401k Plan data: 403B THIFT PLAN OF GIRL SCOUTS OF KENTUCKIANA, INC plan

403B THIFT PLAN OF GIRL SCOUTS OF KENTUCKIANA, INC 401k Plan overview

Plan Name	403B THIFT PLAN OF GIRL SCOUTS OF KENTUCKIANA, INC
Plan identification number	003

403B THIFT PLAN OF GIRL SCOUTS OF KENTUCKIANA, INC Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.

401k Sponsoring company profile

GIRL SCOUTS OF KENTUCKIANA, INC. has sponsored the creation of one or more 401k plans.

Company Name: GIRL SCOUTS OF KENTUCKIANA, INC.

Employer identification number (EIN): 610444698

NAIC Classification: 813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 403B THIFT PLAN OF GIRL SCOUTS OF KENTUCKIANA, INC

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2014-01-01 J GREGORY CARDWELL-COPENHEFER 2014-10-01
003 2013-01-01 J. GREGORY CARDWELL-COPENHEFER J. GREGORY CARDWELL-COPENHEFER 2014-10-01
003 2012-01-01 J GREGORY CARDWELL-COPENHEFER J GREGORY CARDWELL-COPENHEFER 2013-10-14
003 2011-01-01 J GREGORY CARDWELL-COPENHEFER 2012-10-12 J GREGORY CARDWELL-COPENHEFER 2012-10-12
003 2010-01-01 J GREGORY CARDWELL-COPENHEFER 2012-02-17 J GREGORY CARDWELL-COPENHEFER 2012-02-17

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
003	2014-01-01	J GREGORY CARDWELL-COPENHEFER	2014-10-01
003	2013-01-01	J. GREGORY CARDWELL-COPENHEFER		J. GREGORY CARDWELL-COPENHEFER	2014-10-01
003	2012-01-01	J GREGORY CARDWELL-COPENHEFER		J GREGORY CARDWELL-COPENHEFER	2013-10-14
003	2011-01-01	J GREGORY CARDWELL-COPENHEFER	2012-10-12	J GREGORY CARDWELL-COPENHEFER	2012-10-12
003	2010-01-01	J GREGORY CARDWELL-COPENHEFER	2012-02-17	J GREGORY CARDWELL-COPENHEFER	2012-02-17

Plan Statistics for 403B THIFT PLAN OF GIRL SCOUTS OF KENTUCKIANA, INC

401k plan membership statisitcs for 403B THIFT PLAN OF GIRL SCOUTS OF KENTUCKIANA, INC

Measure Date Value
2013: 403B THIFT PLAN OF GIRL SCOUTS OF KENTUCKIANA, INC 2013 401k membership
Total participants, beginning-of-year 2013-01-01 116
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 29
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 27
Total of all active and inactive participants 2013-01-01 56
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 1
Total participants 2013-01-01 57
Number of participants with account balances 2013-01-01 57
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: 403B THIFT PLAN OF GIRL SCOUTS OF KENTUCKIANA, INC 2012 401k membership
Total participants, beginning-of-year 2012-01-01 121
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 74
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 41
Total of all active and inactive participants 2012-01-01 115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 116
Number of participants with account balances 2012-01-01 73
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0

Measure	Date	Value
2013: 403B THIFT PLAN OF GIRL SCOUTS OF KENTUCKIANA, INC 2013 401k membership
Total participants, beginning-of-year	2013-01-01	116
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	29
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	27
Total of all active and inactive participants	2013-01-01	56
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	1
Total participants	2013-01-01	57
Number of participants with account balances	2013-01-01	57
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: 403B THIFT PLAN OF GIRL SCOUTS OF KENTUCKIANA, INC 2012 401k membership
Total participants, beginning-of-year	2012-01-01	121
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	74
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	41
Total of all active and inactive participants	2012-01-01	115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	116
Number of participants with account balances	2012-01-01	73
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Financial Data on 403B THIFT PLAN OF GIRL SCOUTS OF KENTUCKIANA, INC

