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ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 401k Plan overview

Plan NameABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN
Plan identification number 001

ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN Benefits

401k Plan TypeDefined 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.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

ABSENTEE SHAWNEE TRIBE OF INDIANS OF OKLAHOMA has sponsored the creation of one or more 401k plans.

Company Name:ABSENTEE SHAWNEE TRIBE OF INDIANS OF OKLAHOMA
Employer identification number (EIN):730772869
NAIC Classification:812990
NAIC Description:All Other Personal Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01MICHELE NOWELL2023-10-11
0012021-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012019-01-01
0012018-01-01
0012017-01-01ELIZABETH SNOW
0012016-01-01CHERI HARDEMAN
0012015-01-01CHERI HARDEMAN
0012014-01-01VIVIANNA WILHELM
0012013-01-01GENEVIEVE FOSTER
0012012-01-01BELINDA COLLINS
0012011-01-01BELINDA COLLINS
0012009-01-01BELINDA COLLINS BELINDA COLLINS2010-09-30
0012009-01-01BELINDA COLLINS
0012009-01-01BELINDA COLLINS

Plan Statistics for ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN

401k plan membership statisitcs for ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN

Measure Date Value
2022: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01600
Total number of active participants reported on line 7a of the Form 55002022-01-01495
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-01123
Total of all active and inactive participants2022-01-01618
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01618
Number of participants with account balances2022-01-01550
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0160
2021: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01548
Total number of active participants reported on line 7a of the Form 55002021-01-01506
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0189
Total of all active and inactive participants2021-01-01595
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01595
Number of participants with account balances2021-01-01487
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0150
2020: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01539
Total number of active participants reported on line 7a of the Form 55002020-01-01454
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0189
Total of all active and inactive participants2020-01-01543
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01543
Number of participants with account balances2020-01-01433
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0150
2019: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01437
Total number of active participants reported on line 7a of the Form 55002019-01-01453
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0184
Total of all active and inactive participants2019-01-01537
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01537
Number of participants with account balances2019-01-01406
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-018
2018: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01448
Total number of active participants reported on line 7a of the Form 55002018-01-01354
Number of retired or separated participants receiving benefits2018-01-018
Number of other retired or separated participants entitled to future benefits2018-01-0157
Total of all active and inactive participants2018-01-01419
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01419
Number of participants with account balances2018-01-01274
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-018
2017: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01401
Total number of active participants reported on line 7a of the Form 55002017-01-01386
Number of retired or separated participants receiving benefits2017-01-015
Number of other retired or separated participants entitled to future benefits2017-01-0157
Total of all active and inactive participants2017-01-01448
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01448
Number of participants with account balances2017-01-01260
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-016
2016: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01367
Total number of active participants reported on line 7a of the Form 55002016-01-01328
Number of retired or separated participants receiving benefits2016-01-014
Number of other retired or separated participants entitled to future benefits2016-01-0161
Total of all active and inactive participants2016-01-01393
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01393
Number of participants with account balances2016-01-01229
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-013
2015: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01327
Total number of active participants reported on line 7a of the Form 55002015-01-01256
Number of retired or separated participants receiving benefits2015-01-0116
Number of other retired or separated participants entitled to future benefits2015-01-0146
Total of all active and inactive participants2015-01-01318
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01318
Number of participants with account balances2015-01-01149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-017
2014: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01204
Total number of active participants reported on line 7a of the Form 55002014-01-01160
Number of retired or separated participants receiving benefits2014-01-018
Number of other retired or separated participants entitled to future benefits2014-01-0135
Total of all active and inactive participants2014-01-01203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01203
Number of participants with account balances2014-01-01125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-013
2013: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01196
Total number of active participants reported on line 7a of the Form 55002013-01-01179
Number of retired or separated participants receiving benefits2013-01-016
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01185
Number of participants with account balances2013-01-0182
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01271
Total number of active participants reported on line 7a of the Form 55002012-01-01199
Number of retired or separated participants receiving benefits2012-01-014
Number of other retired or separated participants entitled to future benefits2012-01-0165
Total of all active and inactive participants2012-01-01268
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01268
Number of participants with account balances2012-01-01155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-013
2011: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01251
Total number of active participants reported on line 7a of the Form 55002011-01-01161
Number of retired or separated participants receiving benefits2011-01-014
Number of other retired or separated participants entitled to future benefits2011-01-0175
Total of all active and inactive participants2011-01-01240
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01240
Number of participants with account balances2011-01-01148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-017
2009: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01190
Total number of active participants reported on line 7a of the Form 55002009-01-01104
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0179
Total of all active and inactive participants2009-01-01183
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01183
Number of participants with account balances2009-01-01139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-015

Financial Data on ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN

Measure Date Value
2022 : ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$782,600
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$943,162
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$731,144
Expenses. Certain deemed distributions of participant loans2022-12-31$34,275
Value of total corrective distributions2022-12-31$102,049
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$2,696,493
Value of total assets at end of year2022-12-31$11,632,599
Value of total assets at beginning of year2022-12-31$11,793,161
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$75,694
Total interest from all sources2022-12-31$39,150
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$1,536,257
Participant contributions at end of year2022-12-31$253,587
Participant contributions at beginning of year2022-12-31$320,051
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$118,651
Other income not declared elsewhere2022-12-31$-19,516
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-160,562
Value of net assets at end of year (total assets less liabilities)2022-12-31$11,632,599
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$11,793,161
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$54,428
Value of interest in pooled separate accounts at end of year2022-12-31$10,038,666
Value of interest in pooled separate accounts at beginning of year2022-12-31$10,251,595
Interest on participant loans2022-12-31$18,240
Interest earned on other investments2022-12-31$20,910
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$1,340,346
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$1,221,515
Net investment gain/loss from pooled separate accounts2022-12-31$-1,933,527
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$1,041,585
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$731,144
Contract administrator fees2022-12-31$21,266
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31ROSE ROCK CPAS
Accountancy firm EIN2022-12-31260852716
2021 : ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$3,874,916
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$917,663
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$809,664
Expenses. Certain deemed distributions of participant loans2021-12-31$969
Value of total corrective distributions2021-12-31$69,180
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,412,021
Value of total assets at end of year2021-12-31$11,793,161
Value of total assets at beginning of year2021-12-31$8,835,908
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$37,850
Total interest from all sources2021-12-31$27,005
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$1,324,687
Participant contributions at end of year2021-12-31$320,051
Participant contributions at beginning of year2021-12-31$332,553
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$136,062
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$2,957,253
Value of net assets at end of year (total assets less liabilities)2021-12-31$11,793,161
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$8,835,908
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in pooled separate accounts at end of year2021-12-31$10,251,595
Value of interest in pooled separate accounts at beginning of year2021-12-31$7,569,232
Interest on participant loans2021-12-31$19,516
Interest earned on other investments2021-12-31$7,489
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$1,221,515
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$934,123
Net investment gain/loss from pooled separate accounts2021-12-31$1,435,890
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$951,272
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$809,664
Contract administrator fees2021-12-31$37,850
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31Yes
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Disclaimer
Accountancy firm name2021-12-31ROSE ROCK CPAS
Accountancy firm EIN2021-12-31260852716
2020 : ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$29,993
Total income from all sources (including contributions)2020-12-31$3,260,167
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$762,663
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$705,008
Expenses. Certain deemed distributions of participant loans2020-12-31$10,636
Value of total corrective distributions2020-12-31$26,685
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$2,125,603
Value of total assets at end of year2020-12-31$8,835,908
Value of total assets at beginning of year2020-12-31$6,368,397
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$20,334
Total interest from all sources2020-12-31$30,901
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$1,177,295
Participant contributions at end of year2020-12-31$332,553
Participant contributions at beginning of year2020-12-31$419,504
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$56,536
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$29,993
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$2,497,504
Value of net assets at end of year (total assets less liabilities)2020-12-31$8,835,908
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$6,338,404
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$7,569,232
Value of interest in pooled separate accounts at beginning of year2020-12-31$5,194,815
Interest on participant loans2020-12-31$22,250
Interest earned on other investments2020-12-31$8,651
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$934,123
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$754,078
Net investment gain/loss from pooled separate accounts2020-12-31$1,103,663
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$891,772
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$705,008
Contract administrator fees2020-12-31$20,334
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31Yes
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31ROCK ROSE CPAS
Accountancy firm EIN2020-12-31260852716
2019 : ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$33,004
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$33,004
Total income from all sources (including contributions)2019-12-31$2,518,185
Total income from all sources (including contributions)2019-12-31$2,518,185
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$710,111
Total of all expenses incurred2019-12-31$710,111
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$608,691
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$608,691
Expenses. Certain deemed distributions of participant loans2019-12-31$11,183
Expenses. Certain deemed distributions of participant loans2019-12-31$11,183
Value of total corrective distributions2019-12-31$33,004
Value of total corrective distributions2019-12-31$33,004
