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FIRST COMMUNITY CREDIT UNION 401(K) RETIREMENT PLAN 401k Plan overview

Plan NameFIRST COMMUNITY CREDIT UNION 401(K) RETIREMENT PLAN
Plan identification number 002

FIRST COMMUNITY CREDIT UNION 401(K) RETIREMENT PLAN Benefits

401k Plan Type
Plan Features/Benefits

    401k Sponsoring company profile

    FIRST COMMUNITY CREDIT UNION has sponsored the creation of one or more 401k plans.

    Company Name:FIRST COMMUNITY CREDIT UNION
    Employer identification number (EIN):450226664
    NAIC Classification:522130
    NAIC Description:Credit Unions

    Form 5500 Filing Information

    Submission information for form 5500 for 401k plan FIRST COMMUNITY CREDIT UNION 401(K) RETIREMENT PLAN

    Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
    0022022-01-01AMIE AESOPH2023-06-15
    0022021-01-01
    0022020-01-01
    0022020-01-01
    0022019-01-01
    0022017-01-01STEVE SCHMITZ
    0022016-01-01STEVE SCHMITZ
    0022015-01-01STEVE SCHMITZ
    0022014-01-01STEVE SCHMITZ
    0022013-01-01STEVE SCHMITZ
    0022012-01-01STEVE SCHMITZ
    0022011-01-01STEVE SCHMITZ
    0022010-01-01STEPHEN SCHMITZ STEPHEN SCHMITZ2011-10-13
    0022009-01-01BONNIE NELSON
    0022009-01-01 BONNIE L. NELSON2010-10-12

    Plan Statistics for FIRST COMMUNITY CREDIT UNION 401(K) RETIREMENT PLAN

    401k plan membership statisitcs for FIRST COMMUNITY CREDIT UNION 401(K) RETIREMENT PLAN

    Measure Date Value
    2022
    Total participants, beginning-of-year2022-01-01309
    Total number of active participants reported on line 7a of the Form 55002022-01-01221
    Number of retired or separated participants receiving benefits2022-01-012
    Number of other retired or separated participants entitled to future benefits2022-01-0184
    Total of all active and inactive participants2022-01-01307
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-013
    Total participants2022-01-01310
    Number of participants with account balances2022-01-01281
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0123
    2021
    Total participants, beginning-of-year2021-01-01305
    Total number of active participants reported on line 7a of the Form 55002021-01-01208
    Number of retired or separated participants receiving benefits2021-01-011
    Number of other retired or separated participants entitled to future benefits2021-01-0179
    Total of all active and inactive participants2021-01-01288
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-011
    Total participants2021-01-01289
    Number of participants with account balances2021-01-01269
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0129
    2020
    Total participants, beginning-of-year2020-01-01311
    Total number of active participants reported on line 7a of the Form 55002020-01-01221
    Number of retired or separated participants receiving benefits2020-01-010
    Number of other retired or separated participants entitled to future benefits2020-01-0180
    Total of all active and inactive participants2020-01-01301
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
    Total participants2020-01-01301
    Number of participants with account balances2020-01-01273
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0126
    2019
    Total participants, beginning-of-year2019-01-01291
    Total number of active participants reported on line 7a of the Form 55002019-01-01215
    Number of retired or separated participants receiving benefits2019-01-010
    Number of other retired or separated participants entitled to future benefits2019-01-0183
    Total of all active and inactive participants2019-01-01298
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
    Total participants2019-01-01298
    Number of participants with account balances2019-01-01266
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0119
    2017
    Total participants, beginning-of-year2017-01-01185
    Total number of active participants reported on line 7a of the Form 55002017-01-01143
    Number of retired or separated participants receiving benefits2017-01-010
    Number of other retired or separated participants entitled to future benefits2017-01-0145
    Total of all active and inactive participants2017-01-01188
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
    Total participants2017-01-01188
    Number of participants with account balances2017-01-01185
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0115
    2016
    Total participants, beginning-of-year2016-01-01177
    Total number of active participants reported on line 7a of the Form 55002016-01-01135
    Number of retired or separated participants receiving benefits2016-01-010
    Number of other retired or separated participants entitled to future benefits2016-01-0140
    Total of all active and inactive participants2016-01-01175
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
    Total participants2016-01-01175
    Number of participants with account balances2016-01-01172
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0110
    2015
    Total participants, beginning-of-year2015-01-01161
    Total number of active participants reported on line 7a of the Form 55002015-01-01125
    Number of retired or separated participants receiving benefits2015-01-010
    Number of other retired or separated participants entitled to future benefits2015-01-0145
    Total of all active and inactive participants2015-01-01170
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
    Total participants2015-01-01170
    Number of participants with account balances2015-01-01164
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0114
    2014
    Total participants, beginning-of-year2014-01-01158
    Total number of active participants reported on line 7a of the Form 55002014-01-01123
    Number of retired or separated participants receiving benefits2014-01-010
    Number of other retired or separated participants entitled to future benefits2014-01-0135
    Total of all active and inactive participants2014-01-01158
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
    Total participants2014-01-01158
    Number of participants with account balances2014-01-01153
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0110
    2013
    Total participants, beginning-of-year2013-01-01144
    Total number of active participants reported on line 7a of the Form 55002013-01-01120
    Number of retired or separated participants receiving benefits2013-01-010
    Number of other retired or separated participants entitled to future benefits2013-01-0127
    Total of all active and inactive participants2013-01-01147
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
    Total participants2013-01-01147
    Number of participants with account balances2013-01-01135
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-015
    2012
    Total participants, beginning-of-year2012-01-01136
    Total number of active participants reported on line 7a of the Form 55002012-01-01117
    Number of retired or separated participants receiving benefits2012-01-010
    Number of other retired or separated participants entitled to future benefits2012-01-0121
    Total of all active and inactive participants2012-01-01138
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
    Total participants2012-01-01138
    Number of participants with account balances2012-01-01125
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
    2011
    Total participants, beginning-of-year2011-01-01129
    Total number of active participants reported on line 7a of the Form 55002011-01-01112
    Number of retired or separated participants receiving benefits2011-01-010
    Number of other retired or separated participants entitled to future benefits2011-01-0119
    Total of all active and inactive participants2011-01-01131
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
    Total participants2011-01-01131
    Number of participants with account balances2011-01-01116
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
    2010
    Total participants, beginning-of-year2010-01-01121
    Total number of active participants reported on line 7a of the Form 55002010-01-01104
    Number of retired or separated participants receiving benefits2010-01-010
    Number of other retired or separated participants entitled to future benefits2010-01-0114
    Total of all active and inactive participants2010-01-01118
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
    Total participants2010-01-01118
    Number of participants with account balances2010-01-01107
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
    2009
    Total participants, beginning-of-year2009-01-01128
    Total number of active participants reported on line 7a of the Form 55002009-01-01105
    Number of retired or separated participants receiving benefits2009-01-010
    Number of other retired or separated participants entitled to future benefits2009-01-0111
    Total of all active and inactive participants2009-01-01116
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
    Total participants2009-01-01116
    Number of participants with account balances2009-01-01109
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

