401k Plan data: PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN plan

PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 401k Plan overview

Plan Name	PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN
Plan identification number	005

PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
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) received services of leased employees, as defined in Code section 414(n), during the plan year.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

PHANTOM ADMINISTRATIVE LLC has sponsored the creation of one or more 401k plans.

Company Name: PHANTOM ADMINISTRATIVE LLC

Employer identification number (EIN): 814654467

NAIC Classification: 424990
NAIC Description: Other Miscellaneous Nondurable Goods Merchant Wholesalers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
005 2022-01-01
005 2021-01-01
005 2020-01-01
005 2019-01-01
005 2018-01-01
005 2017-01-01 HAROLD KEVIN HENCHAR HAROLD KEVIN HENCHAR 2018-10-15
005 2016-01-01 HAROLD KEVIN HENCHAR HAROLD KEVIN HENCHAR 2017-10-16

Plan Statistics for PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN

Measure Date Value
2022: PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 633
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 668
Number of retired or separated participants receiving benefits 2022-01-01 1
Number of other retired or separated participants entitled to future benefits 2022-01-01 61
Total of all active and inactive participants 2022-01-01 730
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 730
Number of participants with account balances 2022-01-01 276
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 530
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 465
Number of retired or separated participants receiving benefits 2021-01-01 1
Number of other retired or separated participants entitled to future benefits 2021-01-01 97
Total of all active and inactive participants 2021-01-01 563
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 563
Number of participants with account balances 2021-01-01 303
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 659
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 436
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 91
Total of all active and inactive participants 2020-01-01 527
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 527
Number of participants with account balances 2020-01-01 288
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 638
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 496
Number of retired or separated participants receiving benefits 2019-01-01 3
Number of other retired or separated participants entitled to future benefits 2019-01-01 81
Total of all active and inactive participants 2019-01-01 580
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 580
Number of participants with account balances 2019-01-01 309
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 489
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 460
Number of retired or separated participants receiving benefits 2018-01-01 2
Number of other retired or separated participants entitled to future benefits 2018-01-01 71
Total of all active and inactive participants 2018-01-01 533
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 533
Number of participants with account balances 2018-01-01 272
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 9
2017: PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 401
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 376
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 50
Total of all active and inactive participants 2017-01-01 426
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 426
Number of participants with account balances 2017-01-01 248
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 4
2016: PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 498
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 402
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 30
Total of all active and inactive participants 2016-01-01 432
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 432
Number of participants with account balances 2016-01-01 220
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 6

Measure	Date	Value
2022: PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	633
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	668
Number of retired or separated participants receiving benefits	2022-01-01	1
Number of other retired or separated participants entitled to future benefits	2022-01-01	61
Total of all active and inactive participants	2022-01-01	730
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	730
Number of participants with account balances	2022-01-01	276
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	530
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	465
Number of retired or separated participants receiving benefits	2021-01-01	1
Number of other retired or separated participants entitled to future benefits	2021-01-01	97
Total of all active and inactive participants	2021-01-01	563
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	563
Number of participants with account balances	2021-01-01	303
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	659
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	436
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	91
Total of all active and inactive participants	2020-01-01	527
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	527
Number of participants with account balances	2020-01-01	288
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	638
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	496
Number of retired or separated participants receiving benefits	2019-01-01	3
Number of other retired or separated participants entitled to future benefits	2019-01-01	81
Total of all active and inactive participants	2019-01-01	580
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	580
Number of participants with account balances	2019-01-01	309
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	489
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	460
Number of retired or separated participants receiving benefits	2018-01-01	2
Number of other retired or separated participants entitled to future benefits	2018-01-01	71
Total of all active and inactive participants	2018-01-01	533
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	533
Number of participants with account balances	2018-01-01	272
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	9
2017: PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	401
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	376
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	50
Total of all active and inactive participants	2017-01-01	426
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	426
Number of participants with account balances	2017-01-01	248
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	4
2016: PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	498
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	402
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	30
Total of all active and inactive participants	2016-01-01	432
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	432
Number of participants with account balances	2016-01-01	220
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	6

