401k Plan data: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN plan

HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 401k Plan overview

Plan Name	HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN
Plan identification number	001

HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Stock bonus
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
ESOP other than a leveraged ESOP - A completed Schedule E must be attached to a Form 5500 filed for an Employee Stock Ownership Plan (ESOP).
Leveraged ESOP - An ESOP that acquires employer securities with borrowed money or other debt-financing techniques. A completed Schedule E must be attached to a Form 5500 filed for an ESOP.
The employer maintaining this ESOP is an S Corporation

401k Sponsoring company profile

HOOKER BROTHERS CONSTRUCTION COMPANY has sponsored the creation of one or more 401k plans.

Company Name: HOOKER BROTHERS CONSTRUCTION COMPANY

Employer identification number (EIN): 470497227

NAIC Classification: 238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01 ROD HOOKER
001 2017-01-01 ROD HOOKER
001 2016-01-01 ROD HOOKER
001 2015-01-01 ROD HOOKER
001 2014-01-01 ROD HOOKER
001 2013-01-01 ROD HOOKER
001 2012-01-01 ROD HOOKER
001 2011-01-01 ROD HOOKER
001 2009-04-01 ROD HOOKER

Plan Statistics for HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN

401k plan membership statisitcs for HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN

Measure Date Value
2021: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 29
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 0
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 0
Number of participants with account balances 2021-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 32
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 3
Number of retired or separated participants receiving benefits 2020-01-01 24
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 27
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 2
Total participants 2020-01-01 29
Number of participants with account balances 2020-01-01 29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 38
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 15
Number of retired or separated participants receiving benefits 2019-01-01 6
Number of other retired or separated participants entitled to future benefits 2019-01-01 13
Total of all active and inactive participants 2019-01-01 34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 1
Total participants 2019-01-01 35
Number of participants with account balances 2019-01-01 34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 36
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 18
Number of retired or separated participants receiving benefits 2018-01-01 6
Number of other retired or separated participants entitled to future benefits 2018-01-01 12
Total of all active and inactive participants 2018-01-01 36
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 1
Total participants 2018-01-01 37
Number of participants with account balances 2018-01-01 31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 35
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 20
Number of retired or separated participants receiving benefits 2017-01-01 6
Number of other retired or separated participants entitled to future benefits 2017-01-01 9
Total of all active and inactive participants 2017-01-01 35
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 35
Number of participants with account balances 2017-01-01 34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 1
2016: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 40
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 21
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 17
Total of all active and inactive participants 2016-01-01 38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 38
Number of participants with account balances 2016-01-01 37
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 48
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 22
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 19
Total of all active and inactive participants 2015-01-01 41
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 41
Number of participants with account balances 2015-01-01 38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 1
2014: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 49
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 25
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 22
Total of all active and inactive participants 2014-01-01 47
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 47
Number of participants with account balances 2014-01-01 45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 51
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 23
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 26
Total of all active and inactive participants 2013-01-01 49
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 49
Number of participants with account balances 2013-01-01 47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 52
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 21
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 28
Total of all active and inactive participants 2012-01-01 49
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 49
Number of participants with account balances 2012-01-01 50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 56
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 24
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 29
Total of all active and inactive participants 2011-01-01 53
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 53
Number of participants with account balances 2011-01-01 52
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2009: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-04-01 56
Total number of active participants reported on line 7a of the Form 5500 2009-04-01 24
Number of retired or separated participants receiving benefits 2009-04-01 7
Number of other retired or separated participants entitled to future benefits 2009-04-01 17
Total of all active and inactive participants 2009-04-01 48
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-04-01 1
Total participants 2009-04-01 49
Number of participants with account balances 2009-04-01 49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-04-01 3

