401k Plan data: HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN plan

HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN
Plan identification number	001

HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

HARWELL HOWARD HYNE GABBERT & MANNER, P.C. has sponsored the creation of one or more 401k plans.

Company Name: HARWELL HOWARD HYNE GABBERT & MANNER, P.C.

Employer identification number (EIN): 621094814

NAIC Classification: 541110
NAIC Description: Offices of Lawyers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 MICHAEL HILL
001 2015-01-01 MICHAEL R. HILL
001 2014-01-01 JOHN BRITTINGHAM
001 2013-01-01 JOHN BRITTINGHAM 2014-07-30
001 2012-01-01 JOHN BRITTINGHAM
001 2011-01-01 JOHN BRITTINGHAM
001 2010-01-01 JOHN BRITTINGHAM

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2016-01-01	MICHAEL HILL
001	2015-01-01	MICHAEL R. HILL
001	2014-01-01	JOHN BRITTINGHAM
001	2013-01-01	JOHN BRITTINGHAM	2014-07-30
001	2012-01-01	JOHN BRITTINGHAM
001	2011-01-01	JOHN BRITTINGHAM
001	2010-01-01	JOHN BRITTINGHAM

Plan Statistics for HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN

Measure Date Value
2016: HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 70
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 73
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 48
Number of retired or separated participants receiving benefits 2015-01-01 1
Number of other retired or separated participants entitled to future benefits 2015-01-01 21
Total of all active and inactive participants 2015-01-01 70
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 70
Number of participants with account balances 2015-01-01 70
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 1
2014: HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 73
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 56
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 16
Total of all active and inactive participants 2014-01-01 72
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 72
Number of participants with account balances 2014-01-01 71
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2012: HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 75
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 54
Number of retired or separated participants receiving benefits 2012-01-01 1
Number of other retired or separated participants entitled to future benefits 2012-01-01 17
Total of all active and inactive participants 2012-01-01 72
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 72
Number of participants with account balances 2012-01-01 70
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 2
2011: HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 74
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 53
Number of retired or separated participants receiving benefits 2011-01-01 1
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 71
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 71
Number of participants with account balances 2011-01-01 70
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 5
2010: HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 73
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 59
Number of retired or separated participants receiving benefits 2010-01-01 1
Number of other retired or separated participants entitled to future benefits 2010-01-01 14
Total of all active and inactive participants 2010-01-01 74
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 74
Number of participants with account balances 2010-01-01 73
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0

Measure	Date	Value
2016: HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	70
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	73
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	48
Number of retired or separated participants receiving benefits	2015-01-01	1
Number of other retired or separated participants entitled to future benefits	2015-01-01	21
Total of all active and inactive participants	2015-01-01	70
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	70
Number of participants with account balances	2015-01-01	70
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	1
2014: HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	73
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	56
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	16
Total of all active and inactive participants	2014-01-01	72
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	72
Number of participants with account balances	2014-01-01	71
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2012: HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	75
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	54
Number of retired or separated participants receiving benefits	2012-01-01	1
Number of other retired or separated participants entitled to future benefits	2012-01-01	17
Total of all active and inactive participants	2012-01-01	72
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	72
Number of participants with account balances	2012-01-01	70
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	2
2011: HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	74
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	53
Number of retired or separated participants receiving benefits	2011-01-01	1
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	71
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	71
Number of participants with account balances	2011-01-01	70
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	5
2010: HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	73
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	59
Number of retired or separated participants receiving benefits	2010-01-01	1
Number of other retired or separated participants entitled to future benefits	2010-01-01	14
Total of all active and inactive participants	2010-01-01	74
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	74
Number of participants with account balances	2010-01-01	73
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0

Financial Data on HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2016 : HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Transfers to/from the plan	2016-11-30	$0
Total plan liabilities at beginning of year	2016-11-30	$0
Total income from all sources	2016-11-30	$180,089
Expenses. Total of all expenses incurred	2016-11-30	$20,024,356
Benefits paid (including direct rollovers)	2016-11-30	$20,014,225
Total plan assets at end of year	2016-11-30	$0
Total plan assets at beginning of year	2016-11-30	$19,844,267
Value of fidelity bond covering the plan	2016-11-30	$500,000
Total contributions received or receivable from participants	2016-11-30	$65,685
Contributions received from other sources (not participants or employers)	2016-11-30	$28
Other income received	2016-11-30	$81,319
Noncash contributions received	2016-11-30	$0
Net income (gross income less expenses)	2016-11-30	$-19,844,267
Net plan assets at end of year (total assets less liabilities)	2016-11-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2016-11-30	$19,844,267
Assets. Value of participant loans	2016-11-30	$0
Assets. Value of assets in partnership/joint-venture interests	2016-11-30	$0
Total contributions received or receivable from employer(s)	2016-11-30	$33,057
Value of certain deemed distributions of participant loans	2016-11-30	$0
Value of corrective distributions	2016-11-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-11-30	$10,131
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-11-30	$0
2015 : HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$1,076,421
Expenses. Total of all expenses incurred	2015-12-31	$1,445,218
Benefits paid (including direct rollovers)	2015-12-31	$1,416,535
Total plan assets at end of year	2015-12-31	$19,844,267
Total plan assets at beginning of year	2015-12-31	$20,213,064
Value of fidelity bond covering the plan	2015-12-31	$500,000
Total contributions received or receivable from participants	2015-12-31	$432,433
Expenses. Other expenses not covered elsewhere	2015-12-31	$28,683
Contributions received from other sources (not participants or employers)	2015-12-31	$69,773
Other income received	2015-12-31	$174,195
Net income (gross income less expenses)	2015-12-31	$-368,797
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$19,844,267
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$20,213,064
Assets. Value of participant loans	2015-12-31	$109,655
Assets. Value of assets in partnership/joint-venture interests	2015-12-31	$7,582
Total contributions received or receivable from employer(s)	2015-12-31	$400,020
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$1,181,329
Expenses. Total of all expenses incurred	2014-12-31	$80,566
Benefits paid (including direct rollovers)	2014-12-31	$44,650
Total plan assets at end of year	2014-12-31	$20,213,064
Total plan assets at beginning of year	2014-12-31	$19,112,301
Value of fidelity bond covering the plan	2014-12-31	$1,000,000
Total contributions received or receivable from participants	2014-12-31	$537,679
Expenses. Other expenses not covered elsewhere	2014-12-31	$35,916
Other income received	2014-12-31	$643,650
Net income (gross income less expenses)	2014-12-31	$1,100,763
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$20,213,064
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$19,112,301
Assets. Value of participant loans	2014-12-31	$126,807
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$8,374
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2012 : HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$2,162,403
Expenses. Total of all expenses incurred	2012-12-31	$320,359
Benefits paid (including direct rollovers)	2012-12-31	$299,157
Total plan assets at end of year	2012-12-31	$16,590,546
Total plan assets at beginning of year	2012-12-31	$14,748,502
Value of fidelity bond covering the plan	2012-12-31	$1,000,000
Total contributions received or receivable from participants	2012-12-31	$441,484
Expenses. Other expenses not covered elsewhere	2012-12-31	$21,202
Contributions received from other sources (not participants or employers)	2012-12-31	$28,236
Other income received	2012-12-31	$1,492,683
Net income (gross income less expenses)	2012-12-31	$1,842,044
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$16,590,546
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$14,748,502
Assets. Value of participant loans	2012-12-31	$146,149
Assets. Value of assets in partnership/joint-venture interests	2012-12-31	$0
Total contributions received or receivable from employer(s)	2012-12-31	$200,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$280,029
Expenses. Total of all expenses incurred	2011-12-31	$283,780
Benefits paid (including direct rollovers)	2011-12-31	$249,359
Total plan assets at end of year	2011-12-31	$14,748,502
Total plan assets at beginning of year	2011-12-31	$14,752,253
Value of fidelity bond covering the plan	2011-12-31	$1,000,000
Total contributions received or receivable from participants	2011-12-31	$443,555
Expenses. Other expenses not covered elsewhere	2011-12-31	$34,421
Other income received	2011-12-31	$-363,526
Net income (gross income less expenses)	2011-12-31	$-3,751
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$14,748,502
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$14,752,253
Assets. Value of participant loans	2011-12-31	$150,253
Assets. Value of assets in partnership/joint-venture interests	2011-12-31	$44,037
Total contributions received or receivable from employer(s)	2011-12-31	$200,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$2,021,693
Expenses. Total of all expenses incurred	2010-12-31	$1,007,842
Benefits paid (including direct rollovers)	2010-12-31	$987,980
Total plan assets at end of year	2010-12-31	$14,752,253
Total plan assets at beginning of year	2010-12-31	$13,738,402
Value of fidelity bond covering the plan	2010-12-31	$1,000,000
Total contributions received or receivable from participants	2010-12-31	$438,108
Expenses. Other expenses not covered elsewhere	2010-12-31	$19,862
Contributions received from other sources (not participants or employers)	2010-12-31	$103,870
Other income received	2010-12-31	$1,229,715
Net income (gross income less expenses)	2010-12-31	$1,013,851
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$14,752,253
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$13,738,402
Assets. Value of participant loans	2010-12-31	$169,179
Assets. Value of assets in partnership/joint-venture interests	2010-12-31	$21,078
Total contributions received or receivable from employer(s)	2010-12-31	$250,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0

Form 5500 Responses for HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN

2016: HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING 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: HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING 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
2012: HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING 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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: HARWELL HOWARD HYNE GABBERT & MANNER, P.C. 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

CUNA MUTUAL (National Association of Insurance Commissioners NAIC id number: 62626 )

Policy contract number

041-0212-4

Policy instance

Insurance contract or identification number	041-0212-4
Number of Individuals Covered	26
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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

CUNA MUTUAL (National Association of Insurance Commissioners NAIC id number: 62626 )

Policy contract number

041-0212-4

Policy instance

Insurance contract or identification number	041-0212-4
Number of Individuals Covered	33
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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

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Company Name:	HARWELL HOWARD HYNE GABBERT & MANNER, P.C.
Employer identification number (EIN):	621094814
NAIC Classification:	541110
NAIC Description:	Offices of Lawyers