    Financial Data on FIRST COMMUNITY CREDIT UNION 401(K) RETIREMENT PLAN

    Measure Date Value
    2022
    Total unrealized appreciation/depreciation of assets2022-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
    Total income from all sources (including contributions)2022-12-31$-2,296,535
    Total loss/gain on sale of assets2022-12-31$0
    Total of all expenses incurred2022-12-31$1,971,941
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,909,195
    Value of total corrective distributions2022-12-31$47,087
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$2,759,933
    Value of total assets at end of year2022-12-31$28,347,422
    Value of total assets at beginning of year2022-12-31$32,615,898
    Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$15,659
    Total interest from all sources2022-12-31$164,681
    Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
    Was this plan covered by a fidelity bond2022-12-31Yes
    Value of fidelity bond cover2022-12-31$9,000,000
    If this is an individual account plan, was there a blackout period2022-12-31No
    Were there any nonexempt tranactions with any party-in-interest2022-12-31No
    Contributions received from participants2022-12-31$1,299,627
    Participant contributions at end of year2022-12-31$502,519
    Participant contributions at beginning of year2022-12-31$540,962
    Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$471,015
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
    Value of net income/loss2022-12-31$-4,268,476
    Value of net assets at end of year (total assets less liabilities)2022-12-31$28,347,422
    Value of net assets at beginning of year (total assets less liabilities)2022-12-31$32,615,898
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
    Were any leases to which the plan was party in default or uncollectible2022-12-31No
    Value of interest in pooled separate accounts at end of year2022-12-31$21,802,428
    Value of interest in pooled separate accounts at beginning of year2022-12-31$26,036,076
    Interest on participant loans2022-12-31$26,994
    Interest earned on other investments2022-12-31$137,687
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$6,042,475
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$6,038,860
    Net investment gain/loss from pooled separate accounts2022-12-31$-5,221,149
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
    Was there a failure to transmit to the plan any participant contributions2022-12-31No
    Has the plan failed to provide any benefit when due under the plan2022-12-31No
    Contributions received in cash from employer2022-12-31$989,291
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,909,195
    Contract administrator fees2022-12-31$15,659
    Did the plan have assets held for investment2022-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
    Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
    Accountancy firm name2022-12-31EIDE BAILLY LLP
    Accountancy firm EIN2022-12-31450250958
    2021
    Total unrealized appreciation/depreciation of assets2021-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
    Total income from all sources (including contributions)2021-12-31$7,735,928
    Total loss/gain on sale of assets2021-12-31$0
    Total of all expenses incurred2021-12-31$2,645,867
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$2,606,315
    Value of total corrective distributions2021-12-31$24,814
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$3,097,316
    Value of total assets at end of year2021-12-31$32,615,898
    Value of total assets at beginning of year2021-12-31$27,525,837
    Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$14,738
    Total interest from all sources2021-12-31$153,915
    Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
    Was this plan covered by a fidelity bond2021-12-31Yes
    Value of fidelity bond cover2021-12-31$9,000,000
    If this is an individual account plan, was there a blackout period2021-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2021-12-31No
    Contributions received from participants2021-12-31$1,180,045
    Participant contributions at end of year2021-12-31$540,962
    Participant contributions at beginning of year2021-12-31$407,686
    Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$380,785
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
    Value of net income/loss2021-12-31$5,090,061
    Value of net assets at end of year (total assets less liabilities)2021-12-31$32,615,898
    Value of net assets at beginning of year (total assets less liabilities)2021-12-31$27,525,837
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
    Were any leases to which the plan was party in default or uncollectible2021-12-31No
    Value of interest in pooled separate accounts at end of year2021-12-31$26,036,076
    Value of interest in pooled separate accounts at beginning of year2021-12-31$22,378,516
    Interest on participant loans2021-12-31$28,158
    Interest earned on other investments2021-12-31$125,757
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$6,038,860
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$4,739,635
    Net investment gain/loss from pooled separate accounts2021-12-31$4,484,697
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
    Was there a failure to transmit to the plan any participant contributions2021-12-31No
    Has the plan failed to provide any benefit when due under the plan2021-12-31No
    Contributions received in cash from employer2021-12-31$1,536,486
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$2,606,315
    Contract administrator fees2021-12-31$14,738
    Did the plan have assets held for investment2021-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
    Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
    Accountancy firm name2021-12-31EIDE BAILLY LLP
    Accountancy firm EIN2021-12-31450250958
    2020
    Total unrealized appreciation/depreciation of assets2020-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
    Total income from all sources (including contributions)2020-12-31$5,877,464
    Total loss/gain on sale of assets2020-12-31$0
    Total of all expenses incurred2020-12-31$814,014
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$777,425
    Value of total corrective distributions2020-12-31$22,478
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$2,443,545
    Value of total assets at end of year2020-12-31$27,525,837
    Value of total assets at beginning of year2020-12-31$22,462,387
    Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$14,111
    Total interest from all sources2020-12-31$147,081
    Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
    Was this plan covered by a fidelity bond2020-12-31Yes
    Value of fidelity bond cover2020-12-31$9,000,000
    If this is an individual account plan, was there a blackout period2020-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2020-12-31No
    Contributions received from participants2020-12-31$1,129,925
    Participant contributions at end of year2020-12-31$407,686
    Participant contributions at beginning of year2020-12-31$512,704
    Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$40,267
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
    Value of net income/loss2020-12-31$5,063,450
    Value of net assets at end of year (total assets less liabilities)2020-12-31$27,525,837
