401k Plan data: CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN plan

CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 401k Plan overview

Plan Name	CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN
Plan identification number	001

CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
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

CALIFORNIA CASCADE BUILDING MATERIALS, INC. has sponsored the creation of one or more 401k plans.

Company Name: CALIFORNIA CASCADE BUILDING MATERIALS, INC.

Employer identification number (EIN): 474342815

NAIC Classification: 321900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 MELISSA JOHNSTONE
001 2016-01-01 MELISSA JOHNSTONE
001 2015-01-01 STUART HEATH

Plan Statistics for CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN

401k plan membership statisitcs for CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN

Measure Date Value
2022: CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 216
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 167
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 31
Total of all active and inactive participants 2022-01-01 198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 198
Number of participants with account balances 2022-01-01 101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 179
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 190
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 21
Total of all active and inactive participants 2021-01-01 211
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 211
Number of participants with account balances 2021-01-01 100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 197
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 160
Number of retired or separated participants receiving benefits 2020-01-01 2
Number of other retired or separated participants entitled to future benefits 2020-01-01 10
Total of all active and inactive participants 2020-01-01 172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 172
Number of participants with account balances 2020-01-01 65
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 152
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 184
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 9
Total of all active and inactive participants 2019-01-01 193
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 193
Number of participants with account balances 2019-01-01 62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 102
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 144
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 8
Total of all active and inactive participants 2018-01-01 152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 152
Number of participants with account balances 2018-01-01 45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 107
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 99
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 2
Total of all active and inactive participants 2017-01-01 101
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 101
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 0
2016: CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 111
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 103
Number of retired or separated participants receiving benefits 2016-01-01 1
Number of other retired or separated participants entitled to future benefits 2016-01-01 3
Total of all active and inactive participants 2016-01-01 107
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 107
Number of participants with account balances 2016-01-01 39
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 115
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 108
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 1
Total of all active and inactive participants 2015-01-01 109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 109
Number of participants with account balances 2015-01-01 37
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0

Measure	Date	Value
2022: CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	216
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	167
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	31
Total of all active and inactive participants	2022-01-01	198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	198
Number of participants with account balances	2022-01-01	101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	179
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	190
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	21
Total of all active and inactive participants	2021-01-01	211
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	211
Number of participants with account balances	2021-01-01	100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	197
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	160
Number of retired or separated participants receiving benefits	2020-01-01	2
Number of other retired or separated participants entitled to future benefits	2020-01-01	10
Total of all active and inactive participants	2020-01-01	172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	172
Number of participants with account balances	2020-01-01	65
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	152
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	184
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	9
Total of all active and inactive participants	2019-01-01	193
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	193
Number of participants with account balances	2019-01-01	62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	102
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	144
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	8
Total of all active and inactive participants	2018-01-01	152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	152
Number of participants with account balances	2018-01-01	45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	107
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	99
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	2
Total of all active and inactive participants	2017-01-01	101
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	101
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	0
2016: CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	111
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	103
Number of retired or separated participants receiving benefits	2016-01-01	1
Number of other retired or separated participants entitled to future benefits	2016-01-01	3
Total of all active and inactive participants	2016-01-01	107
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	107
Number of participants with account balances	2016-01-01	39
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	115
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	108
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	1
Total of all active and inactive participants	2015-01-01	109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	109
Number of participants with account balances	2015-01-01	37
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0

