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SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM TAX DEFERRED ANNUITY PLAN 401k Plan overview

Plan NameSOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM TAX DEFERRED ANNUITY PLAN
Plan identification number 001

SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM TAX DEFERRED ANNUITY PLAN Benefits

401k Plan Type
Plan Features/Benefits

    401k Sponsoring company profile

    SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM has sponsored the creation of one or more 401k plans.

    Company Name:SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
    Employer identification number (EIN):920056274
    NAIC Classification:622000
    NAIC Description: Hospitals

    Additional information about SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM

    Jurisdiction of Incorporation: Alaska Department Commerce, Community & Economic Development
    Incorporation Date: 1975-04-22
    Company Identification Number: 14328D
    Legal Registered Office Address: 3100 CHANNEL DRIVE
    SUITE 300
    JUNEAU
    United States of America (USA)
    99801

    More information about SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM

    Form 5500 Filing Information

    Submission information for form 5500 for 401k plan SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM TAX DEFERRED ANNUITY PLAN

    Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
    0012019-01-01
    0012018-01-01
    0012017-01-01ALEXA KOONTZ
    0012016-01-01LELAND SCHLATTER
    0012015-01-01PRAVEEN MEKALA
    0012014-01-01PRAVEEN MEKALA
    0012013-01-01BARBARA SEARLS
    0012012-01-01KAREN TAUG
    0012011-01-01KAREN TAUG
    0012010-01-01KAREN TAUG
    0012009-01-01KAREN TAUG

    Plan Statistics for SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM TAX DEFERRED ANNUITY PLAN

    401k plan membership statisitcs for SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM TAX DEFERRED ANNUITY PLAN

    Measure Date Value
    2019
    Total participants, beginning-of-year2019-01-011,715
    Total number of active participants reported on line 7a of the Form 55002019-01-011,212
    Number of retired or separated participants receiving benefits2019-01-0158
    Number of other retired or separated participants entitled to future benefits2019-01-01508
    Total of all active and inactive participants2019-01-011,778
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
    Total participants2019-01-011,778
    Number of participants with account balances2019-01-011,356
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
    2018
    Total participants, beginning-of-year2018-01-011,274
    Total number of active participants reported on line 7a of the Form 55002018-01-01677
    Number of retired or separated participants receiving benefits2018-01-0150
    Number of other retired or separated participants entitled to future benefits2018-01-01527
    Total of all active and inactive participants2018-01-011,254
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
    Total participants2018-01-011,254
    Number of participants with account balances2018-01-011,247
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
    2017
    Total participants, beginning-of-year2017-01-011,158
    Total number of active participants reported on line 7a of the Form 55002017-01-01965
    Number of retired or separated participants receiving benefits2017-01-0143
    Number of other retired or separated participants entitled to future benefits2017-01-01266
    Total of all active and inactive participants2017-01-011,274
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
    Total participants2017-01-011,274
    Number of participants with account balances2017-01-01925
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
    2016
    Total participants, beginning-of-year2016-01-011,332
    Total number of active participants reported on line 7a of the Form 55002016-01-01751
    Number of retired or separated participants receiving benefits2016-01-0140
    Number of other retired or separated participants entitled to future benefits2016-01-01259
    Total of all active and inactive participants2016-01-011,050
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
    Total participants2016-01-011,050
    Number of participants with account balances2016-01-01819
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
    2015
    Total participants, beginning-of-year2015-01-011,282
    Total number of active participants reported on line 7a of the Form 55002015-01-01752
    Number of retired or separated participants receiving benefits2015-01-0175
    Number of other retired or separated participants entitled to future benefits2015-01-01500
    Total of all active and inactive participants2015-01-011,327
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
    Total participants2015-01-011,327
    Number of participants with account balances2015-01-011,133
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
    2014
    Total participants, beginning-of-year2014-01-011,690
    Total number of active participants reported on line 7a of the Form 55002014-01-01706
    Number of retired or separated participants receiving benefits2014-01-0133
    Number of other retired or separated participants entitled to future benefits2014-01-01532
    Total of all active and inactive participants2014-01-011,271
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
    Total participants2014-01-011,271
    Number of participants with account balances2014-01-011,102
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
    2013
    Total participants, beginning-of-year2013-01-011,073
    Total number of active participants reported on line 7a of the Form 55002013-01-011,218
    Number of retired or separated participants receiving benefits2013-01-0125
    Number of other retired or separated participants entitled to future benefits2013-01-01443
    Total of all active and inactive participants2013-01-011,686
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-014
    Total participants2013-01-011,690
    Number of participants with account balances2013-01-011,551
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
    2012
    Total participants, beginning-of-year2012-01-011,385
    Total number of active participants reported on line 7a of the Form 55002012-01-01876
    Number of retired or separated participants receiving benefits2012-01-010
    Number of other retired or separated participants entitled to future benefits2012-01-01197
    Total of all active and inactive participants2012-01-011,073
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
    Total participants2012-01-011,073
    Number of participants with account balances2012-01-01910
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
    2011
    Total participants, beginning-of-year2011-01-011,323
    Total number of active participants reported on line 7a of the Form 55002011-01-01809
    Number of retired or separated participants receiving benefits2011-01-010
    Number of other retired or separated participants entitled to future benefits2011-01-01576
    Total of all active and inactive participants2011-01-011,385
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
    Total participants2011-01-011,385
    Number of participants with account balances2011-01-011,385
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
    2010
    Total participants, beginning-of-year2010-01-011,189
    Total number of active participants reported on line 7a of the Form 55002010-01-01741
    Number of retired or separated participants receiving benefits2010-01-010
    Number of other retired or separated participants entitled to future benefits2010-01-01582
    Total of all active and inactive participants2010-01-011,323
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
    Total participants2010-01-011,323
    Number of participants with account balances2010-01-011,289
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
    2009
    Total participants, beginning-of-year2009-01-011,140
    Total number of active participants reported on line 7a of the Form 55002009-01-01699
    Number of retired or separated participants receiving benefits2009-01-010
    Number of other retired or separated participants entitled to future benefits2009-01-01490
    Total of all active and inactive participants2009-01-011,189
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
    Total participants2009-01-011,189
    Number of participants with account balances2009-01-011,188
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

    Financial Data on SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM TAX DEFERRED ANNUITY PLAN