    Value of net assets at beginning of year (total assets less liabilities)2020-12-31$22,462,387
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
    Were any leases to which the plan was party in default or uncollectible2020-12-31No
    Value of interest in pooled separate accounts at end of year2020-12-31$22,378,516
    Value of interest in pooled separate accounts at beginning of year2020-12-31$17,921,274
    Interest on participant loans2020-12-31$29,089
    Interest earned on other investments2020-12-31$117,992
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$4,739,635
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$4,028,409
    Net investment gain/loss from pooled separate accounts2020-12-31$3,286,838
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
    Was there a failure to transmit to the plan any participant contributions2020-12-31No
    Has the plan failed to provide any benefit when due under the plan2020-12-31No
    Contributions received in cash from employer2020-12-31$1,273,353
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$777,425
    Contract administrator fees2020-12-31$14,111
    Did the plan have assets held for investment2020-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
    Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
    Accountancy firm name2020-12-31EIDE BAILLY LLP
    Accountancy firm EIN2020-12-31450250958
    2019
    Total unrealized appreciation/depreciation of assets2019-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
    Total income from all sources (including contributions)2019-12-31$6,956,017
    Total loss/gain on sale of assets2019-12-31$0
    Total of all expenses incurred2019-12-31$699,874
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$686,201
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$3,321,664
    Value of total assets at end of year2019-12-31$22,462,387
    Value of total assets at beginning of year2019-12-31$16,206,244
    Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$13,673
    Total interest from all sources2019-12-31$126,602
    Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
    Was this plan covered by a fidelity bond2019-12-31Yes
    Value of fidelity bond cover2019-12-31$9,000,000
    If this is an individual account plan, was there a blackout period2019-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2019-12-31No
    Contributions received from participants2019-12-31$1,042,906
    Participant contributions at end of year2019-12-31$512,704
    Participant contributions at beginning of year2019-12-31$425,348
    Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$977,506
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
    Value of net income/loss2019-12-31$6,256,143
    Value of net assets at end of year (total assets less liabilities)2019-12-31$22,462,387
    Value of net assets at beginning of year (total assets less liabilities)2019-12-31$16,206,244
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
    Were any leases to which the plan was party in default or uncollectible2019-12-31No
    Value of interest in pooled separate accounts at end of year2019-12-31$17,921,274
    Value of interest in pooled separate accounts at beginning of year2019-12-31$12,613,802
    Interest on participant loans2019-12-31$26,344
    Interest earned on other investments2019-12-31$100,258
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$4,028,409
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$3,167,094
    Net investment gain/loss from pooled separate accounts2019-12-31$3,507,751
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
    Was there a failure to transmit to the plan any participant contributions2019-12-31No
    Has the plan failed to provide any benefit when due under the plan2019-12-31No
    Contributions received in cash from employer2019-12-31$1,301,252
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$686,201
    Contract administrator fees2019-12-31$13,673
    Did the plan have assets held for investment2019-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
    Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
    Accountancy firm name2019-12-31EIDE BAILLY LLP
    Accountancy firm EIN2019-12-31450250958
    2018
    Total unrealized appreciation/depreciation of assets2018-12-31$0
    Total transfer of assets to this plan2018-12-31$1,724,210
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
    Total income from all sources (including contributions)2018-12-31$1,662,638
    Total loss/gain on sale of assets2018-12-31$0
    Total of all expenses incurred2018-12-31$1,011,176
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$999,398
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$2,455,616
    Value of total assets at end of year2018-12-31$16,206,244
    Value of total assets at beginning of year2018-12-31$13,830,572
    Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$11,778
    Total interest from all sources2018-12-31$98,772
    Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
    Was this plan covered by a fidelity bond2018-12-31Yes
    Value of fidelity bond cover2018-12-31$8,000,000
    If this is an individual account plan, was there a blackout period2018-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2018-12-31No
    Contributions received from participants2018-12-31$896,501
    Participant contributions at end of year2018-12-31$425,348
    Participant contributions at beginning of year2018-12-31$232,847
    Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$490,271
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
    Value of net income/loss2018-12-31$651,462
    Value of net assets at end of year (total assets less liabilities)2018-12-31$16,206,244
    Value of net assets at beginning of year (total assets less liabilities)2018-12-31$13,830,572
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
    Were any leases to which the plan was party in default or uncollectible2018-12-31No
    Value of interest in pooled separate accounts at end of year2018-12-31$12,613,802
    Value of interest in pooled separate accounts at beginning of year2018-12-31$11,256,881
    Interest on participant loans2018-12-31$17,845
    Interest earned on other investments2018-12-31$80,927
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$3,167,094
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$2,340,844
    Net investment gain/loss from pooled separate accounts2018-12-31$-891,750
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
    Was there a failure to transmit to the plan any participant contributions2018-12-31No
    Has the plan failed to provide any benefit when due under the plan2018-12-31No
    Contributions received in cash from employer2018-12-31$1,068,844
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$999,398
    Contract administrator fees2018-12-31$11,778
    Did the plan have assets held for investment2018-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
    Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
    Accountancy firm name2018-12-31EIDE BAILLY LLP
    Accountancy firm EIN2018-12-31450250958
    2017
    Total unrealized appreciation/depreciation of assets2017-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
    Total income from all sources (including contributions)2017-12-31$3,754,390
    Total loss/gain on sale of assets2017-12-31$0
    Total of all expenses incurred2017-12-31$841,790
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$840,845
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,681,247
    Value of total assets at end of year2017-12-31$13,830,572
    Value of total assets at beginning of year2017-12-31$10,917,972
    Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$945
    Total interest from all sources2017-12-31$75,014
    Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
    Was this plan covered by a fidelity bond2017-12-31Yes
    Value of fidelity bond cover2017-12-31$6,000,000
    If this is an individual account plan, was there a blackout period2017-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2017-12-31No
    Contributions received from participants2017-12-31$620,869
    Participant contributions at end of year2017-12-31$232,847
    Participant contributions at beginning of year2017-12-31$285,460
    Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$162,832
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
    Value of net income/loss2017-12-31$2,912,600
    Value of net assets at end of year (total assets less liabilities)2017-12-31$13,830,572
    Value of net assets at beginning of year (total assets less liabilities)2017-12-31$10,917,972
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
    Were any leases to which the plan was party in default or uncollectible2017-12-31No
    Value of interest in pooled separate accounts at end of year2017-12-31$11,256,881
    Value of interest in pooled separate accounts at beginning of year2017-12-31$8,394,202
    Interest on participant loans2017-12-31$13,898
    Interest earned on other investments2017-12-31$61,116
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$2,340,844
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$2,238,310
    Net investment gain/loss from pooled separate accounts2017-12-31$1,998,129
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
    Was there a failure to transmit to the plan any participant contributions2017-12-31No
    Has the plan failed to provide any benefit when due under the plan2017-12-31No
    Contributions received in cash from employer2017-12-31$897,546
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$840,845
    Contract administrator fees2017-12-31$945
    Did the plan have assets held for investment2017-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
    Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
    Accountancy firm name2017-12-31EIDE BAILLY LLP
    Accountancy firm EIN2017-12-31450250958
    2016
    Total unrealized appreciation/depreciation of assets2016-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
    Total income from all sources (including contributions)2016-12-31$2,254,773
    Total loss/gain on sale of assets2016-12-31$0
    Total of all expenses incurred2016-12-31$553,961
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$552,754
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,532,779
    Value of total assets at end of year2016-12-31$10,917,972
    Value of total assets at beginning of year2016-12-31$9,217,160
    Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$1,207
    Total interest from all sources2016-12-31$65,437
    Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
    Was this plan covered by a fidelity bond2016-12-31Yes
    Value of fidelity bond cover2016-12-31$6,000,000
    If this is an individual account plan, was there a blackout period2016-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2016-12-31No
    Contributions received from participants2016-12-31$598,465
    Participant contributions at end of year2016-12-31$285,460
    Participant contributions at beginning of year2016-12-31$259,663
    Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$5,499
    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$1,700,812
    Value of net assets at end of year (total assets less liabilities)2016-12-31$10,917,972
    Value of net assets at beginning of year (total assets less liabilities)2016-12-31$9,217,160
    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
    Value of interest in pooled separate accounts at end of year2016-12-31$8,394,202
    Value of interest in pooled separate accounts at beginning of year2016-12-31$7,199,347
    Interest on participant loans2016-12-31$12,928
    Interest earned on other investments2016-12-31$52,509
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$2,238,310
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$1,758,150
    Net investment gain/loss from pooled separate accounts2016-12-31$656,557
    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$928,815
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$552,754
    Contract administrator fees2016-12-31$1,207
    Did the plan have assets held for investment2016-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
    Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
    Accountancy firm name2016-12-31EIDE BAILLY LLP
    Accountancy firm EIN2016-12-31450250958
    2015
    Total unrealized appreciation/depreciation of assets2015-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
    Total income from all sources (including contributions)2015-12-31$1,466,757
    Total loss/gain on sale of assets2015-12-31$0
    Total of all expenses incurred2015-12-31$669,444
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$665,510
    Value of total corrective distributions2015-12-31$2,834
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,449,560
    Value of total assets at end of year2015-12-31$9,217,160
    Value of total assets at beginning of year2015-12-31$8,419,847
    Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$1,100
    Total interest from all sources2015-12-31$59,625
    Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
    Was this plan covered by a fidelity bond2015-12-31Yes
    Value of fidelity bond cover2015-12-31$5,000,000
    If this is an individual account plan, was there a blackout period2015-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2015-12-31No
    Contributions received from participants2015-12-31$541,495
    Participant contributions at end of year2015-12-31$259,663
    Participant contributions at beginning of year2015-12-31$290,650
    Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$822
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
    Value of net income/loss2015-12-31$797,313
    Value of net assets at end of year (total assets less liabilities)2015-12-31$9,217,160
    Value of net assets at beginning of year (total assets less liabilities)2015-12-31$8,419,847
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
    Were any leases to which the plan was party in default or uncollectible2015-12-31No
    Value of interest in pooled separate accounts at end of year2015-12-31$7,199,347
    Value of interest in pooled separate accounts at beginning of year2015-12-31$6,615,294
    Interest on participant loans2015-12-31$14,324
    Interest earned on other investments2015-12-31$45,301
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$1,758,150
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$1,513,903
    Net investment gain/loss from pooled separate accounts2015-12-31$-42,428
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
    Was there a failure to transmit to the plan any participant contributions2015-12-31No
    Has the plan failed to provide any benefit when due under the plan2015-12-31No
    Contributions received in cash from employer2015-12-31$907,243
