-11-30	$11,008,936
Value of interest in pooled separate accounts at beginning of year	2016-11-30	$0
Interest on participant loans	2016-11-30	$8,939
Interest earned on other investments	2016-11-30	$74,645
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-11-30	$4,120,886
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-11-30	$336,219
Net investment gain/loss from pooled separate accounts	2016-11-30	$549,076
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-11-30	No
Was there a failure to transmit to the plan any participant contributions	2016-11-30	No
Has the plan failed to provide any benefit when due under the plan	2016-11-30	No
Contributions received in cash from employer	2016-11-30	$104,591
Employer contributions (assets) at beginning of year	2016-11-30	$4,205
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-11-30	$552,325
Contract administrator fees	2016-11-30	$125
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-11-30	Yes
Liabilities. Value of benefit claims payable at end of year	2016-11-30	$12,362
Did the plan have assets held for investment	2016-11-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-11-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-11-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-11-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-11-30	Disclaimer
Accountancy firm name	2016-11-30	SMITH & GESTELAND LLP
Accountancy firm EIN	2016-11-30	390857178
2015 : MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets	2015-11-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2015-11-30	$0
Total unrealized appreciation/depreciation of assets	2015-11-30	$0
Total transfer of assets to this plan	2015-11-30	$0
Total transfer of assets from this plan	2015-11-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-11-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-11-30	$0
Expenses. Interest paid	2015-11-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2015-11-30	$0
Total income from all sources (including contributions)	2015-11-30	$840,247
Total loss/gain on sale of assets	2015-11-30	$0
Total of all expenses incurred	2015-11-30	$297,669
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-11-30	$296,679
Expenses. Certain deemed distributions of participant loans	2015-11-30	$0
Value of total corrective distributions	2015-11-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-11-30	$986,488
Value of total assets at end of year	2015-11-30	$14,302,368
Value of total assets at beginning of year	2015-11-30	$13,759,790
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-11-30	$990
Total income from rents	2015-11-30	$0
Total interest from all sources	2015-11-30	$45,768
Total dividends received (eg from common stock, registered investment company shares)	2015-11-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-11-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-11-30	$0
Assets. Real estate other than employer real property at end of year	2015-11-30	$0
Assets. Real estate other than employer real property at beginning of year	2015-11-30	$0
Administrative expenses professional fees incurred	2015-11-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2015-11-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2015-11-30	$0
Was this plan covered by a fidelity bond	2015-11-30	Yes
Value of fidelity bond cover	2015-11-30	$500,000
If this is an individual account plan, was there a blackout period	2015-11-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-11-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-11-30	No
Contributions received from participants	2015-11-30	$788,649
Participant contributions at end of year	2015-11-30	$137,193
Participant contributions at beginning of year	2015-11-30	$112,012
Participant contributions at end of year	2015-11-30	$26,070
Participant contributions at beginning of year	2015-11-30	$24,169
Assets. Other investments not covered elsewhere at end of year	2015-11-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2015-11-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-11-30	$99,650
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2015-11-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-11-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-11-30	$0
Assets. Loans (other than to participants) at end of year	2015-11-30	$0
Assets. Loans (other than to participants) at beginning of year	2015-11-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-11-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-11-30	$0
Other income not declared elsewhere	2015-11-30	$0
Administrative expenses (other) incurred	2015-11-30	$0
Liabilities. Value of operating payables at end of year	2015-11-30	$0
Liabilities. Value of operating payables at beginning of year	2015-11-30	$0
Total non interest bearing cash at end of year	2015-11-30	$0
Total non interest bearing cash at beginning of year	2015-11-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-11-30	No
Income. Non cash contributions	2015-11-30	$0
Value of net income/loss	2015-11-30	$542,578
Value of net assets at end of year (total assets less liabilities)	2015-11-30	$14,302,368
Value of net assets at beginning of year (total assets less liabilities)	2015-11-30	$13,759,790
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-11-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-11-30	No
Were any leases to which the plan was party in default or uncollectible	2015-11-30	No
Assets. partnership/joint venture interests at end of year	2015-11-30	$0
Assets. partnership/joint venture interests at beginning of year	2015-11-30	$0
Investment advisory and management fees	2015-11-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-11-30	$13,798,681
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-11-30	$10,592,341
Value of interest in pooled separate accounts at end of year	2015-11-30	$0
Value of interest in pooled separate accounts at beginning of year	2015-11-30	$0
Interest on participant loans	2015-11-30	$5,952
Income. Interest from loans (other than to participants)	2015-11-30	$0
Interest earned on other investments	2015-11-30	$39,816
Income. Interest from US Government securities	2015-11-30	$0
Income. Interest from corporate debt instruments	2015-11-30	$0
Value of interest in master investment trust accounts at end of year	2015-11-30	$0
