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MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN 401k Plan overview

Plan NameMINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN
Plan identification number 001

MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN Benefits

401k Plan TypeDefined 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.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

MINNESOTA CORRUGATED BOX, INC. has sponsored the creation of one or more 401k plans.

Company Name:MINNESOTA CORRUGATED BOX, INC.
Employer identification number (EIN):411452904
NAIC Classification:322200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012016-06-01TOM KREBSBACH
0012015-06-01TOM KREBSBACH TOM KREBSBACH2017-03-14
0012014-06-01TOM KREBSBACH TOM KREBSBACH2016-03-14
0012013-06-01TOM KREBSBACH TOM KREBSBACH2015-03-12
0012012-06-01MICHAEL G. MOORE MICHAEL G. MOORE2013-12-23
0012011-06-01MICHAEL G. MOORE MICHAEL G. MOORE2012-12-11
0012009-06-01MICHAEL G. MOORE MICHAEL G. MOORE2010-12-22

Plan Statistics for MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN

401k plan membership statisitcs for MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN

Measure Date Value
2016: MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-06-01165
Total number of active participants reported on line 7a of the Form 55002016-06-010
Number of retired or separated participants receiving benefits2016-06-010
Number of other retired or separated participants entitled to future benefits2016-06-010
Total of all active and inactive participants2016-06-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-06-010
Total participants2016-06-010
Number of participants with account balances2016-06-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-06-010
2015: MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-06-01178
Total number of active participants reported on line 7a of the Form 55002015-06-01126
Number of retired or separated participants receiving benefits2015-06-011
Number of other retired or separated participants entitled to future benefits2015-06-0137
Total of all active and inactive participants2015-06-01164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-06-010
Total participants2015-06-01164
Number of participants with account balances2015-06-01158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-06-010
2014: MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-06-01203
Total number of active participants reported on line 7a of the Form 55002014-06-01149
Number of retired or separated participants receiving benefits2014-06-011
Number of other retired or separated participants entitled to future benefits2014-06-0128
Total of all active and inactive participants2014-06-01178
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-06-010
Total participants2014-06-01178
Number of participants with account balances2014-06-01176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-06-010
2013: MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-06-01197
Total number of active participants reported on line 7a of the Form 55002013-06-01174
Number of retired or separated participants receiving benefits2013-06-014
Number of other retired or separated participants entitled to future benefits2013-06-0125
Total of all active and inactive participants2013-06-01203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-06-010
Total participants2013-06-01203
Number of participants with account balances2013-06-01196
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-06-010
2012: MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-06-01189
Total number of active participants reported on line 7a of the Form 55002012-06-01152
Number of retired or separated participants receiving benefits2012-06-0112
Number of other retired or separated participants entitled to future benefits2012-06-0126
Total of all active and inactive participants2012-06-01190
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-06-011
Total participants2012-06-01191
Number of participants with account balances2012-06-01188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-06-010
2011: MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-06-01210
Total number of active participants reported on line 7a of the Form 55002011-06-01160
Number of retired or separated participants receiving benefits2011-06-016
Number of other retired or separated participants entitled to future benefits2011-06-0122
Total of all active and inactive participants2011-06-01188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-06-010
Total participants2011-06-01188
Number of participants with account balances2011-06-01188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-06-010
2009: MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-06-01176
Total number of active participants reported on line 7a of the Form 55002009-06-01144
Number of retired or separated participants receiving benefits2009-06-014
Number of other retired or separated participants entitled to future benefits2009-06-0123
Total of all active and inactive participants2009-06-01171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-06-010
Total participants2009-06-01171
Number of participants with account balances2009-06-01169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-06-010