    Measure Date Value
    2019
    Unrealized appreciation/depreciation of real estate assets2019-12-31$0
    Unrealized appreciation/depreciation of real estate assets2019-12-31$0
    Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$0
    Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$0
    Total unrealized appreciation/depreciation of assets2019-12-31$0
    Total unrealized appreciation/depreciation of assets2019-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
    Expenses. Interest paid2019-12-31$0
    Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022019-12-31$0
    Expenses. Interest paid2019-12-31$0
    Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022019-12-31$0
    Total income from all sources (including contributions)2019-12-31$24,688,834
    Total income from all sources (including contributions)2019-12-31$24,688,834
    Total loss/gain on sale of assets2019-12-31$0
    Total loss/gain on sale of assets2019-12-31$0
    Total of all expenses incurred2019-12-31$6,224,728
    Total of all expenses incurred2019-12-31$6,224,728
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$5,878,747
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$5,878,747
    Expenses. Certain deemed distributions of participant loans2019-12-31$680
    Expenses. Certain deemed distributions of participant loans2019-12-31$680
    Value of total corrective distributions2019-12-31$1,923
    Value of total corrective distributions2019-12-31$1,923
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$9,901,331
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$9,901,331
    Value of total assets at end of year2019-12-31$91,662,824
    Value of total assets at end of year2019-12-31$91,662,824
    Value of total assets at beginning of year2019-12-31$73,198,718
    Value of total assets at beginning of year2019-12-31$73,198,718
    Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$343,378
    Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$343,378
    Total income from rents2019-12-31$0
    Total income from rents2019-12-31$0
    Total interest from all sources2019-12-31$218,189
    Total interest from all sources2019-12-31$218,189
    Total dividends received (eg from common stock, registered investment company shares)2019-12-31$2,178,775
    Total dividends received (eg from common stock, registered investment company shares)2019-12-31$2,178,775
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
    Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$2,178,775
    Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$2,178,775
    Assets. Real estate other than employer real property at end of year2019-12-31$0
    Assets. Real estate other than employer real property at end of year2019-12-31$0
    Assets. Real estate other than employer real property at beginning of year2019-12-31$0
    Assets. Real estate other than employer real property at beginning of year2019-12-31$0
    Administrative expenses professional fees incurred2019-12-31$15,300
    Administrative expenses professional fees incurred2019-12-31$15,300
    Assets. Corporate prefeered stocks other than exployer securities at end of year2019-12-31$0
    Assets. Corporate prefeered stocks other than exployer securities at end of year2019-12-31$0
    Assets. Corporate prefeered stocks other than exployer securities at beginning of year2019-12-31$0
    Assets. Corporate prefeered stocks other than exployer securities at beginning of year2019-12-31$0
    Was this plan covered by a fidelity bond2019-12-31Yes
    Was this plan covered by a fidelity bond2019-12-31Yes
    Value of fidelity bond cover2019-12-31$500,000
    Value of fidelity bond cover2019-12-31$500,000
    If this is an individual account plan, was there a blackout period2019-12-31No
    If this is an individual account plan, was there a blackout period2019-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2019-12-31No
    Were there any nonexempt tranactions with any party-in-interest2019-12-31No
    Contributions received from participants2019-12-31$5,569,107
    Contributions received from participants2019-12-31$5,569,107
    Participant contributions at end of year2019-12-31$734,596
    Participant contributions at end of year2019-12-31$734,596
    Participant contributions at beginning of year2019-12-31$739,274
    Participant contributions at beginning of year2019-12-31$739,274
    Participant contributions at end of year2019-12-31$0
    Participant contributions at end of year2019-12-31$0
    Participant contributions at beginning of year2019-12-31$0
    Participant contributions at beginning of year2019-12-31$0
    Assets. Other investments not covered elsewhere at end of year2019-12-31$0
    Assets. Other investments not covered elsewhere at end of year2019-12-31$0
    Assets. Other investments not covered elsewhere at beginning of year2019-12-31$0
    Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$1,284,412
    Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$1,284,412
    Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$0
    Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$0
    Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$0
    Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$0
    Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$0
    Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$0
    Assets. Loans (other than to participants) at end of year2019-12-31$0
    Assets. Loans (other than to participants) at end of year2019-12-31$0
    Assets. Loans (other than to participants) at beginning of year2019-12-31$0
    Assets. Loans (other than to participants) at beginning of year2019-12-31$0
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$0
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$0
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$0
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$0
    Other income not declared elsewhere2019-12-31$0
    Other income not declared elsewhere2019-12-31$0
    Administrative expenses (other) incurred2019-12-31$0
    Administrative expenses (other) incurred2019-12-31$0
    Total non interest bearing cash at end of year2019-12-31$0
    Total non interest bearing cash at end of year2019-12-31$0
    Total non interest bearing cash at beginning of year2019-12-31$0
    Total non interest bearing cash at beginning of year2019-12-31$0
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
    Income. Non cash contributions2019-12-31$0
    Income. Non cash contributions2019-12-31$0
    Value of net income/loss2019-12-31$18,464,106
    Value of net income/loss2019-12-31$18,464,106
    Value of net assets at end of year (total assets less liabilities)2019-12-31$91,662,824
    Value of net assets at end of year (total assets less liabilities)2019-12-31$91,662,824
    Value of net assets at beginning of year (total assets less liabilities)2019-12-31$73,198,718
    Value of net assets at beginning of year (total assets less liabilities)2019-12-31$73,198,718
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
    Were any leases to which the plan was party in default or uncollectible2019-12-31No
    Were any leases to which the plan was party in default or uncollectible2019-12-31No
    Assets. partnership/joint venture interests at end of year2019-12-31$0
    Assets. partnership/joint venture interests at end of year2019-12-31$0
    Assets. partnership/joint venture interests at beginning of year2019-12-31$0
    Assets. partnership/joint venture interests at beginning of year2019-12-31$0
    Investment advisory and management fees2019-12-31$253,021
    Investment advisory and management fees2019-12-31$253,021
    Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$79,644,347
    Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$79,644,347
    Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$61,001,157
    Value of interest in pooled separate accounts at end of year2019-12-31$4,613,680
    Value of interest in pooled separate accounts at end of year2019-12-31$4,613,680
    Value of interest in pooled separate accounts at beginning of year2019-12-31$4,093,563
    Value of interest in pooled separate accounts at beginning of year2019-12-31$4,093,563
    Interest on participant loans2019-12-31$41,106
    Interest on participant loans2019-12-31$41,106
    Income. Interest from loans (other than to participants)2019-12-31$0
    Income. Interest from loans (other than to participants)2019-12-31$0
    Interest earned on other investments2019-12-31$177,083
    Interest earned on other investments2019-12-31$177,083
    Income. Interest from US Government securities2019-12-31$0
    Income. Interest from US Government securities2019-12-31$0
    Income. Interest from corporate debt instruments2019-12-31$0
    Income. Interest from corporate debt instruments2019-12-31$0
    Value of interest in master investment trust accounts at end of year2019-12-31$0
    Value of interest in master investment trust accounts at end of year2019-12-31$0
    Value of interest in master investment trust accounts at beginning of year2019-12-31$0
    Value of interest in master investment trust accounts at beginning of year2019-12-31$0
    Value of interest in common/collective trusts at end of year2019-12-31$0
    Value of interest in common/collective trusts at end of year2019-12-31$0
    Value of interest in common/collective trusts at beginning of year2019-12-31$0
    Value of interest in common/collective trusts at beginning of year2019-12-31$0
    Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$0
    Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$0
    Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$0
    Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$0
    Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$0
    Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$0
    Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$0
    Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$0
    Assets. Value of investments in 103.12 investment entities at end of year2019-12-31$0
    Assets. Value of investments in 103.12 investment entities at end of year2019-12-31$0
    Assets. Value of investments in 103.12 investment entities at beginning of year2019-12-31$0
    Assets. Value of investments in 103.12 investment entities at beginning of year2019-12-31$0
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$6,670,201
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$6,670,201
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$7,364,724
    Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$0
    Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$0
    Asset value of US Government securities at end of year2019-12-31$0
    Asset value of US Government securities at end of year2019-12-31$0
    Asset value of US Government securities at beginning of year2019-12-31$0
    Asset value of US Government securities at beginning of year2019-12-31$0
    Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$11,490,983
    Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$11,490,983
    Net investment gain/loss from pooled separate accounts2019-12-31$899,556
    Net investment gain/loss from pooled separate accounts2019-12-31$899,556
    Net investment gain or loss from common/collective trusts2019-12-31$0
    Net investment gain or loss from common/collective trusts2019-12-31$0
    Net gain/loss from 103.12 investment entities2019-12-31$0
    Net gain/loss from 103.12 investment entities2019-12-31$0
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
    Was there a failure to transmit to the plan any participant contributions2019-12-31No
    Was there a failure to transmit to the plan any participant contributions2019-12-31No
    Has the plan failed to provide any benefit when due under the plan2019-12-31No
    Has the plan failed to provide any benefit when due under the plan2019-12-31No
    Assets. Invements in employer securities at end of year2019-12-31$0
    Assets. Invements in employer securities at end of year2019-12-31$0
    Assets. Invements in employer securities at beginning of year2019-12-31$0
    Assets. Value of employer real property at end of year2019-12-31$0
    Assets. Value of employer real property at end of year2019-12-31$0
    Assets. Value of employer real property at beginning of year2019-12-31$0
    Assets. Value of employer real property at beginning of year2019-12-31$0
    Contributions received in cash from employer2019-12-31$3,047,812
    Contributions received in cash from employer2019-12-31$3,047,812
    Employer contributions (assets) at end of year2019-12-31$0
    Employer contributions (assets) at end of year2019-12-31$0
    Employer contributions (assets) at beginning of year2019-12-31$0
    Employer contributions (assets) at beginning of year2019-12-31$0
    Income. Dividends from preferred stock2019-12-31$0
    Income. Dividends from preferred stock2019-12-31$0
    Income. Dividends from common stock2019-12-31$0
    Income. Dividends from common stock2019-12-31$0
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$5,878,747
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$5,878,747
    Asset. Corporate debt instrument preferred debt at end of year2019-12-31$0
    Asset. Corporate debt instrument preferred debt at end of year2019-12-31$0
    Asset. Corporate debt instrument preferred debt at beginning of year2019-12-31$0
    Asset. Corporate debt instrument preferred debt at beginning of year2019-12-31$0
    Asset. Corporate debt instrument debt (other) at end of year2019-12-31$0
    Asset. Corporate debt instrument debt (other) at end of year2019-12-31$0
    Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$0
    Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$0
    Contract administrator fees2019-12-31$75,057
    Contract administrator fees2019-12-31$75,057
    Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$0
    Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$0
    Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$0
    Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$0
    Liabilities. Value of benefit claims payable at end of year2019-12-31$0
    Liabilities. Value of benefit claims payable at end of year2019-12-31$0
    Liabilities. Value of benefit claims payable at beginning of year2019-12-31$0
    Liabilities. Value of benefit claims payable at beginning of year2019-12-31$0
    Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$0
    Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$0
    Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$0
    Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$0
    Did the plan have assets held for investment2019-12-31Yes
    Did the plan have assets held for investment2019-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
    Aggregate proceeds on sale of assets2019-12-31$0
    Aggregate proceeds on sale of assets2019-12-31$0
    Aggregate carrying amount (costs) on sale of assets2019-12-31$0
    Aggregate carrying amount (costs) on sale of assets2019-12-31$0
    Liabilities. Value of acquisition indebtedness at end of year2019-12-31$0
    Liabilities. Value of acquisition indebtedness at end of year2019-12-31$0
    Liabilities. Value of acquisition indebtedness at beginning of year2019-12-31$0
    Liabilities. Value of acquisition indebtedness at beginning of year2019-12-31$0
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
    Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
    Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
    Accountancy firm name2019-12-31ELGEE REHFELD
    Accountancy firm name2019-12-31ELGEE REHFELD
    Accountancy firm EIN2019-12-31920127098
    Accountancy firm EIN2019-12-31920127098
    2018
    Unrealized appreciation/depreciation of real estate assets2018-12-31$0
    Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$0
    Total unrealized appreciation/depreciation of assets2018-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
    Expenses. Interest paid2018-12-31$0
    Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022018-12-31$0
    Total income from all sources (including contributions)2018-12-31$3,064,792
    Total loss/gain on sale of assets2018-12-31$0
    Total of all expenses incurred2018-12-31$6,176,150
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$5,889,248
    Expenses. Certain deemed distributions of participant loans2018-12-31$37,616
    Value of total corrective distributions2018-12-31$0
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$7,165,634
    Value of total assets at end of year2018-12-31$73,198,718
    Value of total assets at beginning of year2018-12-31$76,310,076
    Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$249,286
    Total income from rents2018-12-31$0
    Total interest from all sources2018-12-31$216,804
    Total dividends received (eg from common stock, registered investment company shares)2018-12-31$2,218,009
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
    Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$2,218,009
    Assets. Real estate other than employer real property at end of year2018-12-31$0
    Assets. Real estate other than employer real property at beginning of year2018-12-31$0
    Administrative expenses professional fees incurred2018-12-31$0
    Assets. Corporate prefeered stocks other than exployer securities at end of year2018-12-31$0
    Assets. Corporate prefeered stocks other than exployer securities at beginning of year2018-12-31$0
    Was this plan covered by a fidelity bond2018-12-31Yes
    Value of fidelity bond cover2018-12-31$500,000
    If this is an individual account plan, was there a blackout period2018-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2018-12-31No
    Contributions received from participants2018-12-31$4,178,549
    Participant contributions at end of year2018-12-31$739,274
    Participant contributions at beginning of year2018-12-31$679,494
    Participant contributions at end of year2018-12-31$0
    Participant contributions at beginning of year2018-12-31$0
    Assets. Other investments not covered elsewhere at end of year2018-12-31$0
    Assets. Other investments not covered elsewhere at beginning of year2018-12-31$0
    Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$605,983
    Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$0
    Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$0
    Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$0
    Assets. Loans (other than to participants) at end of year2018-12-31$0
    Assets. Loans (other than to participants) at beginning of year2018-12-31$0
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$0
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$0
    Other income not declared elsewhere2018-12-31$0
    Administrative expenses (other) incurred2018-12-31$0
    Total non interest bearing cash at end of year2018-12-31$0
    Total non interest bearing cash at beginning of year2018-12-31$0
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
    Income. Non cash contributions2018-12-31$0
    Value of net income/loss2018-12-31$-3,111,358
    Value of net assets at end of year (total assets less liabilities)2018-12-31$73,198,718
    Value of net assets at beginning of year (total assets less liabilities)2018-12-31$76,310,076
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
    Were any leases to which the plan was party in default or uncollectible2018-12-31No
    Assets. partnership/joint venture interests at end of year2018-12-31$0
    Assets. partnership/joint venture interests at beginning of year2018-12-31$0
    Investment advisory and management fees2018-12-31$66,991
    Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$61,001,157
    Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$63,932,673
    Value of interest in pooled separate accounts at end of year2018-12-31$4,093,563
    Value of interest in pooled separate accounts at beginning of year2018-12-31$4,768,987
    Interest on participant loans2018-12-31$42,073
    Income. Interest from loans (other than to participants)2018-12-31$0
    Interest earned on other investments2018-12-31$174,731
    Income. Interest from US Government securities2018-12-31$0
    Income. Interest from corporate debt instruments2018-12-31$0
    Value of interest in master investment trust accounts at end of year2018-12-31$0
    Value of interest in master investment trust accounts at beginning of year2018-12-31$0
    Value of interest in common/collective trusts at end of year2018-12-31$0
    Value of interest in common/collective trusts at beginning of year2018-12-31$0
    Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$0
    Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$0
    Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$0
    Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$0
    Assets. Value of investments in 103.12 investment entities at end of year2018-12-31$0
    Assets. Value of investments in 103.12 investment entities at beginning of year2018-12-31$0
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$7,364,724
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$6,928,922
    Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$0
    Asset value of US Government securities at end of year2018-12-31$0
    Asset value of US Government securities at beginning of year2018-12-31$0
    Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-6,077,993
    Net investment gain/loss from pooled separate accounts2018-12-31$-457,662
    Net investment gain or loss from common/collective trusts2018-12-31$0
    Net gain/loss from 103.12 investment entities2018-12-31$0
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
    Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
    Has the plan failed to provide any benefit when due under the plan2018-12-31No
    Assets. Invements in employer securities at end of year2018-12-31$0
    Assets. Invements in employer securities at beginning of year2018-12-31$0
    Assets. Value of employer real property at end of year2018-12-31$0
    Assets. Value of employer real property at beginning of year2018-12-31$0
    Contributions received in cash from employer2018-12-31$2,381,102
    Employer contributions (assets) at end of year2018-12-31$0
    Employer contributions (assets) at beginning of year2018-12-31$0
    Income. Dividends from preferred stock2018-12-31$0
    Income. Dividends from common stock2018-12-31$0
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$5,889,248
    Asset. Corporate debt instrument preferred debt at end of year2018-12-31$0
    Asset. Corporate debt instrument preferred debt at beginning of year2018-12-31$0
    Asset. Corporate debt instrument debt (other) at end of year2018-12-31$0
    Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$0
    Contract administrator fees2018-12-31$182,295
    Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
    Assets. Corporate common stocks other than exployer securities at end of year2018-12-31$0
    Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$0
    Liabilities. Value of benefit claims payable at end of year2018-12-31$0
    Liabilities. Value of benefit claims payable at beginning of year2018-12-31$0
    Assets. Value of buildings and other operty used in plan operation at end of year2018-12-31$0
    Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$0
    Did the plan have assets held for investment2018-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
    Aggregate proceeds on sale of assets2018-12-31$0
    Aggregate carrying amount (costs) on sale of assets2018-12-31$0
    Liabilities. Value of acquisition indebtedness at end of year2018-12-31$0
    Liabilities. Value of acquisition indebtedness at beginning of year2018-12-31$0
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
    Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
    Accountancy firm name2018-12-31ELGEE REHFELD
    Accountancy firm EIN2018-12-31920127098
    2017
    Unrealized appreciation/depreciation of real estate assets2017-12-31$0
    Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$0
    Total unrealized appreciation/depreciation of assets2017-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
    Expenses. Interest paid2017-12-31$0
    Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022017-12-31$0
    Total income from all sources (including contributions)2017-12-31$17,644,169
    Total loss/gain on sale of assets2017-12-31$0
    Total of all expenses incurred2017-12-31$5,544,517
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$5,224,310
    Expenses. Certain deemed distributions of participant loans2017-12-31$2,717
    Value of total corrective distributions2017-12-31$26,787
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$7,191,507
    Value of total assets at end of year2017-12-31$76,310,076
    Value of total assets at beginning of year2017-12-31$64,210,424
    Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$290,703
    Total income from rents2017-12-31$0
    Total interest from all sources2017-12-31$207,479
    Total dividends received (eg from common stock, registered investment company shares)2017-12-31$1,806,191