Measure	Date	Value
2013 : 403B THIFT PLAN OF GIRL SCOUTS OF KENTUCKIANA, INC 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$304,010
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$212,721
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$212,644
Expenses. Certain deemed distributions of participant loans	2013-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$98,046
Value of total assets at end of year	2013-12-31	$1,716,874
Value of total assets at beginning of year	2013-12-31	$1,625,585
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$77
Total interest from all sources	2013-12-31	$17,959
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2013-12-31	$0
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$84,460
Participant contributions at end of year	2013-12-31	$40,195
Participant contributions at beginning of year	2013-12-31	$91,137
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$0
Other income not declared elsewhere	2013-12-31	$0
Administrative expenses (other) incurred	2013-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Income. Non cash contributions	2013-12-31	$0
Value of net income/loss	2013-12-31	$91,289
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$1,716,874
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$1,625,585
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$77
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$941,493
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$724,610
Interest on participant loans	2013-12-31	$0
Interest earned on other investments	2013-12-31	$17,959
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$735,186
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$809,838
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$0
Net investment gain/loss from pooled separate accounts	2013-12-31	$188,005
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$13,586
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$212,644
Liabilities. Value of benefit claims payable at end of year	2013-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2013-12-31	$0
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	ANDERSON BRYANT LASKY & WINSLOW
Accountancy firm EIN	2013-12-31	611227965
2012 : 403B THIFT PLAN OF GIRL SCOUTS OF KENTUCKIANA, INC 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$251,340
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$405,784
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$405,732
Expenses. Certain deemed distributions of participant loans	2012-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$118,666
Value of total assets at end of year	2012-12-31	$1,625,585
Value of total assets at beginning of year	2012-12-31	$1,780,029
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$52
Total interest from all sources	2012-12-31	$21,192
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$86,542
Participant contributions at end of year	2012-12-31	$91,137
Participant contributions at beginning of year	2012-12-31	$114,311
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$0
Administrative expenses (other) incurred	2012-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$-154,444
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$1,625,585
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,780,029
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$52
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$724,610
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$864,829
Interest on participant loans	2012-12-31	$0
Interest earned on other investments	2012-12-31	$21,192
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$809,838
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$800,889
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$0
Net investment gain/loss from pooled separate accounts	2012-12-31	$111,482
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$32,124
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$405,732
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	ANDERSON BRYANT LASKY & WINSLOW PSC
Accountancy firm EIN	2012-12-31	611227965
2010 : 403B THIFT PLAN OF GIRL SCOUTS OF KENTUCKIANA, INC 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	$400,593
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$114,965
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$114,932
Expenses. Certain deemed distributions of participant loans	2010-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$255,141
Value of total assets at end of year	2010-12-31	$1,780,151
Value of total assets at beginning of year	2010-12-31	$1,494,523
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$33
Total interest from all sources	2010-12-31	$25,411
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
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$81,671
Participant contributions at end of year	2010-12-31	$71,206
Participant contributions at beginning of year	2010-12-31	$58,631
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$139,591
Other income not declared elsewhere	2010-12-31	$0
Administrative expenses (other) incurred	2010-12-31	$33
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	$285,628
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,780,151
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,494,523
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$952,350
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$714,954
Interest on participant loans	2010-12-31	$0
Interest earned on other investments	2010-12-31	$25,411
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$756,595
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$720,938
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$0
Net investment gain/loss from pooled separate accounts	2010-12-31	$120,041
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	$33,879
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$114,932
Did the plan have assets held for investment	2010-12-31	No
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

Form 5500 Responses for 403B THIFT PLAN OF GIRL SCOUTS OF KENTUCKIANA, INC

2013: 403B THIFT PLAN OF GIRL SCOUTS OF KENTUCKIANA, INC 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: 403B THIFT PLAN OF GIRL SCOUTS OF KENTUCKIANA, INC 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

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

069208F

Policy instance

Insurance contract or identification number	069208F
Number of Individuals Covered	51
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $102
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	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	102
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	CINCINNATI REGIONAL OFFICE

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

14208

Policy instance

Insurance contract or identification number	14208
Number of Individuals Covered	8
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $199
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	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $182
Insurance broker organization code?	3
Insurance broker name	JACK MARTYN

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Company Name:	GIRL SCOUTS OF KENTUCKIANA, INC.
Employer identification number (EIN):	610444698
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations