401k Plan data: F.H. FURR PLUMBING, HEATING, & AIR CONDITIONING, INC. 401(K) PLAN #001 plan

F.H. FURR PLUMBING, HEATING, & AIR CONDITIONING, INC. 401(K) PLAN #001 401k Plan overview

Plan Name	F.H. FURR PLUMBING, HEATING, & AIR CONDITIONING, INC. 401(K) PLAN #001
Plan identification number	001

F.H. FURR PLUMBING, HEATING, & AIR CONDITIONING, INC. 401(K) PLAN #001 Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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.

401k Sponsoring company profile

F.H. FURR PLUMBING, HEATING, AIR CONDITIONING, INC. has sponsored the creation of one or more 401k plans.

Company Name: F.H. FURR PLUMBING, HEATING, AIR CONDITIONING, INC.

Employer identification number (EIN): 541457942

NAIC Classification: 238220
NAIC Description: Plumbing, Heating, and Air-Conditioning Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan F.H. FURR PLUMBING, HEATING, & AIR CONDITIONING, INC. 401(K) PLAN #001

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01
001 2018-01-01
001 2017-01-01 SAMUEL C. NANTZ 2018-10-15
001 2016-01-01 SAMUEL C. NANTZ 2017-07-18
001 2015-01-01 SAMUEL C. NANTZ 2016-09-21
001 2014-01-01 SAMUEL C. NANTZ 2015-10-10
001 2013-01-01 SAMUEL C. NANTZ 2014-09-08
001 2012-01-01 SAMUEL C. NANTZ
001 2011-01-01 SAMUEL NANTZ
001 2009-01-01 SAMUEL NANTZ

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2019-01-01
001	2018-01-01
001	2017-01-01	SAMUEL C. NANTZ	2018-10-15
001	2016-01-01	SAMUEL C. NANTZ	2017-07-18
001	2015-01-01	SAMUEL C. NANTZ	2016-09-21
001	2014-01-01	SAMUEL C. NANTZ	2015-10-10
001	2013-01-01	SAMUEL C. NANTZ	2014-09-08
001	2012-01-01	SAMUEL C. NANTZ
001	2011-01-01	SAMUEL NANTZ
001	2009-01-01	SAMUEL NANTZ

Plan Statistics for F.H. FURR PLUMBING, HEATING, & AIR CONDITIONING, INC. 401(K) PLAN #001

401k plan membership statisitcs for F.H. FURR PLUMBING, HEATING, & AIR CONDITIONING, INC. 401(K) PLAN #001

Measure Date Value
2012: F.H. FURR PLUMBING, HEATING, & AIR CONDITIONING, INC. 401(K) PLAN #001 2012 401k membership
Total participants, beginning-of-year 2012-01-01 193
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 137
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 8
Total of all active and inactive participants 2012-01-01 145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 145
Number of participants with account balances 2012-01-01 101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 4
2011: F.H. FURR PLUMBING, HEATING, & AIR CONDITIONING, INC. 401(K) PLAN #001 2011 401k membership
Total participants, beginning-of-year 2011-01-01 185
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 183
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 7
Total of all active and inactive participants 2011-01-01 190
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 191
Number of participants with account balances 2011-01-01 73
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 3
2009: F.H. FURR PLUMBING, HEATING, & AIR CONDITIONING, INC. 401(K) PLAN #001 2009 401k membership
Total participants, beginning-of-year 2009-01-01 148
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 147
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 8
Total of all active and inactive participants 2009-01-01 155
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 155
Number of participants with account balances 2009-01-01 54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2012: F.H. FURR PLUMBING, HEATING, & AIR CONDITIONING, INC. 401(K) PLAN #001 2012 401k membership
Total participants, beginning-of-year	2012-01-01	193
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	137
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	8
Total of all active and inactive participants	2012-01-01	145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	145
Number of participants with account balances	2012-01-01	101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	4
2011: F.H. FURR PLUMBING, HEATING, & AIR CONDITIONING, INC. 401(K) PLAN #001 2011 401k membership
Total participants, beginning-of-year	2011-01-01	185
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	183
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	7
Total of all active and inactive participants	2011-01-01	190
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	191
Number of participants with account balances	2011-01-01	73
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	3
2009: F.H. FURR PLUMBING, HEATING, & AIR CONDITIONING, INC. 401(K) PLAN #001 2009 401k membership
Total participants, beginning-of-year	2009-01-01	148
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	147
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	8
Total of all active and inactive participants	2009-01-01	155
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	155
Number of participants with account balances	2009-01-01	54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on F.H. FURR PLUMBING, HEATING, & AIR CONDITIONING, INC. 401(K) PLAN #001

