401k Plan data: JACOBSON COMPANIES 401(K) PROFIT SHARING PLAN plan

JACOBSON COMPANIES 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	JACOBSON COMPANIES 401(K) PROFIT SHARING PLAN
Plan identification number	003

JACOBSON COMPANIES 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

JHCI ACQUISITION, INC. has sponsored the creation of one or more 401k plans.

Company Name: JHCI ACQUISITION, INC.

Employer identification number (EIN): 640964166

NAIC Classification: 493100

Additional information about JHCI ACQUISITION, INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 4339728

More information about JHCI ACQUISITION, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JACOBSON COMPANIES 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2016-01-01 DARREN GAYLOR DARREN GAYLOR 2017-10-13
003 2015-01-01 KIM IVERSON KIM IVERSON 2016-10-17
003 2014-01-01 CHRISTOPHER KUHL
003 2013-01-01 JACK INGLE
003 2012-01-01 GREG SCHIPPERS
003 2011-01-01 GREG SCHIPPERS

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2016-01-01	DARREN GAYLOR	DARREN GAYLOR	2017-10-13
003	2015-01-01	KIM IVERSON	KIM IVERSON	2016-10-17
003	2014-01-01	CHRISTOPHER KUHL
003	2013-01-01	JACK INGLE
003	2012-01-01	GREG SCHIPPERS
003	2011-01-01	GREG SCHIPPERS

Plan Statistics for JACOBSON COMPANIES 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for JACOBSON COMPANIES 401(K) PROFIT SHARING PLAN

Measure Date Value
2016: JACOBSON COMPANIES 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 6,725
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: JACOBSON COMPANIES 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 5,750
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 6,121
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 589
Total of all active and inactive participants 2015-01-01 6,710
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 15
Total participants 2015-01-01 6,725
Number of participants with account balances 2015-01-01 2,093
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 26
2014: JACOBSON COMPANIES 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 5,056
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 5,012
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 664
Total of all active and inactive participants 2014-01-01 5,676
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 13
Total participants 2014-01-01 5,689
Number of participants with account balances 2014-01-01 2,032
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 29
2013: JACOBSON COMPANIES 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 4,721
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 4,432
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 606
Total of all active and inactive participants 2013-01-01 5,038
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 11
Total participants 2013-01-01 5,049
Number of participants with account balances 2013-01-01 2,049
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 35
2012: JACOBSON COMPANIES 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 4,958
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 4,149
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 561
Total of all active and inactive participants 2012-01-01 4,710
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 11
Total participants 2012-01-01 4,721
Number of participants with account balances 2012-01-01 2,248
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 75
2011: JACOBSON COMPANIES 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 5,285
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 4,586
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 360
Total of all active and inactive participants 2011-01-01 4,946
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 11
Total participants 2011-01-01 4,957
Number of participants with account balances 2011-01-01 2,332
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 97

Measure	Date	Value
2016: JACOBSON COMPANIES 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	6,725
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: JACOBSON COMPANIES 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	5,750
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	6,121
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	589
Total of all active and inactive participants	2015-01-01	6,710
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	15
Total participants	2015-01-01	6,725
Number of participants with account balances	2015-01-01	2,093
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	26
2014: JACOBSON COMPANIES 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	5,056
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	5,012
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	664
Total of all active and inactive participants	2014-01-01	5,676
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	13
Total participants	2014-01-01	5,689
Number of participants with account balances	2014-01-01	2,032
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	29
2013: JACOBSON COMPANIES 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	4,721
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	4,432
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	606
Total of all active and inactive participants	2013-01-01	5,038
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	11
Total participants	2013-01-01	5,049
Number of participants with account balances	2013-01-01	2,049
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	35
2012: JACOBSON COMPANIES 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	4,958
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	4,149
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	561
Total of all active and inactive participants	2012-01-01	4,710
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	11
Total participants	2012-01-01	4,721
Number of participants with account balances	2012-01-01	2,248
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	75
2011: JACOBSON COMPANIES 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	5,285
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	4,586
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	360
Total of all active and inactive participants	2011-01-01	4,946
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	11
Total participants	2011-01-01	4,957
Number of participants with account balances	2011-01-01	2,332
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	97

Financial Data on JACOBSON COMPANIES 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2016 : JACOBSON COMPANIES 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total transfer of assets from this plan	2016-12-31	$38,021,702
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$6,704,118
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$6,144,218
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$5,987,429
Expenses. Certain deemed distributions of participant loans	2016-12-31	$39,288
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$4,275,152
Value of total assets at end of year	2016-12-31	$0
Value of total assets at beginning of year	2016-12-31	$37,461,802
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$117,501
Total interest from all sources	2016-12-31	$52,718
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$450,284
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$450,284
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$3,212,179
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$1,289,524
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$114,479
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$462,593
Other income not declared elsewhere	2016-12-31	$100,475
Administrative expenses (other) incurred	2016-12-31	$117,501
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$559,900
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$37,461,802
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$32,340,603
Interest on participant loans	2016-12-31	$52,718
Value of interest in common/collective trusts at end of year	2016-12-31	$0
Value of interest in common/collective trusts at beginning of year	2016-12-31	$3,695,074
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$1,760,968
Net investment gain or loss from common/collective trusts	2016-12-31	$64,521
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$600,380
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$22,122
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$5,987,429
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-12-31	Yes
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	KIECKHAFER SCHIFFER & COMPANY LLP
Accountancy firm EIN	2016-12-31	330688321
2015 : JACOBSON COMPANIES 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
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	$194,648
Total income from all sources (including contributions)	2015-12-31	$4,520,046
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$7,540,352
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$7,213,290
Expenses. Certain deemed distributions of participant loans	2015-12-31	$13,429
Value of total corrective distributions	2015-12-31	$182,241
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$4,458,553
Value of total assets at end of year	2015-12-31	$37,461,802
Value of total assets at beginning of year	2015-12-31	$40,676,756
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$131,392
Total interest from all sources	2015-12-31	$49,659
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$388,396
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	$388,396
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$5,000,000
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	$3,582,242
Participant contributions at end of year	2015-12-31	$1,289,524
Participant contributions at beginning of year	2015-12-31	$1,110,751
Participant contributions at end of year	2015-12-31	$114,479
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$243,796
Other income not declared elsewhere	2015-12-31	$3,934
Administrative expenses (other) incurred	2015-12-31	$131,392
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	$-3,020,306
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$37,461,802
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$40,482,108
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 registered invesment companies (eg mutual funds) at end of year	2015-12-31	$32,340,603
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$34,855,188
Interest on participant loans	2015-12-31	$49,659
Value of interest in common/collective trusts at end of year	2015-12-31	$3,695,074
Value of interest in common/collective trusts at beginning of year	2015-12-31	$4,468,679
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-375,539
Net investment gain or loss from common/collective trusts	2015-12-31	$-4,957
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	No
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	$632,515
Employer contributions (assets) at end of year	2015-12-31	$22,122
Employer contributions (assets) at beginning of year	2015-12-31	$242,138
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$7,213,290
Liabilities. Value of benefit claims payable at beginning of year	2015-12-31	$194,648
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	KIECKHAFER SCHIFFER & COMPANY LLP
Accountancy firm EIN	2015-12-31	330688321
2014 : JACOBSON COMPANIES 401(K) PROFIT SHARING 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	$194,648
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$188,855
Total income from all sources (including contributions)	2014-12-31	$5,712,697
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$5,106,651
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$4,787,578
Value of total corrective distributions	2014-12-31	$199,126
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$3,374,925
Value of total assets at end of year	2014-12-31	$40,676,756
Value of total assets at beginning of year	2014-12-31	$40,064,917
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$119,947
Total interest from all sources	2014-12-31	$46,787
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$472,849
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$472,849
Administrative expenses professional fees incurred	2014-12-31	$14,795
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$5,000,000
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	$2,743,504
Participant contributions at end of year	2014-12-31	$1,110,751
Participant contributions at beginning of year	2014-12-31	$1,218,572
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$389,283
Other income not declared elsewhere	2014-12-31	$93,729
Administrative expenses (other) incurred	2014-12-31	$105,152
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	$606,046
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$40,482,108