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,564,159
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,564,159
Value of total assets at end of year2019-12-31$6,368,397
Value of total assets at end of year2019-12-31$6,368,397
Value of total assets at beginning of year2019-12-31$4,593,327
Value of total assets at beginning of year2019-12-31$4,593,327
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$57,233
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$57,233
Total interest from all sources2019-12-31$24,849
Total interest from all sources2019-12-31$24,849
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31Yes
If this is an individual account plan, was there a blackout period2019-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$897,273
Contributions received from participants2019-12-31$897,273
Participant contributions at end of year2019-12-31$419,504
Participant contributions at end of year2019-12-31$419,504
Participant contributions at beginning of year2019-12-31$309,945
Participant contributions at beginning of year2019-12-31$309,945
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$2,133
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$2,133
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$33,004
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$33,004
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,808,074
Value of net income/loss2019-12-31$1,808,074
Value of net assets at end of year (total assets less liabilities)2019-12-31$6,368,397
Value of net assets at end of year (total assets less liabilities)2019-12-31$6,368,397
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$4,560,323
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$4,560,323
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$36,819
Investment advisory and management fees2019-12-31$36,819
Value of interest in pooled separate accounts at end of year2019-12-31$5,194,815
Value of interest in pooled separate accounts at end of year2019-12-31$5,194,815
Value of interest in pooled separate accounts at beginning of year2019-12-31$4,283,382
Value of interest in pooled separate accounts at beginning of year2019-12-31$4,283,382
Interest on participant loans2019-12-31$21,153
Interest on participant loans2019-12-31$21,153
Interest earned on other investments2019-12-31$3,696
Interest earned on other investments2019-12-31$3,696
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$754,078
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$754,078
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$627,143
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$627,143
Net investment gain/loss from pooled separate accounts2019-12-31$302,034
Net investment gain/loss from pooled separate accounts2019-12-31$302,034
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$664,753
Contributions received in cash from employer2019-12-31$664,753
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$608,691
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$608,691
Contract administrator fees2019-12-31$20,414
Contract administrator fees2019-12-31$20,414
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31Yes
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31ROCK ROSE CPAS
Accountancy firm name2019-12-31ROCK ROSE CPAS
Accountancy firm EIN2019-12-31260852716
Accountancy firm EIN2019-12-31260852716
2018 : ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$33,004
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$25,165
Total income from all sources (including contributions)2018-12-31$996,376
Total of all expenses incurred2018-12-31$1,155,850
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,089,759
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,289,592
Value of total assets at end of year2018-12-31$4,593,327
Value of total assets at beginning of year2018-12-31$4,744,962
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$66,091
Total interest from all sources2018-12-31$18,334
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$200,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$706,774
Participant contributions at end of year2018-12-31$309,945
Participant contributions at beginning of year2018-12-31$331,030
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$14,656
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$33,004
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$25,165
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-159,474
Value of net assets at end of year (total assets less liabilities)2018-12-31$4,560,323
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$4,719,797
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$43,141
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$4,283,382
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$4,413,932
Interest on participant loans2018-12-31$18,334
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-311,550
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$568,162
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,089,759
Contract administrator fees2018-12-31$22,950
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31ROSE ROCK CPAS
Accountancy firm EIN2018-12-31260852716
2017 : ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$25,165
Total income from all sources (including contributions)2017-12-31$1,618,279
Total of all expenses incurred2017-12-31$554,628
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$475,600
Value of total corrective distributions2017-12-31$25,165
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,086,780
Value of total assets at end of year2017-12-31$4,744,962
Value of total assets at beginning of year2017-12-31$3,656,146
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$53,863
Total interest from all sources2017-12-31$18,257
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$200,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$580,722
Participant contributions at end of year2017-12-31$331,030
Participant contributions at beginning of year2017-12-31$243,149
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$22,085
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$25,165
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,063,651
Value of net assets at end of year (total assets less liabilities)2017-12-31$4,719,797
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$3,656,146
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$36,016
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$4,413,932
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$3,412,997
Interest on participant loans2017-12-31$14,238
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$4,019
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$513,242
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$483,973
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$475,600
