401k Plan data: TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN plan

TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 401k Plan overview

Plan Name	TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN
Plan identification number	001

TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily flat dollar (includes dollars per year of service)
Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

T-PAC, A DIVISION OF KIEWIT WESTERN has sponsored the creation of one or more 401k plans.

Company Name: T-PAC, A DIVISION OF KIEWIT WESTERN

Employer identification number (EIN): 470640264

NAIC Classification: 237310
NAIC Description: Highway, Street, and Bridge Construction

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-10-01 GEORGE KLEINE
001 2014-10-01 GEORGE KLEINE
001 2013-10-01 GEORGE KLEINE
001 2012-10-01 GEORGE KLEINE
001 2011-10-01 GEORGE KLEINE
001 2011-01-01 SANDI OTTO 2012-05-17
001 2010-01-01 SANDI OTTO
001 2009-10-01 GEORGE E KLEINE
001 2009-01-01 SANDI K. OTTO
001 2008-10-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2015-10-01	GEORGE KLEINE
001	2014-10-01	GEORGE KLEINE
001	2013-10-01	GEORGE KLEINE
001	2012-10-01	GEORGE KLEINE
001	2011-10-01	GEORGE KLEINE
001	2011-01-01	SANDI OTTO	2012-05-17
001	2010-01-01	SANDI OTTO
001	2009-10-01	GEORGE E KLEINE
001	2009-01-01	SANDI K. OTTO
001	2008-10-01

Plan Statistics for TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN

401k plan membership statisitcs for TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN

Measure Date Value
2015: TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 254
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 41
Number of retired or separated participants receiving benefits 2015-10-01 64
Number of other retired or separated participants entitled to future benefits 2015-10-01 140
Total of all active and inactive participants 2015-10-01 245
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-10-01 8
Total participants 2015-10-01 253
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-10-01 0
2014: TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 255
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 43
Number of retired or separated participants receiving benefits 2014-10-01 64
Number of other retired or separated participants entitled to future benefits 2014-10-01 139
Total of all active and inactive participants 2014-10-01 246
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-10-01 8
Total participants 2014-10-01 254
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-10-01 1
2013: TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 254
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 51
Number of retired or separated participants receiving benefits 2013-10-01 64
Number of other retired or separated participants entitled to future benefits 2013-10-01 134
Total of all active and inactive participants 2013-10-01 249
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-10-01 6
Total participants 2013-10-01 255
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-10-01 2
2012: TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 255
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 43
Number of retired or separated participants receiving benefits 2012-10-01 63
Number of other retired or separated participants entitled to future benefits 2012-10-01 143
Total of all active and inactive participants 2012-10-01 249
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-10-01 5
Total participants 2012-10-01 254
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-10-01 2
2011: TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 253
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 44
Number of retired or separated participants receiving benefits 2011-10-01 61
Number of other retired or separated participants entitled to future benefits 2011-10-01 145
Total of all active and inactive participants 2011-10-01 250
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-10-01 5
Total participants 2011-10-01 255
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-10-01 0
2010: TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 235
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 214
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 14
Total of all active and inactive participants 2010-01-01 228
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 228
Number of participants with account balances 2010-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 258
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 51
Number of retired or separated participants receiving benefits 2009-10-01 51
Number of other retired or separated participants entitled to future benefits 2009-10-01 152
Total of all active and inactive participants 2009-10-01 254
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-10-01 3
Total participants 2009-10-01 257
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-10-01 0
Total participants, beginning-of-year 2009-01-01 243
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 222
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 13
Total of all active and inactive participants 2009-01-01 235
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 235
Number of participants with account balances 2009-01-01 33
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2015: TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	254
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	41
Number of retired or separated participants receiving benefits	2015-10-01	64
Number of other retired or separated participants entitled to future benefits	2015-10-01	140
Total of all active and inactive participants	2015-10-01	245
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-10-01	8
Total participants	2015-10-01	253
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-10-01	0
2014: TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	255
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	43
Number of retired or separated participants receiving benefits	2014-10-01	64
Number of other retired or separated participants entitled to future benefits	2014-10-01	139
Total of all active and inactive participants	2014-10-01	246
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-10-01	8
Total participants	2014-10-01	254
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-10-01	1
2013: TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	254
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	51
Number of retired or separated participants receiving benefits	2013-10-01	64
Number of other retired or separated participants entitled to future benefits	2013-10-01	134
Total of all active and inactive participants	2013-10-01	249
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-10-01	6
Total participants	2013-10-01	255
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-10-01	2
2012: TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	255
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	43
Number of retired or separated participants receiving benefits	2012-10-01	63
Number of other retired or separated participants entitled to future benefits	2012-10-01	143
Total of all active and inactive participants	2012-10-01	249
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-10-01	5
Total participants	2012-10-01	254
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-10-01	2
2011: TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	253
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	44
Number of retired or separated participants receiving benefits	2011-10-01	61
Number of other retired or separated participants entitled to future benefits	2011-10-01	145
Total of all active and inactive participants	2011-10-01	250
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-10-01	5
Total participants	2011-10-01	255
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-10-01	0
2010: TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	235
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	214
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	14
Total of all active and inactive participants	2010-01-01	228
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	228
Number of participants with account balances	2010-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	258
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	51
Number of retired or separated participants receiving benefits	2009-10-01	51
Number of other retired or separated participants entitled to future benefits	2009-10-01	152
Total of all active and inactive participants	2009-10-01	254
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-10-01	3
Total participants	2009-10-01	257
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-10-01	0
Total participants, beginning-of-year	2009-01-01	243
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	222
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	13
Total of all active and inactive participants	2009-01-01	235
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	235
Number of participants with account balances	2009-01-01	33
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN

Measure	Date	Value
2016 : TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-09-30	$0
Total income from all sources (including contributions)	2016-09-30	$645,327
Total loss/gain on sale of assets	2016-09-30	$0
Total of all expenses incurred	2016-09-30	$270,348
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-09-30	$189,538
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-09-30	$210,538
Value of total assets at end of year	2016-09-30	$4,808,121
Value of total assets at beginning of year	2016-09-30	$4,433,142
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-09-30	$80,810
Total interest from all sources	2016-09-30	$6
Total dividends received (eg from common stock, registered investment company shares)	2016-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-09-30	No
Administrative expenses professional fees incurred	2016-09-30	$77,950
Was this plan covered by a fidelity bond	2016-09-30	Yes
Value of fidelity bond cover	2016-09-30	$10,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-09-30	No
Administrative expenses (other) incurred	2016-09-30	$2,860
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-09-30	No
Value of net income/loss	2016-09-30	$374,979
Value of net assets at end of year (total assets less liabilities)	2016-09-30	$4,808,121
Value of net assets at beginning of year (total assets less liabilities)	2016-09-30	$4,433,142
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-09-30	No
Were any leases to which the plan was party in default or uncollectible	2016-09-30	No
Value of interest in pooled separate accounts at end of year	2016-09-30	$4,740,105
Value of interest in pooled separate accounts at beginning of year	2016-09-30	$4,418,029
Interest earned on other investments	2016-09-30	$6
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-09-30	$-34
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-09-30	$3,308
Net investment gain/loss from pooled separate accounts	2016-09-30	$434,783
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-09-30	Yes
Was there a failure to transmit to the plan any participant contributions	2016-09-30	No
Has the plan failed to provide any benefit when due under the plan	2016-09-30	No
Contributions received in cash from employer	2016-09-30	$210,538
Employer contributions (assets) at end of year	2016-09-30	$68,050
Employer contributions (assets) at beginning of year	2016-09-30	$11,805
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-09-30	$189,538
Did the plan have assets held for investment	2016-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-09-30	Disclaimer
Accountancy firm name	2016-09-30	KPMG
Accountancy firm EIN	2016-09-30	135565207
2015 : TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-09-30	$0
Total income from all sources (including contributions)	2015-09-30	$99,380
Total loss/gain on sale of assets	2015-09-30	$0
Total of all expenses incurred	2015-09-30	$264,300
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-09-30	$183,216
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-09-30	$196,355
Value of total assets at end of year	2015-09-30	$4,433,142
Value of total assets at beginning of year	2015-09-30	$4,598,062
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-09-30	$81,084
Total interest from all sources	2015-09-30	$6
Total dividends received (eg from common stock, registered investment company shares)	2015-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-09-30	No
Administrative expenses professional fees incurred	2015-09-30	$78,342
Was this plan covered by a fidelity bond	2015-09-30	Yes
Value of fidelity bond cover	2015-09-30	$10,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-09-30	No
Administrative expenses (other) incurred	2015-09-30	$2,742
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-09-30	No
Value of net income/loss	2015-09-30	$-164,920
Value of net assets at end of year (total assets less liabilities)	2015-09-30	$4,433,142
Value of net assets at beginning of year (total assets less liabilities)	2015-09-30	$4,598,062
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-09-30	No
Were any leases to which the plan was party in default or uncollectible	2015-09-30	No
Value of interest in pooled separate accounts at end of year	2015-09-30	$4,418,029
Value of interest in pooled separate accounts at beginning of year	2015-09-30	$4,512,334
Interest earned on other investments	2015-09-30	$6
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-09-30	$3,308
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-09-30	$15,852
Net investment gain/loss from pooled separate accounts	2015-09-30	$-96,981
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-09-30	Yes
Was there a failure to transmit to the plan any participant contributions	2015-09-30	No
Has the plan failed to provide any benefit when due under the plan	2015-09-30	No
Contributions received in cash from employer	2015-09-30	$196,355
Employer contributions (assets) at end of year	2015-09-30	$11,805
Employer contributions (assets) at beginning of year	2015-09-30	$69,876
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-09-30	$183,216
Did the plan have assets held for investment	2015-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-09-30	Disclaimer
Accountancy firm name	2015-09-30	KPMG
Accountancy firm EIN	2015-09-30	135565207
2014 : TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$0
Total income from all sources (including contributions)	2014-09-30	$597,040
Total loss/gain on sale of assets	2014-09-30	$0
Total of all expenses incurred	2014-09-30	$270,395
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-09-30	$178,717
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-09-30	$243,792
Value of total assets at end of year	2014-09-30	$4,598,062
Value of total assets at beginning of year	2014-09-30	$4,271,417
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-09-30	$91,678
Total interest from all sources	2014-09-30	$5
Total dividends received (eg from common stock, registered investment company shares)	2014-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-09-30	No
Administrative expenses professional fees incurred	2014-09-30	$88,825
Was this plan covered by a fidelity bond	2014-09-30	Yes
Value of fidelity bond cover	2014-09-30	$10,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-09-30	No
Administrative expenses (other) incurred	2014-09-30	$2,853
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-09-30	No
Value of net income/loss	2014-09-30	$326,645
Value of net assets at end of year (total assets less liabilities)	2014-09-30	$4,598,062
Value of net assets at beginning of year (total assets less liabilities)	2014-09-30	$4,271,417
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-09-30	No
Were any leases to which the plan was party in default or uncollectible	2014-09-30	No
Value of interest in pooled separate accounts at end of year	2014-09-30	$4,512,334
Value of interest in pooled separate accounts at beginning of year	2014-09-30	$4,220,774
Interest earned on other investments	2014-09-30	$5
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-09-30	$15,852
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-09-30	$241
Net investment gain/loss from pooled separate accounts	2014-09-30	$353,243
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-09-30	Yes
Was there a failure to transmit to the plan any participant contributions	2014-09-30	No
Has the plan failed to provide any benefit when due under the plan	2014-09-30	No
Contributions received in cash from employer	2014-09-30	$243,792
Employer contributions (assets) at end of year	2014-09-30	$69,876
Employer contributions (assets) at beginning of year	2014-09-30	$50,402
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-09-30	$178,717
Did the plan have assets held for investment	2014-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-09-30	Disclaimer
Accountancy firm name	2014-09-30	KPMG
Accountancy firm EIN	2014-09-30	135565207
2013 : TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-09-30	$0
Total income from all sources (including contributions)	2013-09-30	$634,013
Total loss/gain on sale of assets	2013-09-30	$0
Total of all expenses incurred	2013-09-30	$231,534
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-09-30	$175,874
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-09-30	$241,570
Value of total assets at end of year	2013-09-30	$4,271,417
Value of total assets at beginning of year	2013-09-30	$3,868,938
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-09-30	$55,660
Total interest from all sources	2013-09-30	$5