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$665,510
    Contract administrator fees2015-12-31$1,100
    Did the plan have assets held for investment2015-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
    Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
    Accountancy firm name2015-12-31EIDE BAILLY LLP
    Accountancy firm EIN2015-12-31450250958
    2014
    Total unrealized appreciation/depreciation of assets2014-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
    Total income from all sources (including contributions)2014-12-31$1,747,576
    Total loss/gain on sale of assets2014-12-31$0
    Total of all expenses incurred2014-12-31$1,501,758
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,496,230
    Value of total corrective distributions2014-12-31$4,588
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,299,350
    Value of total assets at end of year2014-12-31$8,419,847
    Value of total assets at beginning of year2014-12-31$8,174,029
    Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$940
    Total interest from all sources2014-12-31$62,585
    Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
    Was this plan covered by a fidelity bond2014-12-31Yes
    Value of fidelity bond cover2014-12-31$5,000,000
    If this is an individual account plan, was there a blackout period2014-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2014-12-31No
    Contributions received from participants2014-12-31$512,271
    Participant contributions at end of year2014-12-31$290,650
    Participant contributions at beginning of year2014-12-31$183,115
    Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$38,743
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
    Value of net income/loss2014-12-31$245,818
    Value of net assets at end of year (total assets less liabilities)2014-12-31$8,419,847
    Value of net assets at beginning of year (total assets less liabilities)2014-12-31$8,174,029
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
    Were any leases to which the plan was party in default or uncollectible2014-12-31No
    Value of interest in pooled separate accounts at end of year2014-12-31$6,615,294
    Value of interest in pooled separate accounts at beginning of year2014-12-31$6,352,999
    Interest on participant loans2014-12-31$13,019
    Interest earned on other investments2014-12-31$49,566
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$1,513,903
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$1,637,915
    Net investment gain/loss from pooled separate accounts2014-12-31$385,641
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
    Was there a failure to transmit to the plan any participant contributions2014-12-31No
    Has the plan failed to provide any benefit when due under the plan2014-12-31No
    Contributions received in cash from employer2014-12-31$748,336
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,496,230
    Contract administrator fees2014-12-31$940
    Did the plan have assets held for investment2014-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
    Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
    Accountancy firm name2014-12-31EIDE BAILLY LLP
    Accountancy firm EIN2014-12-31450250958
    2013
    Total unrealized appreciation/depreciation of assets2013-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
    Total income from all sources (including contributions)2013-12-31$2,812,514
    Total loss/gain on sale of assets2013-12-31$0
    Total of all expenses incurred2013-12-31$446,968
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$442,458
    Value of total corrective distributions2013-12-31$3,790
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,254,803
    Value of total assets at end of year2013-12-31$8,174,029
    Value of total assets at beginning of year2013-12-31$5,808,483
    Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$720
    Total interest from all sources2013-12-31$46,536
    Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
    Was this plan covered by a fidelity bond2013-12-31Yes
    Value of fidelity bond cover2013-12-31$5,000,000
    If this is an individual account plan, was there a blackout period2013-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2013-12-31No
    Contributions received from participants2013-12-31$425,378
    Participant contributions at end of year2013-12-31$183,115
    Participant contributions at beginning of year2013-12-31$138,236
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
    Value of net income/loss2013-12-31$2,365,546
    Value of net assets at end of year (total assets less liabilities)2013-12-31$8,174,029
    Value of net assets at beginning of year (total assets less liabilities)2013-12-31$5,808,483
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
    Were any leases to which the plan was party in default or uncollectible2013-12-31No
    Value of interest in pooled separate accounts at end of year2013-12-31$6,352,999
    Value of interest in pooled separate accounts at beginning of year2013-12-31$4,590,859
    Interest on participant loans2013-12-31$7,538
    Interest earned on other investments2013-12-31$38,998
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$1,637,915
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$1,079,388
    Net investment gain/loss from pooled separate accounts2013-12-31$1,511,175
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
    Was there a failure to transmit to the plan any participant contributions2013-12-31No
    Has the plan failed to provide any benefit when due under the plan2013-12-31No
    Contributions received in cash from employer2013-12-31$829,425
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$442,458
    Contract administrator fees2013-12-31$720
    Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
    Did the plan have assets held for investment2013-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
    Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
    Accountancy firm name2013-12-31EIDE BAILLY LLP
    Accountancy firm EIN2013-12-31450250958
    2012
    Total unrealized appreciation/depreciation of assets2012-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
    Total income from all sources (including contributions)2012-12-31$1,912,212
    Total loss/gain on sale of assets2012-12-31$0
    Total of all expenses incurred2012-12-31$1,205,823
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,202,803
    Value of total corrective distributions2012-12-31$1,900
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,214,624
    Value of total assets at end of year2012-12-31$5,808,483
    Value of total assets at beginning of year2012-12-31$5,102,094
    Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,120
    Total interest from all sources2012-12-31$41,578
    Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
    Was this plan covered by a fidelity bond2012-12-31Yes
    Value of fidelity bond cover2012-12-31$5,000,000
    If this is an individual account plan, was there a blackout period2012-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2012-12-31No
    Contributions received from participants2012-12-31$372,406
    Participant contributions at end of year2012-12-31$138,236
    Participant contributions at beginning of year2012-12-31$145,607
    Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$26,041
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
    Value of net income/loss2012-12-31$706,389
    Value of net assets at end of year (total assets less liabilities)2012-12-31$5,808,483
    Value of net assets at beginning of year (total assets less liabilities)2012-12-31$5,102,094
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
    Were any leases to which the plan was party in default or uncollectible2012-12-31No
    Value of interest in pooled separate accounts at end of year2012-12-31$4,590,859
    Value of interest in pooled separate accounts at beginning of year2012-12-31$3,982,166
    Interest on participant loans2012-12-31$8,171
    Interest earned on other investments2012-12-31$33,407
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$1,079,388
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$974,321
    Net investment gain/loss from pooled separate accounts2012-12-31$656,010
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
    Was there a failure to transmit to the plan any participant contributions2012-12-31No
    Has the plan failed to provide any benefit when due under the plan2012-12-31No
    Contributions received in cash from employer2012-12-31$816,177
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,202,803
    Contract administrator fees2012-12-31$1,120
    Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
    Did the plan have assets held for investment2012-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
    Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
    Accountancy firm name2012-12-31EIDE BAILLY LLP
    Accountancy firm EIN2012-12-31450250958
    2011
    Total unrealized appreciation/depreciation of assets2011-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
    Total income from all sources (including contributions)2011-12-31$1,168,818
    Total loss/gain on sale of assets2011-12-31$0
    Total of all expenses incurred2011-12-31$661,362
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$660,702
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,311,942
    Value of total assets at end of year2011-12-31$5,102,094
    Value of total assets at beginning of year2011-12-31$4,594,638
    Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$660
    Total interest from all sources2011-12-31$43,333
    Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
    Administrative expenses professional fees incurred2011-12-31$660
    Was this plan covered by a fidelity bond2011-12-31Yes
    Value of fidelity bond cover2011-12-31$5,000,000
    If this is an individual account plan, was there a blackout period2011-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2011-12-31No
    Contributions received from participants2011-12-31$354,858
    Participant contributions at end of year2011-12-31$145,607
    Participant contributions at beginning of year2011-12-31$121,416
    Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$666,547
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
    Value of net income/loss2011-12-31$507,456
    Value of net assets at end of year (total assets less liabilities)2011-12-31$5,102,094
    Value of net assets at beginning of year (total assets less liabilities)2011-12-31$4,594,638
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
    Were any leases to which the plan was party in default or uncollectible2011-12-31No
    Value of interest in pooled separate accounts at end of year2011-12-31$3,982,166
    Value of interest in pooled separate accounts at beginning of year2011-12-31$3,581,100
    Interest on participant loans2011-12-31$7,656
    Interest earned on other investments2011-12-31$35,677
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$974,321
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$892,122
    Net investment gain/loss from pooled separate accounts2011-12-31$-186,457
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
    Was there a failure to transmit to the plan any participant contributions2011-12-31No
    Has the plan failed to provide any benefit when due under the plan2011-12-31No
    Contributions received in cash from employer2011-12-31$290,537
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$660,702
    Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
    Did the plan have assets held for investment2011-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
    Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
    Accountancy firm name2011-12-31EIDE BAILLY LLP
    Accountancy firm EIN2011-12-31450250958
    2010
    Total unrealized appreciation/depreciation of assets2010-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
    Total income from all sources (including contributions)2010-12-31$1,048,765
    Total loss/gain on sale of assets2010-12-31$0
    Total of all expenses incurred2010-12-31$493,407
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$492,887
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$525,732
    Value of total assets at end of year2010-12-31$4,594,638
    Value of total assets at beginning of year2010-12-31$4,039,280
    Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$520
    Total interest from all sources2010-12-31$41,911
    Total dividends received (eg from common stock, registered investment company shares)2010-12-31$481,122
    Administrative expenses professional fees incurred2010-12-31$520
    Was this plan covered by a fidelity bond2010-12-31Yes
    Value of fidelity bond cover2010-12-31$5,000,000
    If this is an individual account plan, was there a blackout period2010-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2010-12-31No
    Contributions received from participants2010-12-31$356,259
    Participant contributions at end of year2010-12-31$121,416
    Participant contributions at beginning of year2010-12-31$146,209
    Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$1,891
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
    Value of net income/loss2010-12-31$555,358
    Value of net assets at end of year (total assets less liabilities)2010-12-31$4,594,638
    Value of net assets at beginning of year (total assets less liabilities)2010-12-31$4,039,280
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
    Were any leases to which the plan was party in default or uncollectible2010-12-31No
    Value of interest in pooled separate accounts at end of year2010-12-31$3,581,100
    Value of interest in pooled separate accounts at beginning of year2010-12-31$3,007,705
    Interest on participant loans2010-12-31$7,437
    Interest earned on other investments2010-12-31$34,474
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$892,122
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$885,366
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
    Was there a failure to transmit to the plan any participant contributions2010-12-31No
    Has the plan failed to provide any benefit when due under the plan2010-12-31No
    Contributions received in cash from employer2010-12-31$167,582
    Income. Dividends from preferred stock2010-12-31$481,122
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$492,887
    Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
    Did the plan have assets held for investment2010-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
    Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
    Accountancy firm name2010-12-31EIDE BAILLY LLP
    Accountancy firm EIN2010-12-31450250958
    2009
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