Financial Data on CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN

Measure	Date	Value
2022 : CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2022 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$106
Total income from all sources (including contributions)	2022-12-31	$-7,951
Total of all expenses incurred	2022-12-31	$40,383
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$27,438
Value of total corrective distributions	2022-12-31	$906
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$352,694
Value of total assets at end of year	2022-12-31	$2,665,530
Value of total assets at beginning of year	2022-12-31	$2,713,970
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$12,039
Total interest from all sources	2022-12-31	$2,968
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$188,522
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$188,522
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$271,386
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$352,694
Participant contributions at end of year	2022-12-31	$47,015
Participant contributions at beginning of year	2022-12-31	$26,889
Participant contributions at end of year	2022-12-31	$100
Participant contributions at beginning of year	2022-12-31	$128
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$106
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-48,334
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$2,665,530
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$2,713,864
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$9,981
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$2,593,180
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$2,670,314
Interest on participant loans	2022-12-31	$2,968
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$25,235
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$16,639
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-552,135
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$27,438
Contract administrator fees	2022-12-31	$2,058
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	EIDE BAILLY, LLP
Accountancy firm EIN	2022-12-31	450250958
2021 : CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$106
Total income from all sources (including contributions)	2021-12-31	$582,542
Total of all expenses incurred	2021-12-31	$175,123
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$171,706
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$287,329
Value of total assets at end of year	2021-12-31	$2,713,970
Value of total assets at beginning of year	2021-12-31	$2,306,445
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$3,417
Total interest from all sources	2021-12-31	$2,008
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$293,205
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$293,205
Administrative expenses professional fees incurred	2021-12-31	$3,417
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$230,645
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$287,329
Participant contributions at end of year	2021-12-31	$26,889
Participant contributions at beginning of year	2021-12-31	$33,690
Participant contributions at end of year	2021-12-31	$128
Participant contributions at beginning of year	2021-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$106
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$407,419
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$2,713,864
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$2,306,445
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$2,670,314
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$2,265,944
Interest on participant loans	2021-12-31	$2,008
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$16,639
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$6,811
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$171,706
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	EIDE BAILLY, LLP
Accountancy firm EIN	2021-12-31	450250958
2020 : CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2020 401k financial data
Total income from all sources (including contributions)	2020-12-31	$495,086
Total of all expenses incurred	2020-12-31	$172,852
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$166,040
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$220,868
Value of total assets at end of year	2020-12-31	$2,306,445
Value of total assets at beginning of year	2020-12-31	$1,984,211
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$6,812
Total interest from all sources	2020-12-31	$5,864
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$97,087
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$97,087
Administrative expenses professional fees incurred	2020-12-31	$4,003
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$300,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$220,868
Participant contributions at end of year	2020-12-31	$33,690
Participant contributions at beginning of year	2020-12-31	$70,738
Participant contributions at end of year	2020-12-31	$0
Participant contributions at beginning of year	2020-12-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2020-12-31	$258
Other income not declared elsewhere	2020-12-31	$49
Administrative expenses (other) incurred	2020-12-31	$920
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$322,234
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$2,306,445
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$1,984,211
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$1,889
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$2,265,944
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$1,908,309
Interest on participant loans	2020-12-31	$3,566
Interest earned on other investments	2020-12-31	$2,297
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$1
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$6,811
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$5,164
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$171,218
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$165,782
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	EIDE BAILLY, LLP
Accountancy firm EIN	2020-12-31	450250958
2019 : CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$534,466
Total of all expenses incurred	2019-12-31	$276,211
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$252,851
Value of total corrective distributions	2019-12-31	$15,549
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$200,902
Value of total assets at end of year	2019-12-31	$1,984,211
Value of total assets at beginning of year	2019-12-31	$1,725,956
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$7,811
Total interest from all sources	2019-12-31	$4,370
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$123,345
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$123,345
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$300,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$200,902
Participant contributions at end of year	2019-12-31	$70,738
Participant contributions at beginning of year	2019-12-31	$57,792
Participant contributions at end of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$5,172
Other income not declared elsewhere	2019-12-31	$261
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$258,255
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$1,984,211
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,725,956
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$1,908,309
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,623,396
Interest on participant loans	2019-12-31	$4,370
Interest earned on other investments	2019-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$5,164
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$39,596
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$205,588
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$252,851
Contract administrator fees	2019-12-31	$7,811
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	EIDE BAILLY, LLP
Accountancy firm EIN	2019-12-31	450250958
2018 : CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$71,994
Total of all expenses incurred	2018-12-31	$46,409
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$14,321
Value of total corrective distributions	2018-12-31	$25,875
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$168,259
Value of total assets at end of year	2018-12-31	$1,725,956
Value of total assets at beginning of year	2018-12-31	$1,700,371
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$6,213
Total interest from all sources	2018-12-31	$1,709
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$131,754
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$131,754
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$110,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$168,259
Participant contributions at end of year	2018-12-31	$57,792
Participant contributions at beginning of year	2018-12-31	$20,676
Participant contributions at end of year	2018-12-31	$5,172
Other income not declared elsewhere	2018-12-31	$447
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$25,585
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$1,725,956
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$1,700,371
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$1,623,396
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$1,641,242
Interest on participant loans	2018-12-31	$1,709
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$39,596
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$38,453
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-230,175
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$14,321
Contract administrator fees	2018-12-31	$6,213
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	EIDE BAILLY, LLP
Accountancy firm EIN	2018-12-31	450250958
2017 : CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$412,171
Total of all expenses incurred	2017-12-31	$186,161
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$180,280
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$187,892
Value of total assets at end of year	2017-12-31	$1,700,371
Value of total assets at beginning of year	2017-12-31	$1,474,361
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$5,881
Total interest from all sources	2017-12-31	$2,021
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$83,817
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$83,817
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$147,436
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$187,892
Participant contributions at end of year	2017-12-31	$20,676
Participant contributions at beginning of year	2017-12-31	$77,531
Other income not declared elsewhere	2017-12-31	$401
Administrative expenses (other) incurred	2017-12-31	$560
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$226,010
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,700,371
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,474,361
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$1,641,242
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$1,361,865
Interest on participant loans	2017-12-31	$2,021
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$38,453
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$34,965
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$138,040
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$180,280
Contract administrator fees	2017-12-31	$5,321
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	VAVRINEK, TRINE, DAY & CO., LLP
Accountancy firm EIN	2017-12-31	952648289
2016 : CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$316,282
Total of all expenses incurred	2016-12-31	$69,252
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$60,441
Expenses. Certain deemed distributions of participant loans	2016-12-31	$1,693
Value of total corrective distributions	2016-12-31	$2,564
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$217,750
Value of total assets at end of year	2016-12-31	$1,474,361
Value of total assets at beginning of year	2016-12-31	$1,227,331
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$4,554
Total interest from all sources	2016-12-31	$98,532
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$110,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$217,750
Participant contributions at end of year	2016-12-31	$77,531
Participant contributions at beginning of year	2016-12-31	$45,420
Administrative expenses (other) incurred	2016-12-31	$240
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$247,030
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,474,361
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,227,331
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$1,361,865
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$1,152,478
Interest on participant loans	2016-12-31	$4,457
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$94,075
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$34,965
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$29,433
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$60,441
Contract administrator fees	2016-12-31	$4,314
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	EDWARD W. KINNEY CPA
Accountancy firm EIN	2016-12-31	270453333
2015 : CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$1,227,332
Total of all expenses incurred	2015-12-31	$1
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,219,584
Value of total assets at end of year	2015-12-31	$1,227,331
Value of total assets at beginning of year	2015-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$1
Total interest from all sources	2015-12-31	$860
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$300,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$91,642
Participant contributions at end of year	2015-12-31	$45,420
Participant contributions at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$1,127,942
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$1,227,331
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$1,227,331
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$1,152,478
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$0
Interest on participant loans	2015-12-31	$860
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$29,433
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$6,888
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contract administrator fees	2015-12-31	$1
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2015-12-31	No
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	EDWARD W. KINNEY, CPA
Accountancy firm EIN	2015-12-31	270453333