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
    Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$1,806,191
    Assets. Real estate other than employer real property at end of year2017-12-31$0
    Assets. Real estate other than employer real property at beginning of year2017-12-31$0
    Administrative expenses professional fees incurred2017-12-31$0
    Assets. Corporate prefeered stocks other than exployer securities at end of year2017-12-31$0
    Assets. Corporate prefeered stocks other than exployer securities at beginning of year2017-12-31$0
    Was this plan covered by a fidelity bond2017-12-31Yes
    Value of fidelity bond cover2017-12-31$500,000
    If this is an individual account plan, was there a blackout period2017-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2017-12-31No
    Contributions received from participants2017-12-31$3,805,939
    Participant contributions at end of year2017-12-31$679,494
    Participant contributions at beginning of year2017-12-31$547,456
    Participant contributions at end of year2017-12-31$0
    Participant contributions at beginning of year2017-12-31$0
    Assets. Other investments not covered elsewhere at end of year2017-12-31$0
    Assets. Other investments not covered elsewhere at beginning of year2017-12-31$0
    Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$1,222,575
    Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$0
    Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$0
    Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$0
    Assets. Loans (other than to participants) at end of year2017-12-31$0
    Assets. Loans (other than to participants) at beginning of year2017-12-31$0
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$0
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$0
    Other income not declared elsewhere2017-12-31$321,840
    Administrative expenses (other) incurred2017-12-31$0
    Total non interest bearing cash at end of year2017-12-31$0
    Total non interest bearing cash at beginning of year2017-12-31$0
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
    Income. Non cash contributions2017-12-31$0
    Value of net income/loss2017-12-31$12,099,652
    Value of net assets at end of year (total assets less liabilities)2017-12-31$76,310,076
    Value of net assets at beginning of year (total assets less liabilities)2017-12-31$64,210,424
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
    Were any leases to which the plan was party in default or uncollectible2017-12-31No
    Assets. partnership/joint venture interests at end of year2017-12-31$0
    Assets. partnership/joint venture interests at beginning of year2017-12-31$0
    Investment advisory and management fees2017-12-31$62,517
    Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$63,932,673
    Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$52,890,558
    Value of interest in pooled separate accounts at end of year2017-12-31$4,768,987
    Value of interest in pooled separate accounts at beginning of year2017-12-31$4,348,182
    Interest on participant loans2017-12-31$31,826
    Income. Interest from loans (other than to participants)2017-12-31$0
    Interest earned on other investments2017-12-31$175,653
    Income. Interest from US Government securities2017-12-31$0
    Income. Interest from corporate debt instruments2017-12-31$0
    Value of interest in master investment trust accounts at end of year2017-12-31$0
    Value of interest in master investment trust accounts at beginning of year2017-12-31$0
    Value of interest in common/collective trusts at end of year2017-12-31$0
    Value of interest in common/collective trusts at beginning of year2017-12-31$0
    Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$0
    Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$0
    Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$0
    Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$0
    Assets. Value of investments in 103.12 investment entities at end of year2017-12-31$0
    Assets. Value of investments in 103.12 investment entities at beginning of year2017-12-31$0
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$6,928,922
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$6,424,228
    Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$0
    Asset value of US Government securities at end of year2017-12-31$0
    Asset value of US Government securities at beginning of year2017-12-31$0
    Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$7,419,449
    Net investment gain/loss from pooled separate accounts2017-12-31$697,703
    Net investment gain or loss from common/collective trusts2017-12-31$0
    Net gain/loss from 103.12 investment entities2017-12-31$0
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
    Was there a failure to transmit to the plan any participant contributions2017-12-31No
    Has the plan failed to provide any benefit when due under the plan2017-12-31No
    Assets. Invements in employer securities at end of year2017-12-31$0
    Assets. Invements in employer securities at beginning of year2017-12-31$0
    Assets. Value of employer real property at end of year2017-12-31$0
    Assets. Value of employer real property at beginning of year2017-12-31$0
    Contributions received in cash from employer2017-12-31$2,162,993
    Employer contributions (assets) at end of year2017-12-31$0
    Employer contributions (assets) at beginning of year2017-12-31$0
    Income. Dividends from preferred stock2017-12-31$0
    Income. Dividends from common stock2017-12-31$0
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$5,224,310
    Asset. Corporate debt instrument preferred debt at end of year2017-12-31$0
    Asset. Corporate debt instrument preferred debt at beginning of year2017-12-31$0
    Asset. Corporate debt instrument debt (other) at end of year2017-12-31$0
    Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$0
    Contract administrator fees2017-12-31$228,186
    Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
    Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$0
    Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$0
    Liabilities. Value of benefit claims payable at end of year2017-12-31$0
    Liabilities. Value of benefit claims payable at beginning of year2017-12-31$0
    Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$0
    Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$0
    Did the plan have assets held for investment2017-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
    Aggregate proceeds on sale of assets2017-12-31$0
    Aggregate carrying amount (costs) on sale of assets2017-12-31$0
    Liabilities. Value of acquisition indebtedness at end of year2017-12-31$0
    Liabilities. Value of acquisition indebtedness at beginning of year2017-12-31$0
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
    Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
    Accountancy firm name2017-12-31ELGEE REHFELD
    Accountancy firm EIN2017-12-31920127098
    2016
    Unrealized appreciation/depreciation of real estate assets2016-12-31$0
    Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$0
    Total unrealized appreciation/depreciation of assets2016-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
    Expenses. Interest paid2016-12-31$0
    Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022016-12-31$0
    Total income from all sources (including contributions)2016-12-31$9,736,947
    Total loss/gain on sale of assets2016-12-31$0
    Total of all expenses incurred2016-12-31$5,123,503
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$4,834,960
    Expenses. Certain deemed distributions of participant loans2016-12-31$20,910
    Value of total corrective distributions2016-12-31$0
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$5,332,277
    Value of total assets at end of year2016-12-31$64,210,424
    Value of total assets at beginning of year2016-12-31$59,596,980
    Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$267,633
    Total income from rents2016-12-31$0
    Total interest from all sources2016-12-31$197,100
    Total dividends received (eg from common stock, registered investment company shares)2016-12-31$1,360,158
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
    Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$1,360,158
    Assets. Real estate other than employer real property at end of year2016-12-31$0
    Assets. Real estate other than employer real property at beginning of year2016-12-31$0
    Administrative expenses professional fees incurred2016-12-31$12,500
    Assets. Corporate prefeered stocks other than exployer securities at end of year2016-12-31$0
    Assets. Corporate prefeered stocks other than exployer securities at beginning of year2016-12-31$0
    Was this plan covered by a fidelity bond2016-12-31Yes
    Value of fidelity bond cover2016-12-31$500,000
    If this is an individual account plan, was there a blackout period2016-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2016-12-31No
    Contributions received from participants2016-12-31$3,330,683
    Participant contributions at end of year2016-12-31$547,456
    Participant contributions at beginning of year2016-12-31$649,419
    Participant contributions at end of year2016-12-31$0
    Participant contributions at beginning of year2016-12-31$0
    Assets. Other investments not covered elsewhere at end of year2016-12-31$0
    Assets. Other investments not covered elsewhere at beginning of year2016-12-31$0
    Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$158,502
    Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$0
    Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$0
    Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$0
    Assets. Loans (other than to participants) at end of year2016-12-31$0
    Assets. Loans (other than to participants) at beginning of year2016-12-31$0
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$0
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$0
    Other income not declared elsewhere2016-12-31$168,557
    Administrative expenses (other) incurred2016-12-31$0
    Total non interest bearing cash at end of year2016-12-31$0
    Total non interest bearing cash at beginning of year2016-12-31$0
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
    Income. Non cash contributions2016-12-31$0
    Value of net income/loss2016-12-31$4,613,444
    Value of net assets at end of year (total assets less liabilities)2016-12-31$64,210,424
    Value of net assets at beginning of year (total assets less liabilities)2016-12-31$59,596,980
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
    Were any leases to which the plan was party in default or uncollectible2016-12-31No
    Assets. partnership/joint venture interests at end of year2016-12-31$0
    Assets. partnership/joint venture interests at beginning of year2016-12-31$0
    Investment advisory and management fees2016-12-31$104,064
    Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$52,890,558
    Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$47,676,054
    Value of interest in pooled separate accounts at end of year2016-12-31$4,348,182
    Value of interest in pooled separate accounts at beginning of year2016-12-31$5,051,525
    Interest on participant loans2016-12-31$27,439
    Income. Interest from loans (other than to participants)2016-12-31$0
    Interest earned on other investments2016-12-31$169,661
    Income. Interest from US Government securities2016-12-31$0
    Income. Interest from corporate debt instruments2016-12-31$0
    Value of interest in master investment trust accounts at end of year2016-12-31$0
    Value of interest in master investment trust accounts at beginning of year2016-12-31$0
    Value of interest in common/collective trusts at end of year2016-12-31$0
    Value of interest in common/collective trusts at beginning of year2016-12-31$0
    Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$0
    Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$0
    Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$0
    Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$0
    Assets. Value of investments in 103.12 investment entities at end of year2016-12-31$0
    Assets. Value of investments in 103.12 investment entities at beginning of year2016-12-31$0
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$6,424,228
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$6,154,339
    Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$0
    Asset value of US Government securities at end of year2016-12-31$0
