401k Plan data: KATMAI 401(K) PLAN plan

KATMAI 401(K) PLAN 401k Plan overview

Plan Name	KATMAI 401(K) PLAN
Plan identification number	001

KATMAI 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

KATMAI GOVERNMENT SERVICES has sponsored the creation of one or more 401k plans.

Company Name: KATMAI GOVERNMENT SERVICES

Employer identification number (EIN): 611529391

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

Additional information about KATMAI GOVERNMENT SERVICES

Jurisdiction of Incorporation: Alaska Department Commerce, Community & Economic Development

Incorporation Date: 2007-02-05

Company Identification Number: 106275

Legal Registered Office Address: 11001 O'MALLEY CENTRE DR, STE 204

ANCHORAGE
United States of America (USA)
99515

More information about KATMAI GOVERNMENT SERVICES

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KATMAI 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 JOHN A. STARR
001 2014-01-01 CYNTHIA VANDEN BERG
001 2013-01-01 CYNTHIA VANDEN BERG
001 2012-01-01 CYNTHIA PRICE
001 2011-01-01 CYNTHIA PRICE
001 2009-01-01 CYNTHIA PRICE
001 2009-01-01 CYNTHIA PRICE

Plan id#	Filing Submission Date	Name of Administrator
001	2015-01-01	JOHN A. STARR
001	2014-01-01	CYNTHIA VANDEN BERG
001	2013-01-01	CYNTHIA VANDEN BERG
001	2012-01-01	CYNTHIA PRICE
001	2011-01-01	CYNTHIA PRICE
001	2009-01-01	CYNTHIA PRICE
001	2009-01-01	CYNTHIA PRICE

Plan Statistics for KATMAI 401(K) PLAN

401k plan membership statisitcs for KATMAI 401(K) PLAN

Measure Date Value
2015: KATMAI 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 538
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 709
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 159
Total of all active and inactive participants 2015-01-01 868
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 868
Number of participants with account balances 2015-01-01 559
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: KATMAI 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 552
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 384
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 46
Total of all active and inactive participants 2014-01-01 430
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 430
Number of participants with account balances 2014-01-01 150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: KATMAI 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 392
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 514
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 38
Total of all active and inactive participants 2013-01-01 552
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 552
Number of participants with account balances 2013-01-01 157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: KATMAI 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 630
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 361
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 31
Total of all active and inactive participants 2012-01-01 392
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 392
Number of participants with account balances 2012-01-01 154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: KATMAI 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 500
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 613
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 17
Total of all active and inactive participants 2011-01-01 630
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 630
Number of participants with account balances 2011-01-01 112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: KATMAI 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 109
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 226
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 1
Total of all active and inactive participants 2009-01-01 227
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 227
Number of participants with account balances 2009-01-01 45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2015: KATMAI 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	538
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	709
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	159
Total of all active and inactive participants	2015-01-01	868
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	868
Number of participants with account balances	2015-01-01	559
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: KATMAI 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	552
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	384
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	46
Total of all active and inactive participants	2014-01-01	430
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	430
Number of participants with account balances	2014-01-01	150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: KATMAI 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	392
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	514
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	38
Total of all active and inactive participants	2013-01-01	552
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	552
Number of participants with account balances	2013-01-01	157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: KATMAI 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	630
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	361
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	31
Total of all active and inactive participants	2012-01-01	392
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	392
Number of participants with account balances	2012-01-01	154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: KATMAI 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	500
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	613
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	17
Total of all active and inactive participants	2011-01-01	630
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	630
Number of participants with account balances	2011-01-01	112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: KATMAI 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	109
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	226
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	1
Total of all active and inactive participants	2009-01-01	227
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	227
Number of participants with account balances	2009-01-01	45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on KATMAI 401(K) PLAN