Value of interest in master investment trust accounts at beginning of year	2015-11-30	$0
Value of interest in common/collective trusts at end of year	2015-11-30	$0
Value of interest in common/collective trusts at beginning of year	2015-11-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-11-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-11-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-11-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-11-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-11-30	$336,219
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-11-30	$3,027,556
Expenses. Payments to insurance carriers foe the provision of benefits	2015-11-30	$0
Asset value of US Government securities at end of year	2015-11-30	$0
Asset value of US Government securities at beginning of year	2015-11-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-11-30	$-192,009
Net investment gain/loss from pooled separate accounts	2015-11-30	$0
Net investment gain or loss from common/collective trusts	2015-11-30	$0
Net gain/loss from 103.12 investment entities	2015-11-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-11-30	No
Was there a failure to transmit to the plan any participant contributions	2015-11-30	No
Has the plan failed to provide any benefit when due under the plan	2015-11-30	No
Assets. Invements in employer securities at end of year	2015-11-30	$0
Assets. Invements in employer securities at beginning of year	2015-11-30	$0
Assets. Value of employer real property at end of year	2015-11-30	$0
Assets. Value of employer real property at beginning of year	2015-11-30	$0
Contributions received in cash from employer	2015-11-30	$98,189
Employer contributions (assets) at end of year	2015-11-30	$4,205
Employer contributions (assets) at beginning of year	2015-11-30	$3,712
Income. Dividends from preferred stock	2015-11-30	$0
Income. Dividends from common stock	2015-11-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-11-30	$296,679
Asset. Corporate debt instrument preferred debt at end of year	2015-11-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2015-11-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2015-11-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2015-11-30	$0
Contract administrator fees	2015-11-30	$990
Assets. Corporate common stocks other than exployer securities at end of year	2015-11-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2015-11-30	$0
Liabilities. Value of benefit claims payable at end of year	2015-11-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2015-11-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2015-11-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2015-11-30	$0
Did the plan have assets held for investment	2015-11-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-11-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-11-30	No
Aggregate proceeds on sale of assets	2015-11-30	$0
Aggregate carrying amount (costs) on sale of assets	2015-11-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2015-11-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2015-11-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-11-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-11-30	Disclaimer
Accountancy firm name	2015-11-30	SMITH & GESTELAND LLP
Accountancy firm EIN	2015-11-30	390857178
2014 : MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets	2014-11-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2014-11-30	$0
Total unrealized appreciation/depreciation of assets	2014-11-30	$0
Total transfer of assets to this plan	2014-11-30	$0
Total transfer of assets from this plan	2014-11-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-11-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-11-30	$0
Expenses. Interest paid	2014-11-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2014-11-30	$0
Total income from all sources (including contributions)	2014-11-30	$1,756,314
Total loss/gain on sale of assets	2014-11-30	$0
Total of all expenses incurred	2014-11-30	$674,148
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-11-30	$673,436
Expenses. Certain deemed distributions of participant loans	2014-11-30	$0
Value of total corrective distributions	2014-11-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-11-30	$886,308
Value of total assets at end of year	2014-11-30	$13,759,790
Value of total assets at beginning of year	2014-11-30	$12,677,624
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-11-30	$712
Total income from rents	2014-11-30	$0
Total interest from all sources	2014-11-30	$52,601
Total dividends received (eg from common stock, registered investment company shares)	2014-11-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-11-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-11-30	$0
Assets. Real estate other than employer real property at end of year	2014-11-30	$0
Assets. Real estate other than employer real property at beginning of year	2014-11-30	$0
Administrative expenses professional fees incurred	2014-11-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2014-11-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2014-11-30	$0
Was this plan covered by a fidelity bond	2014-11-30	Yes
Value of fidelity bond cover	2014-11-30	$500,000
If this is an individual account plan, was there a blackout period	2014-11-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-11-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-11-30	No
Contributions received from participants	2014-11-30	$759,852
Participant contributions at end of year	2014-11-30	$112,012
Participant contributions at beginning of year	2014-11-30	$129,983
Participant contributions at end of year	2014-11-30	$24,169
Participant contributions at beginning of year	2014-11-30	$0
Assets. Other investments not covered elsewhere at end of year	2014-11-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2014-11-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-11-30	$28,996
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2014-11-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-11-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-11-30	$0
Assets. Loans (other than to participants) at end of year	2014-11-30	$0
Assets. Loans (other than to participants) at beginning of year	2014-11-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-11-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-11-30	$0
