401k Plan data: CMI MANAGEMENT, INC. SCA 401(K) PLAN plan

CMI MANAGEMENT, INC. SCA 401(K) PLAN 401k Plan overview

Plan Name	CMI MANAGEMENT, INC. SCA 401(K) PLAN
Plan identification number	002

CMI MANAGEMENT, INC. SCA 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
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.
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

CMI MANAGEMENT INC has sponsored the creation of one or more 401k plans.

Company Name: CMI MANAGEMENT INC

Employer identification number (EIN): 541524907

NAIC Classification: 561210
NAIC Description: Facilities Support Services

Additional information about CMI MANAGEMENT INC

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 2884057

More information about CMI MANAGEMENT INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CMI MANAGEMENT, INC. SCA 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2016-01-01
002 2015-01-01
002 2014-01-01 AZENEGASH ABRAHAM
002 2013-01-01 AZENEGASH ABRAHAM
002 2012-01-01 AZENEGASH ABRAHAM
002 2011-01-01 AZENEGASH ABRAHAM
002 2010-01-01 AZENEGASH ABRAHAM
002 2009-01-01 AZZI ABRAHAM

Plan Statistics for CMI MANAGEMENT, INC. SCA 401(K) PLAN

401k plan membership statisitcs for CMI MANAGEMENT, INC. SCA 401(K) PLAN

Measure Date Value
2014: CMI MANAGEMENT, INC. SCA 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 104
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 97
Number of retired or separated participants receiving benefits 2014-01-01 1
Number of other retired or separated participants entitled to future benefits 2014-01-01 22
Total of all active and inactive participants 2014-01-01 120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 120
Number of participants with account balances 2014-01-01 82
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: CMI MANAGEMENT, INC. SCA 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 105
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 90
Number of retired or separated participants receiving benefits 2013-01-01 2
Number of other retired or separated participants entitled to future benefits 2013-01-01 11
Total of all active and inactive participants 2013-01-01 103
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 103
Number of participants with account balances 2013-01-01 75
2012: CMI MANAGEMENT, INC. SCA 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 99
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 86
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 19
Total of all active and inactive participants 2012-01-01 105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 105
Number of participants with account balances 2012-01-01 80
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: CMI MANAGEMENT, INC. SCA 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 98
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 69
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 30
Total of all active and inactive participants 2011-01-01 99
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 99
Number of participants with account balances 2011-01-01 70
2010: CMI MANAGEMENT, INC. SCA 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 838
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 96
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 28
Total of all active and inactive participants 2010-01-01 124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 124
Number of participants with account balances 2010-01-01 65
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: CMI MANAGEMENT, INC. SCA 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 981
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 640
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 198
Total of all active and inactive participants 2009-01-01 838
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 838
Number of participants with account balances 2009-01-01 838
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2014: CMI MANAGEMENT, INC. SCA 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	104
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	97
Number of retired or separated participants receiving benefits	2014-01-01	1
Number of other retired or separated participants entitled to future benefits	2014-01-01	22
Total of all active and inactive participants	2014-01-01	120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	120
Number of participants with account balances	2014-01-01	82
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: CMI MANAGEMENT, INC. SCA 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	105
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	90
Number of retired or separated participants receiving benefits	2013-01-01	2
Number of other retired or separated participants entitled to future benefits	2013-01-01	11
Total of all active and inactive participants	2013-01-01	103
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	103
Number of participants with account balances	2013-01-01	75
2012: CMI MANAGEMENT, INC. SCA 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	99
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	86
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	19
Total of all active and inactive participants	2012-01-01	105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	105
Number of participants with account balances	2012-01-01	80
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: CMI MANAGEMENT, INC. SCA 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	98
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	69
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	30
Total of all active and inactive participants	2011-01-01	99
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	99
Number of participants with account balances	2011-01-01	70
2010: CMI MANAGEMENT, INC. SCA 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	838
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	96
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	28
Total of all active and inactive participants	2010-01-01	124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	124
Number of participants with account balances	2010-01-01	65
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: CMI MANAGEMENT, INC. SCA 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	981
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	640
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	198
Total of all active and inactive participants	2009-01-01	838
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	838
Number of participants with account balances	2009-01-01	838
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on CMI MANAGEMENT, INC. SCA 401(K) PLAN

