401k Plan data: LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST plan

LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 401k Plan overview

Plan Name	LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST
Plan identification number	002

LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 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.
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

LATHEM TIME RECORDER COMPANY has sponsored the creation of one or more 401k plans.

Company Name: LATHEM TIME RECORDER COMPANY

Employer identification number (EIN): 580522471

NAIC Classification: 334500

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01 DAVID TETZLAFF 2023-06-01 DAVID TETZLAFF 2023-06-01
002 2021-01-01 DAVID TETZLAFF 2022-06-23
002 2020-01-01 DAVID TETZLAFF 2021-06-03 DAVID TETZLAFF 2021-06-03
002 2019-01-01 DAVID TETZLAFF 2020-06-03 DAVID TETZLAFF 2020-06-03
002 2018-11-01 DAVID TETZLAFF 2019-06-27 DAVID TETZLAFF 2019-06-27
002 2017-11-01 DAVID TETZLAFF 2019-04-11 DAVID TETZLAFF 2019-04-11
002 2016-11-01 DAVID TETZLAFF DAVID TETZLAFF 2018-08-10
002 2015-11-01 DAVID TETZLAFF DAVID TETZLAFF 2017-08-11
002 2014-11-01 DAVID TETZLAFF
002 2013-11-01 DAVID TETZLAFF
002 2012-11-01 CHANDRA R CHAMBERS CHANDRA R CHAMBERS 2014-08-14
002 2011-11-01 CHANDRA R. CHAMBERS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2022-01-01	DAVID TETZLAFF	2023-06-01	DAVID TETZLAFF	2023-06-01
002	2021-01-01	DAVID TETZLAFF	2022-06-23
002	2020-01-01	DAVID TETZLAFF	2021-06-03	DAVID TETZLAFF	2021-06-03
002	2019-01-01	DAVID TETZLAFF	2020-06-03	DAVID TETZLAFF	2020-06-03
002	2018-11-01	DAVID TETZLAFF	2019-06-27	DAVID TETZLAFF	2019-06-27
002	2017-11-01	DAVID TETZLAFF	2019-04-11	DAVID TETZLAFF	2019-04-11
002	2016-11-01	DAVID TETZLAFF		DAVID TETZLAFF	2018-08-10
002	2015-11-01	DAVID TETZLAFF		DAVID TETZLAFF	2017-08-11
002	2014-11-01	DAVID TETZLAFF
002	2013-11-01	DAVID TETZLAFF
002	2012-11-01	CHANDRA R CHAMBERS		CHANDRA R CHAMBERS	2014-08-14
002	2011-11-01	CHANDRA R. CHAMBERS

Plan Statistics for LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST

401k plan membership statisitcs for LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST

Measure Date Value
2016: LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 2016 401k membership
Total participants, beginning-of-year 2016-11-01 110
Total number of active participants reported on line 7a of the Form 5500 2016-11-01 74
Number of retired or separated participants receiving benefits 2016-11-01 0
Number of other retired or separated participants entitled to future benefits 2016-11-01 15
Total of all active and inactive participants 2016-11-01 89
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-11-01 0
Total participants 2016-11-01 89
Number of participants with account balances 2016-11-01 89
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-11-01 0
2015: LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 2015 401k membership
Total participants, beginning-of-year 2015-11-01 120
Total number of active participants reported on line 7a of the Form 5500 2015-11-01 83
Number of retired or separated participants receiving benefits 2015-11-01 0
Number of other retired or separated participants entitled to future benefits 2015-11-01 26
Total of all active and inactive participants 2015-11-01 109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-11-01 0
Total participants 2015-11-01 109
Number of participants with account balances 2015-11-01 104
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-11-01 1
2014: LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 2014 401k membership
Total participants, beginning-of-year 2014-11-01 128
Total number of active participants reported on line 7a of the Form 5500 2014-11-01 83
Number of retired or separated participants receiving benefits 2014-11-01 0
Number of other retired or separated participants entitled to future benefits 2014-11-01 37
Total of all active and inactive participants 2014-11-01 120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-11-01 0
Total participants 2014-11-01 120
Number of participants with account balances 2014-11-01 120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-11-01 4
2013: LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 2013 401k membership
Total participants, beginning-of-year 2013-11-01 129
Total number of active participants reported on line 7a of the Form 5500 2013-11-01 91
Number of retired or separated participants receiving benefits 2013-11-01 0
Number of other retired or separated participants entitled to future benefits 2013-11-01 37
Total of all active and inactive participants 2013-11-01 128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-11-01 0
Total participants 2013-11-01 128
Number of participants with account balances 2013-11-01 128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-11-01 0
2012: LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 2012 401k membership
Total participants, beginning-of-year 2012-11-01 131
Total number of active participants reported on line 7a of the Form 5500 2012-11-01 95
Number of retired or separated participants receiving benefits 2012-11-01 0
Number of other retired or separated participants entitled to future benefits 2012-11-01 34
Total of all active and inactive participants 2012-11-01 129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-11-01 0
Total participants 2012-11-01 129
Number of participants with account balances 2012-11-01 129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-11-01 0
2011: LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 2011 401k membership
Total participants, beginning-of-year 2011-11-01 130
Total number of active participants reported on line 7a of the Form 5500 2011-11-01 101
Number of retired or separated participants receiving benefits 2011-11-01 0
Number of other retired or separated participants entitled to future benefits 2011-11-01 30
Total of all active and inactive participants 2011-11-01 131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-11-01 0
Total participants 2011-11-01 131
Number of participants with account balances 2011-11-01 131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-11-01 2