Contract administrator fees2017-12-31$17,847
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31ROSE ROCK CPAS
Accountancy firm EIN2017-12-31260852716
2016 : ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2016 401k financial data
Total transfer of assets to this plan2016-12-31$1,318,413
Total income from all sources (including contributions)2016-12-31$948,578
Total of all expenses incurred2016-12-31$318,432
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$281,388
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$746,059
Value of total assets at end of year2016-12-31$3,656,146
Value of total assets at beginning of year2016-12-31$1,707,587
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$37,044
Total interest from all sources2016-12-31$15,939
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$100,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$406,326
Participant contributions at end of year2016-12-31$243,149
Participant contributions at beginning of year2016-12-31$170,874
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$7,621
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$630,146
Value of net assets at end of year (total assets less liabilities)2016-12-31$3,656,146
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,707,587
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$22,932
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$3,412,997
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$1,536,713
Interest on participant loans2016-12-31$14,212
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$1,727
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$186,580
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$332,112
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$281,388
Contract administrator fees2016-12-31$14,112
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31ROSE ROCK CPAS
Accountancy firm EIN2016-12-31260852716
2015 : ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$441,935
Total of all expenses incurred2015-12-31$252,008
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$252,008
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$475,102
Value of total assets at end of year2015-12-31$1,707,587
Value of total assets at beginning of year2015-12-31$1,517,660
Total interest from all sources2015-12-31$7,017
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31No
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$249,281
Participant contributions at end of year2015-12-31$170,874
Participant contributions at beginning of year2015-12-31$109,297
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$40,476
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$189,927
Value of net assets at end of year (total assets less liabilities)2015-12-31$1,707,587
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,517,660
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$1,536,713
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$1,408,363
Income. Interest from loans (other than to participants)2015-12-31$7,017
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-40,184
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$185,345
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$252,008
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31BLEDSOE & ASSOC., PLLC
Accountancy firm EIN2015-12-31260852716
2014 : ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2014 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$2,176
Total income from all sources (including contributions)2014-12-31$417,116
Total of all expenses incurred2014-12-31$308,626
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$308,626
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$369,871
Value of total assets at end of year2014-12-31$1,517,660
Value of total assets at beginning of year2014-12-31$1,411,346
Total interest from all sources2014-12-31$5,045
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$100,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$204,586
Participant contributions at end of year2014-12-31$109,297
Participant contributions at beginning of year2014-12-31$92,859
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$15,511
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$2,176
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$108,490
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,517,660
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,409,170
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$1,408,363
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$1,318,487
Income. Interest from loans (other than to participants)2014-12-31$5,045
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$42,200
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$149,774
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$308,626
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31BLEDSOE & ASSOC., PLLC
Accountancy firm EIN2014-12-31260852716
2013 : ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$454,567
Total of all expenses incurred2013-12-31$114,094
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$114,094
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$315,528
Value of total assets at end of year2013-12-31$1,409,170
Value of total assets at beginning of year2013-12-31$1,068,697
Total interest from all sources2013-12-31$3,740
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$100,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$182,452
Participant contributions at end of year2013-12-31$92,859
Participant contributions at beginning of year2013-12-31$70,639
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$1,780
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$340,473
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,409,170
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,068,697
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$1,316,311
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$998,058
Interest on participant loans2013-12-31$3,740
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$135,299
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$131,296
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$114,094
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31BLEDSOE & ASSOC., PLLC
Accountancy firm EIN2013-12-31260852716
2012 : ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2012 401k financial data
Total transfer of assets from this plan2012-12-31$125,907
Total income from all sources (including contributions)2012-12-31$355,698
Total of all expenses incurred2012-12-31$165,767
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$143,431
Expenses. Certain deemed distributions of participant loans2012-12-31$22,336
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$286,902
Value of total assets at end of year2012-12-31$1,068,697