    Form 5500 Responses

    2022
    2022-01-01Type of plan entitySingle employer plan
    2022-01-01Submission has been amendedNo
    2022-01-01This submission is the final filingNo
    2022-01-01This return/report is a short plan year return/report (less than 12 months)No
    2022-01-01Plan is a collectively bargained planNo
    2022-01-01Plan funding arrangement – InsuranceYes
    2022-01-01Plan funding arrangement – TrustYes
    2022-01-01Plan benefit arrangement – InsuranceYes
    2022-01-01Plan benefit arrangement - TrustYes
    2021
    2021-01-01Type of plan entitySingle employer plan
    2021-01-01Submission has been amendedNo
    2021-01-01This submission is the final filingNo
    2021-01-01This return/report is a short plan year return/report (less than 12 months)No
    2021-01-01Plan is a collectively bargained planNo
    2021-01-01Plan funding arrangement – InsuranceYes
    2021-01-01Plan funding arrangement – TrustYes
    2021-01-01Plan benefit arrangement – InsuranceYes
    2021-01-01Plan benefit arrangement - TrustYes
    2020
    2020-01-01Type of plan entitySingle employer plan
    2020-01-01Submission has been amendedNo
    2020-01-01This submission is the final filingNo
    2020-01-01This return/report is a short plan year return/report (less than 12 months)No
    2020-01-01Plan is a collectively bargained planNo
    2020-01-01Plan funding arrangement – InsuranceYes
    2020-01-01Plan funding arrangement – TrustYes
    2020-01-01Plan benefit arrangement – InsuranceYes
    2020-01-01Plan benefit arrangement - TrustYes
    2019
    2019-01-01Type of plan entitySingle employer plan
    2019-01-01Submission has been amendedNo
    2019-01-01This submission is the final filingNo
    2019-01-01This return/report is a short plan year return/report (less than 12 months)No
    2019-01-01Plan is a collectively bargained planNo
    2019-01-01Plan funding arrangement – InsuranceYes
    2019-01-01Plan funding arrangement – TrustYes
    2019-01-01Plan benefit arrangement – InsuranceYes
    2019-01-01Plan benefit arrangement - TrustYes
    2017
    2017-01-01Type of plan entitySingle employer plan
    2017-01-01Submission has been amendedNo
    2017-01-01This submission is the final filingNo
    2017-01-01This return/report is a short plan year return/report (less than 12 months)No
    2017-01-01Plan is a collectively bargained planNo
    2017-01-01Plan funding arrangement – InsuranceYes
    2017-01-01Plan funding arrangement – TrustYes
    2017-01-01Plan benefit arrangement – InsuranceYes
    2017-01-01Plan benefit arrangement - TrustYes
    2016
    2016-01-01Type of plan entitySingle employer plan
    2016-01-01Submission has been amendedNo
    2016-01-01This submission is the final filingNo
    2016-01-01This return/report is a short plan year return/report (less than 12 months)No
    2016-01-01Plan is a collectively bargained planNo
    2016-01-01Plan funding arrangement – InsuranceYes
    2016-01-01Plan funding arrangement – TrustYes
    2016-01-01Plan benefit arrangement – InsuranceYes
    2016-01-01Plan benefit arrangement - TrustYes
    2015
    2015-01-01Type of plan entitySingle employer plan
    2015-01-01Submission has been amendedNo
    2015-01-01This submission is the final filingNo
    2015-01-01This return/report is a short plan year return/report (less than 12 months)No
    2015-01-01Plan is a collectively bargained planNo
    2015-01-01Plan funding arrangement – InsuranceYes
    2015-01-01Plan funding arrangement – TrustYes
    2015-01-01Plan benefit arrangement – InsuranceYes
    2015-01-01Plan benefit arrangement - TrustYes
    2014
    2014-01-01Type of plan entitySingle employer plan
    2014-01-01Submission has been amendedNo
    2014-01-01This submission is the final filingNo
    2014-01-01This return/report is a short plan year return/report (less than 12 months)No
    2014-01-01Plan is a collectively bargained planNo
    2014-01-01Plan funding arrangement – InsuranceYes
    2014-01-01Plan funding arrangement – TrustYes
    2014-01-01Plan benefit arrangement – InsuranceYes
    2014-01-01Plan benefit arrangement - TrustYes
    2013
    2013-01-01Type of plan entitySingle employer plan
    2013-01-01Submission has been amendedYes
    2013-01-01This submission is the final filingNo
    2013-01-01This return/report is a short plan year return/report (less than 12 months)No
    2013-01-01Plan is a collectively bargained planNo
    2013-01-01Plan funding arrangement – InsuranceYes
    2013-01-01Plan funding arrangement – TrustYes
    2013-01-01Plan benefit arrangement – InsuranceYes
    2013-01-01Plan benefit arrangement - TrustYes
    2012
    2012-01-01Type of plan entitySingle employer plan
    2012-01-01Submission has been amendedNo
    2012-01-01This submission is the final filingNo
    2012-01-01This return/report is a short plan year return/report (less than 12 months)No
    2012-01-01Plan is a collectively bargained planNo
    2012-01-01Plan funding arrangement – InsuranceYes
    2012-01-01Plan funding arrangement – TrustYes
    2012-01-01Plan benefit arrangement – InsuranceYes
    2012-01-01Plan benefit arrangement - TrustYes
    2011
    2011-01-01Type of plan entitySingle employer plan
    2011-01-01Submission has been amendedNo
    2011-01-01This submission is the final filingNo
    2011-01-01This return/report is a short plan year return/report (less than 12 months)No
    2011-01-01Plan is a collectively bargained planNo
    2011-01-01Plan funding arrangement – InsuranceYes
    2011-01-01Plan funding arrangement – TrustYes
    2011-01-01Plan benefit arrangement – InsuranceYes
    2011-01-01Plan benefit arrangement - TrustYes
    2010
    2010-01-01Type of plan entitySingle employer plan
    2010-01-01Submission has been amendedNo
    2010-01-01This submission is the final filingNo
    2010-01-01This return/report is a short plan year return/report (less than 12 months)No
    2010-01-01Plan is a collectively bargained planNo
    2010-01-01Plan funding arrangement – InsuranceYes
    2010-01-01Plan funding arrangement – TrustYes
    2010-01-01Plan benefit arrangement – InsuranceYes
    2010-01-01Plan benefit arrangement - TrustYes
    2009
    2009-01-01Type of plan entitySingle employer plan
    2009-01-01Submission has been amendedYes
    2009-01-01This submission is the final filingNo
    2009-01-01This return/report is a short plan year return/report (less than 12 months)No
    2009-01-01Plan is a collectively bargained planNo
    2009-01-01Plan funding arrangement – InsuranceYes
    2009-01-01Plan funding arrangement – TrustYes
    2009-01-01Plan benefit arrangement – InsuranceYes
    2009-01-01Plan benefit arrangement - TrustYes

