401k Plan data: BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS plan

BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS 401k Plan overview

Plan Name	BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS
Plan identification number	001

BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS 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.
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

BURGESS INDUSTRIES, INC. has sponsored the creation of one or more 401k plans.

Company Name: BURGESS INDUSTRIES, INC.

Employer identification number (EIN): 411304068

NAIC Classification: 541400

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 BRIAN SAEVIG
001 2013-01-01 BRIAN SAEVIG
001 2012-01-01 BRIAN P. SAEVIG
001 2011-01-01 BRIAN P. SAEVIG
001 2009-01-01 BRIAN SAEVIG

Plan id#	Filing Submission Date	Name of Administrator
001	2014-01-01	BRIAN SAEVIG
001	2013-01-01	BRIAN SAEVIG
001	2012-01-01	BRIAN P. SAEVIG
001	2011-01-01	BRIAN P. SAEVIG
001	2009-01-01	BRIAN SAEVIG

Plan Statistics for BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS

401k plan membership statisitcs for BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS

Measure Date Value
2014: BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS 2014 401k membership
Total participants, beginning-of-year 2014-01-01 25
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS 2013 401k membership
Total participants, beginning-of-year 2013-01-01 25
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 13
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 11
Total of all active and inactive participants 2013-01-01 24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 24
Number of participants with account balances 2013-01-01 20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS 2012 401k membership
Total participants, beginning-of-year 2012-01-01 33
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 13
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 12
Total of all active and inactive participants 2012-01-01 25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 25
Number of participants with account balances 2012-01-01 21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS 2011 401k membership
Total participants, beginning-of-year 2011-01-01 35
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 22
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 11
Total of all active and inactive participants 2011-01-01 33
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 33
Number of participants with account balances 2011-01-01 23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS 2009 401k membership
Total participants, beginning-of-year 2009-01-01 39
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 26
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 11
Total of all active and inactive participants 2009-01-01 37
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 37
Number of participants with account balances 2009-01-01 27
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2014: BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS 2014 401k membership
Total participants, beginning-of-year	2014-01-01	25
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS 2013 401k membership
Total participants, beginning-of-year	2013-01-01	25
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	13
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	11
Total of all active and inactive participants	2013-01-01	24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	24
Number of participants with account balances	2013-01-01	20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS 2012 401k membership
Total participants, beginning-of-year	2012-01-01	33
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	13
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	12
Total of all active and inactive participants	2012-01-01	25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	25
Number of participants with account balances	2012-01-01	21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS 2011 401k membership
Total participants, beginning-of-year	2011-01-01	35
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	22
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	11
Total of all active and inactive participants	2011-01-01	33
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	33
Number of participants with account balances	2011-01-01	23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS 2009 401k membership
Total participants, beginning-of-year	2009-01-01	39
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	26
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	11
Total of all active and inactive participants	2009-01-01	37
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	37
Number of participants with account balances	2009-01-01	27
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS

Measure	Date	Value
2014 : BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS 2014 401k financial data
Total plan liabilities at end of year	2014-12-18	$0
Total income from all sources	2014-12-18	$107,130
Expenses. Total of all expenses incurred	2014-12-18	$1,360,004
Benefits paid (including direct rollovers)	2014-12-18	$1,357,268
Total plan assets at end of year	2014-12-18	$0
Total plan assets at beginning of year	2014-12-18	$1,252,874
Value of fidelity bond covering the plan	2014-12-18	$125,000
Total contributions received or receivable from participants	2014-12-18	$26,934
Other income received	2014-12-18	$80,196
Net income (gross income less expenses)	2014-12-18	$-1,252,874
Net plan assets at end of year (total assets less liabilities)	2014-12-18	$0
Net plan assets at beginning of year (total assets less liabilities)	2014-12-18	$1,252,874
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-18	$2,736
2013 : BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS 2013 401k financial data
Total income from all sources	2013-12-31	$274,979
Expenses. Total of all expenses incurred	2013-12-31	$24,129
Benefits paid (including direct rollovers)	2013-12-31	$1,172
Total plan assets at end of year	2013-12-31	$1,252,874
Total plan assets at beginning of year	2013-12-31	$1,002,024
Value of fidelity bond covering the plan	2013-12-31	$125,000
Total contributions received or receivable from participants	2013-12-31	$32,041
Other income received	2013-12-31	$242,938
Net income (gross income less expenses)	2013-12-31	$250,850
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,252,874
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,002,024
Assets. Value of participant loans	2013-12-31	$18,160
Value of certain deemed distributions of participant loans	2013-12-31	$21,714
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$1,243
2012 : BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS 2012 401k financial data
Total income from all sources	2012-12-31	$162,519
Expenses. Total of all expenses incurred	2012-12-31	$50,870
Benefits paid (including direct rollovers)	2012-12-31	$49,669
Total plan assets at end of year	2012-12-31	$1,002,024
Total plan assets at beginning of year	2012-12-31	$890,375
Value of fidelity bond covering the plan	2012-12-31	$125,000
Total contributions received or receivable from participants	2012-12-31	$32,871
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$129,648
Net income (gross income less expenses)	2012-12-31	$111,649
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,002,024
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$890,375
Assets. Value of participant loans	2012-12-31	$23,178
Total contributions received or receivable from employer(s)	2012-12-31	$0
Value of certain deemed distributions of participant loans	2012-12-31	$1
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$1,200
2011 : BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS 2011 401k financial data
Total income from all sources	2011-12-31	$12,328
Expenses. Total of all expenses incurred	2011-12-31	$72,422
Benefits paid (including direct rollovers)	2011-12-31	$71,782
Total plan assets at end of year	2011-12-31	$890,375
Total plan assets at beginning of year	2011-12-31	$950,469
Value of fidelity bond covering the plan	2011-12-31	$125,000
Total contributions received or receivable from participants	2011-12-31	$26,154
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-13,826
Net income (gross income less expenses)	2011-12-31	$-60,094
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$890,375
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$950,469
Assets. Value of participant loans	2011-12-31	$31,276
Total contributions received or receivable from employer(s)	2011-12-31	$0
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$640
2010 : BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS 2010 401k financial data
Total income from all sources	2010-12-31	$145,402
Expenses. Total of all expenses incurred	2010-12-31	$9,663
Benefits paid (including direct rollovers)	2010-12-31	$8,768
Total plan assets at end of year	2010-12-31	$950,469
Total plan assets at beginning of year	2010-12-31	$814,730
Value of fidelity bond covering the plan	2010-12-31	$125,000
Total contributions received or receivable from participants	2010-12-31	$31,070
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$114,332
Net income (gross income less expenses)	2010-12-31	$135,739
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$950,469
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$814,730
Assets. Value of participant loans	2010-12-31	$22,659
Total contributions received or receivable from employer(s)	2010-12-31	$0
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$895

Form 5500 Responses for BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS

2014: BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: BURGESS INDUSTRIES, INC. 401(K) RETIREMENT SAVINGS 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	BURGESS INDUSTRIES, INC.
Employer identification number (EIN):	411304068
NAIC Classification:	541400