    Asset value of US Government securities at beginning of year2016-12-31$0
    Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$2,363,071
    Net investment gain/loss from pooled separate accounts2016-12-31$315,784
    Net investment gain or loss from common/collective trusts2016-12-31$0
    Net gain/loss from 103.12 investment entities2016-12-31$0
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
    Was there a failure to transmit to the plan any participant contributions2016-12-31No
    Has the plan failed to provide any benefit when due under the plan2016-12-31No
    Assets. Invements in employer securities at end of year2016-12-31$0
    Assets. Invements in employer securities at beginning of year2016-12-31$0
    Assets. Value of employer real property at end of year2016-12-31$0
    Assets. Value of employer real property at beginning of year2016-12-31$0
    Contributions received in cash from employer2016-12-31$1,843,092
    Employer contributions (assets) at end of year2016-12-31$0
    Employer contributions (assets) at beginning of year2016-12-31$65,643
    Income. Dividends from preferred stock2016-12-31$0
    Income. Dividends from common stock2016-12-31$0
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$4,834,960
    Asset. Corporate debt instrument preferred debt at end of year2016-12-31$0
    Asset. Corporate debt instrument preferred debt at beginning of year2016-12-31$0
    Asset. Corporate debt instrument debt (other) at end of year2016-12-31$0
    Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$0
    Contract administrator fees2016-12-31$151,069
    Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
    Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$0
    Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$0
    Liabilities. Value of benefit claims payable at end of year2016-12-31$0
    Liabilities. Value of benefit claims payable at beginning of year2016-12-31$0
    Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$0
    Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$0
    Did the plan have assets held for investment2016-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
    Aggregate proceeds on sale of assets2016-12-31$0
    Aggregate carrying amount (costs) on sale of assets2016-12-31$0
    Liabilities. Value of acquisition indebtedness at end of year2016-12-31$0
    Liabilities. Value of acquisition indebtedness at beginning of year2016-12-31$0
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
    Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
    Accountancy firm name2016-12-31ELGEE REHFELD MERTZ
    Accountancy firm EIN2016-12-31920127098
    2015
    Unrealized appreciation/depreciation of real estate assets2015-12-31$0
    Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$0
    Total unrealized appreciation/depreciation of assets2015-12-31$0
    Total transfer of assets to this plan2015-12-31$367,492
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
    Expenses. Interest paid2015-12-31$0
    Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022015-12-31$0
    Total income from all sources (including contributions)2015-12-31$4,318,831
    Total loss/gain on sale of assets2015-12-31$0
    Total of all expenses incurred2015-12-31$5,937,066
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$5,642,545
    Expenses. Certain deemed distributions of participant loans2015-12-31$50,112
    Value of total corrective distributions2015-12-31$0
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$5,035,584
    Value of total assets at end of year2015-12-31$59,596,980
    Value of total assets at beginning of year2015-12-31$60,847,723
    Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$244,409
    Total income from rents2015-12-31$0
    Total interest from all sources2015-12-31$185,036
    Total dividends received (eg from common stock, registered investment company shares)2015-12-31$1,979,847
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
    Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$1,979,847
    Assets. Real estate other than employer real property at end of year2015-12-31$0
    Assets. Real estate other than employer real property at beginning of year2015-12-31$0
    Administrative expenses professional fees incurred2015-12-31$12,000
    Assets. Corporate prefeered stocks other than exployer securities at end of year2015-12-31$0
    Assets. Corporate prefeered stocks other than exployer securities at beginning of year2015-12-31$0
    Was this plan covered by a fidelity bond2015-12-31Yes
    Value of fidelity bond cover2015-12-31$500,000
    If this is an individual account plan, was there a blackout period2015-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2015-12-31No
    Contributions received from participants2015-12-31$3,018,648
    Participant contributions at end of year2015-12-31$649,419
    Participant contributions at beginning of year2015-12-31$1,159,980
    Participant contributions at end of year2015-12-31$0
    Participant contributions at beginning of year2015-12-31$0
    Assets. Other investments not covered elsewhere at end of year2015-12-31$0
    Assets. Other investments not covered elsewhere at beginning of year2015-12-31$0
    Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$227,468
    Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$0
    Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$0
    Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$0
    Assets. Loans (other than to participants) at end of year2015-12-31$0
    Assets. Loans (other than to participants) at beginning of year2015-12-31$0
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$0
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$0
    Other income not declared elsewhere2015-12-31$-499,686
    Administrative expenses (other) incurred2015-12-31$360
    Total non interest bearing cash at end of year2015-12-31$0
    Total non interest bearing cash at beginning of year2015-12-31$0
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
    Income. Non cash contributions2015-12-31$0
    Value of net income/loss2015-12-31$-1,618,235
    Value of net assets at end of year (total assets less liabilities)2015-12-31$59,596,980
    Value of net assets at beginning of year (total assets less liabilities)2015-12-31$60,847,723
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
    Were any leases to which the plan was party in default or uncollectible2015-12-31No
    Assets. partnership/joint venture interests at end of year2015-12-31$0
    Assets. partnership/joint venture interests at beginning of year2015-12-31$0
    Investment advisory and management fees2015-12-31$90,008
    Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$47,676,054
    Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$46,076,643
    Value of interest in pooled separate accounts at end of year2015-12-31$5,051,525
    Value of interest in pooled separate accounts at beginning of year2015-12-31$8,324,797
    Interest on participant loans2015-12-31$34,519
    Income. Interest from loans (other than to participants)2015-12-31$0
    Interest earned on other investments2015-12-31$150,517
    Income. Interest from US Government securities2015-12-31$0
    Income. Interest from corporate debt instruments2015-12-31$0
    Value of interest in master investment trust accounts at end of year2015-12-31$0
    Value of interest in master investment trust accounts at beginning of year2015-12-31$0
    Value of interest in common/collective trusts at end of year2015-12-31$0
    Value of interest in common/collective trusts at beginning of year2015-12-31$0
    Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$0
    Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$0
    Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$0
    Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$0
    Assets. Value of investments in 103.12 investment entities at end of year2015-12-31$0
    Assets. Value of investments in 103.12 investment entities at beginning of year2015-12-31$0
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$6,154,339
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$5,286,303
    Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$0
    Asset value of US Government securities at end of year2015-12-31$0
    Asset value of US Government securities at beginning of year2015-12-31$0
    Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-2,359,701
    Net investment gain/loss from pooled separate accounts2015-12-31$-22,249
    Net investment gain or loss from common/collective trusts2015-12-31$0
    Net gain/loss from 103.12 investment entities2015-12-31$0
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
    Was there a failure to transmit to the plan any participant contributions2015-12-31No
    Has the plan failed to provide any benefit when due under the plan2015-12-31No
    Assets. Invements in employer securities at end of year2015-12-31$0
    Assets. Invements in employer securities at beginning of year2015-12-31$0
    Assets. Value of employer real property at end of year2015-12-31$0
    Assets. Value of employer real property at beginning of year2015-12-31$0
    Contributions received in cash from employer2015-12-31$1,789,468
    Employer contributions (assets) at end of year2015-12-31$65,643
    Employer contributions (assets) at beginning of year2015-12-31$0
    Income. Dividends from preferred stock2015-12-31$0
    Income. Dividends from common stock2015-12-31$0
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$5,642,545
    Asset. Corporate debt instrument preferred debt at end of year2015-12-31$0
    Asset. Corporate debt instrument preferred debt at beginning of year2015-12-31$0
    Asset. Corporate debt instrument debt (other) at end of year2015-12-31$0
    Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$0
    Contract administrator fees2015-12-31$142,041
    Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
    Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$0
    Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$0
    Liabilities. Value of benefit claims payable at end of year2015-12-31$0
    Liabilities. Value of benefit claims payable at beginning of year2015-12-31$0
    Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$0
    Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$0
    Did the plan have assets held for investment2015-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
    Aggregate proceeds on sale of assets2015-12-31$0
    Aggregate carrying amount (costs) on sale of assets2015-12-31$0
    Liabilities. Value of acquisition indebtedness at end of year2015-12-31$0
    Liabilities. Value of acquisition indebtedness at beginning of year2015-12-31$0
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
    Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
    Accountancy firm name2015-12-31ELGEE REHFELD MERTZ
    Accountancy firm EIN2015-12-31920127098
    2014
    Unrealized appreciation/depreciation of real estate assets2014-12-31$0
    Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$0
    Total unrealized appreciation/depreciation of assets2014-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
    Expenses. Interest paid2014-12-31$0
    Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022014-12-31$0
    Total income from all sources (including contributions)2014-12-31$8,848,096
    Total loss/gain on sale of assets2014-12-31$0
    Total of all expenses incurred2014-12-31$10,229,617
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$9,830,157
    Expenses. Certain deemed distributions of participant loans2014-12-31$128,470
    Value of total corrective distributions2014-12-31$0
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$4,741,985
    Value of total assets at end of year2014-12-31$60,847,723
    Value of total assets at beginning of year2014-12-31$62,229,244
    Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$270,990
    Total income from rents2014-12-31$0
    Total interest from all sources2014-12-31$182,248
    Total dividends received (eg from common stock, registered investment company shares)2014-12-31$1,150,078
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
    Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$1,150,078
    Assets. Real estate other than employer real property at end of year2014-12-31$0
    Assets. Real estate other than employer real property at beginning of year2014-12-31$0
    Administrative expenses professional fees incurred2014-12-31$14,850
