401k Plan data: AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE plan

AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 401k Plan overview

Plan Name	AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE
Plan identification number	501

AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE Benefits

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

401k Sponsoring company profile

AMERICAN CIVIL CONSTRUCTORS has sponsored the creation of one or more 401k plans.

Company Name: AMERICAN CIVIL CONSTRUCTORS

Employer identification number (EIN): 841507405

NAIC Classification: 238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2015-01-01 RYAN EVANS
501 2014-01-01 RYAN EVANS
501 2013-01-01 DAVID DOTY
501 2012-01-01 KEN NELSON
501 2011-01-01 KEN NELSON
501 2010-01-01 JODY RANDALL
501 2009-01-01 JENNIFER REARDON

Plan id#	Filing Submission Date	Name of Administrator
501	2015-01-01	RYAN EVANS
501	2014-01-01	RYAN EVANS
501	2013-01-01	DAVID DOTY
501	2012-01-01	KEN NELSON
501	2011-01-01	KEN NELSON
501	2010-01-01	JODY RANDALL
501	2009-01-01	JENNIFER REARDON

Plan Statistics for AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE

401k plan membership statisitcs for AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE

Measure Date Value
2015: AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2015 401k membership
Total participants, beginning-of-year 2015-01-01 161
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 137
Total of all active and inactive participants 2015-01-01 137
2014: AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2014 401k membership
Total participants, beginning-of-year 2014-01-01 132
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 161
Total of all active and inactive participants 2014-01-01 161
2013: AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2013 401k membership
Total participants, beginning-of-year 2013-01-01 108
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 132
Total of all active and inactive participants 2013-01-01 132
2012: AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2012 401k membership
Total participants, beginning-of-year 2012-01-01 146
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 108
Total of all active and inactive participants 2012-01-01 108
2011: AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2011 401k membership
Total participants, beginning-of-year 2011-01-01 147
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 146
Total of all active and inactive participants 2011-01-01 146
2010: AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2010 401k membership
Total participants, beginning-of-year 2010-01-01 218
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 143
Number of retired or separated participants receiving benefits 2010-01-01 4
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 147
2009: AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2009 401k membership
Total participants, beginning-of-year 2009-01-01 535
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 215
Number of retired or separated participants receiving benefits 2009-01-01 15
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 230

Measure	Date	Value
2015: AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2015 401k membership
Total participants, beginning-of-year	2015-01-01	161
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	137
Total of all active and inactive participants	2015-01-01	137
2014: AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2014 401k membership
Total participants, beginning-of-year	2014-01-01	132
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	161
Total of all active and inactive participants	2014-01-01	161
2013: AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2013 401k membership
Total participants, beginning-of-year	2013-01-01	108
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	132
Total of all active and inactive participants	2013-01-01	132
2012: AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2012 401k membership
Total participants, beginning-of-year	2012-01-01	146
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	108
Total of all active and inactive participants	2012-01-01	108
2011: AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2011 401k membership
Total participants, beginning-of-year	2011-01-01	147
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	146
Total of all active and inactive participants	2011-01-01	146
2010: AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2010 401k membership
Total participants, beginning-of-year	2010-01-01	218
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	143
Number of retired or separated participants receiving benefits	2010-01-01	4
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	147
2009: AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2009 401k membership
Total participants, beginning-of-year	2009-01-01	535
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	215
Number of retired or separated participants receiving benefits	2009-01-01	15
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	230

Financial Data on AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE

Measure	Date	Value
2015 : AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$182,104
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$155,978
Total income from all sources (including contributions)	2015-12-31	$2,312,026
Total of all expenses incurred	2015-12-31	$1,958,703
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,649,396
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$2,312,026
Value of total assets at end of year	2015-12-31	$538,141
Value of total assets at beginning of year	2015-12-31	$158,692
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$309,307
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Administrative expenses professional fees incurred	2015-12-31	$22,772
Was this plan covered by a fidelity bond	2015-12-31	No
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$565,786
Participant contributions at end of year	2015-12-31	$10,419
Participant contributions at beginning of year	2015-12-31	$11,393
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$421,109
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$104,310
Administrative expenses (other) incurred	2015-12-31	$13,685
Liabilities. Value of operating payables at end of year	2015-12-31	$30,104
Liabilities. Value of operating payables at beginning of year	2015-12-31	$3,978
Total non interest bearing cash at end of year	2015-12-31	$76,477
Total non interest bearing cash at beginning of year	2015-12-31	$13,519
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$353,323
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$356,037
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$2,714
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$342,421
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$1,746,240
Employer contributions (assets) at end of year	2015-12-31	$30,136
Employer contributions (assets) at beginning of year	2015-12-31	$29,470
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,306,975
Contract administrator fees	2015-12-31	$272,850
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2015-12-31	No
Liabilities. Value of benefit claims payable at end of year	2015-12-31	$152,000
Liabilities. Value of benefit claims payable at beginning of year	2015-12-31	$152,000
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	No
Opinion of an independent qualified public accountant for this plan	2015-12-31	Unqualified
Accountancy firm name	2015-12-31	SEMPLE, MARCHAL & COOPER, LLP
Accountancy firm EIN	2015-12-31	860750046
2014 : AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$155,978
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$312,613
Total income from all sources (including contributions)	2014-12-31	$2,180,501
Total of all expenses incurred	2014-12-31	$2,012,119
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,755,120
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$2,180,501
Value of total assets at end of year	2014-12-31	$158,692
Value of total assets at beginning of year	2014-12-31	$146,945
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$256,999
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Administrative expenses professional fees incurred	2014-12-31	$33,843
Was this plan covered by a fidelity bond	2014-12-31	No
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$566,627
Participant contributions at end of year	2014-12-31	$11,393
Participant contributions at beginning of year	2014-12-31	$19,783
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$-7,000
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$104,310
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$91,612
Liabilities. Value of operating payables at end of year	2014-12-31	$3,978
Liabilities. Value of operating payables at beginning of year	2014-12-31	$167,613
Total non interest bearing cash at end of year	2014-12-31	$13,519
Total non interest bearing cash at beginning of year	2014-12-31	$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	2014-12-31	No
Value of net income/loss	2014-12-31	$168,382
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$2,714
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$-165,668
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$355,707
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$1,620,874
Employer contributions (assets) at end of year	2014-12-31	$29,470
Employer contributions (assets) at beginning of year	2014-12-31	$35,550
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,399,413
Contract administrator fees	2014-12-31	$223,156
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2014-12-31	No
Liabilities. Value of benefit claims payable at end of year	2014-12-31	$152,000
Liabilities. Value of benefit claims payable at beginning of year	2014-12-31	$145,000
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Unqualified
Accountancy firm name	2014-12-31	SEMPLE, MARCHAL & COOPER, LLP
Accountancy firm EIN	2014-12-31	860750046
2013 : AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$312,613
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$492,605
Total income from all sources (including contributions)	2013-12-31	$1,551,325
Total of all expenses incurred	2013-12-31	$1,553,529
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$1,375,038
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,551,325
Value of total assets at end of year	2013-12-31	$146,945
Value of total assets at beginning of year	2013-12-31	$329,141
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$178,491
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	No
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$465,335
Participant contributions at end of year	2013-12-31	$19,783
Participant contributions at beginning of year	2013-12-31	$20,721
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$91,612
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$81,904
Liabilities. Value of operating payables at end of year	2013-12-31	$167,613
Liabilities. Value of operating payables at beginning of year	2013-12-31	$309,605
Total non interest bearing cash at end of year	2013-12-31	$0
Total non interest bearing cash at beginning of year	2013-12-31	$14,662
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$-2,204
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$-165,668
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$-163,464
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$255,575
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$1,085,990
Employer contributions (assets) at end of year	2013-12-31	$35,550
Employer contributions (assets) at beginning of year	2013-12-31	$211,854
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,119,463
Contract administrator fees	2013-12-31	$178,491
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	No
Liabilities. Value of benefit claims payable at end of year	2013-12-31	$145,000
Liabilities. Value of benefit claims payable at beginning of year	2013-12-31	$183,000
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	SEMPLE, MARCHAL & COOPER, LLP
Accountancy firm EIN	2013-12-31	860750046
2012 : AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$492,605
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$130,051
Total income from all sources (including contributions)	2012-12-31	$1,707,247
Total of all expenses incurred	2012-12-31	$1,803,201
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,704,372
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,707,247
Value of total assets at end of year	2012-12-31	$329,141
Value of total assets at beginning of year	2012-12-31	$62,541
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$98,829
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	No
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$503,020
Participant contributions at end of year	2012-12-31	$20,721
Participant contributions at beginning of year	2012-12-31	$110,700
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$81,904
Liabilities. Value of operating payables at end of year	2012-12-31	$309,605
Liabilities. Value of operating payables at beginning of year	2012-12-31	$51
Total non interest bearing cash at end of year	2012-12-31	$14,662
Total non interest bearing cash at beginning of year	2012-12-31	$-53,447
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$-95,954
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$-163,464
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$-67,510
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$331,734
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$1,204,227
Employer contributions (assets) at end of year	2012-12-31	$211,854
Employer contributions (assets) at beginning of year	2012-12-31	$5,288
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,372,638
Contract administrator fees	2012-12-31	$98,829
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	No
Liabilities. Value of benefit claims payable at end of year	2012-12-31	$183,000
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$130,000
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	SEMPLE, MARCHAL & COOPER, LLP
Accountancy firm EIN	2012-12-31	860750046
2011 : AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$130,051
Total income from all sources (including contributions)	2011-12-31	$1,403,079
Total of all expenses incurred	2011-12-31	$1,470,589
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,387,525
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,402,834
Value of total assets at end of year	2011-12-31	$62,541
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$83,064
Total interest from all sources	2011-12-31	$245
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	No
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$486,617
Participant contributions at end of year	2011-12-31	$110,700
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$8,398
Liabilities. Value of operating payables at end of year	2011-12-31	$51
Total non interest bearing cash at end of year	2011-12-31	$-53,447
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-67,510
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$-67,510
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$245
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$287,614
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$907,819
Employer contributions (assets) at end of year	2011-12-31	$5,288
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,099,911
Contract administrator fees	2011-12-31	$83,064
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$130,000
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	SEMPLE, MARCHAL & COOPER, LLP
Accountancy firm EIN	2011-12-31	860750046

Form 5500 Responses for AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE

2015: AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: AMERICAN CIVIL CONSTRUCTORS HOLDINGS, INC. EMPLOYE 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )

Policy contract number

602698

Policy instance

Insurance contract or identification number	602698
Number of Individuals Covered	21
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	0
Insurance broker name

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30052418

Policy instance

Insurance contract or identification number	30052418
Number of Individuals Covered	226
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $40,418
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )

Policy contract number

602698

Policy instance

Insurance contract or identification number	602698
Number of Individuals Covered	17
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $20
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Welfare Benefit Premiums Paid to Carrier	USD $87,986
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	20
Additional information about fees paid to insurance broker	CONTRACT FEES
Insurance broker organization code?	0
Insurance broker name

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )

Policy contract number

602698

Policy instance

Insurance contract or identification number	602698
Number of Individuals Covered	16
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Welfare Benefit Premiums Paid to Carrier	USD $69,476
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	0
Insurance broker organization code?	0
Insurance broker name

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )

Policy contract number

602698

Policy instance

Insurance contract or identification number	602698
Number of Individuals Covered	22
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Welfare Benefit Premiums Paid to Carrier	USD $86,029
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	0
Insurance broker organization code?	0
Insurance broker name

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )

Policy contract number

602698

Policy instance

Insurance contract or identification number	602698
Number of Individuals Covered	16
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $83,064
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0106095

Policy instance

Insurance contract or identification number	0106095
Number of Individuals Covered	0
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $29
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0106095

Policy instance

Insurance contract or identification number	0106095
Number of Individuals Covered	408
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $38
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $171,818
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

12233932

Policy instance

Insurance contract or identification number	12233932
Number of Individuals Covered	142
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )

Policy contract number

602698

Policy instance

Insurance contract or identification number	602698
Number of Individuals Covered	20
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $80,434
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	AMERICAN CIVIL CONSTRUCTORS
Employer identification number (EIN):	841507405
NAIC Classification:	238900