Financial Data on PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN

Measure	Date	Value
2022 : PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2022 401k financial data
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	$-767,276
Total of all expenses incurred	2022-12-31	$1,904,150
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$1,834,324
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$1,095,709
Value of total assets at end of year	2022-12-31	$9,116,816
Value of total assets at beginning of year	2022-12-31	$11,788,242
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$69,826
Total interest from all sources	2022-12-31	$782
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$390,056
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$390,056
Administrative expenses professional fees incurred	2022-12-31	$69,826
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$686,557
Participant contributions at end of year	2022-12-31	$0
Participant contributions at beginning of year	2022-12-31	$33,299
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$10,289
Liabilities. Value of operating payables at beginning of year	2022-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-2,671,426
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$9,116,816
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$11,788,242
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$8,851,950
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$11,454,267
Interest earned on other investments	2022-12-31	$642
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$140
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$264,866
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$286,859
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-2,253,823
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$398,863
Employer contributions (assets) at end of year	2022-12-31	$0
Employer contributions (assets) at beginning of year	2022-12-31	$13,817
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$1,834,324
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	HILL BARTH & KING LLC
Accountancy firm EIN	2022-12-31	341897225
2021 : PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2021 401k financial data
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	$430
Total income from all sources (including contributions)	2021-12-31	$2,386,362
Total of all expenses incurred	2021-12-31	$790,817
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$718,940
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$1,030,268
Value of total assets at end of year	2021-12-31	$11,788,242
Value of total assets at beginning of year	2021-12-31	$10,193,127
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$71,877
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$286,859
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$286,859
Administrative expenses professional fees incurred	2021-12-31	$71,877
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$657,501
Participant contributions at end of year	2021-12-31	$33,299
Participant contributions at beginning of year	2021-12-31	$21,185
Liabilities. Value of operating payables at end of year	2021-12-31	$0
Liabilities. Value of operating payables at beginning of year	2021-12-31	$430
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$1,595,545
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$11,788,242
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$10,192,697
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$11,454,267
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$9,846,166
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$286,859
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$310,926
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$1,069,235
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$372,767
Employer contributions (assets) at end of year	2021-12-31	$13,817
Employer contributions (assets) at beginning of year	2021-12-31	$14,850
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$718,940
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	HILL BARTH & KING LLC
Accountancy firm EIN	2021-12-31	341897225
2020 : PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2020 401k financial data
Total transfer of assets to this plan	2020-12-31	$0
Total transfer of assets from this plan	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$430
Total income from all sources (including contributions)	2020-12-31	$2,144,110
Total of all expenses incurred	2020-12-31	$766,970
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$706,826
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$954,499
Value of total assets at end of year	2020-12-31	$10,193,127
Value of total assets at beginning of year	2020-12-31	$8,815,557
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$60,144
Total income from rents	2020-12-31	$0
Total interest from all sources	2020-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$347,426
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$347,426
Administrative expenses professional fees incurred	2020-12-31	$60,144
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$597,965
Participant contributions at end of year	2020-12-31	$21,185
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$17,210
Liabilities. Value of operating payables at end of year	2020-12-31	$430
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$1,377,140
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$10,192,697
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$8,815,557
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$9,846,166
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$8,535,438
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$310,926
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$280,119
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$842,185
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$339,324
Employer contributions (assets) at end of year	2020-12-31	$14,850
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$706,826
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	HILL BARTH & KING LLC
Accountancy firm EIN	2020-12-31	341897225
2019 : PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2019 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$615
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$615
Total income from all sources (including contributions)	2019-12-31	$2,549,371
Total income from all sources (including contributions)	2019-12-31	$2,549,371
Total of all expenses incurred	2019-12-31	$607,689
Total of all expenses incurred	2019-12-31	$607,689
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$551,062
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$551,062
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,007,059
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,007,059
Value of total assets at end of year	2019-12-31	$8,815,557
Value of total assets at end of year	2019-12-31	$8,815,557
Value of total assets at beginning of year	2019-12-31	$6,874,490
Value of total assets at beginning of year	2019-12-31	$6,874,490
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$56,627
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$56,627
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$358,370
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$358,370
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$358,370
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$358,370
Administrative expenses professional fees incurred	2019-12-31	$56,627
Administrative expenses professional fees incurred	2019-12-31	$56,627
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$612,622
Contributions received from participants	2019-12-31	$612,622
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$35,124
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$35,124
Liabilities. Value of operating payables at beginning of year	2019-12-31	$615
Liabilities. Value of operating payables at beginning of year	2019-12-31	$615
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$1,941,682
Value of net income/loss	2019-12-31	$1,941,682
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$8,815,557
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$8,815,557
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$6,873,875
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$6,873,875
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$8,535,438
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$6,604,472
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$6,604,472
