401k Plan data: KUBRA 401(K) PROFIT SHARING PLAN AND TRUST plan

KUBRA 401(K) PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan Name	KUBRA 401(K) PROFIT SHARING PLAN AND TRUST
Plan identification number	001

KUBRA 401(K) PROFIT SHARING PLAN AND TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
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

KUBRA ARIZONA, INC. has sponsored the creation of one or more 401k plans.

Company Name: KUBRA ARIZONA, INC.

Employer identification number (EIN): 621735054

NAIC Classification: 561410
NAIC Description: Document Preparation Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KUBRA 401(K) PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 LAURA IANTORNO
001 2013-01-01 BENNY PETRINI
001 2012-01-01 BENNY PETRINI
001 2011-01-01 LAURA IANTORNO
001 2010-01-01 LAURA IANTORNO
001 2009-01-01 LAURA IANTORNO
001 2009-01-01 LAURA IANTORNO

Plan id#	Filing Submission Date	Name of Administrator
001	2014-01-01	LAURA IANTORNO
001	2013-01-01	BENNY PETRINI
001	2012-01-01	BENNY PETRINI
001	2011-01-01	LAURA IANTORNO
001	2010-01-01	LAURA IANTORNO
001	2009-01-01	LAURA IANTORNO
001	2009-01-01	LAURA IANTORNO

Plan Statistics for KUBRA 401(K) PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for KUBRA 401(K) PROFIT SHARING PLAN AND TRUST

Measure Date Value
2014: KUBRA 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 134
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
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 0
Total of all active and inactive participants 2014-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: KUBRA 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 155
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 110
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 19
Total of all active and inactive participants 2013-01-01 129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 129
Number of participants with account balances 2013-01-01 87
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 7
2012: KUBRA 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 170
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 112
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 37
Total of all active and inactive participants 2012-01-01 149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 149
Number of participants with account balances 2012-01-01 111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 10
2011: KUBRA 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 181
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 131
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 36
Total of all active and inactive participants 2011-01-01 167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 167
Number of participants with account balances 2011-01-01 127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 9
2010: KUBRA 401(K) PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year 2010-01-01 212
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 141
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 32
Total of all active and inactive participants 2010-01-01 173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 173
Number of participants with account balances 2010-01-01 134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 17
2009: KUBRA 401(K) PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 204
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 178
Number of other retired or separated participants entitled to future benefits 2009-01-01 29
Total of all active and inactive participants 2009-01-01 207
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 207
Number of participants with account balances 2009-01-01 153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 15

Measure	Date	Value
2014: KUBRA 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	134
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
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	0
Total of all active and inactive participants	2014-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: KUBRA 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	155
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	110
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	19
Total of all active and inactive participants	2013-01-01	129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	129
Number of participants with account balances	2013-01-01	87
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	7
2012: KUBRA 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	170
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	112
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	37
Total of all active and inactive participants	2012-01-01	149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	149
Number of participants with account balances	2012-01-01	111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	10
2011: KUBRA 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	181
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	131
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	36
Total of all active and inactive participants	2011-01-01	167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	167
Number of participants with account balances	2011-01-01	127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	9
2010: KUBRA 401(K) PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year	2010-01-01	212
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	141
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	32
Total of all active and inactive participants	2010-01-01	173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	173
Number of participants with account balances	2010-01-01	134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	17
2009: KUBRA 401(K) PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	204
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	178
Number of other retired or separated participants entitled to future benefits	2009-01-01	29
Total of all active and inactive participants	2009-01-01	207
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	207
Number of participants with account balances	2009-01-01	153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	15

Financial Data on KUBRA 401(K) PROFIT SHARING PLAN AND TRUST

Measure	Date	Value
2014 : KUBRA 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-18	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-18	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-18	$0
Total income from all sources (including contributions)	2014-12-18	$307,780
Total loss/gain on sale of assets	2014-12-18	$0
Total of all expenses incurred	2014-12-18	$3,764,344
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-18	$3,758,321
Value of total corrective distributions	2014-12-18	$4,958
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-18	$197,224
Value of total assets at end of year	2014-12-18	$0
Value of total assets at beginning of year	2014-12-18	$3,456,564
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-18	$1,065
Total interest from all sources	2014-12-18	$126
Total dividends received (eg from common stock, registered investment company shares)	2014-12-18	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-18	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2014-12-18	$0
Administrative expenses professional fees incurred	2014-12-18	$500
Was this plan covered by a fidelity bond	2014-12-18	Yes
Value of fidelity bond cover	2014-12-18	$1,000,000
If this is an individual account plan, was there a blackout period	2014-12-18	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-18	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-18	No
Contributions received from participants	2014-12-18	$145,415
Participant contributions at end of year	2014-12-18	$0
Participant contributions at beginning of year	2014-12-18	$3,470
Participant contributions at end of year	2014-12-18	$0
Participant contributions at beginning of year	2014-12-18	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-18	$1,157
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-18	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-18	$0
Total non interest bearing cash at end of year	2014-12-18	$0
Total non interest bearing cash at beginning of year	2014-12-18	$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	2014-12-18	No
Value of net income/loss	2014-12-18	$-3,456,564
Value of net assets at end of year (total assets less liabilities)	2014-12-18	$0
Value of net assets at beginning of year (total assets less liabilities)	2014-12-18	$3,456,564
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-18	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-18	No
Were any leases to which the plan was party in default or uncollectible	2014-12-18	No
Investment advisory and management fees	2014-12-18	$565
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-18	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-18	$3,453,094
Interest on participant loans	2014-12-18	$126
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-18	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-18	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-18	$110,430
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-18	No
Was there a failure to transmit to the plan any participant contributions	2014-12-18	No
Has the plan failed to provide any benefit when due under the plan	2014-12-18	No
Contributions received in cash from employer	2014-12-18	$50,652
Employer contributions (assets) at end of year	2014-12-18	$0
Employer contributions (assets) at beginning of year	2014-12-18	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-18	$3,758,321
Did the plan have assets held for investment	2014-12-18	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	2014-12-18	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-18	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-18	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-18	Disclaimer
Accountancy firm name	2014-12-18	LATTIMORE, BLACK, MORGAN & CAIN, PC
Accountancy firm EIN	2014-12-18	621199757
2013 : KUBRA 401(K) PROFIT SHARING PLAN AND TRUST 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	$827,939
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$869,306
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$862,541
Value of total corrective distributions	2013-12-31	$160
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$341,283
Value of total assets at end of year	2013-12-31	$3,456,564
Value of total assets at beginning of year	2013-12-31	$3,497,931
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$6,605
Total interest from all sources	2013-12-31	$353
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
Administrative expenses professional fees incurred	2013-12-31	$700
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
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	$238,421
Participant contributions at end of year	2013-12-31	$3,470
Participant contributions at beginning of year	2013-12-31	$6,156
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	$5,920
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$-548
Administrative expenses (other) incurred	2013-12-31	$5,905
Total non interest bearing cash at end of year	2013-12-31	$0
Total non interest bearing cash at beginning of year	2013-12-31	$8,249
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	$-41,367
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$3,456,564
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$3,497,931
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 registered invesment companies (eg mutual funds) at end of year	2013-12-31	$3,453,094
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$3,481,962
Interest on participant loans	2013-12-31	$353
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$2,112
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$486,303
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	No
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	$96,942
Employer contributions (assets) at end of year	2013-12-31	$0
Employer contributions (assets) at beginning of year	2013-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$862,541
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	LATTIMORE, BLACK, MORGAN & CAIN, PC
Accountancy firm EIN	2013-12-31	621199757
2012 : KUBRA 401(K) PROFIT SHARING PLAN AND TRUST 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	$672,407
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$778,463
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$758,848
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$282,249
Value of total assets at end of year	2012-12-31	$3,497,931
Value of total assets at beginning of year	2012-12-31	$3,603,987
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$19,615
Total interest from all sources	2012-12-31	$568
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
Administrative expenses professional fees incurred	2012-12-31	$1,650
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
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	$260,569
Participant contributions at end of year	2012-12-31	$6,156
Participant contributions at beginning of year	2012-12-31	$9,760
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$12,327
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$311
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$-548
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$-553
Administrative expenses (other) incurred	2012-12-31	$17,965
Total non interest bearing cash at end of year	2012-12-31	$8,249
Total non interest bearing cash at beginning of year	2012-12-31	$67,642