Measure	Date	Value
2016: LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 2016 401k membership
Total participants, beginning-of-year	2016-11-01	110
Total number of active participants reported on line 7a of the Form 5500	2016-11-01	74
Number of retired or separated participants receiving benefits	2016-11-01	0
Number of other retired or separated participants entitled to future benefits	2016-11-01	15
Total of all active and inactive participants	2016-11-01	89
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-11-01	0
Total participants	2016-11-01	89
Number of participants with account balances	2016-11-01	89
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-11-01	0
2015: LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 2015 401k membership
Total participants, beginning-of-year	2015-11-01	120
Total number of active participants reported on line 7a of the Form 5500	2015-11-01	83
Number of retired or separated participants receiving benefits	2015-11-01	0
Number of other retired or separated participants entitled to future benefits	2015-11-01	26
Total of all active and inactive participants	2015-11-01	109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-11-01	0
Total participants	2015-11-01	109
Number of participants with account balances	2015-11-01	104
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-11-01	1
2014: LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 2014 401k membership
Total participants, beginning-of-year	2014-11-01	128
Total number of active participants reported on line 7a of the Form 5500	2014-11-01	83
Number of retired or separated participants receiving benefits	2014-11-01	0
Number of other retired or separated participants entitled to future benefits	2014-11-01	37
Total of all active and inactive participants	2014-11-01	120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-11-01	0
Total participants	2014-11-01	120
Number of participants with account balances	2014-11-01	120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-11-01	4
2013: LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 2013 401k membership
Total participants, beginning-of-year	2013-11-01	129
Total number of active participants reported on line 7a of the Form 5500	2013-11-01	91
Number of retired or separated participants receiving benefits	2013-11-01	0
Number of other retired or separated participants entitled to future benefits	2013-11-01	37
Total of all active and inactive participants	2013-11-01	128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-11-01	0
Total participants	2013-11-01	128
Number of participants with account balances	2013-11-01	128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-11-01	0
2012: LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 2012 401k membership
Total participants, beginning-of-year	2012-11-01	131
Total number of active participants reported on line 7a of the Form 5500	2012-11-01	95
Number of retired or separated participants receiving benefits	2012-11-01	0
Number of other retired or separated participants entitled to future benefits	2012-11-01	34
Total of all active and inactive participants	2012-11-01	129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-11-01	0
Total participants	2012-11-01	129
Number of participants with account balances	2012-11-01	129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-11-01	0
2011: LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 2011 401k membership
Total participants, beginning-of-year	2011-11-01	130
Total number of active participants reported on line 7a of the Form 5500	2011-11-01	101
Number of retired or separated participants receiving benefits	2011-11-01	0
Number of other retired or separated participants entitled to future benefits	2011-11-01	30
Total of all active and inactive participants	2011-11-01	131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-11-01	0
Total participants	2011-11-01	131
Number of participants with account balances	2011-11-01	131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-11-01	2

