401k Plan data: DAVIS IRON WORKS EMPLOYEE HEALTH BENEFIT TRUST 74-2601536 plan

DAVIS IRON WORKS EMPLOYEE HEALTH BENEFIT TRUST 74-2601536 401k Plan overview

Plan Name	DAVIS IRON WORKS EMPLOYEE HEALTH BENEFIT TRUST 74-2601536
Plan identification number	502

DAVIS IRON WORKS EMPLOYEE HEALTH BENEFIT TRUST 74-2601536 Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Long-term disability cover

401k Sponsoring company profile

DAVIS IRON WORKS, INC. has sponsored the creation of one or more 401k plans.

Company Name: DAVIS IRON WORKS, INC.

Employer identification number (EIN): 741295543

NAIC Classification: 332300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DAVIS IRON WORKS EMPLOYEE HEALTH BENEFIT TRUST 74-2601536

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2011-05-01 BAILEY ROGERS
502 2009-05-01 BAILEY ROGERS
502 2009-05-01 BAILEY ROGERS

Plan id#	Filing Submission Date	Name of Administrator
502	2011-05-01	BAILEY ROGERS
502	2009-05-01	BAILEY ROGERS
502	2009-05-01	BAILEY ROGERS

Plan Statistics for DAVIS IRON WORKS EMPLOYEE HEALTH BENEFIT TRUST 74-2601536

401k plan membership statisitcs for DAVIS IRON WORKS EMPLOYEE HEALTH BENEFIT TRUST 74-2601536

Measure Date Value
2011: DAVIS IRON WORKS EMPLOYEE HEALTH BENEFIT TRUST 74-2601536 2011 401k membership
Total participants, beginning-of-year 2011-05-01 86
Total of all active and inactive participants 2011-05-01 0
Total participants 2011-05-01 0
2009: DAVIS IRON WORKS EMPLOYEE HEALTH BENEFIT TRUST 74-2601536 2009 401k membership
Total participants, beginning-of-year 2009-05-01 105
Total number of active participants reported on line 7a of the Form 5500 2009-05-01 86
Total of all active and inactive participants 2009-05-01 86
Total participants 2009-05-01 86

Measure	Date	Value
2011: DAVIS IRON WORKS EMPLOYEE HEALTH BENEFIT TRUST 74-2601536 2011 401k membership
Total participants, beginning-of-year	2011-05-01	86
Total of all active and inactive participants	2011-05-01	0
Total participants	2011-05-01	0
2009: DAVIS IRON WORKS EMPLOYEE HEALTH BENEFIT TRUST 74-2601536 2009 401k membership
Total participants, beginning-of-year	2009-05-01	105
Total number of active participants reported on line 7a of the Form 5500	2009-05-01	86
Total of all active and inactive participants	2009-05-01	86
Total participants	2009-05-01	86

Financial Data on DAVIS IRON WORKS EMPLOYEE HEALTH BENEFIT TRUST 74-2601536

Measure	Date	Value
2012 : DAVIS IRON WORKS EMPLOYEE HEALTH BENEFIT TRUST 74-2601536 2012 401k financial data
Total plan liabilities at end of year	2012-04-30	$1,382
Total income from all sources	2012-04-30	$145,950
Expenses. Total of all expenses incurred	2012-04-30	$154,480
Benefits paid (including direct rollovers)	2012-04-30	$139,403
Total plan assets at end of year	2012-04-30	$1,382
Total plan assets at beginning of year	2012-04-30	$8,530
Expenses. Other expenses not covered elsewhere	2012-04-30	$15,077
Net income (gross income less expenses)	2012-04-30	$-8,530
Net plan assets at end of year (total assets less liabilities)	2012-04-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-04-30	$8,530
Total contributions received or receivable from employer(s)	2012-04-30	$145,950
2011 : DAVIS IRON WORKS EMPLOYEE HEALTH BENEFIT TRUST 74-2601536 2011 401k financial data
Total income from all sources	2011-04-30	$383,451
Expenses. Total of all expenses incurred	2011-04-30	$400,391
Benefits paid (including direct rollovers)	2011-04-30	$400,391
Total plan assets at end of year	2011-04-30	$8,530
Total plan assets at beginning of year	2011-04-30	$25,470
Other income received	2011-04-30	$1
Net income (gross income less expenses)	2011-04-30	$-16,940
Net plan assets at end of year (total assets less liabilities)	2011-04-30	$8,530
Net plan assets at beginning of year (total assets less liabilities)	2011-04-30	$25,470
Total contributions received or receivable from employer(s)	2011-04-30	$383,450

Form 5500 Responses for DAVIS IRON WORKS EMPLOYEE HEALTH BENEFIT TRUST 74-2601536

2011: DAVIS IRON WORKS EMPLOYEE HEALTH BENEFIT TRUST 74-2601536 2011 form 5500 responses
2011-05-01	Type of plan entity	Single employer plan
2011-05-01	This submission is the final filing	Yes
2011-05-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-05-01	Plan benefit arrangement – Insurance	Yes
2011-05-01	Plan benefit arrangement - Trust	Yes
2009: DAVIS IRON WORKS EMPLOYEE HEALTH BENEFIT TRUST 74-2601536 2009 form 5500 responses
2009-05-01	Type of plan entity	Single employer plan
2009-05-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-05-01	Plan benefit arrangement – Insurance	Yes
2009-05-01	Plan benefit arrangement - Trust	Yes

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Company Name:	DAVIS IRON WORKS, INC.
Employer identification number (EIN):	741295543
NAIC Classification:	332300