Total dividends received (eg from common stock, registered investment company shares)	2013-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-09-30	No
Administrative expenses professional fees incurred	2013-09-30	$53,000
Was this plan covered by a fidelity bond	2013-09-30	Yes
Value of fidelity bond cover	2013-09-30	$10,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-09-30	No
Administrative expenses (other) incurred	2013-09-30	$2,660
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-09-30	No
Value of net income/loss	2013-09-30	$402,479
Value of net assets at end of year (total assets less liabilities)	2013-09-30	$4,271,417
Value of net assets at beginning of year (total assets less liabilities)	2013-09-30	$3,868,938
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-09-30	No
Were any leases to which the plan was party in default or uncollectible	2013-09-30	No
Value of interest in pooled separate accounts at end of year	2013-09-30	$4,220,774
Value of interest in pooled separate accounts at beginning of year	2013-09-30	$3,782,142
Interest earned on other investments	2013-09-30	$5
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-09-30	$241
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-09-30	$770
Net investment gain/loss from pooled separate accounts	2013-09-30	$392,438
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-09-30	Yes
Was there a failure to transmit to the plan any participant contributions	2013-09-30	No
Has the plan failed to provide any benefit when due under the plan	2013-09-30	No
Contributions received in cash from employer	2013-09-30	$241,570
Employer contributions (assets) at end of year	2013-09-30	$50,402
Employer contributions (assets) at beginning of year	2013-09-30	$86,026
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-09-30	$175,874
Did the plan have assets held for investment	2013-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-09-30	Disclaimer
Accountancy firm name	2013-09-30	KPMG
Accountancy firm EIN	2013-09-30	135565207
2012 : TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-09-30	$0
Total income from all sources (including contributions)	2012-09-30	$918,181
Total loss/gain on sale of assets	2012-09-30	$0
Total of all expenses incurred	2012-09-30	$236,572
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-09-30	$162,457
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-09-30	$353,234
Value of total assets at end of year	2012-09-30	$3,868,938
Value of total assets at beginning of year	2012-09-30	$3,187,329
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-09-30	$74,115
Total interest from all sources	2012-09-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-09-30	No
Administrative expenses professional fees incurred	2012-09-30	$71,510
Was this plan covered by a fidelity bond	2012-09-30	Yes
Value of fidelity bond cover	2012-09-30	$10,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-09-30	No
Other income not declared elsewhere	2012-09-30	$5
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-09-30	No
Value of net income/loss	2012-09-30	$681,609
Value of net assets at end of year (total assets less liabilities)	2012-09-30	$3,868,938
Value of net assets at beginning of year (total assets less liabilities)	2012-09-30	$3,187,329
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-09-30	No
Were any leases to which the plan was party in default or uncollectible	2012-09-30	No
Value of interest in pooled separate accounts at end of year	2012-09-30	$3,782,142
Value of interest in pooled separate accounts at beginning of year	2012-09-30	$3,142,223
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-09-30	$770
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-09-30	$-12
Net investment gain/loss from pooled separate accounts	2012-09-30	$564,942
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-09-30	Yes
Was there a failure to transmit to the plan any participant contributions	2012-09-30	No
Has the plan failed to provide any benefit when due under the plan	2012-09-30	No
Contributions received in cash from employer	2012-09-30	$353,234
Employer contributions (assets) at end of year	2012-09-30	$86,026
Employer contributions (assets) at beginning of year	2012-09-30	$45,118
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-09-30	$162,457
Contract administrator fees	2012-09-30	$2,605
Did the plan have assets held for investment	2012-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-09-30	Disclaimer
Accountancy firm name	2012-09-30	KPMG
Accountancy firm EIN	2012-09-30	135565207
2011 : TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-09-30	$0
Total income from all sources (including contributions)	2011-09-30	$30,228
Total loss/gain on sale of assets	2011-09-30	$0
Total of all expenses incurred	2011-09-30	$229,911
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-09-30	$151,583
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-09-30	$90,236
Value of total assets at end of year	2011-09-30	$3,187,329
Value of total assets at beginning of year	2011-09-30	$3,387,012
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-09-30	$78,328
Total interest from all sources	2011-09-30	$3
Total dividends received (eg from common stock, registered investment company shares)	2011-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-09-30	No
Administrative expenses professional fees incurred	2011-09-30	$54,328
Was this plan covered by a fidelity bond	2011-09-30	Yes
Value of fidelity bond cover	2011-09-30	$25,000,000
Were there any nonexempt tranactions with any party-in-interest	2011-09-30	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-09-30	No
Value of net income/loss	2011-09-30	$-199,683
Value of net assets at end of year (total assets less liabilities)	2011-09-30	$3,187,329
Value of net assets at beginning of year (total assets less liabilities)	2011-09-30	$3,387,012
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-09-30	No
Were any leases to which the plan was party in default or uncollectible	2011-09-30	No
Value of interest in pooled separate accounts at end of year	2011-09-30	$3,142,223
Value of interest in pooled separate accounts at beginning of year	2011-09-30	$3,261,024
Interest earned on other investments	2011-09-30	$3
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-09-30	$-12
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-09-30	$-605
Net investment gain/loss from pooled separate accounts	2011-09-30	$-60,011
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-09-30	Yes
Was there a failure to transmit to the plan any participant contributions	2011-09-30	No
Has the plan failed to provide any benefit when due under the plan	2011-09-30	No
Contributions received in cash from employer	2011-09-30	$90,236
Employer contributions (assets) at end of year	2011-09-30	$45,118
Employer contributions (assets) at beginning of year	2011-09-30	$126,593
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-09-30	$151,583
Contract administrator fees	2011-09-30	$24,000
Did the plan have assets held for investment	2011-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-09-30	Disclaimer
Accountancy firm name	2011-09-30	KPMG
Accountancy firm EIN	2011-09-30	135565207
2010 : TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$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	$111,327
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$484,950
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$484,950
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$42,283
Value of total assets at end of year	2010-12-31	$562,977
Value of total assets at beginning of year	2010-12-31	$936,600
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$0
Total interest from all sources	2010-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$31,192
Other income not declared elsewhere	2010-12-31	$7,424
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$-373,623
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$562,977
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$936,600
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in pooled separate accounts at end of year	2010-12-31	$425,287
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$633,496
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$137,690
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$303,104
Net investment gain/loss from pooled separate accounts	2010-12-31	$61,620
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$11,091
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$484,950
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	KPMG
Accountancy firm EIN	2010-12-31	133954297
2009 : TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN

2015: TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Submission has been amended	No
2015-10-01	This submission is the final filing	No
2015-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-10-01	Plan is a collectively bargained plan	Yes
2015-10-01	Plan funding arrangement – Insurance	Yes
2015-10-01	Plan benefit arrangement – Insurance	Yes
2014: TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	No
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	Yes
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement – Insurance	Yes
2013: TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	Yes
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2012: TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	Yes
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan funding arrangement – Trust	Yes
2012-10-01	Plan benefit arrangement - Trust	Yes
2011: TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Submission has been amended	No
2011-10-01	This submission is the final filing	No
2011-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-10-01	Plan is a collectively bargained plan	Yes
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan funding arrangement – Trust	Yes
2011-10-01	Plan benefit arrangement - Trust	Yes
2010: TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	Yes
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Submission has been amended	No
2009-10-01	This submission is the final filing	No
2009-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-10-01	Plan is a collectively bargained plan	Yes
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan funding arrangement – Trust	Yes
2009-10-01	Plan benefit arrangement - Trust	Yes
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	Yes
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes
2008: TPAC, A DIVISION OF KIEWIT WESTERN 401(K) SAVINGS PLAN 2008 form 5500 responses
2008-10-01	Type of plan entity	Single employer plan
2008-10-01	Submission has been amended	No
2008-10-01	This submission is the final filing	No
2008-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-10-01	Plan is a collectively bargained plan	No