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	$-106,056
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$3,497,931
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$3,603,987
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$3,481,962
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$3,507,701
Interest on participant loans	2012-12-31	$558
Interest earned on other investments	2012-12-31	$10
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$2,112
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$2,112
Net investment gain/loss from pooled separate accounts	2012-12-31	$389,590
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
Contributions received in cash from employer	2012-12-31	$21,369
Employer contributions (assets) at end of year	2012-12-31	$0
Employer contributions (assets) at beginning of year	2012-12-31	$4,998
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$758,848
Contract administrator fees	2012-12-31	$0
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	LATTIMORE, BLACK, MORGAN & CAIN, PC
Accountancy firm EIN	2012-12-31	621199757
2011 : KUBRA 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$280,574
Total of all expenses incurred	2011-12-31	$488,677
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$451,438
Value of total corrective distributions	2011-12-31	$16,411
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$418,469
Value of total assets at end of year	2011-12-31	$3,603,987
Value of total assets at beginning of year	2011-12-31	$3,812,090
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$20,828
Total interest from all sources	2011-12-31	$1,230
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Administrative expenses professional fees incurred	2011-12-31	$1,650
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$304,018
Participant contributions at end of year	2011-12-31	$9,760
Participant contributions at beginning of year	2011-12-31	$17,678
Participant contributions at end of year	2011-12-31	$12,327
Participant contributions at beginning of year	2011-12-31	$12,291
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$8,379
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$-553
Administrative expenses (other) incurred	2011-12-31	$19,178
Total non interest bearing cash at end of year	2011-12-31	$67,642
Total non interest bearing cash at beginning of year	2011-12-31	$73,523
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	$-208,103
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$3,603,987
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$3,812,090
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$3,507,701
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$3,682,661
Interest on participant loans	2011-12-31	$1,012
Interest earned on other investments	2011-12-31	$218
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$2,112
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$21,417
Net investment gain/loss from pooled separate accounts	2011-12-31	$-139,125
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	Yes
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$106,072
Employer contributions (assets) at end of year	2011-12-31	$4,998
Employer contributions (assets) at beginning of year	2011-12-31	$4,520
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$451,438
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	LATTIMORE, BLACK, MORGAN & CAIN, PC
Accountancy firm EIN	2011-12-31	621199757
2010 : KUBRA 401(K) PROFIT SHARING PLAN AND TRUST 2010 401k financial data
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	$1,030,888
Total of all expenses incurred	2010-12-31	$761,570
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$612,047
Expenses. Certain deemed distributions of participant loans	2010-12-31	$29,332
Value of total corrective distributions	2010-12-31	$100,610
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$632,266
Value of total assets at end of year	2010-12-31	$3,812,090
Value of total assets at beginning of year	2010-12-31	$3,542,772
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$19,581
Total interest from all sources	2010-12-31	$3,142
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Assets. Real estate other than employer real property at beginning of year	2010-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2010-12-31	$0
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
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	$429,110
Participant contributions at end of year	2010-12-31	$17,678
Participant contributions at beginning of year	2010-12-31	$69,391
Participant contributions at end of year	2010-12-31	$12,291
Participant contributions at beginning of year	2010-12-31	$53,210
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$49,163
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2010-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$0
Administrative expenses (other) incurred	2010-12-31	$17,941
Liabilities. Value of operating payables at beginning of year	2010-12-31	$0
Total non interest bearing cash at end of year	2010-12-31	$73,523
Total non interest bearing cash at beginning of year	2010-12-31	$13,202
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
Income. Non cash contributions	2010-12-31	$0
Value of net income/loss	2010-12-31	$269,318
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$3,812,090
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$3,542,772
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
Assets. partnership/joint venture interests at beginning of year	2010-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$3,682,661
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$3,369,399
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$0
Interest on participant loans	2010-12-31	$2,860
Interest earned on other investments	2010-12-31	$282
Value of interest in master investment trust accounts at beginning of year	2010-12-31	$0
Value of interest in common/collective trusts at beginning of year	2010-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2010-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$21,417
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$18,996
Asset value of US Government securities at beginning of year	2010-12-31	$0
Net investment gain/loss from pooled separate accounts	2010-12-31	$395,480
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
Assets. Invements in employer securities at beginning of year	2010-12-31	$0
Assets. Value of employer real property at beginning of year	2010-12-31	$0
Contributions received in cash from employer	2010-12-31	$153,993
Employer contributions (assets) at end of year	2010-12-31	$4,520
Employer contributions (assets) at beginning of year	2010-12-31	$18,574
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$612,047
Asset. Corporate debt instrument preferred debt at beginning of year	2010-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2010-12-31	$0
Contract administrator fees	2010-12-31	$1,640
Assets. Corporate common stocks other than exployer securities at beginning of year	2010-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2010-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2010-12-31	$0
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Liabilities. Value of acquisition indebtedness at beginning of year	2010-12-31	$0
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	LATTIMORE, BLACK, MORGAN & CAIN, PC
Accountancy firm EIN	2010-12-31	621199757

Form 5500 Responses for KUBRA 401(K) PROFIT SHARING PLAN AND TRUST

2014: KUBRA 401(K) PROFIT SHARING PLAN AND TRUST 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	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: KUBRA 401(K) PROFIT SHARING PLAN AND TRUST 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: KUBRA 401(K) PROFIT SHARING PLAN AND TRUST 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: KUBRA 401(K) PROFIT SHARING PLAN AND TRUST 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
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
2010: KUBRA 401(K) PROFIT SHARING PLAN AND TRUST 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: KUBRA 401(K) PROFIT SHARING PLAN AND TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
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

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

804351-000

Policy instance

Insurance contract or identification number	804351-000
Number of Individuals Covered	0
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-18
Total amount of commissions paid to insurance broker	USD $5,892
Total amount of fees paid to insurance company	USD $2,164
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 $5,892
Insurance broker organization code?	3
Amount paid for insurance broker fees	2164
Additional information about fees paid to insurance broker	TPA FEES AND COMPENSATION
Insurance broker name	AVINTUS

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

29915

Policy instance

Insurance contract or identification number	29915
Number of Individuals Covered	0
Insurance policy start date	2013-01-01
Insurance policy end date	2013-05-13
Total amount of commissions paid to insurance broker	USD $5,864
Total amount of fees paid to insurance company	USD $1,295
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,864
Insurance broker organization code?	3
Amount paid for insurance broker fees	1295
Additional information about fees paid to insurance broker	TPA FEES AND COMPENSATION
Insurance broker name	AVINTUS

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

804351-000

Policy instance

Insurance contract or identification number	804351-000
Number of Individuals Covered	87
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $17,781
Total amount of fees paid to insurance company	USD $9,502
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 $17,781
Insurance broker organization code?	3
Amount paid for insurance broker fees	9502
Additional information about fees paid to insurance broker	TPA FEES AND COMPENSATION
Insurance broker name	AVINTUS

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

29915

Policy instance

Insurance contract or identification number	29915
Number of Individuals Covered	131
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $14,303
Total amount of fees paid to insurance company	USD $3,470
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,303
Insurance broker organization code?	3
Amount paid for insurance broker fees	3470
Additional information about fees paid to insurance broker	TPA FEES PAID, COMPENSATION, AND JH IRA R/O PMT
Insurance broker name	AVINTUS

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

29915

Policy instance

Insurance contract or identification number	29915
Number of Individuals Covered	149
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $15,115
Total amount of fees paid to insurance company	USD $3,577
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

29915

Policy instance

Insurance contract or identification number	29915
Number of Individuals Covered	175
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $14,151
Total amount of fees paid to insurance company	USD $3,423
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
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Company Name:	KUBRA ARIZONA, INC.
Employer identification number (EIN):	621735054
NAIC Classification:	561410
NAIC Description:	Document Preparation Services