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$39,876,062
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 registered invesment companies (eg mutual funds) at end of year	2014-12-31	$34,855,188
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$34,381,773
Interest on participant loans	2014-12-31	$46,787
Value of interest in common/collective trusts at end of year	2014-12-31	$4,468,679
Value of interest in common/collective trusts at beginning of year	2014-12-31	$4,464,572
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$1,657,493
Net investment gain or loss from common/collective trusts	2014-12-31	$66,914
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	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$242,138
Employer contributions (assets) at end of year	2014-12-31	$242,138
Employer contributions (assets) at beginning of year	2014-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$4,787,578
Liabilities. Value of benefit claims payable at end of year	2014-12-31	$194,648
Liabilities. Value of benefit claims payable at beginning of year	2014-12-31	$188,855
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	MCGLADREY LLP
Accountancy firm EIN	2014-12-31	420714325
2013 : JACOBSON COMPANIES 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets from this plan	2013-12-31	$4,756,470
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$188,855
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$218,835
Total income from all sources (including contributions)	2013-12-31	$9,980,891
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$4,595,619
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$4,464,414
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$2,939,282
Value of total assets at end of year	2013-12-31	$40,064,917
Value of total assets at beginning of year	2013-12-31	$39,466,095
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$131,205
Total interest from all sources	2013-12-31	$52,119
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$1,199,573
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$1,199,573
Administrative expenses professional fees incurred	2013-12-31	$21,986
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$5,000,000
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	$2,719,568
Participant contributions at end of year	2013-12-31	$1,218,572
Participant contributions at beginning of year	2013-12-31	$1,360,038
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$217,380
Other income not declared elsewhere	2013-12-31	$104,992
Administrative expenses (other) incurred	2013-12-31	$109,219
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	$5,385,272
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$39,876,062
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$39,247,260
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	$34,381,773
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$33,141,344
Interest on participant loans	2013-12-31	$52,119
Value of interest in common/collective trusts at end of year	2013-12-31	$4,464,572
Value of interest in common/collective trusts at beginning of year	2013-12-31	$4,964,713
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$5,728,493
Net investment gain or loss from common/collective trusts	2013-12-31	$-43,568
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$2,334
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$4,464,414
Liabilities. Value of benefit claims payable at end of year	2013-12-31	$188,855
Liabilities. Value of benefit claims payable at beginning of year	2013-12-31	$218,835
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	MCGLADREY LLP
Accountancy firm EIN	2013-12-31	420714325
2012 : JACOBSON COMPANIES 401(K) PROFIT SHARING 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	$218,835
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$145,532
Total income from all sources (including contributions)	2012-12-31	$8,251,941
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$4,266,594
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$4,158,728
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$4,073,601
Value of total assets at end of year	2012-12-31	$39,466,095
Value of total assets at beginning of year	2012-12-31	$35,407,445
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$107,866
Total interest from all sources	2012-12-31	$57,567
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$437,118
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$437,118
Administrative expenses professional fees incurred	2012-12-31	$35,966
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$5,000,000
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	$3,100,456
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$370,007
Assets. Loans (other than to participants) at end of year	2012-12-31	$1,360,038
Assets. Loans (other than to participants) at beginning of year	2012-12-31	$1,312,150
Other income not declared elsewhere	2012-12-31	$83,958
Administrative expenses (other) incurred	2012-12-31	$71,900
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	$3,985,347
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$39,247,260
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$35,261,913
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	$33,141,344
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$29,003,740
Income. Interest from loans (other than to participants)	2012-12-31	$57,567
Value of interest in common/collective trusts at end of year	2012-12-31	$4,964,713
Value of interest in common/collective trusts at beginning of year	2012-12-31	$5,091,555
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$3,505,095
Net investment gain or loss from common/collective trusts	2012-12-31	$94,602
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
Contributions received in cash from employer	2012-12-31	$603,138
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$4,158,728
Liabilities. Value of benefit claims payable at end of year	2012-12-31	$218,835
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$145,532
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	DELOITTE & TOUCHE LLP
Accountancy firm EIN	2012-12-31	133891517
2011 : JACOBSON COMPANIES 401(K) PROFIT SHARING 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	$145,532
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$183,416
Total income from all sources (including contributions)	2011-12-31	$3,561,771
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$2,996,976
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$2,657,515
Value of total corrective distributions	2011-12-31	$173,245
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$3,884,073
Value of total assets at end of year	2011-12-31	$35,407,445
Value of total assets at beginning of year	2011-12-31	$34,880,534
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$166,216
Total interest from all sources	2011-12-31	$51,973
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$327,568
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$327,568
Administrative expenses professional fees incurred	2011-12-31	$55,893
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$5,000,000
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	$3,067,903
Participant contributions at end of year	2011-12-31	$0
Participant contributions at beginning of year	2011-12-31	$2,020
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$247,058
Assets. Loans (other than to participants) at end of year	2011-12-31	$1,312,150
Assets. Loans (other than to participants) at beginning of year	2011-12-31	$1,108,267
Other income not declared elsewhere	2011-12-31	$11,670
Administrative expenses (other) incurred	2011-12-31	$110,323
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	$564,795
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$35,261,913
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$34,697,118
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	$29,003,740
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$28,901,982
Interest on participant loans	2011-12-31	$51,973
Value of interest in common/collective trusts at end of year	2011-12-31	$5,091,555
Value of interest in common/collective trusts at beginning of year	2011-12-31	$4,868,265
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-831,709
Net investment gain or loss from common/collective trusts	2011-12-31	$118,196
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
Contributions received in cash from employer	2011-12-31	$569,112
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$2,657,515
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$145,532
Liabilities. Value of benefit claims payable at beginning of year	2011-12-31	$183,416
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	DELOITTE & TOUCHE LLP
Accountancy firm EIN	2011-12-31	133891517
2010 : JACOBSON COMPANIES 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets to this plan	2010-12-31	$3,951,867
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$183,416
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	$7,336,783
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$7,027,739
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$6,850,212
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$4,015,214
Value of total assets at end of year	2010-12-31	$34,880,534
Value of total assets at beginning of year	2010-12-31	$30,436,207
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$177,527
Total interest from all sources	2010-12-31	$47,762
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$314,888
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$314,888
Administrative expenses professional fees incurred	2010-12-31	$79,615
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	$5,000,000
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	$2,797,279
Participant contributions at end of year	2010-12-31	$2,020
Participant contributions at beginning of year	2010-12-31	$40,669
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$77,752
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$21,640,841
Assets. Loans (other than to participants) at end of year	2010-12-31	$1,108,267
Administrative expenses (other) incurred	2010-12-31	$97,912
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	$0
Total non interest bearing cash at beginning of year	2010-12-31	$117
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	$309,044
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$34,697,118
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$30,436,207
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$28,901,982
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$3,327,617
Interest on participant loans	2010-12-31	$47,749
Value of interest in common/collective trusts at end of year	2010-12-31	$4,868,265
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$3,172,036
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$3,172,036
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$13
Asset value of US Government securities at end of year	2010-12-31	$0
Asset value of US Government securities at beginning of year	2010-12-31	$2,254,927
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$2,719,625
Net investment gain or loss from common/collective trusts	2010-12-31	$239,294
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$1,140,183
Employer contributions (assets) at beginning of year	2010-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$6,850,212
Liabilities. Value of benefit claims payable at end of year	2010-12-31	$183,416
Liabilities. Value of benefit claims payable 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
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	DELOITTE & TOUCHE LLP
Accountancy firm EIN	2010-12-31	133891517

Form 5500 Responses for JACOBSON COMPANIES 401(K) PROFIT SHARING PLAN

2016: JACOBSON COMPANIES 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)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: JACOBSON COMPANIES 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 – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: JACOBSON COMPANIES 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 – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: JACOBSON COMPANIES 401(K) PROFIT SHARING 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 – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: JACOBSON COMPANIES 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: JACOBSON COMPANIES 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

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JACOBSON COMPANIES EMPLOYEE BENEFIT PLAN [EIN = 421399841]

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Company Name:	JHCI ACQUISITION, INC.
Employer identification number (EIN):	640964166
NAIC Classification:	493100

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	4339728