Form 5500 Responses for CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN

2022: CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
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: CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	Yes
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: CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
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: CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
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: CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
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: CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
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: CALIFORNIA CASCADE BUILDING MATERIALS, INC. 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	First time form 5500 has been submitted	Yes
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	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

374060-01

Policy instance

Insurance contract or identification number	374060-01
Number of Individuals Covered	44
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
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

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

Policy contract number

374060-01

Policy instance

Insurance contract or identification number	374060-01
Number of Individuals Covered	46
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes

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

Policy contract number

374060-01

Policy instance

Insurance contract or identification number	374060-01
Number of Individuals Covered	24
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
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

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

Policy contract number

374060-01

Policy instance

Insurance contract or identification number	374060-01
Number of Individuals Covered	19
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes

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

Policy contract number

374060-01

Policy instance

Insurance contract or identification number	374060-01
Number of Individuals Covered	5
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 $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes

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

Policy contract number

374060-01

Policy instance

Insurance contract or identification number	374060-01
Number of Individuals Covered	2
Total amount of commissions paid to insurance broker	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes

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

Policy contract number

374060-01

Policy instance

Insurance contract or identification number	374060-01
Number of Individuals Covered	3
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes

Potentially related plans

CALIFORNIA CASCADE IND. 401K PLAN [EIN = 942281392]

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Company Name:	CALIFORNIA CASCADE BUILDING MATERIALS, INC.
Employer identification number (EIN):	474342815
NAIC Classification:	321900