401k Plan data: UGSI 401(K) SAVINGS PLAN plan

UGSI 401(K) SAVINGS PLAN 401k Plan overview

Plan Name	UGSI 401(K) SAVINGS PLAN
Plan identification number	001

UGSI 401(K) SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

UNDERGROUND SOLUTIONS, INC. has sponsored the creation of one or more 401k plans.

Company Name: UNDERGROUND SOLUTIONS, INC.

Employer identification number (EIN): 870457059

NAIC Classification: 221300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UGSI 401(K) SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 CHRISTOPHER CHISHOLM
001 2013-01-01 STEPHEN STANCZAK
001 2012-01-01 STEPHEN STANCZAK 2013-07-02
001 2011-01-01 STEPHEN STANCZAK 2012-05-21
001 2010-01-01 STEPHEN STANCZAK 2011-06-20

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2014-01-01	CHRISTOPHER CHISHOLM
001	2013-01-01	STEPHEN STANCZAK
001	2012-01-01	STEPHEN STANCZAK	2013-07-02
001	2011-01-01	STEPHEN STANCZAK	2012-05-21
001	2010-01-01	STEPHEN STANCZAK	2011-06-20

Plan Statistics for UGSI 401(K) SAVINGS PLAN

401k plan membership statisitcs for UGSI 401(K) SAVINGS PLAN

Measure Date Value
2014: UGSI 401(K) SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 138
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 177
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 19
Total of all active and inactive participants 2014-01-01 196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 196
Number of participants with account balances 2014-01-01 123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: UGSI 401(K) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 134
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 133
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 5
Total of all active and inactive participants 2013-01-01 138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 138
Number of participants with account balances 2013-01-01 82
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0

Measure	Date	Value
2014: UGSI 401(K) SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	138
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	177
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	19
Total of all active and inactive participants	2014-01-01	196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	196
Number of participants with account balances	2014-01-01	123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: UGSI 401(K) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	134
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	133
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	5
Total of all active and inactive participants	2013-01-01	138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	138
Number of participants with account balances	2013-01-01	82
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0

Financial Data on UGSI 401(K) SAVINGS PLAN

Measure	Date	Value
2014 : UGSI 401(K) SAVINGS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total transfer of assets to this plan	2014-12-31	$845,603
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$423
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$1,127,052
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$53,088
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$53,088
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$834,048
Value of total assets at end of year	2014-12-31	$6,189,852
Value of total assets at beginning of year	2014-12-31	$4,269,862
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$0
Total interest from all sources	2014-12-31	$6,957
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$605,963
Participant contributions at end of year	2014-12-31	$162,707
Participant contributions at beginning of year	2014-12-31	$144,989
Participant contributions at end of year	2014-12-31	$35,155
Participant contributions at beginning of year	2014-12-31	$4,237
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$228,085
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$96
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$423
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) 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	$1,073,964
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$6,189,429
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$4,269,862
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$5,869,467
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$3,791,779
Value of interest in pooled separate accounts at end of year	2014-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$0
Interest on participant loans	2014-12-31	$6,957
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$122,523
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$328,761
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$328,761
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$286,047
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$53,088
Did the plan have assets held for investment	2014-12-31	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	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	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	GOFF BACKA ALFERA & COMPANY LLC
Accountancy firm EIN	2014-12-31	251871184
2013 : UGSI 401(K) SAVINGS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$1,747,205
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$185,153
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$178,403
Value of total corrective distributions	2013-12-31	$6,750
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,154,423
Value of total assets at end of year	2013-12-31	$4,269,862
Value of total assets at beginning of year	2013-12-31	$2,707,810
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$0
Total interest from all sources	2013-12-31	$3,997
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
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	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$494,164
Participant contributions at end of year	2013-12-31	$144,989
Participant contributions at beginning of year	2013-12-31	$73,401
Participant contributions at end of year	2013-12-31	$4,237
Participant contributions at beginning of year	2013-12-31	$22,500
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$660,259
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$96
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$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	2013-12-31	No
Value of net income/loss	2013-12-31	$1,562,052
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$4,269,862
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$2,707,810
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$3,791,779
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$2,159,488
Value of interest in pooled separate accounts at end of year	2013-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$424,461
Interest on participant loans	2013-12-31	$3,901
Interest earned on other investments	2013-12-31	$96
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$328,761
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$27,960
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$27,960
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$588,785
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	Yes
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	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$178,403
Did the plan have assets held for investment	2013-12-31	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	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	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	GOFF BACKA ALFERA & COMPANY LLC
Accountancy firm EIN	2013-12-31	251871184

Form 5500 Responses for UGSI 401(K) SAVINGS PLAN

2014: UGSI 401(K) SAVINGS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: UGSI 401(K) SAVINGS PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract number	G36302
Policy instance	1

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Company Name:	UNDERGROUND SOLUTIONS, INC.
Employer identification number (EIN):	870457059
NAIC Classification:	221300