Financial Data on LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST

Measure	Date	Value
2017 : LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-10-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-10-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-10-31	$0
Total income from all sources (including contributions)	2017-10-31	$1,261,601
Total loss/gain on sale of assets	2017-10-31	$0
Total of all expenses incurred	2017-10-31	$1,977,585
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-10-31	$1,958,115
Value of total corrective distributions	2017-10-31	$955
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-10-31	$349,029
Value of total assets at end of year	2017-10-31	$8,314,971
Value of total assets at beginning of year	2017-10-31	$9,030,955
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-10-31	$18,515
Total interest from all sources	2017-10-31	$60,079
Total dividends received (eg from common stock, registered investment company shares)	2017-10-31	$43,999
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-10-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-10-31	$43,999
Was this plan covered by a fidelity bond	2017-10-31	Yes
Value of fidelity bond cover	2017-10-31	$1,000,000
If this is an individual account plan, was there a blackout period	2017-10-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-10-31	No
Contributions received from participants	2017-10-31	$257,285
Other income not declared elsewhere	2017-10-31	$17,313
Administrative expenses (other) incurred	2017-10-31	$18,515
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-10-31	No
Value of net income/loss	2017-10-31	$-715,984
Value of net assets at end of year (total assets less liabilities)	2017-10-31	$8,314,971
Value of net assets at beginning of year (total assets less liabilities)	2017-10-31	$9,030,955
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-10-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-10-31	No
Were any leases to which the plan was party in default or uncollectible	2017-10-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-10-31	$3,803,573
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-10-31	$3,452,750
Value of interest in pooled separate accounts at end of year	2017-10-31	$1,337,094
Value of interest in pooled separate accounts at beginning of year	2017-10-31	$1,194,232
Interest earned on other investments	2017-10-31	$60,079
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-10-31	$3,174,304
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-10-31	$4,383,973
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-10-31	$530,094
Net investment gain/loss from pooled separate accounts	2017-10-31	$261,087
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-10-31	No
Was there a failure to transmit to the plan any participant contributions	2017-10-31	No
Has the plan failed to provide any benefit when due under the plan	2017-10-31	No
Contributions received in cash from employer	2017-10-31	$91,744
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-10-31	$1,958,115
Did the plan have assets held for investment	2017-10-31	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	2017-10-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-10-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-10-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-10-31	Disclaimer
Accountancy firm name	2017-10-31	MOORE COLSON AND COMPANY, P.C.
Accountancy firm EIN	2017-10-31	581653941
2016 : LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-10-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-10-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-10-31	$0
Total income from all sources (including contributions)	2016-10-31	$586,811
Total loss/gain on sale of assets	2016-10-31	$0
Total of all expenses incurred	2016-10-31	$670,438
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-10-31	$649,390
Value of total corrective distributions	2016-10-31	$2,021
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-10-31	$344,333
Value of total assets at end of year	2016-10-31	$9,030,955
Value of total assets at beginning of year	2016-10-31	$9,114,582
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-10-31	$19,027
Total interest from all sources	2016-10-31	$73,436
Total dividends received (eg from common stock, registered investment company shares)	2016-10-31	$44,831
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-10-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-10-31	$44,831
Was this plan covered by a fidelity bond	2016-10-31	Yes
Value of fidelity bond cover	2016-10-31	$1,000,000
If this is an individual account plan, was there a blackout period	2016-10-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-10-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-10-31	No
Contributions received from participants	2016-10-31	$262,309
Other income not declared elsewhere	2016-10-31	$18,209
Administrative expenses (other) incurred	2016-10-31	$19,027
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-10-31	No
Value of net income/loss	2016-10-31	$-83,627
Value of net assets at end of year (total assets less liabilities)	2016-10-31	$9,030,955
Value of net assets at beginning of year (total assets less liabilities)	2016-10-31	$9,114,582
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-10-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-10-31	No
Were any leases to which the plan was party in default or uncollectible	2016-10-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-10-31	$3,452,750
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-10-31	$3,032,861
Value of interest in pooled separate accounts at end of year	2016-10-31	$1,194,232
Value of interest in pooled separate accounts at beginning of year	2016-10-31	$1,456,549
Interest earned on other investments	2016-10-31	$73,436
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-10-31	$4,383,973
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-10-31	$4,625,172
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-10-31	$68,054
Net investment gain/loss from pooled separate accounts	2016-10-31	$37,948
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-10-31	No
Was there a failure to transmit to the plan any participant contributions	2016-10-31	No
Has the plan failed to provide any benefit when due under the plan	2016-10-31	No
Contributions received in cash from employer	2016-10-31	$82,024
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-10-31	$649,390
Did the plan have assets held for investment	2016-10-31	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	2016-10-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-10-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-10-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-10-31	Disclaimer
Accountancy firm name	2016-10-31	MOORE COLSON AND COMPANY, P.C.
Accountancy firm EIN	2016-10-31	581653941
2015 : LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-10-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-10-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-10-31	$0
Total income from all sources (including contributions)	2015-10-31	$522,192
Total loss/gain on sale of assets	2015-10-31	$0
Total of all expenses incurred	2015-10-31	$2,174,876
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-10-31	$2,152,279
Value of total corrective distributions	2015-10-31	$1,981
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-10-31	$331,645
Value of total assets at end of year	2015-10-31	$9,114,582
Value of total assets at beginning of year	2015-10-31	$10,767,266
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-10-31	$20,616
Total interest from all sources	2015-10-31	$85,363
Total dividends received (eg from common stock, registered investment company shares)	2015-10-31	$38,799
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-10-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-10-31	$38,799
Was this plan covered by a fidelity bond	2015-10-31	Yes
Value of fidelity bond cover	2015-10-31	$1,000,000
If this is an individual account plan, was there a blackout period	2015-10-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-10-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-10-31	No
Contributions received from participants	2015-10-31	$250,823
Other income not declared elsewhere	2015-10-31	$21,068
Administrative expenses (other) incurred	2015-10-31	$20,616
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-10-31	No
Value of net income/loss	2015-10-31	$-1,652,684
Value of net assets at end of year (total assets less liabilities)	2015-10-31	$9,114,582
Value of net assets at beginning of year (total assets less liabilities)	2015-10-31	$10,767,266
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-10-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-10-31	No
Were any leases to which the plan was party in default or uncollectible	2015-10-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-10-31	$3,032,861
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-10-31	$3,126,370
Value of interest in pooled separate accounts at end of year	2015-10-31	$1,456,549
Value of interest in pooled separate accounts at beginning of year	2015-10-31	$1,888,699
Interest earned on other investments	2015-10-31	$85,363
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-10-31	$4,625,172
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-10-31	$5,752,197
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-10-31	$-7,864
Net investment gain/loss from pooled separate accounts	2015-10-31	$53,181
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-10-31	No
Was there a failure to transmit to the plan any participant contributions	2015-10-31	No
Has the plan failed to provide any benefit when due under the plan	2015-10-31	No
Contributions received in cash from employer	2015-10-31	$80,822
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-10-31	$2,152,279
Did the plan have assets held for investment	2015-10-31	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	2015-10-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-10-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-10-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-10-31	Disclaimer
Accountancy firm name	2015-10-31	MOORE COLSON AND COMPANY, P.C.
Accountancy firm EIN	2015-10-31	581653941
2014 : LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-10-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-10-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-10-31	$0
Total income from all sources (including contributions)	2014-10-31	$818,355
Total loss/gain on sale of assets	2014-10-31	$0
Total of all expenses incurred	2014-10-31	$418,240
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-10-31	$396,643
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-10-31	$272,793
Value of total assets at end of year	2014-10-31	$10,767,266
Value of total assets at beginning of year	2014-10-31	$10,367,151
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-10-31	$21,597
Total interest from all sources	2014-10-31	$105,110
Total dividends received (eg from common stock, registered investment company shares)	2014-10-31	$35,949
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-10-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-10-31	$35,949
Was this plan covered by a fidelity bond	2014-10-31	Yes
Value of fidelity bond cover	2014-10-31	$1,000,000
If this is an individual account plan, was there a blackout period	2014-10-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-10-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-10-31	No
Contributions received from participants	2014-10-31	$207,125
Other income not declared elsewhere	2014-10-31	$21,001
Administrative expenses (other) incurred	2014-10-31	$21,597
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-10-31	No
Value of net income/loss	2014-10-31	$400,115
Value of net assets at end of year (total assets less liabilities)	2014-10-31	$10,767,266
Value of net assets at beginning of year (total assets less liabilities)	2014-10-31	$10,367,151
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-10-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-10-31	No
Were any leases to which the plan was party in default or uncollectible	2014-10-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-10-31	$3,126,370
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-10-31	$2,951,874
Value of interest in pooled separate accounts at end of year	2014-10-31	$1,888,699
Value of interest in pooled separate accounts at beginning of year	2014-10-31	$1,483,755
Interest earned on other investments	2014-10-31	$105,110
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-10-31	$5,752,197
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-10-31	$5,931,522
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-10-31	$210,083
Net investment gain/loss from pooled separate accounts	2014-10-31	$173,419
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-10-31	No
Was there a failure to transmit to the plan any participant contributions	2014-10-31	No
Has the plan failed to provide any benefit when due under the plan	2014-10-31	No
Contributions received in cash from employer	2014-10-31	$65,668
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-10-31	$396,643
Did the plan have assets held for investment	2014-10-31	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	2014-10-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-10-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-10-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-10-31	Disclaimer
Accountancy firm name	2014-10-31	MOORE COLSON AND COMPANY, P.C.
Accountancy firm EIN	2014-10-31	581653941
2013 : LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-10-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-10-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-10-31	$0
Total income from all sources (including contributions)	2013-10-31	$1,077,756
Total loss/gain on sale of assets	2013-10-31	$0
Total of all expenses incurred	2013-10-31	$103,960
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-10-31	$103,540
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-10-31	$246,634
Value of total assets at end of year	2013-10-31	$10,367,151
Value of total assets at beginning of year	2013-10-31	$9,393,355
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-10-31	$420
Total interest from all sources	2013-10-31	$121,953
Total dividends received (eg from common stock, registered investment company shares)	2013-10-31	$35,527
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-10-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-10-31	$35,527
Was this plan covered by a fidelity bond	2013-10-31	Yes
Value of fidelity bond cover	2013-10-31	$1,000,000
If this is an individual account plan, was there a blackout period	2013-10-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-10-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-10-31	No
Contributions received from participants	2013-10-31	$190,302
Administrative expenses (other) incurred	2013-10-31	$420
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-10-31	No
Value of net income/loss	2013-10-31	$973,796
Value of net assets at end of year (total assets less liabilities)	2013-10-31	$10,367,151
Value of net assets at beginning of year (total assets less liabilities)	2013-10-31	$9,393,355
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-10-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-10-31	No
Were any leases to which the plan was party in default or uncollectible	2013-10-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-10-31	$2,951,874
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-10-31	$2,415,840
Value of interest in pooled separate accounts at end of year	2013-10-31	$1,483,755
Value of interest in pooled separate accounts at beginning of year	2013-10-31	$1,107,098
Interest earned on other investments	2013-10-31	$121,953
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-10-31	$5,931,522
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-10-31	$5,870,417
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-10-31	$404,105
Net investment gain/loss from pooled separate accounts	2013-10-31	$269,537
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-10-31	No
Was there a failure to transmit to the plan any participant contributions	2013-10-31	No
Has the plan failed to provide any benefit when due under the plan	2013-10-31	No
Contributions received in cash from employer	2013-10-31	$56,332
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-10-31	$103,540
Did the plan have assets held for investment	2013-10-31	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	2013-10-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-10-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-10-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-10-31	Disclaimer
Accountancy firm name	2013-10-31	MOORE COLSON & COMPANY, P.C.
Accountancy firm EIN	2013-10-31	581653941
2012 : LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-10-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-10-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-10-31	$0
Total income from all sources (including contributions)	2012-10-31	$783,724
Total loss/gain on sale of assets	2012-10-31	$0
Total of all expenses incurred	2012-10-31	$1,815,486
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-10-31	$1,786,615
Value of total corrective distributions	2012-10-31	$475
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-10-31	$255,004
Value of total assets at end of year	2012-10-31	$9,393,355
Value of total assets at beginning of year	2012-10-31	$10,425,117
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-10-31	$28,396
Total interest from all sources	2012-10-31	$159,224
Total dividends received (eg from common stock, registered investment company shares)	2012-10-31	$37,046
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-10-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-10-31	$37,046
Was this plan covered by a fidelity bond	2012-10-31	Yes
Value of fidelity bond cover	2012-10-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-10-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-10-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-10-31	No
Contributions received from participants	2012-10-31	$194,807
Participant contributions at end of year	2012-10-31	$0
Participant contributions at beginning of year	2012-10-31	$7,991
Other income not declared elsewhere	2012-10-31	$28,031
Administrative expenses (other) incurred	2012-10-31	$28,396
Total non interest bearing cash at end of year	2012-10-31	$0
Total non interest bearing cash at beginning of year	2012-10-31	$47
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-10-31	No
Value of net income/loss	2012-10-31	$-1,031,762
Value of net assets at end of year (total assets less liabilities)	2012-10-31	$9,393,355
Value of net assets at beginning of year (total assets less liabilities)	2012-10-31	$10,425,117
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-10-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-10-31	No
Were any leases to which the plan was party in default or uncollectible	2012-10-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-10-31	$2,415,840
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-10-31	$2,356,630
Value of interest in pooled separate accounts at end of year	2012-10-31	$1,107,098
Value of interest in pooled separate accounts at beginning of year	2012-10-31	$1,011,120
Interest earned on other investments	2012-10-31	$159,224
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-10-31	$5,870,417
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-10-31	$7,047,184
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-10-31	$200,979
Net investment gain/loss from pooled separate accounts	2012-10-31	$103,440
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-10-31	No
Was there a failure to transmit to the plan any participant contributions	2012-10-31	No
Has the plan failed to provide any benefit when due under the plan	2012-10-31	No
Contributions received in cash from employer	2012-10-31	$60,197
Employer contributions (assets) at end of year	2012-10-31	$0
Employer contributions (assets) at beginning of year	2012-10-31	$2,145
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-10-31	$1,786,615
Did the plan have assets held for investment	2012-10-31	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	2012-10-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-10-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-10-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-10-31	Disclaimer
Accountancy firm name	2012-10-31	WARREN AVERETT LLC
Accountancy firm EIN	2012-10-31	454084437
2011 : LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-10-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-10-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-10-31	$0
Total income from all sources (including contributions)	2011-10-31	$531,922
Total loss/gain on sale of assets	2011-10-31	$0
Total of all expenses incurred	2011-10-31	$859,635
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-10-31	$843,285
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-10-31	$254,342
Value of total assets at end of year	2011-10-31	$10,425,117
Value of total assets at beginning of year	2011-10-31	$10,752,830
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-10-31	$16,350
Total interest from all sources	2011-10-31	$183,628
Total dividends received (eg from common stock, registered investment company shares)	2011-10-31	$36,960
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-10-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-10-31	$36,960
Was this plan covered by a fidelity bond	2011-10-31	Yes
Value of fidelity bond cover	2011-10-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-10-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-10-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-10-31	No
Contributions received from participants	2011-10-31	$193,211
Participant contributions at end of year	2011-10-31	$7,991
Participant contributions at beginning of year	2011-10-31	$1,835
Other income not declared elsewhere	2011-10-31	$16,039
Administrative expenses (other) incurred	2011-10-31	$16,350
Total non interest bearing cash at end of year	2011-10-31	$47
Total non interest bearing cash at beginning of year	2011-10-31	$47
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-10-31	No
Value of net income/loss	2011-10-31	$-327,713
Value of net assets at end of year (total assets less liabilities)	2011-10-31	$10,425,117
Value of net assets at beginning of year (total assets less liabilities)	2011-10-31	$10,752,830
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-10-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-10-31	No
Were any leases to which the plan was party in default or uncollectible	2011-10-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-10-31	$2,356,630
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-10-31	$0
Value of interest in pooled separate accounts at end of year	2011-10-31	$1,011,120
Value of interest in pooled separate accounts at beginning of year	2011-10-31	$2,386,551
Interest earned on other investments	2011-10-31	$183,628
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-10-31	$7,047,184
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-10-31	$8,339,397
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-10-31	$24,902
Net investment gain/loss from pooled separate accounts	2011-10-31	$16,051
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-10-31	No
Was there a failure to transmit to the plan any participant contributions	2011-10-31	No
Has the plan failed to provide any benefit when due under the plan	2011-10-31	No
Contributions received in cash from employer	2011-10-31	$61,131
Employer contributions (assets) at end of year	2011-10-31	$2,145
Employer contributions (assets) at beginning of year	2011-10-31	$25,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-10-31	$843,285
Did the plan have assets held for investment	2011-10-31	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	2011-10-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-10-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-10-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-10-31	Disclaimer
Accountancy firm name	2011-10-31	BENNETT THRASHER
Accountancy firm EIN	2011-10-31	581673613

Form 5500 Responses for LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST

2016: LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 2016 form 5500 responses
2016-11-01	Type of plan entity	Single employer plan
2016-11-01	Submission has been amended	No
2016-11-01	This submission is the final filing	No
2016-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-11-01	Plan is a collectively bargained plan	No
2016-11-01	Plan funding arrangement – Insurance	Yes
2016-11-01	Plan funding arrangement – Trust	Yes
2016-11-01	Plan benefit arrangement – Insurance	Yes
2016-11-01	Plan benefit arrangement - Trust	Yes
2015: LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 2015 form 5500 responses
2015-11-01	Type of plan entity	Single employer plan
2015-11-01	Submission has been amended	No
2015-11-01	This submission is the final filing	No
2015-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-11-01	Plan is a collectively bargained plan	No
2015-11-01	Plan funding arrangement – Insurance	Yes
2015-11-01	Plan funding arrangement – Trust	Yes
2015-11-01	Plan benefit arrangement – Insurance	Yes
2015-11-01	Plan benefit arrangement - Trust	Yes
2014: LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 2014 form 5500 responses
2014-11-01	Type of plan entity	Single employer plan
2014-11-01	Submission has been amended	No
2014-11-01	This submission is the final filing	No
2014-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-11-01	Plan is a collectively bargained plan	No
2014-11-01	Plan funding arrangement – Insurance	Yes
2014-11-01	Plan funding arrangement – Trust	Yes
2014-11-01	Plan benefit arrangement – Insurance	Yes
2014-11-01	Plan benefit arrangement - Trust	Yes
2013: LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 2013 form 5500 responses
2013-11-01	Type of plan entity	Single employer plan
2013-11-01	Submission has been amended	No
2013-11-01	This submission is the final filing	No
2013-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-11-01	Plan is a collectively bargained plan	No
2013-11-01	Plan funding arrangement – Insurance	Yes
2013-11-01	Plan funding arrangement – Trust	Yes
2013-11-01	Plan benefit arrangement – Insurance	Yes
2013-11-01	Plan benefit arrangement - Trust	Yes
2012: LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 2012 form 5500 responses
2012-11-01	Type of plan entity	Single employer plan
2012-11-01	Submission has been amended	No
2012-11-01	This submission is the final filing	No
2012-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-11-01	Plan is a collectively bargained plan	No
2012-11-01	Plan funding arrangement – Insurance	Yes
2012-11-01	Plan funding arrangement – Trust	Yes
2012-11-01	Plan benefit arrangement – Insurance	Yes
2012-11-01	Plan benefit arrangement - Trust	Yes
2011: LATHEM TIME RECORDER COMPANY PROFIT SHARING TRUST 2011 form 5500 responses
2011-11-01	Type of plan entity	Single employer plan
2011-11-01	Submission has been amended	No
2011-11-01	This submission is the final filing	No
2011-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-11-01	Plan is a collectively bargained plan	No
2011-11-01	Plan funding arrangement – Insurance	Yes
2011-11-01	Plan funding arrangement – Trust	Yes
2011-11-01	Plan benefit arrangement – Insurance	Yes
2011-11-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

10071

Policy instance

Insurance contract or identification number	10071
Number of Individuals Covered	120
Insurance policy start date	2014-11-01
Insurance policy end date	2015-10-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

10071

Policy instance

Insurance contract or identification number	10071
Number of Individuals Covered	128
Insurance policy start date	2013-11-01
Insurance policy end date	2014-10-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

10071

Policy instance

Insurance contract or identification number	10071
Number of Individuals Covered	129
Insurance policy start date	2012-11-01
Insurance policy end date	2013-10-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

10071

Policy instance

Insurance contract or identification number	10071
Number of Individuals Covered	131
Insurance policy start date	2011-11-01
Insurance policy end date	2012-10-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

10071

Policy instance

Insurance contract or identification number	10071
Number of Individuals Covered	130
Insurance policy start date	2010-11-01
Insurance policy end date	2011-10-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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:	LATHEM TIME RECORDER COMPANY
Employer identification number (EIN):	580522471
NAIC Classification:	334500