Financial Data on MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN

Measure Date Value
2016 : MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total transfer of assets from this plan2016-12-31$10,773,320
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$1,033,743
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$502,943
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$466,077
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$334,821
Value of total assets at end of year2016-12-31$0
Value of total assets at beginning of year2016-12-31$10,242,520
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$36,866
Total interest from all sources2016-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$258,782
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2016-12-31$0
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$258,782
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$264,845
Administrative expenses (other) incurred2016-12-31$6,936
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$530,800
Value of net assets at end of year (total assets less liabilities)2016-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$10,242,520
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$29,930
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$8,264,972
Value of interest in common/collective trusts at end of year2016-12-31$0
Value of interest in common/collective trusts at beginning of year2016-12-31$1,846,329
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$131,219
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$440,140
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$69,976
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$466,077
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31Yes
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31EIDE BAILLY, LLP
Accountancy firm EIN2016-12-31450250958
Total unrealized appreciation/depreciation of assets2016-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-05-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-05-31$0
Total income from all sources (including contributions)2016-05-31$511,341
Total loss/gain on sale of assets2016-05-31$0
Total of all expenses incurred2016-05-31$2,308,953
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-05-31$2,270,512
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-05-31$785,794
Value of total assets at end of year2016-05-31$10,242,520
Value of total assets at beginning of year2016-05-31$12,040,132
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-05-31$38,441
Total interest from all sources2016-05-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-05-31$366,437
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-05-31$366,437
Was this plan covered by a fidelity bond2016-05-31Yes
Value of fidelity bond cover2016-05-31$500,000
If this is an individual account plan, was there a blackout period2016-05-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-05-31$0
Were there any nonexempt tranactions with any party-in-interest2016-05-31No
Contributions received from participants2016-05-31$461,504
Participant contributions at beginning of year2016-05-31$0
Other income not declared elsewhere2016-05-31$-648,160
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-05-31No
Value of net income/loss2016-05-31$-1,797,612
Value of net assets at end of year (total assets less liabilities)2016-05-31$10,242,520
Value of net assets at beginning of year (total assets less liabilities)2016-05-31$12,040,132
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-05-31No
Were any leases to which the plan was party in default or uncollectible2016-05-31No
Investment advisory and management fees2016-05-31$38,441
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-05-31$8,264,972
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-05-31$10,479,289
Value of interest in common/collective trusts at end of year2016-05-31$1,846,329
Value of interest in common/collective trusts at beginning of year2016-05-31$1,412,545
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-05-31$131,219
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-05-31$148,298
Expenses. Payments to insurance carriers foe the provision of benefits2016-05-31$52
Net investment gain or loss from common/collective trusts2016-05-31$7,270
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-05-31No
Was there a failure to transmit to the plan any participant contributions2016-05-31No
Has the plan failed to provide any benefit when due under the plan2016-05-31No
Contributions received in cash from employer2016-05-31$324,290
Employer contributions (assets) at beginning of year2016-05-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-05-31$2,270,460
Did the plan have assets held for investment2016-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-05-31Yes
Opinion of an independent qualified public accountant for this plan2016-05-31Disclaimer
Accountancy firm name2016-05-31EIDE BAILLY, LLP
Accountancy firm EIN2016-05-31450250958
2015 : MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-05-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-05-31$0
Total income from all sources (including contributions)2015-05-31$1,671,046
Total loss/gain on sale of assets2015-05-31$0
Total of all expenses incurred2015-05-31$1,116,951
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-05-31$1,085,800
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-05-31$887,593
Value of total assets at end of year2015-05-31$12,040,132
Value of total assets at beginning of year2015-05-31$11,486,037
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-05-31$31,151
Total interest from all sources2015-05-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-05-31$519,183
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-05-31$519,183
Was this plan covered by a fidelity bond2015-05-31Yes
Value of fidelity bond cover2015-05-31$500,000
If this is an individual account plan, was there a blackout period2015-05-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-05-31$0
Were there any nonexempt tranactions with any party-in-interest2015-05-31No
Contributions received from participants2015-05-31$508,665
Participant contributions at end of year2015-05-31$0
Participant contributions at beginning of year2015-05-31$9,587
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-05-31No
Value of net income/loss2015-05-31$554,095
Value of net assets at end of year (total assets less liabilities)2015-05-31$12,040,132
Value of net assets at beginning of year (total assets less liabilities)2015-05-31$11,486,037
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-05-31No
Were any leases to which the plan was party in default or uncollectible2015-05-31No
Investment advisory and management fees2015-05-31$19,299
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-05-31$10,479,289
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-05-31$9,741,679
Value of interest in common/collective trusts at end of year2015-05-31$1,412,545
Value of interest in common/collective trusts at beginning of year2015-05-31$1,556,216
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-05-31$148,298
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-05-31$169,982
Expenses. Payments to insurance carriers foe the provision of benefits2015-05-31$415
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-05-31$259,508
Net investment gain or loss from common/collective trusts2015-05-31$4,762
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-05-31No
Was there a failure to transmit to the plan any participant contributions2015-05-31Yes
Has the plan failed to provide any benefit when due under the plan2015-05-31No
Contributions received in cash from employer2015-05-31$378,928
Employer contributions (assets) at end of year2015-05-31$0
Employer contributions (assets) at beginning of year2015-05-31$8,573
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-05-31$1,085,385
Contract administrator fees2015-05-31$11,852
Did the plan have assets held for investment2015-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-05-31Yes
Opinion of an independent qualified public accountant for this plan2015-05-31Disclaimer
Accountancy firm name2015-05-31EIDE BAILLY, LLP
Accountancy firm EIN2015-05-31450250958
2014 : MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-05-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-05-31$0
Total income from all sources (including contributions)2014-05-31$2,283,228
Total loss/gain on sale of assets2014-05-31$0
Total of all expenses incurred2014-05-31$289,737
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-05-31$257,836
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-05-31$882,305
Value of total assets at end of year2014-05-31$11,486,037
Value of total assets at beginning of year2014-05-31$9,492,546
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-05-31$31,901
Total interest from all sources2014-05-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-05-31$384,314
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-05-31$384,314
Was this plan covered by a fidelity bond2014-05-31Yes
Value of fidelity bond cover2014-05-31$500,000
If this is an individual account plan, was there a blackout period2014-05-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-05-31$0
Were there any nonexempt tranactions with any party-in-interest2014-05-31No
Contributions received from participants2014-05-31$516,158
Participant contributions at end of year2014-05-31$9,587
Participant contributions at beginning of year2014-05-31$7,866
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-05-31No
Value of net income/loss2014-05-31$1,993,491
Value of net assets at end of year (total assets less liabilities)2014-05-31$11,486,037
Value of net assets at beginning of year (total assets less liabilities)2014-05-31$9,492,546
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-05-31No
Were any leases to which the plan was party in default or uncollectible2014-05-31No
Investment advisory and management fees2014-05-31$20,331
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-05-31$9,741,679
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-05-31$7,676,624
Value of interest in common/collective trusts at end of year2014-05-31$1,556,216
Value of interest in common/collective trusts at beginning of year2014-05-31$1,635,425
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-05-31$169,982
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-05-31$164,796
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-05-31$998,794
Net investment gain or loss from common/collective trusts2014-05-31$17,815