Insurance Providers Used on plan

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

Policy contract number

39G13365

Policy instance

Insurance contract or identification number	39G13365
Number of Individuals Covered	254
Insurance policy start date	2014-10-01
Insurance policy end date	2015-09-30
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 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	No
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

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

Policy contract number

39G13365

Policy instance

Insurance contract or identification number	39G13365
Number of Individuals Covered	255
Insurance policy start date	2013-10-01
Insurance policy end date	2014-09-30
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 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	No
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

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

Policy contract number

39G13365

Policy instance

Insurance contract or identification number	39G13365
Number of Individuals Covered	254
Insurance policy start date	2012-10-01
Insurance policy end date	2013-09-30
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 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	No
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

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

Policy contract number

39G13365

Policy instance

Insurance contract or identification number	39G13365
Number of Individuals Covered	255
Insurance policy start date	2011-10-01
Insurance policy end date	2012-09-30
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 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	No
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

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

Policy contract number

39G13365

Policy instance

Insurance contract or identification number	39G13365
Number of Individuals Covered	253
Insurance policy start date	2010-10-01
Insurance policy end date	2011-09-30
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?	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 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	No
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

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

Policy contract number

13362

Policy instance

Insurance contract or identification number	13362
Number of Individuals Covered	22
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
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?	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 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?	No
Health Insurance Welfare Benefit	No
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

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Company Name:	T-PAC, A DIVISION OF KIEWIT WESTERN
Employer identification number (EIN):	470640264
NAIC Classification:	237310
NAIC Description:	Highway, Street, and Bridge Construction