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ADAMS INSURANCE SERVICE, INC. PROFIT SHARING PLAN & TRUST 401k Plan overview

Plan NameADAMS INSURANCE SERVICE, INC. PROFIT SHARING PLAN & TRUST
Plan identification number 001

ADAMS INSURANCE SERVICE, INC. PROFIT SHARING PLAN & TRUST Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing

401k Sponsoring company profile

ADAMS INSURANCE SERVICE, INC. has sponsored the creation of one or more 401k plans.

Company Name:ADAMS INSURANCE SERVICE, INC.
Employer identification number (EIN):742207534
NAIC Classification:524210
NAIC Description:Insurance Agencies and Brokerages

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ADAMS INSURANCE SERVICE, INC. PROFIT SHARING PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012012-01-01NORMAN ADAMS2012-12-28
0012011-01-01NORMAN ADAMS
0012010-01-01NORMAN ADAMS
0012009-01-01NORMAN ADAMS
0012008-01-01NORMAN ADAMS

Plan Statistics for ADAMS INSURANCE SERVICE, INC. PROFIT SHARING PLAN & TRUST

401k plan membership statisitcs for ADAMS INSURANCE SERVICE, INC. PROFIT SHARING PLAN & TRUST

Measure Date Value
2011: ADAMS INSURANCE SERVICE, INC. PROFIT SHARING PLAN & TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-0132
Total number of active participants reported on line 7a of the Form 55002011-01-0126
Number of retired or separated participants receiving benefits2011-01-014
Number of other retired or separated participants entitled to future benefits2011-01-012
Total of all active and inactive participants2011-01-0132
Total participants2011-01-0132
Number of participants with account balances2011-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-011
2010: ADAMS INSURANCE SERVICE, INC. PROFIT SHARING PLAN & TRUST 2010 401k membership
Total participants, beginning-of-year2010-01-0131
Total number of active participants reported on line 7a of the Form 55002010-01-0129
Number of retired or separated participants receiving benefits2010-01-012
Number of other retired or separated participants entitled to future benefits2010-01-011
Total of all active and inactive participants2010-01-0132
Total participants2010-01-0132
Number of participants with account balances2010-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: ADAMS INSURANCE SERVICE, INC. PROFIT SHARING PLAN & TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-0132
Total number of active participants reported on line 7a of the Form 55002009-01-0128
Number of retired or separated participants receiving benefits2009-01-012
Number of other retired or separated participants entitled to future benefits2009-01-011
Total of all active and inactive participants2009-01-0131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0131
Number of participants with account balances2009-01-0131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010
2008: ADAMS INSURANCE SERVICE, INC. PROFIT SHARING PLAN & TRUST 2008 401k membership
Total participants, beginning-of-year2008-01-0131
Total number of active participants reported on line 7a of the Form 55002008-01-0130
Number of retired or separated participants receiving benefits2008-01-010
Number of other retired or separated participants entitled to future benefits2008-01-012
Total of all active and inactive participants2008-01-0132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2008-01-010
Total participants2008-01-0132
Number of participants with account balances2008-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2008-01-011

Financial Data on ADAMS INSURANCE SERVICE, INC. PROFIT SHARING PLAN & TRUST

Measure Date Value
2011 : ADAMS INSURANCE SERVICE, INC. PROFIT SHARING PLAN & TRUST 2011 401k financial data
Total plan liabilities at end of year2011-12-31$0
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$-26,162
Expenses. Total of all expenses incurred2011-12-31$87,196
Benefits paid (including direct rollovers)2011-12-31$75,115
Total plan assets at end of year2011-12-31$1,127,648
Total plan assets at beginning of year2011-12-31$1,241,006
Value of fidelity bond covering the plan2011-12-31$2,000,000
Other income received2011-12-31$-85,295
Net income (gross income less expenses)2011-12-31$-113,358
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,127,648
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,241,006
Total contributions received or receivable from employer(s)2011-12-31$59,133
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$12,081
2010 : ADAMS INSURANCE SERVICE, INC. PROFIT SHARING PLAN & TRUST 2010 401k financial data
Total income from all sources2010-12-31$59,922
Expenses. Total of all expenses incurred2010-12-31$22,806
Benefits paid (including direct rollovers)2010-12-31$6,946
Total plan assets at end of year2010-12-31$1,241,006
Total plan assets at beginning of year2010-12-31$1,203,890
Value of fidelity bond covering the plan2010-12-31$2,000,000
Other income received2010-12-31$59,922
Net income (gross income less expenses)2010-12-31$37,116
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,241,006
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,203,890
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$15,860

Form 5500 Responses for ADAMS INSURANCE SERVICE, INC. PROFIT SHARING PLAN & TRUST

2011: ADAMS INSURANCE SERVICE, INC. PROFIT SHARING PLAN & TRUST 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: ADAMS INSURANCE SERVICE, INC. PROFIT SHARING PLAN & TRUST 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: ADAMS INSURANCE SERVICE, INC. PROFIT SHARING PLAN & TRUST 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 – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes
2008: ADAMS INSURANCE SERVICE, INC. PROFIT SHARING PLAN & TRUST 2008 form 5500 responses
2008-01-01Type of plan entitySingle employer plan
2008-01-01Submission has been amendedNo
2008-01-01This submission is the final filingNo
2008-01-01This return/report is a short plan year return/report (less than 12 months)No
2008-01-01Plan is a collectively bargained planNo
2008-01-01Plan funding arrangement – InsuranceYes
2008-01-01Plan funding arrangement – TrustYes
2008-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number01-5798485
Policy instance 1
Insurance contract or identification number01-5798485
Number of Individuals Covered32
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of fees paid to insurance companyUSD $10,867
Contracts With Unallocated Funds Deposit Administration1
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 number01-5798485
Policy instance 1
Insurance contract or identification number01-5798485
Number of Individuals Covered32
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of fees paid to insurance companyUSD $10,815
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees10815
Additional information about fees paid to insurance brokerADVISORY FEES
Insurance broker organization code?7
Insurance broker nameSOSNOWY INVESTMENT MANAGEMENT CO.

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