    Assets. Corporate prefeered stocks other than exployer securities at end of year2014-12-31$0
    Assets. Corporate prefeered stocks other than exployer securities at beginning of year2014-12-31$0
    Was this plan covered by a fidelity bond2014-12-31Yes
    Value of fidelity bond cover2014-12-31$500,000
    If this is an individual account plan, was there a blackout period2014-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2014-12-31No
    Contributions received from participants2014-12-31$2,914,596
    Participant contributions at end of year2014-12-31$1,159,980
    Participant contributions at beginning of year2014-12-31$1,363,448
    Participant contributions at end of year2014-12-31$0
    Participant contributions at beginning of year2014-12-31$0
    Assets. Other investments not covered elsewhere at end of year2014-12-31$0
    Assets. Other investments not covered elsewhere at beginning of year2014-12-31$0
    Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$148,285
    Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$0
    Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$0
    Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$0
    Assets. Loans (other than to participants) at end of year2014-12-31$0
    Assets. Loans (other than to participants) at beginning of year2014-12-31$0
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$0
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$0
    Other income not declared elsewhere2014-12-31$148,538
    Administrative expenses (other) incurred2014-12-31$0
    Total non interest bearing cash at end of year2014-12-31$0
    Total non interest bearing cash at beginning of year2014-12-31$0
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
    Income. Non cash contributions2014-12-31$0
    Value of net income/loss2014-12-31$-1,381,521
    Value of net assets at end of year (total assets less liabilities)2014-12-31$60,847,723
    Value of net assets at beginning of year (total assets less liabilities)2014-12-31$62,229,244
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
    Were any leases to which the plan was party in default or uncollectible2014-12-31No
    Assets. partnership/joint venture interests at end of year2014-12-31$0
    Assets. partnership/joint venture interests at beginning of year2014-12-31$0
    Investment advisory and management fees2014-12-31$88,756
    Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$46,076,643
    Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$46,272,958
    Value of interest in pooled separate accounts at end of year2014-12-31$8,324,797
    Value of interest in pooled separate accounts at beginning of year2014-12-31$9,415,161
    Interest on participant loans2014-12-31$40,017
    Income. Interest from loans (other than to participants)2014-12-31$0
    Interest earned on other investments2014-12-31$142,231
    Income. Interest from US Government securities2014-12-31$0
    Income. Interest from corporate debt instruments2014-12-31$0
    Value of interest in master investment trust accounts at end of year2014-12-31$0
    Value of interest in master investment trust accounts at beginning of year2014-12-31$0
    Value of interest in common/collective trusts at end of year2014-12-31$0
    Value of interest in common/collective trusts at beginning of year2014-12-31$0
    Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$0
    Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$0
    Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$0
    Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$0
    Assets. Value of investments in 103.12 investment entities at end of year2014-12-31$0
    Assets. Value of investments in 103.12 investment entities at beginning of year2014-12-31$0
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$5,286,303
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$5,177,677
    Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$0
    Asset value of US Government securities at end of year2014-12-31$0
    Asset value of US Government securities at beginning of year2014-12-31$0
    Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$2,096,270
    Net investment gain/loss from pooled separate accounts2014-12-31$528,977
    Net investment gain or loss from common/collective trusts2014-12-31$0
    Net gain/loss from 103.12 investment entities2014-12-31$0
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
    Was there a failure to transmit to the plan any participant contributions2014-12-31No
    Has the plan failed to provide any benefit when due under the plan2014-12-31No
    Assets. Invements in employer securities at end of year2014-12-31$0
    Assets. Invements in employer securities at beginning of year2014-12-31$0
    Assets. Value of employer real property at end of year2014-12-31$0
    Assets. Value of employer real property at beginning of year2014-12-31$0
    Contributions received in cash from employer2014-12-31$1,679,104
    Employer contributions (assets) at end of year2014-12-31$0
    Employer contributions (assets) at beginning of year2014-12-31$0
    Income. Dividends from preferred stock2014-12-31$0
    Income. Dividends from common stock2014-12-31$0
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$9,830,157
    Asset. Corporate debt instrument preferred debt at end of year2014-12-31$0
    Asset. Corporate debt instrument preferred debt at beginning of year2014-12-31$0
    Asset. Corporate debt instrument debt (other) at end of year2014-12-31$0
    Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$0
    Contract administrator fees2014-12-31$167,384
    Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$0
    Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$0
    Liabilities. Value of benefit claims payable at end of year2014-12-31$0
    Liabilities. Value of benefit claims payable at beginning of year2014-12-31$0
    Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$0
    Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$0
    Did the plan have assets held for investment2014-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
    Aggregate proceeds on sale of assets2014-12-31$0
    Aggregate carrying amount (costs) on sale of assets2014-12-31$0
    Liabilities. Value of acquisition indebtedness at end of year2014-12-31$0
    Liabilities. Value of acquisition indebtedness at beginning of year2014-12-31$0
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
    Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
    Accountancy firm name2014-12-31ELGEE REHFELD & MERTZ, LLC
    Accountancy firm EIN2014-12-31920127098
    2013
    Unrealized appreciation/depreciation of real estate assets2013-12-31$0
    Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$0
    Total unrealized appreciation/depreciation of assets2013-12-31$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
    Expenses. Interest paid2013-12-31$0
    Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022013-12-31$0
    Total income from all sources (including contributions)2013-12-31$15,209,261
    Total loss/gain on sale of assets2013-12-31$0
    Total of all expenses incurred2013-12-31$9,502,531
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$9,121,380
    Expenses. Certain deemed distributions of participant loans2013-12-31$129,458
    Value of total corrective distributions2013-12-31$0
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$5,737,576
    Value of total assets at end of year2013-12-31$62,229,244
    Value of total assets at beginning of year2013-12-31$56,522,514
    Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$251,693
    Total income from rents2013-12-31$0
    Total interest from all sources2013-12-31$283,368
    Total dividends received (eg from common stock, registered investment company shares)2013-12-31$916,880
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
    Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$916,880
    Assets. Real estate other than employer real property at end of year2013-12-31$0
    Assets. Real estate other than employer real property at beginning of year2013-12-31$0
    Administrative expenses professional fees incurred2013-12-31$97,745
    Assets. Corporate prefeered stocks other than exployer securities at end of year2013-12-31$0
    Assets. Corporate prefeered stocks other than exployer securities at beginning of year2013-12-31$0
    Was this plan covered by a fidelity bond2013-12-31Yes
    Value of fidelity bond cover2013-12-31$500,000
    If this is an individual account plan, was there a blackout period2013-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2013-12-31No
    Contributions received from participants2013-12-31$3,350,643
    Participant contributions at end of year2013-12-31$1,363,448
    Participant contributions at beginning of year2013-12-31$1,030,831
    Participant contributions at end of year2013-12-31$0
    Participant contributions at beginning of year2013-12-31$0
    Assets. Other investments not covered elsewhere at end of year2013-12-31$0
    Assets. Other investments not covered elsewhere at beginning of year2013-12-31$0
    Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$374,794
    Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$0
    Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$0
    Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$0
    Assets. Loans (other than to participants) at end of year2013-12-31$0
    Assets. Loans (other than to participants) at beginning of year2013-12-31$0
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$0
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$0
    Other income not declared elsewhere2013-12-31$0
    Administrative expenses (other) incurred2013-12-31$26,519
    Total non interest bearing cash at end of year2013-12-31$0
    Total non interest bearing cash at beginning of year2013-12-31$0
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
    Value of net income/loss2013-12-31$5,706,730
    Value of net assets at end of year (total assets less liabilities)2013-12-31$62,229,244
    Value of net assets at beginning of year (total assets less liabilities)2013-12-31$56,522,514
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
    Were any leases to which the plan was party in default or uncollectible2013-12-31No
    Assets. partnership/joint venture interests at end of year2013-12-31$0
    Assets. partnership/joint venture interests at beginning of year2013-12-31$0
    Investment advisory and management fees2013-12-31$71,108
    Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$46,272,958
    Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$39,614,901
    Value of interest in pooled separate accounts at end of year2013-12-31$9,415,161
    Value of interest in pooled separate accounts at beginning of year2013-12-31$14,151,241
    Interest on participant loans2013-12-31$26,154
    Income. Interest from loans (other than to participants)2013-12-31$0
    Interest earned on other investments2013-12-31$257,214
    Income. Interest from US Government securities2013-12-31$0
    Income. Interest from corporate debt instruments2013-12-31$0
    Value of interest in master investment trust accounts at end of year2013-12-31$0
    Value of interest in master investment trust accounts at beginning of year2013-12-31$0
    Value of interest in common/collective trusts at end of year2013-12-31$0
    Value of interest in common/collective trusts at beginning of year2013-12-31$0
    Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$0
    Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$0
    Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$0
    Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$0
    Assets. Value of investments in 103.12 investment entities at end of year2013-12-31$0
    Assets. Value of investments in 103.12 investment entities at beginning of year2013-12-31$0
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$5,177,677
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$1,725,541
    Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$0
    Asset value of US Government securities at end of year2013-12-31$0
    Asset value of US Government securities at beginning of year2013-12-31$0
    Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$8,197,816
    Net investment gain/loss from pooled separate accounts2013-12-31$73,621
    Net investment gain or loss from common/collective trusts2013-12-31$0
    Net gain/loss from 103.12 investment entities2013-12-31$0
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
    Was there a failure to transmit to the plan any participant contributions2013-12-31No