Measure	Date	Value
2012 : F.H. FURR PLUMBING, HEATING, & AIR CONDITIONING, INC. 401(K) PLAN #001 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$695,024
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$245,621
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$243,633
Value of total corrective distributions	2012-12-31	$537
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$460,925
Value of total assets at end of year	2012-12-31	$2,422,756
Value of total assets at beginning of year	2012-12-31	$1,973,353
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$1,451
Total interest from all sources	2012-12-31	$7,390
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$5,384
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$5,384
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$335,996
Participant contributions at end of year	2012-12-31	$144,127
Participant contributions at beginning of year	2012-12-31	$103,491
Participant contributions at end of year	2012-12-31	$15,515
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$449,403
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$2,422,756
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,973,353
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$2,143,917
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$1,869,862
Interest on participant loans	2012-12-31	$7,390
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$23,159
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$221,325
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$124,929
Employer contributions (assets) at end of year	2012-12-31	$96,038
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$243,633
Contract administrator fees	2012-12-31	$1,451
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	2012-12-31	Yes
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	CHARLES W. SNADER, P.C.
Accountancy firm EIN	2012-12-31	541873714
2011 : F.H. FURR PLUMBING, HEATING, & AIR CONDITIONING, INC. 401(K) PLAN #001 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$259,554
Total of all expenses incurred	2011-12-31	$33,340
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$32,673
Expenses. Certain deemed distributions of participant loans	2011-12-31	$42
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$301,318
Value of total assets at end of year	2011-12-31	$1,973,353
Value of total assets at beginning of year	2011-12-31	$1,747,139
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$625
Total interest from all sources	2011-12-31	$8,554
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$35,035
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$35,035
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$277,162
Participant contributions at end of year	2011-12-31	$103,491
Participant contributions at beginning of year	2011-12-31	$114,088
Administrative expenses (other) incurred	2011-12-31	$625
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$226,214
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,973,353
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,747,139
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$1,698,984
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$1,574,811
Interest on participant loans	2011-12-31	$8,554
Value of interest in common/collective trusts at end of year	2011-12-31	$170,862
Value of interest in common/collective trusts at beginning of year	2011-12-31	$58,224
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$16
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$16
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$16
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-90,611
Net investment gain or loss from common/collective trusts	2011-12-31	$5,258
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$24,156
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$32,673
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	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	CANSECO LAW GROUP, LLC
Accountancy firm EIN	2011-12-31	205388071
2010 : F.H. FURR PLUMBING, HEATING, & AIR CONDITIONING, INC. 401(K) PLAN #001 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$426,582
Total of all expenses incurred	2010-12-31	$73,156
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$71,605
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$229,370
Value of total assets at end of year	2010-12-31	$1,747,139
Value of total assets at beginning of year	2010-12-31	$1,393,713
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$1,551
Total interest from all sources	2010-12-31	$6,155
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$23,672
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$23,672
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
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	$205,893
Participant contributions at end of year	2010-12-31	$114,088
Participant contributions at beginning of year	2010-12-31	$63,918
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$2,103
Administrative expenses (other) incurred	2010-12-31	$1,551
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	$353,426
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,747,139
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,393,713
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 registered invesment companies (eg mutual funds) at end of year	2010-12-31	$1,574,811
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$1,285,387
Interest on participant loans	2010-12-31	$6,155
Value of interest in common/collective trusts at end of year	2010-12-31	$58,224
Value of interest in common/collective trusts at beginning of year	2010-12-31	$44,392
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$16
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$16
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$16
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$165,530
Net investment gain or loss from common/collective trusts	2010-12-31	$1,855
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	$21,374
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$71,605
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	2010-12-31	No
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	CANSECO LAW GROUP, LLC
Accountancy firm EIN	2010-12-31	205388071
2009 : F.H. FURR PLUMBING, HEATING, & AIR CONDITIONING, INC. 401(K) PLAN #001 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 F.H. FURR PLUMBING, HEATING, & AIR CONDITIONING, INC. 401(K) PLAN #001

2012: F.H. FURR PLUMBING, HEATING, & AIR CONDITIONING, INC. 401(K) PLAN #001 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: F.H. FURR PLUMBING, HEATING, & AIR CONDITIONING, INC. 401(K) PLAN #001 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: F.H. FURR PLUMBING, HEATING, & AIR CONDITIONING, INC. 401(K) PLAN #001 2009 form 5500 responses
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 funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

108046

Policy instance

Insurance contract or identification number	108046
Number of Individuals Covered	103
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $21,011
Total amount of fees paid to insurance company	USD $48
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?	Yes
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
Commission paid to Insurance Broker	USD $21,011
Insurance broker organization code?	3
Amount paid for insurance broker fees	48
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	DIXON HUGHES GOODMAN, LLP

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Company Name:	F.H. FURR PLUMBING, HEATING, AIR CONDITIONING, INC.
Employer identification number (EIN):	541457942
NAIC Classification:	238220
NAIC Description:	Plumbing, Heating, and Air-Conditioning Contractors