Measure	Date	Value
2015 : KATMAI 401(K) PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2015-12-31	$-284,925
Total unrealized appreciation/depreciation of assets	2015-12-31	$-284,925
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$66,108
Total income from all sources (including contributions)	2015-12-31	$2,389,084
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$1,026,359
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,003,485
Expenses. Certain deemed distributions of participant loans	2015-12-31	$8,775
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$2,451,204
Value of total assets at end of year	2015-12-31	$5,324,895
Value of total assets at beginning of year	2015-12-31	$4,028,278
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$14,099
Total interest from all sources	2015-12-31	$2,205
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$215,142
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$215,142
Administrative expenses professional fees incurred	2015-12-31	$14,099
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$893,518
Participant contributions at end of year	2015-12-31	$59,154
Participant contributions at beginning of year	2015-12-31	$17,101
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$346,866
Other income not declared elsewhere	2015-12-31	$5,458
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$1,362,725
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$5,324,895
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$3,962,170
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in pooled separate accounts at end of year	2015-12-31	$5,264,478
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$3,997,442
Interest on participant loans	2015-12-31	$2,205
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$1,263
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$13,735
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$1,210,820
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,003,485
Liabilities. Value of benefit claims payable at end of year	2015-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2015-12-31	$66,108
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	BDO USA, LLP
Accountancy firm EIN	2015-12-31	135381590
2014 : KATMAI 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$66,108
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$106,155
Total income from all sources (including contributions)	2014-12-31	$832,220
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$646,814
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$572,706
Value of total corrective distributions	2014-12-31	$66,108
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$644,412
Value of total assets at end of year	2014-12-31	$4,028,278
Value of total assets at beginning of year	2014-12-31	$3,882,919
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$8,000
Total interest from all sources	2014-12-31	$663
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$400,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$644,412
Participant contributions at end of year	2014-12-31	$17,101
Participant contributions at beginning of year	2014-12-31	$16,509
Other income not declared elsewhere	2014-12-31	$6
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$185,406
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$3,962,170
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$3,776,764
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in pooled separate accounts at end of year	2014-12-31	$3,997,442
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$3,829,833
Interest on participant loans	2014-12-31	$663
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$13,735
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$36,577
Net investment gain/loss from pooled separate accounts	2014-12-31	$187,139
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$572,706
Contract administrator fees	2014-12-31	$8,000
Liabilities. Value of benefit claims payable at end of year	2014-12-31	$66,108
Liabilities. Value of benefit claims payable at beginning of year	2014-12-31	$106,155
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	BDO USA, LLP
Accountancy firm EIN	2014-12-31	135381590
2013 : KATMAI 401(K) PLAN 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	$106,155
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$200,101
Total income from all sources (including contributions)	2013-12-31	$1,295,642
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$657,614
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$540,139
Value of total corrective distributions	2013-12-31	$106,155
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$792,602
Value of total assets at end of year	2013-12-31	$3,882,919
Value of total assets at beginning of year	2013-12-31	$3,338,837
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$11,320
Total interest from all sources	2013-12-31	$2,674
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	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$385,000
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	$777,376
Participant contributions at end of year	2013-12-31	$16,509
Participant contributions at beginning of year	2013-12-31	$34,167
Participant contributions at end of year	2013-12-31	$0
Participant contributions at beginning of year	2013-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$15,226
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$9,101
Other income not declared elsewhere	2013-12-31	$673
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
Value of net income/loss	2013-12-31	$638,028
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$3,776,764
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$3,138,736
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
Value of interest in pooled separate accounts at end of year	2013-12-31	$3,829,833
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$3,293,467
Interest on participant loans	2013-12-31	$2,674
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$36,577
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$11,203
Net investment gain/loss from pooled separate accounts	2013-12-31	$499,693
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$540,139
Contract administrator fees	2013-12-31	$11,320
Liabilities. Value of benefit claims payable at end of year	2013-12-31	$106,155
Liabilities. Value of benefit claims payable at beginning of year	2013-12-31	$191,000
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	BDO USA, LLP
Accountancy firm EIN	2013-12-31	135381590
2012 : KATMAI 401(K) PLAN 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	$200,101
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$75,333
Total income from all sources (including contributions)	2012-12-31	$1,039,942
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$307,004
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$105,336
Value of total corrective distributions	2012-12-31	$191,000
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$781,625
Value of total assets at end of year	2012-12-31	$3,338,837
Value of total assets at beginning of year	2012-12-31	$2,481,131
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$10,668
Total interest from all sources	2012-12-31	$5,715
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	$350,000
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	$778,083
Participant contributions at end of year	2012-12-31	$34,167
Participant contributions at beginning of year	2012-12-31	$52,980
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$11,587
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$3,542
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$9,101
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$308
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	$732,938
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$3,138,736
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,405,798
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	$10,668
Value of interest in pooled separate accounts at end of year	2012-12-31	$3,293,467
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$2,389,304
Interest on participant loans	2012-12-31	$3,289
Interest earned on other investments	2012-12-31	$2,426
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$11,203
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$27,260
Net investment gain/loss from pooled separate accounts	2012-12-31	$252,602
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$105,336
Liabilities. Value of benefit claims payable at end of year	2012-12-31	$191,000
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$75,025
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	MIKUNDA, COTTRELL & COMPANY
Accountancy firm EIN	2012-12-31	920088037
2011 : KATMAI 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$75,333
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$618,626
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$199,907
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$116,814
Value of total corrective distributions	2011-12-31	$75,025
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$666,274
Value of total assets at end of year	2011-12-31	$2,481,131
Value of total assets at beginning of year	2011-12-31	$1,987,079
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$8,068
Total interest from all sources	2011-12-31	$4,607
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$250,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$592,495
Participant contributions at end of year	2011-12-31	$52,980
Participant contributions at beginning of year	2011-12-31	$71,255
Participant contributions at end of year	2011-12-31	$11,587
Participant contributions at beginning of year	2011-12-31	$33,086
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$73,779
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$308
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$0
Other income not declared elsewhere	2011-12-31	$48
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$418,719
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,405,798
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,987,079
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$8,068
Value of interest in pooled separate accounts at end of year	2011-12-31	$2,389,304
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$1,863,505
Interest on participant loans	2011-12-31	$4,607
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$27,260
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$19,233
Net investment gain/loss from pooled separate accounts	2011-12-31	$-52,303
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$116,814
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$75,025
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	MIKUNDA, COTTRELL & COMPANY
Accountancy firm EIN	2011-12-31	920088037
2010 : KATMAI 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	$72,354
Total income from all sources (including contributions)	2010-12-31	$868,702
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$55,977
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$50,933
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$717,100
Value of total assets at end of year	2010-12-31	$1,987,079
Value of total assets at beginning of year	2010-12-31	$1,246,708
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$5,044
Total interest from all sources	2010-12-31	$6,225
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	$200,000
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	$530,966
Participant contributions at end of year	2010-12-31	$71,255
Participant contributions at beginning of year	2010-12-31	$81,665
Participant contributions at end of year	2010-12-31	$33,086
Participant contributions at beginning of year	2010-12-31	$11,098
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$186,134
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$72,354
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	$812,725
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,987,079
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,174,354
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	$1,863,505
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$1,141,966
Interest on participant loans	2010-12-31	$5,022
Interest earned on other investments	2010-12-31	$1,203
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$19,233
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$11,979
Net investment gain/loss from pooled separate accounts	2010-12-31	$145,377
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	Yes
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$50,933
Contract administrator fees	2010-12-31	$5,044
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
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	MIKUNDA, COTTRELL & COMPANY
Accountancy firm EIN	2010-12-31	920088037
2009 : KATMAI 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 KATMAI 401(K) PLAN