    Has the plan failed to provide any benefit when due under the plan2013-12-31No
    Assets. Invements in employer securities at end of year2013-12-31$0
    Assets. Invements in employer securities at beginning of year2013-12-31$0
    Assets. Value of employer real property at end of year2013-12-31$0
    Assets. Value of employer real property at beginning of year2013-12-31$0
    Contributions received in cash from employer2013-12-31$2,012,139
    Employer contributions (assets) at end of year2013-12-31$0
    Employer contributions (assets) at beginning of year2013-12-31$0
    Income. Dividends from preferred stock2013-12-31$0
    Income. Dividends from common stock2013-12-31$0
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$9,121,380
    Asset. Corporate debt instrument preferred debt at end of year2013-12-31$0
    Asset. Corporate debt instrument preferred debt at beginning of year2013-12-31$0
    Asset. Corporate debt instrument debt (other) at end of year2013-12-31$0
    Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$0
    Contract administrator fees2013-12-31$56,321
    Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$0
    Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$0
    Liabilities. Value of benefit claims payable at end of year2013-12-31$0
    Liabilities. Value of benefit claims payable at beginning of year2013-12-31$0
    Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$0
    Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$0
    Did the plan have assets held for investment2013-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
    Aggregate proceeds on sale of assets2013-12-31$0
    Aggregate carrying amount (costs) on sale of assets2013-12-31$0
    Liabilities. Value of acquisition indebtedness at end of year2013-12-31$0
    Liabilities. Value of acquisition indebtedness at beginning of year2013-12-31$0
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
    Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
    Accountancy firm name2013-12-31ELGEE REHFELD MERTZ, LLC
    Accountancy firm EIN2013-12-31920127098
    2012
    Total unrealized appreciation/depreciation of assets2012-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
    Total income from all sources (including contributions)2012-12-31$12,908,979
    Total loss/gain on sale of assets2012-12-31$0
    Total of all expenses incurred2012-12-31$9,218,094
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$9,028,268
    Expenses. Certain deemed distributions of participant loans2012-12-31$154,332
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$6,689,633
    Value of total assets at end of year2012-12-31$56,522,514
    Value of total assets at beginning of year2012-12-31$52,831,627
    Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$35,494
    Total interest from all sources2012-12-31$83,755
    Total dividends received (eg from common stock, registered investment company shares)2012-12-31$893,059
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
    Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$893,059
    Was this plan covered by a fidelity bond2012-12-31Yes
    Value of fidelity bond cover2012-12-31$500,000
    If this is an individual account plan, was there a blackout period2012-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2012-12-31No
    Contributions received from participants2012-12-31$4,091,652
    Participant contributions at end of year2012-12-31$1,030,831
    Participant contributions at beginning of year2012-12-31$510,906
    Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$278,162
    Other income not declared elsewhere2012-12-31$16,772
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
    Value of net income/loss2012-12-31$3,690,885
    Value of net assets at end of year (total assets less liabilities)2012-12-31$56,522,514
    Value of net assets at beginning of year (total assets less liabilities)2012-12-31$52,831,627
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
    Were any leases to which the plan was party in default or uncollectible2012-12-31No
    Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$39,614,901
    Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$40,938,406
    Value of interest in pooled separate accounts at end of year2012-12-31$14,151,241
    Value of interest in pooled separate accounts at beginning of year2012-12-31$4,212,062
    Interest on participant loans2012-12-31$32,053
    Interest earned on other investments2012-12-31$51,702
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$1,725,541
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$7,170,253
    Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$2,842,479
    Net investment gain/loss from pooled separate accounts2012-12-31$2,383,281
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
    Was there a failure to transmit to the plan any participant contributions2012-12-31No
    Has the plan failed to provide any benefit when due under the plan2012-12-31No
    Contributions received in cash from employer2012-12-31$2,319,819
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$9,028,268
    Contract administrator fees2012-12-31$35,494
    Did the plan have assets held for investment2012-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
    Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
    Accountancy firm name2012-12-31ELGEE REHFELD MERTZ
    Accountancy firm EIN2012-12-31920127098
    2011
    Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$349
    Total unrealized appreciation/depreciation of assets2011-12-31$349
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
    Total income from all sources (including contributions)2011-12-31$5,388,864
    Total loss/gain on sale of assets2011-12-31$0
    Total of all expenses incurred2011-12-31$4,847,525
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$4,628,693
    Expenses. Certain deemed distributions of participant loans2011-12-31$191,103
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$5,977,937
    Value of total assets at end of year2011-12-31$52,831,627
    Value of total assets at beginning of year2011-12-31$52,290,288
    Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$27,729
    Total interest from all sources2011-12-31$231,326
    Total dividends received (eg from common stock, registered investment company shares)2011-12-31$558,109
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
    Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$558,109
    Was this plan covered by a fidelity bond2011-12-31Yes
    Value of fidelity bond cover2011-12-31$500,000
    If this is an individual account plan, was there a blackout period2011-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2011-12-31No
    Contributions received from participants2011-12-31$3,485,284
    Participant contributions at end of year2011-12-31$510,906
    Participant contributions at beginning of year2011-12-31$554,486
    Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$92,961
    Other income not declared elsewhere2011-12-31$0
    Administrative expenses (other) incurred2011-12-31$526
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
    Value of net income/loss2011-12-31$541,339
    Value of net assets at end of year (total assets less liabilities)2011-12-31$52,831,627
    Value of net assets at beginning of year (total assets less liabilities)2011-12-31$52,290,288
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
    Were any leases to which the plan was party in default or uncollectible2011-12-31No
    Investment advisory and management fees2011-12-31$4,840
    Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$40,938,406
    Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$40,088,052
    Value of interest in pooled separate accounts at end of year2011-12-31$4,212,062
    Value of interest in pooled separate accounts at beginning of year2011-12-31$5,125,390
    Interest on participant loans2011-12-31$24,629
    Interest earned on other investments2011-12-31$206,697
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$7,170,253
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$6,522,360
    Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-808,883
    Net investment gain/loss from pooled separate accounts2011-12-31$-569,974
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
    Was there a failure to transmit to the plan any participant contributions2011-12-31No
    Has the plan failed to provide any benefit when due under the plan2011-12-31No
    Contributions received in cash from employer2011-12-31$2,399,692
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$4,628,693
    Contract administrator fees2011-12-31$22,363
    Did the plan have assets held for investment2011-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
    Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
    Accountancy firm name2011-12-31ELGEE REHFELD MERTZ
    Accountancy firm EIN2011-12-31920127098
    2010
    Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$-23,451
    Total unrealized appreciation/depreciation of assets2010-12-31$-23,451
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
    Total income from all sources (including contributions)2010-12-31$11,065,749
    Total loss/gain on sale of assets2010-12-31$0
    Total of all expenses incurred2010-12-31$4,582,327
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$4,394,428
    Expenses. Certain deemed distributions of participant loans2010-12-31$160,523
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$5,937,818
    Value of total assets at end of year2010-12-31$52,290,288
    Value of total assets at beginning of year2010-12-31$45,806,866
    Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$27,376
    Total interest from all sources2010-12-31$223,010
    Total dividends received (eg from common stock, registered investment company shares)2010-12-31$515,313
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
    Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$515,313
    Was this plan covered by a fidelity bond2010-12-31Yes
    Value of fidelity bond cover2010-12-31$500,000
    If this is an individual account plan, was there a blackout period2010-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2010-12-31No
    Contributions received from participants2010-12-31$3,331,770
    Participant contributions at end of year2010-12-31$554,486
    Participant contributions at beginning of year2010-12-31$643,360
    Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$247,806
    Other income not declared elsewhere2010-12-31$70,309
    Administrative expenses (other) incurred2010-12-31$2,459
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
    Value of net income/loss2010-12-31$6,483,422
    Value of net assets at end of year (total assets less liabilities)2010-12-31$52,290,288
    Value of net assets at beginning of year (total assets less liabilities)2010-12-31$45,806,866
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
    Were any leases to which the plan was party in default or uncollectible2010-12-31No
    Investment advisory and management fees2010-12-31$4,550
    Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$40,088,052
    Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$34,160,300
    Value of interest in pooled separate accounts at end of year2010-12-31$5,125,390
    Value of interest in pooled separate accounts at beginning of year2010-12-31$4,629,929
    Interest on participant loans2010-12-31$27,709
    Interest earned on other investments2010-12-31$195,301
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$6,522,360
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$6,373,277
    Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$1,648,841
    Net investment gain/loss from pooled separate accounts2010-12-31$2,693,909
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
    Was there a failure to transmit to the plan any participant contributions2010-12-31Yes
    Has the plan failed to provide any benefit when due under the plan2010-12-31No
    Contributions received in cash from employer2010-12-31$2,358,242
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$4,394,428
    Contract administrator fees2010-12-31$20,367
    Did the plan have assets held for investment2010-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
    Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
    Accountancy firm name2010-12-31ELGEE REHFELD MERTZ
    Accountancy firm EIN2010-12-31920127098
    2009
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