Measure	Date	Value
2014 : CMI MANAGEMENT, INC. SCA 401(K) PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$123,509
Expenses. Total of all expenses incurred	2014-12-31	$59,280
Benefits paid (including direct rollovers)	2014-12-31	$51,981
Total plan assets at end of year	2014-12-31	$437,967
Total plan assets at beginning of year	2014-12-31	$373,738
Value of fidelity bond covering the plan	2014-12-31	$500,000
Total contributions received or receivable from participants	2014-12-31	$34,882
Contributions received from other sources (not participants or employers)	2014-12-31	$4,120
Other income received	2014-12-31	$16,284
Net income (gross income less expenses)	2014-12-31	$64,229
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$437,967
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$373,738
Assets. Value of participant loans	2014-12-31	$3,566
Total contributions received or receivable from employer(s)	2014-12-31	$68,223
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$7,299
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : CMI MANAGEMENT, INC. SCA 401(K) PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$134,054
Expenses. Total of all expenses incurred	2013-12-31	$58,613
Benefits paid (including direct rollovers)	2013-12-31	$50,927
Total plan assets at end of year	2013-12-31	$373,738
Total plan assets at beginning of year	2013-12-31	$298,297
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$27,398
Other income received	2013-12-31	$45,826
Net income (gross income less expenses)	2013-12-31	$75,441
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$373,738
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$298,297
Assets. Value of participant loans	2013-12-31	$3,685
Total contributions received or receivable from employer(s)	2013-12-31	$60,830
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$7,686
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : CMI MANAGEMENT, INC. SCA 401(K) PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$153,462
Expenses. Total of all expenses incurred	2012-12-31	$58,516
Benefits paid (including direct rollovers)	2012-12-31	$52,286
Total plan assets at end of year	2012-12-31	$298,297
Total plan assets at beginning of year	2012-12-31	$203,351
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$20,201
Contributions received from other sources (not participants or employers)	2012-12-31	$32,533
Other income received	2012-12-31	$20,286
Net income (gross income less expenses)	2012-12-31	$94,946
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$298,297
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$203,351
Assets. Value of participant loans	2012-12-31	$4,688
Total contributions received or receivable from employer(s)	2012-12-31	$80,442
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$6,230
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : CMI MANAGEMENT, INC. SCA 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$60,164
Expenses. Total of all expenses incurred	2011-12-31	$81,539
Benefits paid (including direct rollovers)	2011-12-31	$78,318
Total plan assets at end of year	2011-12-31	$203,351
Total plan assets at beginning of year	2011-12-31	$224,726
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$13,873
Other income received	2011-12-31	$-3,804
Net income (gross income less expenses)	2011-12-31	$-21,375
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$203,351
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$224,726
Total contributions received or receivable from employer(s)	2011-12-31	$50,095
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$3,221
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : CMI MANAGEMENT, INC. SCA 401(K) 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	$791,241
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$2,249,830
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$2,235,842
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$742,432
Value of total assets at end of year	2010-12-31	$224,726
Value of total assets at beginning of year	2010-12-31	$1,683,315
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$13,988
Total interest from all sources	2010-12-31	$18,733
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	$500,000
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	$31,335
Participant contributions at end of year	2010-12-31	$0
Participant contributions at beginning of year	2010-12-31	$31,164
Participant contributions at end of year	2010-12-31	$657
Participant contributions at beginning of year	2010-12-31	$3,828
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$3,474
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$236
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	$-1,458,589
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$224,726
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,683,315
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	$220,079
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$1,631,492
Interest on participant loans	2010-12-31	$819
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$17,914
Net investment gain/loss from pooled separate accounts	2010-12-31	$30,076
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	$707,623
Employer contributions (assets) at end of year	2010-12-31	$3,990
Employer contributions (assets) at beginning of year	2010-12-31	$16,595
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$2,235,842
Contract administrator fees	2010-12-31	$13,988
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	REZNICK GROUP P.C.
Accountancy firm EIN	2010-12-31	521088612
2009 : CMI MANAGEMENT, INC. SCA 401(K) 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 CMI MANAGEMENT, INC. SCA 401(K) PLAN

2014: CMI MANAGEMENT, INC. SCA 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: CMI MANAGEMENT, INC. SCA 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: CMI MANAGEMENT, INC. SCA 401(K) PLAN 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 benefit arrangement – Insurance	Yes
2011: CMI MANAGEMENT, INC. SCA 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: CMI MANAGEMENT, INC. SCA 401(K) 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	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: CMI MANAGEMENT, INC. SCA 401(K) PLAN 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 is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

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

Policy contract number

938022-01

Policy instance

Insurance contract or identification number	938022-01
Number of Individuals Covered	83
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
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
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

938022-01

Policy instance

Insurance contract or identification number	938022-01
Number of Individuals Covered	75
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
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
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

938022-01

Policy instance

Insurance contract or identification number	938022-01
Number of Individuals Covered	76
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
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
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

938022-01

Policy instance

Insurance contract or identification number	938022-01
Number of Individuals Covered	70
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
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
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

938022-01

Policy instance

Insurance contract or identification number	938022-01
Number of Individuals Covered	65
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	CMI MANAGEMENT INC
Employer identification number (EIN):	541524907
NAIC Classification:	561210
NAIC Description:	Facilities Support Services

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	2884057

Plan id#	Filing Submission Date	Name of Administrator
002	2016-01-01
002	2015-01-01
002	2014-01-01	AZENEGASH ABRAHAM
002	2013-01-01	AZENEGASH ABRAHAM
002	2012-01-01	AZENEGASH ABRAHAM
002	2011-01-01	AZENEGASH ABRAHAM
002	2010-01-01	AZENEGASH ABRAHAM
002	2009-01-01	AZZI ABRAHAM