Other income not declared elsewhere	2014-11-30	$0
Administrative expenses (other) incurred	2014-11-30	$0
Liabilities. Value of operating payables at end of year	2014-11-30	$0
Liabilities. Value of operating payables at beginning of year	2014-11-30	$0
Total non interest bearing cash at end of year	2014-11-30	$0
Total non interest bearing cash at beginning of year	2014-11-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-11-30	No
Income. Non cash contributions	2014-11-30	$0
Value of net income/loss	2014-11-30	$1,082,166
Value of net assets at end of year (total assets less liabilities)	2014-11-30	$13,759,790
Value of net assets at beginning of year (total assets less liabilities)	2014-11-30	$12,677,624
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-11-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-11-30	No
Were any leases to which the plan was party in default or uncollectible	2014-11-30	No
Assets. partnership/joint venture interests at end of year	2014-11-30	$0
Assets. partnership/joint venture interests at beginning of year	2014-11-30	$0
Investment advisory and management fees	2014-11-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-11-30	$10,592,341
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-11-30	$9,757,053
Value of interest in pooled separate accounts at end of year	2014-11-30	$0
Value of interest in pooled separate accounts at beginning of year	2014-11-30	$0
Interest on participant loans	2014-11-30	$5,043
Income. Interest from loans (other than to participants)	2014-11-30	$0
Interest earned on other investments	2014-11-30	$0
Income. Interest from US Government securities	2014-11-30	$0
Income. Interest from corporate debt instruments	2014-11-30	$0
Value of interest in master investment trust accounts at end of year	2014-11-30	$0
Value of interest in master investment trust accounts at beginning of year	2014-11-30	$0
Value of interest in common/collective trusts at end of year	2014-11-30	$0
Value of interest in common/collective trusts at beginning of year	2014-11-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-11-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-11-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-11-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-11-30	$47,558
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-11-30	$3,027,556
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-11-30	$2,790,588
Expenses. Payments to insurance carriers foe the provision of benefits	2014-11-30	$0
Asset value of US Government securities at end of year	2014-11-30	$0
Asset value of US Government securities at beginning of year	2014-11-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-11-30	$817,405
Net investment gain/loss from pooled separate accounts	2014-11-30	$0
Net investment gain or loss from common/collective trusts	2014-11-30	$0
Net gain/loss from 103.12 investment entities	2014-11-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-11-30	No
Was there a failure to transmit to the plan any participant contributions	2014-11-30	No
Has the plan failed to provide any benefit when due under the plan	2014-11-30	No
Assets. Invements in employer securities at end of year	2014-11-30	$0
Assets. Invements in employer securities at beginning of year	2014-11-30	$0
Assets. Value of employer real property at end of year	2014-11-30	$0
Assets. Value of employer real property at beginning of year	2014-11-30	$0
Contributions received in cash from employer	2014-11-30	$97,460
Employer contributions (assets) at end of year	2014-11-30	$3,712
Employer contributions (assets) at beginning of year	2014-11-30	$0
Income. Dividends from preferred stock	2014-11-30	$0
Income. Dividends from common stock	2014-11-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-11-30	$673,436
Asset. Corporate debt instrument preferred debt at end of year	2014-11-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2014-11-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2014-11-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2014-11-30	$0
Contract administrator fees	2014-11-30	$712
Assets. Corporate common stocks other than exployer securities at end of year	2014-11-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2014-11-30	$0
Liabilities. Value of benefit claims payable at end of year	2014-11-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2014-11-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2014-11-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2014-11-30	$0
Did the plan have assets held for investment	2014-11-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-11-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-11-30	No
Aggregate proceeds on sale of assets	2014-11-30	$0
Aggregate carrying amount (costs) on sale of assets	2014-11-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2014-11-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2014-11-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-11-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-11-30	Disclaimer
Accountancy firm name	2014-11-30	SMITH AND GESTELAND, LLP
Accountancy firm EIN	2014-11-30	390857178
2013 : MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets	2013-11-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2013-11-30	$0
Total unrealized appreciation/depreciation of assets	2013-11-30	$0
Total transfer of assets to this plan	2013-11-30	$0
Total transfer of assets from this plan	2013-11-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-11-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-11-30	$0
Expenses. Interest paid	2013-11-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2013-11-30	$0
Total income from all sources (including contributions)	2013-11-30	$2,630,766
Total loss/gain on sale of assets	2013-11-30	$0
Total of all expenses incurred	2013-11-30	$256,260
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-11-30	$255,443
Expenses. Certain deemed distributions of participant loans	2013-11-30	$0
Value of total corrective distributions	2013-11-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-11-30	$820,753
Value of total assets at end of year	2013-11-30	$12,677,624
Value of total assets at beginning of year	2013-11-30	$10,303,118