Measure	Date	Value
2021: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	29
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	0
Number of participants with account balances	2021-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	32
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	3
Number of retired or separated participants receiving benefits	2020-01-01	24
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	27
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	2
Total participants	2020-01-01	29
Number of participants with account balances	2020-01-01	29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	38
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	15
Number of retired or separated participants receiving benefits	2019-01-01	6
Number of other retired or separated participants entitled to future benefits	2019-01-01	13
Total of all active and inactive participants	2019-01-01	34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	1
Total participants	2019-01-01	35
Number of participants with account balances	2019-01-01	34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	36
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	18
Number of retired or separated participants receiving benefits	2018-01-01	6
Number of other retired or separated participants entitled to future benefits	2018-01-01	12
Total of all active and inactive participants	2018-01-01	36
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	1
Total participants	2018-01-01	37
Number of participants with account balances	2018-01-01	31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	35
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	20
Number of retired or separated participants receiving benefits	2017-01-01	6
Number of other retired or separated participants entitled to future benefits	2017-01-01	9
Total of all active and inactive participants	2017-01-01	35
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	35
Number of participants with account balances	2017-01-01	34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	1
2016: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	40
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	21
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	17
Total of all active and inactive participants	2016-01-01	38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	38
Number of participants with account balances	2016-01-01	37
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	48
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	22
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	19
Total of all active and inactive participants	2015-01-01	41
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	41
Number of participants with account balances	2015-01-01	38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	1
2014: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	49
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	25
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	22
Total of all active and inactive participants	2014-01-01	47
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	47
Number of participants with account balances	2014-01-01	45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	51
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	23
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	26
Total of all active and inactive participants	2013-01-01	49
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	49
Number of participants with account balances	2013-01-01	47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	52
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	21
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	28
Total of all active and inactive participants	2012-01-01	49
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	49
Number of participants with account balances	2012-01-01	50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	56
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	24
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	29
Total of all active and inactive participants	2011-01-01	53
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	53
Number of participants with account balances	2011-01-01	52
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2009: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-04-01	56
Total number of active participants reported on line 7a of the Form 5500	2009-04-01	24
Number of retired or separated participants receiving benefits	2009-04-01	7
Number of other retired or separated participants entitled to future benefits	2009-04-01	17
Total of all active and inactive participants	2009-04-01	48
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-04-01	1
Total participants	2009-04-01	49
Number of participants with account balances	2009-04-01	49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-04-01	3

Financial Data on HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN

Measure	Date	Value
2021 : HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2021 401k financial data
Total plan liabilities at end of year	2021-12-31	$0
Total plan liabilities at beginning of year	2021-12-31	$2,100
Total income from all sources	2021-12-31	$423,743
Expenses. Total of all expenses incurred	2021-12-31	$2,382,511
Benefits paid (including direct rollovers)	2021-12-31	$2,382,511
Total plan assets at end of year	2021-12-31	$0
Total plan assets at beginning of year	2021-12-31	$1,960,868
Value of fidelity bond covering the plan	2021-12-31	$1,000,000
Other income received	2021-12-31	$423,743
Net income (gross income less expenses)	2021-12-31	$-1,958,768
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$1,958,768
Assets. Value of employer securities	2021-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
2020 : HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2020 401k financial data
Total plan liabilities at end of year	2020-12-31	$2,100
Total plan liabilities at beginning of year	2020-12-31	$0
Total income from all sources	2020-12-31	$1,816,010
Expenses. Total of all expenses incurred	2020-12-31	$6,060,446
Benefits paid (including direct rollovers)	2020-12-31	$6,053,610
Total plan assets at end of year	2020-12-31	$1,960,868
Total plan assets at beginning of year	2020-12-31	$6,203,204
Value of fidelity bond covering the plan	2020-12-31	$1,000,000
Total contributions received or receivable from participants	2020-12-31	$47,136
Other income received	2020-12-31	$1,765,716
Net income (gross income less expenses)	2020-12-31	$-4,244,436
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$1,958,768
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$6,203,204
Assets. Value of employer securities	2020-12-31	$1,957,512
Total contributions received or receivable from employer(s)	2020-12-31	$3,158
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$6,836
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$4,497,900
2019 : HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2019 401k financial data
Total plan liabilities at end of year	2019-12-31	$0
Total plan liabilities at beginning of year	2019-12-31	$0
Total income from all sources	2019-12-31	$1,379,079
Expenses. Total of all expenses incurred	2019-12-31	$1,815,976
Benefits paid (including direct rollovers)	2019-12-31	$1,786,060
Total plan assets at end of year	2019-12-31	$6,203,204
Total plan assets at beginning of year	2019-12-31	$6,640,101
Value of fidelity bond covering the plan	2019-12-31	$1,000,000
Total contributions received or receivable from participants	2019-12-31	$110,245
Expenses. Other expenses not covered elsewhere	2019-12-31	$2,202
Other income received	2019-12-31	$1,237,610
Net income (gross income less expenses)	2019-12-31	$-436,897
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$6,203,204
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$6,640,101
Assets. Value of employer securities	2019-12-31	$4,714,738
Total contributions received or receivable from employer(s)	2019-12-31	$31,224
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$27,714
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2018 401k financial data
Total plan liabilities at end of year	2018-12-31	$0
Total plan liabilities at beginning of year	2018-12-31	$0
Total income from all sources	2018-12-31	$-48,168
Expenses. Total of all expenses incurred	2018-12-31	$550,991
Benefits paid (including direct rollovers)	2018-12-31	$531,960
Total plan assets at end of year	2018-12-31	$6,640,101
Total plan assets at beginning of year	2018-12-31	$7,239,260
Value of fidelity bond covering the plan	2018-12-31	$1,000,000
Total contributions received or receivable from participants	2018-12-31	$92,452
Expenses. Other expenses not covered elsewhere	2018-12-31	$1,962
Other income received	2018-12-31	$-181,323
Net income (gross income less expenses)	2018-12-31	$-599,159
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$6,640,101
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$7,239,260
Assets. Value of participant loans	2018-12-31	$1,312
Assets. Value of employer securities	2018-12-31	$3,993,360
Total contributions received or receivable from employer(s)	2018-12-31	$40,703
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$17,069
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$380,460
2017 : HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2017 401k financial data
Total plan liabilities at end of year	2017-12-31	$0
Total plan liabilities at beginning of year	2017-12-31	$4,000
Total income from all sources	2017-12-31	$408,926
Expenses. Total of all expenses incurred	2017-12-31	$418,378
Benefits paid (including direct rollovers)	2017-12-31	$403,904
Total plan assets at end of year	2017-12-31	$7,239,260
Total plan assets at beginning of year	2017-12-31	$7,252,712
Value of fidelity bond covering the plan	2017-12-31	$500,000
Total contributions received or receivable from participants	2017-12-31	$129,024
Expenses. Other expenses not covered elsewhere	2017-12-31	$1,962
Other income received	2017-12-31	$163,886
Net income (gross income less expenses)	2017-12-31	$-9,452
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$7,239,260
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$7,248,712
Assets. Value of participant loans	2017-12-31	$2,364
Assets. Value of employer securities	2017-12-31	$4,349,450
Total contributions received or receivable from employer(s)	2017-12-31	$116,016
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$12,512
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2016 401k financial data
Total plan liabilities at end of year	2016-12-31	$4,000
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$1,274,942
Expenses. Total of all expenses incurred	2016-12-31	$348,037
Benefits paid (including direct rollovers)	2016-12-31	$310,607
Total plan assets at end of year	2016-12-31	$7,252,712
Total plan assets at beginning of year	2016-12-31	$6,321,807
Value of fidelity bond covering the plan	2016-12-31	$500,000
Total contributions received or receivable from participants	2016-12-31	$108,967
Expenses. Other expenses not covered elsewhere	2016-12-31	$27,664
Contributions received from other sources (not participants or employers)	2016-12-31	$0
Other income received	2016-12-31	$1,059,324
Noncash contributions received	2016-12-31	$0
Net income (gross income less expenses)	2016-12-31	$926,905
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$7,248,712
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$6,321,807
Assets. Value of participant loans	2016-12-31	$678
Assets. Value of employer securities	2016-12-31	$4,877,600
Total contributions received or receivable from employer(s)	2016-12-31	$106,651
Value of corrective distributions	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$9,766
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$189,216
Funding deficiency by the employer to the plan for this plan year	2016-12-31	$0
Minimum employer required contribution for this plan year	2016-12-31	$0
Amount contributed by the employer to the plan for this plan year	2016-12-31	$0
2015 : HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2015 401k financial data
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$223,949
Expenses. Total of all expenses incurred	2015-12-31	$895,159
Benefits paid (including direct rollovers)	2015-12-31	$878,358
Total plan assets at end of year	2015-12-31	$6,321,807
Total plan assets at beginning of year	2015-12-31	$6,993,017
Value of fidelity bond covering the plan	2015-12-31	$500,000
Total contributions received or receivable from participants	2015-12-31	$58,336
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$28,320
Noncash contributions received	2015-12-31	$94,865
Net income (gross income less expenses)	2015-12-31	$-671,210
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$6,321,807
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$6,993,017
Assets. Value of participant loans	2015-12-31	$50,256
Assets. Value of employer securities	2015-12-31	$4,005,156
Total contributions received or receivable from employer(s)	2015-12-31	$42,428
Value of certain deemed distributions of participant loans	2015-12-31	$0
Value of corrective distributions	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$16,801
Funding deficiency by the employer to the plan for this plan year	2015-12-31	$0
Minimum employer required contribution for this plan year	2015-12-31	$0
Amount contributed by the employer to the plan for this plan year	2015-12-31	$0
2014 : HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$11,774
Expenses. Total of all expenses incurred	2014-12-31	$274,718
Benefits paid (including direct rollovers)	2014-12-31	$253,910
Total plan assets at end of year	2014-12-31	$6,993,017
Total plan assets at beginning of year	2014-12-31	$7,255,961
Value of fidelity bond covering the plan	2014-12-31	$500,000
Total contributions received or receivable from participants	2014-12-31	$51,774
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$-85,036
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$-262,944
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$6,993,017
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$7,255,961
Assets. Value of participant loans	2014-12-31	$66,904
Assets. Value of employer securities	2014-12-31	$4,058,222
Total contributions received or receivable from employer(s)	2014-12-31	$45,036
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$20,808
Funding deficiency by the employer to the plan for this plan year	2014-12-31	$0
Minimum employer required contribution for this plan year	2014-12-31	$0
Amount contributed by the employer to the plan for this plan year	2014-12-31	$0
2013 : HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$-52,843
Expenses. Total of all expenses incurred	2013-12-31	$317,667
Benefits paid (including direct rollovers)	2013-12-31	$306,351
Total plan assets at end of year	2013-12-31	$7,255,961
Total plan assets at beginning of year	2013-12-31	$7,626,471
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$46,538
Contributions received from other sources (not participants or employers)	2013-12-31	$169,581
Other income received	2013-12-31	$-454,775
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$-370,510
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$7,255,961
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$7,626,471
Assets. Value of participant loans	2013-12-31	$10,517
Assets. Value of employer securities	2013-12-31	$4,263,104
Total contributions received or receivable from employer(s)	2013-12-31	$185,813
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$11,316
Funding deficiency by the employer to the plan for this plan year	2013-12-31	$0
Minimum employer required contribution for this plan year	2013-12-31	$0
Amount contributed by the employer to the plan for this plan year	2013-12-31	$0
2012 : HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$1,027,152
Expenses. Total of all expenses incurred	2012-12-31	$124,376
Benefits paid (including direct rollovers)	2012-12-31	$121,742
Total plan assets at end of year	2012-12-31	$7,646,595
Total plan assets at beginning of year	2012-12-31	$6,743,819
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$50,579
Expenses. Other expenses not covered elsewhere	2012-12-31	$2,634
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$712,239
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$902,776
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$7,646,595
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$6,743,819
Assets. Value of participant loans	2012-12-31	$6,159
Assets. Value of employer securities	2012-12-31	$4,990,624
Total contributions received or receivable from employer(s)	2012-12-31	$264,334
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$0
Minimum employer required contribution for this plan year	2012-12-31	$0
Amount contributed by the employer to the plan for this plan year	2012-12-31	$0
2011 : HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$296,049
Expenses. Total of all expenses incurred	2011-12-31	$295,624
Benefits paid (including direct rollovers)	2011-12-31	$290,903
Total plan assets at end of year	2011-12-31	$6,743,819
Total plan assets at beginning of year	2011-12-31	$6,743,394
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$47,519
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-7,865
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$425
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$6,743,819
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$6,743,394
Assets. Value of participant loans	2011-12-31	$6,959
Assets. Value of employer securities	2011-12-31	$4,453,128
Total contributions received or receivable from employer(s)	2011-12-31	$256,395
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$4,721
Minimum employer required contribution for this plan year	2011-12-31	$0
Amount contributed by the employer to the plan for this plan year	2011-12-31	$0
2010 : HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$1,622,254
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$737,217
Expenses. Total of all expenses incurred	2010-12-31	$49,256
Benefits paid (including direct rollovers)	2010-12-31	$49,256
Total plan assets at end of year	2010-12-31	$6,743,394
Total plan assets at beginning of year	2010-12-31	$4,433,179
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$39,118
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$451,595
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$687,961
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$6,743,394
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$4,433,179
Assets. Value of participant loans	2010-12-31	$7,181
Assets. Value of employer securities	2010-12-31	$4,403,122
Total contributions received or receivable from employer(s)	2010-12-31	$246,504
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$0
Amount contributed by the employer to the plan for this plan year	2010-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2010-03-31	$0
Minimum employer required contribution for this plan year	2010-03-31	$0
Amount contributed by the employer to the plan for this plan year	2010-03-31	$0

Form 5500 Responses for HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN

2021: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	Yes
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: HOOKER BROTHERS CONSTRUCTION COMPANY RETIREMENT PLAN 2009 form 5500 responses
2009-04-01	Type of plan entity	Single employer plan
2009-04-01	Submission has been amended	No
2009-04-01	This submission is the final filing	No
2009-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-04-01	Plan is a collectively bargained plan	No
2009-04-01	Plan funding arrangement – Trust	Yes
2009-04-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

507358-01

Policy instance

Insurance contract or identification number	507358-01
Number of Individuals Covered	0
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	NOT PROVIDED
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

14779

Policy instance

Insurance contract or identification number	14779
Number of Individuals Covered	35
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-19
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $5,305
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	5305
Additional information about fees paid to insurance broker	NOT PROVIDED
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

SAVE-14779

Policy instance

Insurance contract or identification number	SAVE-14779
Number of Individuals Covered	37
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $6,666
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	6666
Additional information about fees paid to insurance broker	NOT PROVIDED
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

SAVE-14779

Policy instance

Insurance contract or identification number	SAVE-14779
Number of Individuals Covered	34
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $5,896
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	5896
Additional information about fees paid to insurance broker	NOT PROVIDED
Insurance broker organization code?	3
Insurance broker name	SILVERSTONE ASSET MANAGEMENT

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

SAVE-14779

Policy instance

Insurance contract or identification number	SAVE-14779
Number of Individuals Covered	1
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $5,284
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	5284
Additional information about fees paid to insurance broker	CONTRACT FEES
Insurance broker organization code?	3
Insurance broker name	SILVERSTONE ASSET MANAGEMENT

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

SAVE-14779

Policy instance

Insurance contract or identification number	SAVE-14779
Number of Individuals Covered	45
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $4,655
Total amount of fees paid to insurance company	USD $4,017
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,655
Insurance broker organization code?	3
Amount paid for insurance broker fees	4017
Additional information about fees paid to insurance broker	CONTRACT FEES
Insurance broker name	SILVERSTONE ASSET MANAGEMENT

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

SAVE-14779

Policy instance

Insurance contract or identification number	SAVE-14779
Number of Individuals Covered	36
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $4,838
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,838
Insurance broker organization code?	3
Insurance broker name	VSR FINANCIAL SERVICES

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

SAVE-14779

Policy instance

Insurance contract or identification number	SAVE-14779
Number of Individuals Covered	50
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $4,889
Total amount of fees paid to insurance company	USD $67
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	67
Additional information about fees paid to insurance broker	TPA FEES
Insurance broker organization code?	3
Commission paid to Insurance Broker	USD $4,889
Insurance broker name	VSR FINANCIAL SERVICES

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

14779

Policy instance

Insurance contract or identification number	14779
Number of Individuals Covered	52
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $840
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

14779

Policy instance

Insurance contract or identification number	14779
Number of Individuals Covered	57
Insurance policy start date	2010-04-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $37,666
Total amount of fees paid to insurance company	USD $504
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	504
Additional information about fees paid to insurance broker	TPA SERVICE FEES
Insurance broker organization code?	5
Commission paid to Insurance Broker	USD $37,666
Insurance broker name	VSR FINANCIAL SERVICES

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Company Name:	HOOKER BROTHERS CONSTRUCTION COMPANY
Employer identification number (EIN):	470497227
NAIC Classification:	238900