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-05-31No
Was there a failure to transmit to the plan any participant contributions2014-05-31Yes
Has the plan failed to provide any benefit when due under the plan2014-05-31No
Contributions received in cash from employer2014-05-31$366,147
Employer contributions (assets) at end of year2014-05-31$8,573
Employer contributions (assets) at beginning of year2014-05-31$7,835
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-05-31$257,836
Contract administrator fees2014-05-31$11,570
Did the plan have assets held for investment2014-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-05-31Yes
Opinion of an independent qualified public accountant for this plan2014-05-31Disclaimer
Accountancy firm name2014-05-31EIDE BAILLY, LLP
Accountancy firm EIN2014-05-31450250958
2013 : MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-05-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-05-31$0
Total income from all sources (including contributions)2013-05-31$2,381,650
Total loss/gain on sale of assets2013-05-31$0
Total of all expenses incurred2013-05-31$766,020
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-05-31$737,223
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-05-31$863,009
Value of total assets at end of year2013-05-31$9,492,546
Value of total assets at beginning of year2013-05-31$7,876,916
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-05-31$28,797
Total interest from all sources2013-05-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-05-31$316,781
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-05-31$316,781
Was this plan covered by a fidelity bond2013-05-31Yes
Value of fidelity bond cover2013-05-31$500,000
If this is an individual account plan, was there a blackout period2013-05-31No
Were there any nonexempt tranactions with any party-in-interest2013-05-31No
Contributions received from participants2013-05-31$486,778
Participant contributions at end of year2013-05-31$7,866
Participant contributions at beginning of year2013-05-31$0
Income. Received or receivable in cash from other sources (including rollovers)2013-05-31$11,070
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-05-31No
Value of net income/loss2013-05-31$1,615,630
Value of net assets at end of year (total assets less liabilities)2013-05-31$9,492,546
Value of net assets at beginning of year (total assets less liabilities)2013-05-31$7,876,916
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-05-31No
Were any leases to which the plan was party in default or uncollectible2013-05-31No
Investment advisory and management fees2013-05-31$16,205
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-05-31$7,676,624
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-05-31$6,175,032
Value of interest in common/collective trusts at end of year2013-05-31$1,635,425
Value of interest in common/collective trusts at beginning of year2013-05-31$1,346,569
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-05-31$164,796
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-05-31$355,315
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-05-31$1,211,928
Net investment gain or loss from common/collective trusts2013-05-31$-10,068
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-05-31No
Was there a failure to transmit to the plan any participant contributions2013-05-31Yes
Has the plan failed to provide any benefit when due under the plan2013-05-31No
Contributions received in cash from employer2013-05-31$365,161
Employer contributions (assets) at end of year2013-05-31$7,835
Employer contributions (assets) at beginning of year2013-05-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-05-31$737,223
Contract administrator fees2013-05-31$12,592
Did the plan have assets held for investment2013-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-05-31Yes
Opinion of an independent qualified public accountant for this plan2013-05-31Disclaimer
Accountancy firm name2013-05-31EIDE BAILLY, LLP
Accountancy firm EIN2013-05-31450250958
2012 : MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-05-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-05-31$0
Total income from all sources (including contributions)2012-05-31$335,641
Total loss/gain on sale of assets2012-05-31$0
Total of all expenses incurred2012-05-31$332,787
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-05-31$311,861
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-05-31$804,632
Value of total assets at end of year2012-05-31$7,876,916
Value of total assets at beginning of year2012-05-31$7,874,062
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-05-31$20,926
Total interest from all sources2012-05-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-05-31$122,657
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-05-31$122,657
Was this plan covered by a fidelity bond2012-05-31Yes
Value of fidelity bond cover2012-05-31$500,000
If this is an individual account plan, was there a blackout period2012-05-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-05-31$0
Were there any nonexempt tranactions with any party-in-interest2012-05-31No
Contributions received from participants2012-05-31$435,825
Participant contributions at end of year2012-05-31$0
Participant contributions at beginning of year2012-05-31$7,391
Income. Received or receivable in cash from other sources (including rollovers)2012-05-31$25,146
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-05-31No
Value of net income/loss2012-05-31$2,854
Value of net assets at end of year (total assets less liabilities)2012-05-31$7,876,916
Value of net assets at beginning of year (total assets less liabilities)2012-05-31$7,874,062
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-05-31No
Were any leases to which the plan was party in default or uncollectible2012-05-31No
Investment advisory and management fees2012-05-31$11,938
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-05-31$6,175,032
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-05-31$6,368,165
Value of interest in common/collective trusts at end of year2012-05-31$1,346,569
Value of interest in common/collective trusts at beginning of year2012-05-31$1,147,204
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-05-31$355,315
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-05-31$343,372
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-05-31$-611,888
Net investment gain or loss from common/collective trusts2012-05-31$20,240
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-05-31No
Was there a failure to transmit to the plan any participant contributions2012-05-31Yes
Has the plan failed to provide any benefit when due under the plan2012-05-31No
Contributions received in cash from employer2012-05-31$343,661
Employer contributions (assets) at end of year2012-05-31$0
Employer contributions (assets) at beginning of year2012-05-31$7,930
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-05-31$311,861
Contract administrator fees2012-05-31$8,988
Did the plan have assets held for investment2012-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-05-31Yes
Opinion of an independent qualified public accountant for this plan2012-05-31Disclaimer
Accountancy firm name2012-05-31EIDE BAILLY, LLP
Accountancy firm EIN2012-05-31450250958
2011 : MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-05-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-05-31$0
Total income from all sources (including contributions)2011-05-31$2,007,058
Total loss/gain on sale of assets2011-05-31$0
Total of all expenses incurred2011-05-31$209,172
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-05-31$188,431
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-05-31$748,453
Value of total assets at end of year2011-05-31$7,874,062
Value of total assets at beginning of year2011-05-31$6,076,176
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-05-31$20,741
Total interest from all sources2011-05-31$0
Total dividends received (eg from common stock, registered investment company shares)2011-05-31$84,436
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-05-31$84,436
Was this plan covered by a fidelity bond2011-05-31Yes
Value of fidelity bond cover2011-05-31$500,000
If this is an individual account plan, was there a blackout period2011-05-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-05-31$0
Were there any nonexempt tranactions with any party-in-interest2011-05-31No
Contributions received from participants2011-05-31$404,088
Participant contributions at end of year2011-05-31$7,391
Participant contributions at beginning of year2011-05-31$0
Income. Received or receivable in cash from other sources (including rollovers)2011-05-31$10,482
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-05-31No
Value of net income/loss2011-05-31$1,797,886
Value of net assets at end of year (total assets less liabilities)2011-05-31$7,874,062
Value of net assets at beginning of year (total assets less liabilities)2011-05-31$6,076,176
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-05-31No
Were any leases to which the plan was party in default or uncollectible2011-05-31No
Investment advisory and management fees2011-05-31$12,284
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-05-31$6,368,165
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-05-31$4,622,081
Value of interest in common/collective trusts at end of year2011-05-31$1,147,204
Value of interest in common/collective trusts at beginning of year2011-05-31$1,121,736
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-05-31$343,372
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-05-31$332,359
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-05-31$1,149,842
Net investment gain or loss from common/collective trusts2011-05-31$24,327
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-05-31No
Was there a failure to transmit to the plan any participant contributions2011-05-31Yes
Has the plan failed to provide any benefit when due under the plan2011-05-31No
Contributions received in cash from employer2011-05-31$333,883
Employer contributions (assets) at end of year2011-05-31$7,930
Employer contributions (assets) at beginning of year2011-05-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-05-31$188,431
Contract administrator fees2011-05-31$8,457
Did the plan have assets held for investment2011-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-05-31Yes
Opinion of an independent qualified public accountant for this plan2011-05-31Disclaimer
Accountancy firm name2011-05-31EIDE BAILLY, LLP
Accountancy firm EIN2011-05-31450250958
2010 : MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-05-31$0