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-11-30	$817
Total income from rents	2013-11-30	$0
Total interest from all sources	2013-11-30	$52,127
Total dividends received (eg from common stock, registered investment company shares)	2013-11-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-11-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-11-30	$0
Assets. Real estate other than employer real property at end of year	2013-11-30	$0
Assets. Real estate other than employer real property at beginning of year	2013-11-30	$0
Administrative expenses professional fees incurred	2013-11-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2013-11-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2013-11-30	$0
Was this plan covered by a fidelity bond	2013-11-30	Yes
Value of fidelity bond cover	2013-11-30	$500,000
If this is an individual account plan, was there a blackout period	2013-11-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-11-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-11-30	No
Contributions received from participants	2013-11-30	$678,739
Participant contributions at end of year	2013-11-30	$129,983
Participant contributions at beginning of year	2013-11-30	$75,187
Participant contributions at end of year	2013-11-30	$0
Participant contributions at beginning of year	2013-11-30	$0
Assets. Other investments not covered elsewhere at end of year	2013-11-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2013-11-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2013-11-30	$54,697
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2013-11-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-11-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-11-30	$0
Assets. Loans (other than to participants) at end of year	2013-11-30	$0
Assets. Loans (other than to participants) at beginning of year	2013-11-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-11-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-11-30	$0
Other income not declared elsewhere	2013-11-30	$0
Administrative expenses (other) incurred	2013-11-30	$817
Liabilities. Value of operating payables at end of year	2013-11-30	$0
Liabilities. Value of operating payables at beginning of year	2013-11-30	$0
Total non interest bearing cash at end of year	2013-11-30	$0
Total non interest bearing cash at beginning of year	2013-11-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-11-30	No
Income. Non cash contributions	2013-11-30	$0
Value of net income/loss	2013-11-30	$2,374,506
Value of net assets at end of year (total assets less liabilities)	2013-11-30	$12,677,624
Value of net assets at beginning of year (total assets less liabilities)	2013-11-30	$10,303,118
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-11-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-11-30	No
Were any leases to which the plan was party in default or uncollectible	2013-11-30	No
Assets. partnership/joint venture interests at end of year	2013-11-30	$0
Assets. partnership/joint venture interests at beginning of year	2013-11-30	$0
Investment advisory and management fees	2013-11-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-11-30	$9,757,053
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-11-30	$7,804,693
Value of interest in pooled separate accounts at end of year	2013-11-30	$0
Value of interest in pooled separate accounts at beginning of year	2013-11-30	$0
Interest on participant loans	2013-11-30	$3,719
Income. Interest from loans (other than to participants)	2013-11-30	$0
Interest earned on other investments	2013-11-30	$0
Income. Interest from US Government securities	2013-11-30	$0
Income. Interest from corporate debt instruments	2013-11-30	$0
Value of interest in master investment trust accounts at end of year	2013-11-30	$0
Value of interest in master investment trust accounts at beginning of year	2013-11-30	$0
Value of interest in common/collective trusts at end of year	2013-11-30	$0
Value of interest in common/collective trusts at beginning of year	2013-11-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-11-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-11-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-11-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-11-30	$48,408
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-11-30	$2,790,588
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-11-30	$2,423,238
Expenses. Payments to insurance carriers foe the provision of benefits	2013-11-30	$0
Asset value of US Government securities at end of year	2013-11-30	$0
Asset value of US Government securities at beginning of year	2013-11-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-11-30	$1,757,886
Net investment gain/loss from pooled separate accounts	2013-11-30	$0
Net investment gain or loss from common/collective trusts	2013-11-30	$0
Net gain/loss from 103.12 investment entities	2013-11-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-11-30	No
Was there a failure to transmit to the plan any participant contributions	2013-11-30	No
Has the plan failed to provide any benefit when due under the plan	2013-11-30	No
Assets. Invements in employer securities at end of year	2013-11-30	$0
Assets. Invements in employer securities at beginning of year	2013-11-30	$0
Assets. Value of employer real property at end of year	2013-11-30	$0
Assets. Value of employer real property at beginning of year	2013-11-30	$0
Contributions received in cash from employer	2013-11-30	$87,317
Employer contributions (assets) at end of year	2013-11-30	$0
Employer contributions (assets) at beginning of year	2013-11-30	$0
Income. Dividends from preferred stock	2013-11-30	$0
Income. Dividends from common stock	2013-11-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-11-30	$255,443
Asset. Corporate debt instrument preferred debt at end of year	2013-11-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2013-11-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2013-11-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2013-11-30	$0
Contract administrator fees	2013-11-30	$0
Assets. Corporate common stocks other than exployer securities at end of year	2013-11-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2013-11-30	$0
Liabilities. Value of benefit claims payable at end of year	2013-11-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2013-11-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2013-11-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2013-11-30	$0
Did the plan have assets held for investment	2013-11-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-11-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-11-30	No
Aggregate proceeds on sale of assets	2013-11-30	$0
Aggregate carrying amount (costs) on sale of assets	2013-11-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2013-11-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2013-11-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-11-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-11-30	Disclaimer
Accountancy firm name	2013-11-30	SMITH AND GESTELAND, LLP
Accountancy firm EIN	2013-11-30	390857178
2012 : MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2012 401k financial data
Unrealized appreciation/depreciation of real estate assets	2012-11-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2012-11-30	$0
Total unrealized appreciation/depreciation of assets	2012-11-30	$0
Total transfer of assets to this plan	2012-11-30	$0
Total transfer of assets from this plan	2012-11-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-11-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-11-30	$0
Expenses. Interest paid	2012-11-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2012-11-30	$0
Total income from all sources (including contributions)	2012-11-30	$1,963,179
Total loss/gain on sale of assets	2012-11-30	$0
Total of all expenses incurred	2012-11-30	$294,125
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-11-30	$293,733
Expenses. Certain deemed distributions of participant loans	2012-11-30	$0
Value of total corrective distributions	2012-11-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-11-30	$1,132,270
Value of total assets at end of year	2012-11-30	$10,303,118
Value of total assets at beginning of year	2012-11-30	$8,634,064
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-11-30	$392
Total income from rents	2012-11-30	$0
Total interest from all sources	2012-11-30	$58,335
Total dividends received (eg from common stock, registered investment company shares)	2012-11-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-11-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-11-30	$0
Assets. Real estate other than employer real property at end of year	2012-11-30	$0
Assets. Real estate other than employer real property at beginning of year	2012-11-30	$0
Administrative expenses professional fees incurred	2012-11-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2012-11-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2012-11-30	$0
Was this plan covered by a fidelity bond	2012-11-30	Yes
Value of fidelity bond cover	2012-11-30	$500,000
If this is an individual account plan, was there a blackout period	2012-11-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-11-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-11-30	No
Contributions received from participants	2012-11-30	$670,582
Participant contributions at end of year	2012-11-30	$75,187
Participant contributions at beginning of year	2012-11-30	$72,134
Participant contributions at end of year	2012-11-30	$0
Participant contributions at beginning of year	2012-11-30	$0
Assets. Other investments not covered elsewhere at end of year	2012-11-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2012-11-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2012-11-30	$374,087
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2012-11-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-11-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-11-30	$0
Assets. Loans (other than to participants) at end of year	2012-11-30	$0
Assets. Loans (other than to participants) at beginning of year	2012-11-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-11-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-11-30	$0
Other income not declared elsewhere	2012-11-30	$0
Administrative expenses (other) incurred	2012-11-30	$392
Liabilities. Value of operating payables at end of year	2012-11-30	$0
Liabilities. Value of operating payables at beginning of year	2012-11-30	$0
Total non interest bearing cash at end of year	2012-11-30	$0
Total non interest bearing cash at beginning of year	2012-11-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-11-30	No
Income. Non cash contributions	2012-11-30	$0
Value of net income/loss	2012-11-30	$1,669,054
Value of net assets at end of year (total assets less liabilities)	2012-11-30	$10,303,118
Value of net assets at beginning of year (total assets less liabilities)	2012-11-30	$8,634,064
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-11-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-11-30	No
Were any leases to which the plan was party in default or uncollectible	2012-11-30	No
Assets. partnership/joint venture interests at end of year	2012-11-30	$0
Assets. partnership/joint venture interests at beginning of year	2012-11-30	$0
Investment advisory and management fees	2012-11-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-11-30	$7,804,693
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-11-30	$6,342,042
Value of interest in pooled separate accounts at end of year	2012-11-30	$0
Value of interest in pooled separate accounts at beginning of year	2012-11-30	$0
Interest on participant loans	2012-11-30	$3,489
Income. Interest from loans (other than to participants)	2012-11-30	$0
Interest earned on other investments	2012-11-30	$0
Income. Interest from US Government securities	2012-11-30	$0
Income. Interest from corporate debt instruments	2012-11-30	$0
Value of interest in master investment trust accounts at end of year	2012-11-30	$0
Value of interest in master investment trust accounts at beginning of year	2012-11-30	$0
Value of interest in common/collective trusts at end of year	2012-11-30	$0
Value of interest in common/collective trusts at beginning of year	2012-11-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-11-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-11-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-11-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-11-30	$54,846