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$280,119
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$280,119
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$270,018
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$270,018
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$1,183,942
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$1,183,942
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$359,313
Contributions received in cash from employer	2019-12-31	$359,313
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$551,062
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$551,062
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	HILL BARTH & KING LLC
Accountancy firm name	2019-12-31	HILL BARTH & KING LLC
Accountancy firm EIN	2019-12-31	341897225
Accountancy firm EIN	2019-12-31	341897225
2018 : PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$615
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$3,110
Total income from all sources (including contributions)	2018-12-31	$434,146
Total of all expenses incurred	2018-12-31	$844,197
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$787,450
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$862,287
Value of total assets at end of year	2018-12-31	$6,874,490
Value of total assets at beginning of year	2018-12-31	$7,287,036
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$56,747
Total interest from all sources	2018-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$444,663
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$444,663
Administrative expenses professional fees incurred	2018-12-31	$56,747
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$542,681
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$225
Liabilities. Value of operating payables at end of year	2018-12-31	$615
Liabilities. Value of operating payables at beginning of year	2018-12-31	$3,110
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-410,051
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$6,873,875
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$7,283,926
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$6,604,472
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$7,025,134
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$270,018
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$261,902
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-872,804
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$319,381
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$787,450
Liabilities. Value of benefit claims payable at beginning of year	2018-12-31	$0
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	HILL BARTH & KING LLC
Accountancy firm EIN	2018-12-31	341897225
2017 : PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$3,110
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$1,902,021
Total of all expenses incurred	2017-12-31	$984,062
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$929,219
Value of total corrective distributions	2017-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$784,889
Value of total assets at end of year	2017-12-31	$7,287,036
Value of total assets at beginning of year	2017-12-31	$6,365,967
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$54,843
Total interest from all sources	2017-12-31	$25
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$293,162
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$293,162
Administrative expenses professional fees incurred	2017-12-31	$54,843
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$485,112
Participant contributions at beginning of year	2017-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$6,368
Other income not declared elsewhere	2017-12-31	$53
Liabilities. Value of operating payables at end of year	2017-12-31	$3,110
Liabilities. Value of operating payables at beginning of year	2017-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$917,959
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$7,283,926
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$6,365,967
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$7,025,134
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$6,124,800
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$25
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$261,902
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$241,167
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$823,892
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$293,409
Employer contributions (assets) at beginning of year	2017-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$929,219
Liabilities. Value of benefit claims payable at end of year	2017-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2017-12-31	$0
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	HILL BARTH & KING LLC
Accountancy firm EIN	2017-12-31	341897225
2016 : PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2016 401k financial data
Total transfer of assets to this plan	2016-12-31	$0
Total transfer of assets from this plan	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$1,218,800
Total of all expenses incurred	2016-12-31	$307,792
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$259,827
Expenses. Certain deemed distributions of participant loans	2016-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$755,366
Value of total assets at end of year	2016-12-31	$6,365,967
Value of total assets at beginning of year	2016-12-31	$5,454,959
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$47,965
Total interest from all sources	2016-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$208,667
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$208,667
Administrative expenses professional fees incurred	2016-12-31	$2,504
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$469,957
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$12,735
Other income not declared elsewhere	2016-12-31	$0
Liabilities. Value of operating payables at end of year	2016-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$911,008
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$6,365,967
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$5,454,959
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$3,714
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$6,124,800
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$5,194,745
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$1,115
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$1,115
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$241,167
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$242,483
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$254,767
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$285,409
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$3,881
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$259,827
Contract administrator fees	2016-12-31	$41,747
Liabilities. Value of benefit claims payable at end of year	2016-12-31	$0
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	HILL BARTH & KING LLC
Accountancy firm EIN	2016-12-31	341897225

Form 5500 Responses for PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN

2022: PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: PHANTOM ADMINISTRATIVE RETIREMENT SAVINGS PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-TP-EZ5K

Policy instance

Insurance contract or identification number	GAP-TP-EZ5K
Number of Individuals Covered	276
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-TP-EZ5K

Policy instance

Insurance contract or identification number	GAP-TP-EZ5K
Number of Individuals Covered	303
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-TP-EZ5K

Policy instance

Insurance contract or identification number	GAP-TP-EZ5K
Number of Individuals Covered	288
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-TP-EZ5K

Policy instance

Insurance contract or identification number	GAP-TP-EZ5K
Number of Individuals Covered	309
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-CPEZ5K

Policy instance

Insurance contract or identification number	GAP-CPEZ5K
Number of Individuals Covered	272
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-CPEZ5K

Policy instance

Insurance contract or identification number	GAP-CPEZ5K
Number of Individuals Covered	248
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0

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Company Name:	PHANTOM ADMINISTRATIVE LLC
Employer identification number (EIN):	814654467
NAIC Classification:	424990
NAIC Description:	Other Miscellaneous Nondurable Goods Merchant Wholesalers