Value of total assets at beginning of year2012-12-31$1,004,673
Total interest from all sources2012-12-31$3,524
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$100,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$145,631
Participant contributions at end of year2012-12-31$70,639
Participant contributions at beginning of year2012-12-31$90,959
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$23,436
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$189,931
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,068,697
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,004,673
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$998,058
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$913,714
Interest on participant loans2012-12-31$3,524
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$65,272
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$117,835
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$143,431
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31BLEDSOE AND ASSOCIATES
Accountancy firm EIN2012-12-31260852716
2011 : ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-12-31$166,893
Total of all expenses incurred2011-12-31$98,480
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$98,480
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$200,047
Value of total assets at end of year2011-12-31$1,004,673
Value of total assets at beginning of year2011-12-31$936,260
Total interest from all sources2011-12-31$3,034
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$55,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$105,142
Participant contributions at end of year2011-12-31$90,959
Participant contributions at beginning of year2011-12-31$85,244
Participant contributions at beginning of year2011-12-31$17,116
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$6,181
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$68,413
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,004,673
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$936,260
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$913,714
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$676,163
Interest on participant loans2011-12-31$3,034
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$142,650
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$142,650
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-36,188
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$88,724
Employer contributions (assets) at beginning of year2011-12-31$15,087
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$98,480
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31BLEDSOE AND ASSOCIATES
Accountancy firm EIN2011-12-31260852716
2010 : ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$-3,556
Total unrealized appreciation/depreciation of assets2010-12-31$-3,556
Total transfer of assets from this plan2010-12-31$171,883
Total income from all sources (including contributions)2010-12-31$294,633
Total of all expenses incurred2010-12-31$158,584
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$158,584
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$212,754
Value of total assets at end of year2010-12-31$936,260
Value of total assets at beginning of year2010-12-31$972,094
Total interest from all sources2010-12-31$2,388
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$6,174
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$55,000
If this is an individual account plan, was there a blackout period2010-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$115,821
Participant contributions at end of year2010-12-31$85,244
Participant contributions at beginning of year2010-12-31$90,696
Participant contributions at end of year2010-12-31$17,116
Participant contributions at beginning of year2010-12-31$4,907
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$136,049
Value of net assets at end of year (total assets less liabilities)2010-12-31$936,260
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$972,094
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$676,163
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$723,103
Interest on participant loans2010-12-31$2,388
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$142,650
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$149,450
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$149,450
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$76,873
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31Yes
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$96,933
Employer contributions (assets) at end of year2010-12-31$15,087
Employer contributions (assets) at beginning of year2010-12-31$3,938
Income. Dividends from common stock2010-12-31$6,174
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$158,584
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31Yes
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31BLEDSOE AND ASSOCIATES
Accountancy firm EIN2010-12-31260852716
2009 : ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN

2022: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedYes
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: ABSENTEE SHAWNEE TRIBE SAVINGS INCENTIVE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number069762
Policy instance 1
Insurance contract or identification number069762
Number of Individuals Covered618
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number069762
Policy instance 1
Insurance contract or identification number069762
Number of Individuals Covered595
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number069762
Policy instance 1
Insurance contract or identification number069762
Number of Individuals Covered543
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number069762
Policy instance 1
Insurance contract or identification number069762
Number of Individuals Covered537
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 004 )
Policy contract numberIRK116331
Policy instance 2
Insurance contract or identification numberIRK116331
Number of Individuals Covered0
Insurance policy start date2019-01-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number871-80107
Policy instance 1
Insurance contract or identification number871-80107
Number of Individuals Covered274
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,494
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,494
Insurance broker organization code?3
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number871-80107
Policy instance 1
Insurance contract or identification number871-80107
Number of Individuals Covered260
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,240
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,240
Insurance broker organization code?3
Insurance broker nameLPL FINANCIAL, LLC

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