401k Plan data: NORTHERN STORM, INC. RETIREMENT PLAN plan

NORTHERN STORM, INC. RETIREMENT PLAN 401k Plan overview

Plan Name	NORTHERN STORM, INC. RETIREMENT PLAN
Plan identification number	001

NORTHERN STORM, INC. RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Participant-directed brokerage accounts provided as an investment option under the plan.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

NORTHERN STORM, INC. has sponsored the creation of one or more 401k plans.

Company Name: NORTHERN STORM, INC.

Employer identification number (EIN): 461475980

NAIC Classification: 453990

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHERN STORM, INC. RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 JON VON RENTZELL
001 2014-01-01 JON VON RENTZELL
001 2013-01-01 JON VON RENTZELL

Plan id#	Filing Submission Date	Name of Administrator
001	2015-01-01	JON VON RENTZELL
001	2014-01-01	JON VON RENTZELL
001	2013-01-01	JON VON RENTZELL

Plan Statistics for NORTHERN STORM, INC. RETIREMENT PLAN

401k plan membership statisitcs for NORTHERN STORM, INC. RETIREMENT PLAN

Measure Date Value
2015: NORTHERN STORM, INC. RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 3
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 3
Number of participants with account balances 2015-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: NORTHERN STORM, INC. RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 3
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 3
Number of participants with account balances 2014-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: NORTHERN STORM, INC. RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 3
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 3
Number of participants with account balances 2013-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0

Measure	Date	Value
2015: NORTHERN STORM, INC. RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	3
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	3
Number of participants with account balances	2015-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: NORTHERN STORM, INC. RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	3
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	3
Number of participants with account balances	2014-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: NORTHERN STORM, INC. RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	3
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	3
Number of participants with account balances	2013-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0

Financial Data on NORTHERN STORM, INC. RETIREMENT PLAN

Measure	Date	Value
2015 : NORTHERN STORM, INC. RETIREMENT PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$-1,579,529
Expenses. Total of all expenses incurred	2015-12-31	$1,983
Benefits paid (including direct rollovers)	2015-12-31	$0
Total plan assets at end of year	2015-12-31	$149,944
Total plan assets at beginning of year	2015-12-31	$1,731,456
Value of fidelity bond covering the plan	2015-12-31	$60,000
Total contributions received or receivable from participants	2015-12-31	$0
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$-1,579,529
Net income (gross income less expenses)	2015-12-31	$-1,581,512
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$149,944
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,731,456
Assets. Value of employer securities	2015-12-31	$0
Total contributions received or receivable from employer(s)	2015-12-31	$0
Value of certain deemed distributions of participant loans	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$1,983
2014 : NORTHERN STORM, INC. RETIREMENT PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$-39,679
Expenses. Total of all expenses incurred	2014-12-31	$2,128
Benefits paid (including direct rollovers)	2014-12-31	$0
Total plan assets at end of year	2014-12-31	$1,731,456
Total plan assets at beginning of year	2014-12-31	$1,773,263
Value of fidelity bond covering the plan	2014-12-31	$60,000
Total contributions received or receivable from participants	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$-39,679
Net income (gross income less expenses)	2014-12-31	$-41,807
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,731,456
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,773,263
Assets. Value of employer securities	2014-12-31	$1,583,333
Total contributions received or receivable from employer(s)	2014-12-31	$0
Value of certain deemed distributions of participant loans	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$2,128
2013 : NORTHERN STORM, INC. RETIREMENT PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$1,774,854
Expenses. Total of all expenses incurred	2013-12-31	$1,591
Benefits paid (including direct rollovers)	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$1,773,263
Total contributions received or receivable from participants	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$379,401
Other income received	2013-12-31	$1,395,453
Net income (gross income less expenses)	2013-12-31	$1,773,263
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,773,263
Assets. Value of employer securities	2013-12-31	$1,629,167
Total contributions received or receivable from employer(s)	2013-12-31	$0
Value of certain deemed distributions of participant loans	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$1,591

Form 5500 Responses for NORTHERN STORM, INC. RETIREMENT PLAN

2015: NORTHERN STORM, INC. RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: NORTHERN STORM, INC. RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: NORTHERN STORM, INC. RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	First time form 5500 has been submitted	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	NORTHERN STORM, INC.
Employer identification number (EIN):	461475980
NAIC Classification:	453990