2015: KATMAI 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: KATMAI 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 funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: KATMAI 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 funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: KATMAI 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 funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: KATMAI 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 funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: KATMAI 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 funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )

Policy contract number

630334

Policy instance

Insurance contract or identification number	630334
Number of Individuals Covered	157
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $21,325
Total amount of fees paid to insurance company	USD $8,358
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?	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 $21,325
Insurance broker organization code?	4
Amount paid for insurance broker fees	6386
Additional information about fees paid to insurance broker	WHOLESALER SERVICE
Insurance broker name	SWBC INVESTMENT ADVISORY SERVICES L

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )

Policy contract number

630334

Policy instance

Insurance contract or identification number	630334
Number of Individuals Covered	157
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $18,761
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?	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 $16,415
Insurance broker organization code?	3
Insurance broker name	RAYMOND JAMES & ASSOCIATES

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )

Policy contract number

630334

Policy instance

Insurance contract or identification number	630334
Number of Individuals Covered	154
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $22,823
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?	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 $16,529
Insurance broker organization code?	3
Insurance broker name	DAVID RUPP

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )

Policy contract number

630334

Policy instance

Insurance contract or identification number	630334
Number of Individuals Covered	112
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $21,376
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?	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 $10,688
Insurance broker organization code?	3
Insurance broker name	DAVID RUPP

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )

Policy contract number

630334

Policy instance

Insurance contract or identification number	630334
Number of Individuals Covered	86
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $16,186
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?	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

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )

Policy contract number

630334

Policy instance

Insurance contract or identification number	630334
Number of Individuals Covered	97
Insurance policy start date	2010-05-15
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $10,778
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?	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 $5,389
Insurance broker organization code?	3
Insurance broker name	DAVID RUPP

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See full terms and conditions

Company Name:	KATMAI GOVERNMENT SERVICES
Employer identification number (EIN):	611529391
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations

Jurisdiction of Incorporation:	Alaska Department Commerce, Community & Economic Development
Incorporation Date:	2007-02-05
Company Identification Number:	106275
Legal Registered Office Address:	11001 O'MALLEY CENTRE DR, STE 204 ANCHORAGE United States of America (USA) 99515