Assets. Value of investments in 103.12 investment entities at end of year	2012-11-30	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2012-11-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-11-30	$2,423,238
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-11-30	$2,219,888
Expenses. Payments to insurance carriers foe the provision of benefits	2012-11-30	$0
Asset value of US Government securities at end of year	2012-11-30	$0
Asset value of US Government securities at beginning of year	2012-11-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-11-30	$772,574
Net investment gain/loss from pooled separate accounts	2012-11-30	$0
Net investment gain or loss from common/collective trusts	2012-11-30	$0
Net gain/loss from 103.12 investment entities	2012-11-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-11-30	No
Was there a failure to transmit to the plan any participant contributions	2012-11-30	No
Has the plan failed to provide any benefit when due under the plan	2012-11-30	No
Assets. Invements in employer securities at end of year	2012-11-30	$0
Assets. Invements in employer securities at beginning of year	2012-11-30	$0
Assets. Value of employer real property at end of year	2012-11-30	$0
Assets. Value of employer real property at beginning of year	2012-11-30	$0
Contributions received in cash from employer	2012-11-30	$87,601
Employer contributions (assets) at end of year	2012-11-30	$0
Employer contributions (assets) at beginning of year	2012-11-30	$0
Income. Dividends from preferred stock	2012-11-30	$0
Income. Dividends from common stock	2012-11-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-11-30	$293,733
Asset. Corporate debt instrument preferred debt at end of year	2012-11-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2012-11-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2012-11-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2012-11-30	$0
Contract administrator fees	2012-11-30	$0
Assets. Corporate common stocks other than exployer securities at end of year	2012-11-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2012-11-30	$0
Liabilities. Value of benefit claims payable at end of year	2012-11-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2012-11-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2012-11-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2012-11-30	$0
Did the plan have assets held for investment	2012-11-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-11-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-11-30	No
Aggregate proceeds on sale of assets	2012-11-30	$0
Aggregate carrying amount (costs) on sale of assets	2012-11-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2012-11-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2012-11-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-11-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-11-30	Disclaimer
Accountancy firm name	2012-11-30	SMITH AND GESTELAND, LLP
Accountancy firm EIN	2012-11-30	390857178
2011 : MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-11-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-11-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-11-30	$0
Total income from all sources (including contributions)	2011-11-30	$879,075
Total loss/gain on sale of assets	2011-11-30	$0
Total of all expenses incurred	2011-11-30	$160,604
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-11-30	$156,729
Value of total corrective distributions	2011-11-30	$3,363
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-11-30	$773,294
Value of total assets at end of year	2011-11-30	$8,634,064
Value of total assets at beginning of year	2011-11-30	$7,915,593
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-11-30	$512
Total interest from all sources	2011-11-30	$45,972
Total dividends received (eg from common stock, registered investment company shares)	2011-11-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-11-30	No
Was this plan covered by a fidelity bond	2011-11-30	Yes
Value of fidelity bond cover	2011-11-30	$500,000
If this is an individual account plan, was there a blackout period	2011-11-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-11-30	$0
Were there any nonexempt tranactions with any party-in-interest	2011-11-30	No
Contributions received from participants	2011-11-30	$637,433
Participant contributions at end of year	2011-11-30	$72,134
Participant contributions at beginning of year	2011-11-30	$51,695
Income. Received or receivable in cash from other sources (including rollovers)	2011-11-30	$60,592
Administrative expenses (other) incurred	2011-11-30	$512
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-11-30	No
Value of net income/loss	2011-11-30	$718,471
Value of net assets at end of year (total assets less liabilities)	2011-11-30	$8,634,064
Value of net assets at beginning of year (total assets less liabilities)	2011-11-30	$7,915,593
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-11-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-11-30	No
Were any leases to which the plan was party in default or uncollectible	2011-11-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-11-30	$6,342,042
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-11-30	$6,032,133
Interest on participant loans	2011-11-30	$2,785
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-11-30	$43,187
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-11-30	$2,219,888
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-11-30	$1,831,765
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-11-30	$59,809
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-11-30	No
Was there a failure to transmit to the plan any participant contributions	2011-11-30	No
Has the plan failed to provide any benefit when due under the plan	2011-11-30	No
Contributions received in cash from employer	2011-11-30	$75,269
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-11-30	$156,729
Did the plan have assets held for investment	2011-11-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-11-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-11-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-11-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-11-30	Disclaimer
Accountancy firm name	2011-11-30	SMITH & GESTELAND, LLP
Accountancy firm EIN	2011-11-30	390857178
2010 : MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-11-30	$0

Form 5500 Responses for MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN

2021: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2021 form 5500 responses
2021-12-01	Type of plan entity	Single employer plan
2021-12-01	Submission has been amended	No
2021-12-01	This submission is the final filing	No
2021-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-12-01	Plan is a collectively bargained plan	No
2021-12-01	Plan funding arrangement – Insurance	Yes
2021-12-01	Plan benefit arrangement - Trust	Yes
2020: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2020 form 5500 responses
2020-12-01	Type of plan entity	Single employer plan
2020-12-01	Submission has been amended	No
2020-12-01	This submission is the final filing	No
2020-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-12-01	Plan is a collectively bargained plan	No
2020-12-01	Plan funding arrangement – Insurance	Yes
2020-12-01	Plan benefit arrangement - Trust	Yes
2019: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2019 form 5500 responses
2019-12-01	Type of plan entity	Single employer plan
2019-12-01	Submission has been amended	No
2019-12-01	This submission is the final filing	No
2019-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-12-01	Plan is a collectively bargained plan	No
2019-12-01	Plan funding arrangement – Insurance	Yes
2019-12-01	Plan benefit arrangement - Trust	Yes
2018: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2018 form 5500 responses
2018-12-01	Type of plan entity	Single employer plan
2018-12-01	Submission has been amended	No
2018-12-01	This submission is the final filing	No
2018-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-12-01	Plan is a collectively bargained plan	No
2018-12-01	Plan funding arrangement – Insurance	Yes
2018-12-01	Plan benefit arrangement - Trust	Yes
2017: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2017 form 5500 responses
2017-12-01	Type of plan entity	Single employer plan
2017-12-01	Submission has been amended	No
2017-12-01	This submission is the final filing	No
2017-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-12-01	Plan is a collectively bargained plan	No
2017-12-01	Plan funding arrangement – Insurance	Yes
2017-12-01	Plan benefit arrangement - Trust	Yes
2016: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2016 form 5500 responses
2016-12-01	Type of plan entity	Single employer plan
2016-12-01	Submission has been amended	No
2016-12-01	This submission is the final filing	No
2016-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-12-01	Plan is a collectively bargained plan	No
2016-12-01	Plan funding arrangement – Insurance	Yes
2016-12-01	Plan benefit arrangement - Trust	Yes
2015: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2015 form 5500 responses
2015-12-01	Type of plan entity	Single employer plan
2015-12-01	Submission has been amended	No
2015-12-01	This submission is the final filing	No
2015-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-12-01	Plan is a collectively bargained plan	No
2015-12-01	Plan funding arrangement – Insurance	Yes
2015-12-01	Plan benefit arrangement - Trust	Yes
2014: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2014 form 5500 responses
2014-12-01	Type of plan entity	Single employer plan
2014-12-01	Submission has been amended	No
2014-12-01	This submission is the final filing	No
2014-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-12-01	Plan is a collectively bargained plan	No
2014-12-01	Plan funding arrangement – Insurance	Yes
2014-12-01	Plan benefit arrangement - Trust	Yes
2013: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2013 form 5500 responses
2013-12-01	Type of plan entity	Single employer plan
2013-12-01	Submission has been amended	No
2013-12-01	This submission is the final filing	No
2013-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-12-01	Plan is a collectively bargained plan	No
2013-12-01	Plan funding arrangement – Insurance	Yes
2013-12-01	Plan benefit arrangement - Trust	Yes
2012: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2012 form 5500 responses
2012-12-01	Type of plan entity	Single employer plan
2012-12-01	Submission has been amended	No
2012-12-01	This submission is the final filing	No
2012-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-12-01	Plan is a collectively bargained plan	No
2012-12-01	Plan funding arrangement – Insurance	Yes
2012-12-01	Plan benefit arrangement - Trust	Yes
2011: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2011 form 5500 responses
2011-12-01	Type of plan entity	Single employer plan
2011-12-01	Submission has been amended	No
2011-12-01	This submission is the final filing	No
2011-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-12-01	Plan is a collectively bargained plan	No
2011-12-01	Plan funding arrangement – Insurance	Yes
2011-12-01	Plan benefit arrangement - Trust	Yes
2010: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2010 form 5500 responses
2010-12-01	Type of plan entity	Single employer plan
2010-12-01	Submission has been amended	No
2010-12-01	This submission is the final filing	No
2010-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-12-01	Plan is a collectively bargained plan	No
2010-12-01	Plan funding arrangement – Insurance	Yes
2010-12-01	Plan benefit arrangement - Trust	Yes
2009: MID-STATE GROUP INC. SAVINGS & RETIREMENT PLAN 2009 form 5500 responses
2009-12-01	Type of plan entity	Single employer plan
2009-12-01	Submission has been amended	No
2009-12-01	This submission is the final filing	No
2009-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-12-01	Plan is a collectively bargained plan	No
2009-12-01	Plan funding arrangement – Insurance	Yes
2009-12-01	Plan funding arrangement – Trust	Yes
2009-12-01	Plan benefit arrangement – Insurance	Yes
2009-12-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

C22-80010

Policy instance

Insurance contract or identification number	C22-80010
Number of Individuals Covered	194
Insurance policy start date	2021-12-01
Insurance policy end date	2022-11-30
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

C22-80010

Policy instance

Insurance contract or identification number	C22-80010
Number of Individuals Covered	176
Insurance policy start date	2020-12-01
Insurance policy end date	2021-11-30
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )

Policy contract number

E326251

Policy instance

Insurance contract or identification number	E326251
Number of Individuals Covered	0
Insurance policy start date	2019-12-01
Insurance policy end date	2020-11-30
Total amount of commissions paid to insurance broker	USD $6,975
Total amount of fees paid to insurance company	USD $4,650
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	4650
Additional information about fees paid to insurance broker	PLAN ADMINISTRATION
Insurance broker organization code?	5
Commission paid to Insurance Broker	USD $4,650

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

C22-80010

Policy instance

Insurance contract or identification number	C22-80010
Number of Individuals Covered	193
Insurance policy start date	2019-12-01
Insurance policy end date	2020-11-30
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )

Policy contract number

E326251

Policy instance

Insurance contract or identification number	E326251
Number of Individuals Covered	172
Insurance policy start date	2018-12-01
Insurance policy end date	2019-11-30
Total amount of commissions paid to insurance broker	USD $39,426
Total amount of fees paid to insurance company	USD $26,284
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	26284
Additional information about fees paid to insurance broker	PLAN ADMINISTRATION
Insurance broker organization code?	5
Commission paid to Insurance Broker	USD $26,284

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )

Policy contract number

E326251

Policy instance

Insurance contract or identification number	E326251
Number of Individuals Covered	189
Insurance policy start date	2017-12-01
Insurance policy end date	2018-11-30
Total amount of commissions paid to insurance broker	USD $73,897
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	MID-STATE GROUP INC.
Employer identification number (EIN):	391661482
NAIC Classification:	423800