Form 5500 Responses for MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN

2016: MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN 2016 form 5500 responses
2016-06-01Type of plan entitySingle employer plan
2016-06-01Submission has been amendedNo
2016-06-01This submission is the final filingYes
2016-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-06-01Plan is a collectively bargained planNo
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan funding arrangement – TrustYes
2016-06-01Plan benefit arrangement – InsuranceYes
2016-06-01Plan benefit arrangement - TrustYes
2015: MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01Submission has been amendedNo
2015-06-01This submission is the final filingNo
2015-06-01This return/report is a short plan year return/report (less than 12 months)No
2015-06-01Plan is a collectively bargained planNo
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan funding arrangement – TrustYes
2015-06-01Plan benefit arrangement – InsuranceYes
2015-06-01Plan benefit arrangement - TrustYes
2014: MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01Submission has been amendedNo
2014-06-01This submission is the final filingNo
2014-06-01This return/report is a short plan year return/report (less than 12 months)No
2014-06-01Plan is a collectively bargained planNo
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan funding arrangement – TrustYes
2014-06-01Plan benefit arrangement – InsuranceYes
2014-06-01Plan benefit arrangement - TrustYes
2013: MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN 2013 form 5500 responses
2013-06-01Type of plan entitySingle employer plan
2013-06-01Submission has been amendedNo
2013-06-01This submission is the final filingNo
2013-06-01This return/report is a short plan year return/report (less than 12 months)No
2013-06-01Plan is a collectively bargained planNo
2013-06-01Plan funding arrangement – InsuranceYes
2013-06-01Plan funding arrangement – TrustYes
2013-06-01Plan benefit arrangement – InsuranceYes
2013-06-01Plan benefit arrangement - TrustYes
2012: MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN 2012 form 5500 responses
2012-06-01Type of plan entitySingle employer plan
2012-06-01Submission has been amendedNo
2012-06-01This submission is the final filingNo
2012-06-01This return/report is a short plan year return/report (less than 12 months)No
2012-06-01Plan is a collectively bargained planNo
2012-06-01Plan funding arrangement – InsuranceYes
2012-06-01Plan funding arrangement – TrustYes
2012-06-01Plan benefit arrangement – InsuranceYes
2012-06-01Plan benefit arrangement - TrustYes
2011: MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN 2011 form 5500 responses
2011-06-01Type of plan entitySingle employer plan
2011-06-01Submission has been amendedNo
2011-06-01This submission is the final filingNo
2011-06-01This return/report is a short plan year return/report (less than 12 months)No
2011-06-01Plan is a collectively bargained planNo
2011-06-01Plan funding arrangement – InsuranceYes
2011-06-01Plan funding arrangement – TrustYes
2011-06-01Plan benefit arrangement – InsuranceYes
2011-06-01Plan benefit arrangement - TrustYes
2009: MINNESOTA CORRUGATED BOX, INC. 401(K) SALARY SAVINGS RETIREMENT PLAN 2009 form 5500 responses
2009-06-01Type of plan entitySingle employer plan
2009-06-01Submission has been amendedNo
2009-06-01This submission is the final filingNo
2009-06-01This return/report is a short plan year return/report (less than 12 months)No
2009-06-01Plan is a collectively bargained planNo
2009-06-01Plan funding arrangement – InsuranceYes
2009-06-01Plan funding arrangement – TrustYes
2009-06-01Plan benefit arrangement – InsuranceYes
2009-06-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number053-00019
Policy instance 1
Insurance contract or identification number053-00019
Number of Individuals Covered13
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $567
Total amount of fees paid to insurance companyUSD $227
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $567
Amount paid for insurance broker fees227
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?7
Insurance broker nameALLIANCE BENEFIT GROUP
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number053-00019
Policy instance 1
Insurance contract or identification number053-00019
Number of Individuals Covered15
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $727
Total amount of fees paid to insurance companyUSD $291
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $727
Amount paid for insurance broker fees291
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?7
Insurance broker nameALLIANCE BENEFIT GROUP
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number053-00019
Policy instance 1
Insurance contract or identification number053-00019
Number of Individuals Covered15
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $720
Total amount of fees paid to insurance companyUSD $288
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $720
Amount paid for insurance broker fees288
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?7
Insurance broker nameALLIANCE BENEFIT GROUP
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number053-00019
Policy instance 1
Insurance contract or identification number053-00019
Number of Individuals Covered17
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $967
Total amount of fees paid to insurance companyUSD $387
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $967
Amount paid for insurance broker fees387
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?7
Insurance broker nameALLIANCE BENEFIT GROUP
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number053-00019
Policy instance 1
Insurance contract or identification number053-00019
Number of Individuals Covered17
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $1,506
Total amount of fees paid to insurance companyUSD $602
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
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 number053-00019
Policy instance 1
Insurance contract or identification number053-00019
Number of Individuals Covered17
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
Total amount of commissions paid to insurance brokerUSD $1,453
Total amount of fees paid to insurance companyUSD $581
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No

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