    Insurance Providers Used on plan

    MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
    Policy contract number066777
    Policy instance 1
    Insurance contract or identification number066777
    Number of Individuals Covered310
    Insurance policy start date2022-01-01
    Insurance policy end date2022-12-31
    Are there contracts with allocated funds for individual policies?0
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
    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
    MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
    Policy contract number066777
    Policy instance 1
    Insurance contract or identification number066777
    Number of Individuals Covered289
    Insurance policy start date2021-01-01
    Insurance policy end date2021-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?0
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
    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
    MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
    Policy contract number066777
    Policy instance 1
    Insurance contract or identification number066777
    Number of Individuals Covered301
    Insurance policy start date2020-01-01
    Insurance policy end date2020-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?0
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
    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
    MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
    Policy contract number066777
    Policy instance 1
    Insurance contract or identification number066777
    Number of Individuals Covered298
    Insurance policy start date2019-01-01
    Insurance policy end date2019-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?0
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
    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
    MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
    Policy contract number066777
    Policy instance 1
    Insurance contract or identification number066777
    Number of Individuals Covered188
    Insurance policy start date2017-01-01
    Insurance policy end date2017-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?0
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
    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
    MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
    Policy contract number066777
    Policy instance 1
    Insurance contract or identification number066777
    Number of Individuals Covered170
    Insurance policy start date2015-01-01
    Insurance policy end date2015-12-31
    Total amount of commissions paid to insurance brokerUSD $2,269
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
    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 $2,269
    Insurance broker organization code?3
    Insurance broker nameINVESTMENT CENTERS OF AMERICA
    MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
    Policy contract number066777
    Policy instance 1
    Insurance contract or identification number066777
    Number of Individuals Covered158
    Insurance policy start date2014-01-01
    Insurance policy end date2014-12-31
    Total amount of commissions paid to insurance brokerUSD $8,608
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
    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 $8,608
    Insurance broker organization code?3
    Insurance broker nameINVESTMENT CENTERS OF AMERICA
    MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
    Policy contract number066777
    Policy instance 1
    Insurance contract or identification number066777
    Number of Individuals Covered147
    Insurance policy start date2013-01-01
    Insurance policy end date2013-12-31
    Total amount of commissions paid to insurance brokerUSD $7,290
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
    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 $7,290
    Insurance broker organization code?3
    Insurance broker nameINVESTMENT CENTERS OF AMERICA
    MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
    Policy contract number066777
    Policy instance 1
    Insurance contract or identification number066777
    Number of Individuals Covered138
    Insurance policy start date2012-01-01
    Insurance policy end date2012-12-31
    Total amount of commissions paid to insurance brokerUSD $5,580
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $5,580
    Insurance broker organization code?3
    Insurance broker nameCLAUDIA J MACKENZIE
    MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
    Policy contract number066777
    Policy instance 1
    Insurance contract or identification number066777
    Number of Individuals Covered131
    Insurance policy start date2011-01-01
    Insurance policy end date2011-12-31
    Total amount of commissions paid to insurance brokerUSD $4,806
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
    Policy contract number066777
    Policy instance 1
    Insurance contract or identification number066777
    Number of Individuals Covered118
    Insurance policy start date2010-01-01
    Insurance policy end date2010-12-31
    Total amount of commissions paid to insurance brokerUSD $3,954
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Commission paid to Insurance BrokerUSD $3,954
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Insurance broker organization code?3
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Insurance broker nameCLAUDIA J MACKENZIE

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