    Form 5500 Responses

    2019
    2019-01-01Type of plan entitySingle employer plan
    2019-01-01Submission has been amendedNo
    2019-01-01This submission is the final filingNo
    2019-01-01This return/report is a short plan year return/report (less than 12 months)No
    2019-01-01Plan is a collectively bargained planNo
    2019-01-01Plan funding arrangement – InsuranceYes
    2019-01-01Plan funding arrangement – TrustYes
    2019-01-01Plan benefit arrangement – InsuranceYes
    2019-01-01Plan benefit arrangement - TrustYes
    2018
    2018-01-01Type of plan entitySingle employer plan
    2018-01-01Submission has been amendedNo
    2018-01-01This submission is the final filingNo
    2018-01-01This return/report is a short plan year return/report (less than 12 months)No
    2018-01-01Plan is a collectively bargained planNo
    2018-01-01Plan funding arrangement – InsuranceYes
    2018-01-01Plan funding arrangement – TrustYes
    2018-01-01Plan benefit arrangement – InsuranceYes
    2018-01-01Plan benefit arrangement - TrustYes
    2017
    2017-01-01Type of plan entitySingle employer plan
    2017-01-01Submission has been amendedNo
    2017-01-01This submission is the final filingNo
    2017-01-01This return/report is a short plan year return/report (less than 12 months)No
    2017-01-01Plan is a collectively bargained planNo
    2017-01-01Plan funding arrangement – InsuranceYes
    2017-01-01Plan funding arrangement – TrustYes
    2017-01-01Plan benefit arrangement – InsuranceYes
    2017-01-01Plan benefit arrangement - TrustYes
    2016
    2016-01-01Type of plan entitySingle employer plan
    2016-01-01Submission has been amendedNo
    2016-01-01This submission is the final filingNo
    2016-01-01This return/report is a short plan year return/report (less than 12 months)No
    2016-01-01Plan is a collectively bargained planNo
    2016-01-01Plan funding arrangement – InsuranceYes
    2016-01-01Plan funding arrangement – TrustYes
    2016-01-01Plan benefit arrangement – InsuranceYes
    2016-01-01Plan benefit arrangement - TrustYes
    2015
    2015-01-01Type of plan entitySingle employer plan
    2015-01-01Submission has been amendedNo
    2015-01-01This submission is the final filingNo
    2015-01-01This return/report is a short plan year return/report (less than 12 months)No
    2015-01-01Plan is a collectively bargained planNo
    2015-01-01Plan funding arrangement – InsuranceYes
    2015-01-01Plan funding arrangement – TrustYes
    2015-01-01Plan benefit arrangement – InsuranceYes
    2015-01-01Plan benefit arrangement - TrustYes
    2014
    2014-01-01Type of plan entitySingle employer plan
    2014-01-01Submission has been amendedNo
    2014-01-01This submission is the final filingNo
    2014-01-01This return/report is a short plan year return/report (less than 12 months)No
    2014-01-01Plan is a collectively bargained planNo
    2014-01-01Plan funding arrangement – InsuranceYes
    2014-01-01Plan funding arrangement – TrustYes
    2014-01-01Plan benefit arrangement – InsuranceYes
    2014-01-01Plan benefit arrangement - TrustYes
    2013
    2013-01-01Type of plan entitySingle employer plan
    2013-01-01Submission has been amendedNo
    2013-01-01This submission is the final filingNo
    2013-01-01This return/report is a short plan year return/report (less than 12 months)No
    2013-01-01Plan is a collectively bargained planNo
    2013-01-01Plan funding arrangement – InsuranceYes
    2013-01-01Plan funding arrangement – TrustYes
    2013-01-01Plan benefit arrangement – InsuranceYes
    2013-01-01Plan benefit arrangement - TrustYes
    2012
    2012-01-01Type of plan entitySingle employer plan
    2012-01-01Submission has been amendedYes
    2012-01-01This submission is the final filingNo
    2012-01-01This return/report is a short plan year return/report (less than 12 months)No
    2012-01-01Plan is a collectively bargained planNo
    2012-01-01Plan funding arrangement – InsuranceYes
    2012-01-01Plan funding arrangement – TrustYes
    2012-01-01Plan benefit arrangement – InsuranceYes
    2012-01-01Plan benefit arrangement - TrustYes
    2011
    2011-01-01Type of plan entitySingle employer plan
    2011-01-01Submission has been amendedNo
    2011-01-01This submission is the final filingNo
    2011-01-01This return/report is a short plan year return/report (less than 12 months)No
    2011-01-01Plan is a collectively bargained planNo
    2011-01-01Plan funding arrangement – InsuranceYes
    2011-01-01Plan funding arrangement – TrustYes
    2011-01-01Plan benefit arrangement – InsuranceYes
    2011-01-01Plan benefit arrangement - TrustYes
    2010
    2010-01-01Type of plan entitySingle employer plan
    2010-01-01Submission has been amendedNo
    2010-01-01This submission is the final filingNo
    2010-01-01This return/report is a short plan year return/report (less than 12 months)No
    2010-01-01Plan is a collectively bargained planNo
    2010-01-01Plan funding arrangement – InsuranceYes
    2010-01-01Plan funding arrangement – TrustYes
    2010-01-01Plan benefit arrangement – InsuranceYes
    2010-01-01Plan benefit arrangement - TrustYes
    2009
    2009-01-01Type of plan entitySingle employer plan
    2009-01-01Submission has been amendedNo
    2009-01-01This submission is the final filingNo
    2009-01-01This return/report is a short plan year return/report (less than 12 months)No
    2009-01-01Plan is a collectively bargained planNo
    2009-01-01Plan funding arrangement – InsuranceYes
    2009-01-01Plan funding arrangement – TrustYes
    2009-01-01Plan benefit arrangement – InsuranceYes
    2009-01-01Plan benefit arrangement - TrustYes

    Insurance Providers Used on plan

    GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
    Policy contract number95842-01
    Policy instance 1
    Insurance contract or identification number95842-01
    Number of Individuals Covered81
    Insurance policy start date2019-01-01
    Insurance policy end date2019-12-31
    Are there contracts with allocated funds for individual policies?0
    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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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?Yes
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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
    GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
    Policy contract number95708-01
    Policy instance 2
    Insurance contract or identification number95708-01
    Number of Individuals Covered213
    Insurance policy start date2019-01-01
    Insurance policy end date2019-12-31
    Are there contracts with allocated funds for individual policies?0
    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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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?Yes
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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
    AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )
    Policy contract number51162944
    Policy instance 3
    Insurance contract or identification number51162944
    Number of Individuals Covered78
    Insurance policy start date2019-01-01
    Insurance policy end date2019-12-31
    Are there contracts with allocated funds for individual policies?0
    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?Yes
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    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?Yes
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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
    Other information about contractN/A THIS PLAN IS FULLY FUNDED WITH ALLOCATED FUNDS
    AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )
    Policy contract number511-62944
    Policy instance 3
    Insurance contract or identification number511-62944
    Number of Individuals Covered83
    Insurance policy start date2018-01-01
    Insurance policy end date2018-12-31
    Are there contracts with allocated funds for individual policies?0
    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?Yes
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    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?Yes
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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
    Other information about contractN/A THIS PLAN IS FULLY FUNDED WITH ALLOCATED FUNDS
    GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
    Policy contract number95708-01
    Policy instance 2
    Insurance contract or identification number95708-01
    Number of Individuals Covered222
    Insurance policy start date2018-01-01
    Insurance policy end date2018-12-31
    Are there contracts with allocated funds for individual policies?0
    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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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?Yes
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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
    GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
    Policy contract number95842-01
    Policy instance 1
    Insurance contract or identification number95842-01
    Number of Individuals Covered170
    Insurance policy start date2018-01-01
    Insurance policy end date2018-12-31
    Are there contracts with allocated funds for individual policies?0
    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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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?Yes
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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
    GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
    Policy contract number95842-01
    Policy instance 1
    Insurance contract or identification number95842-01
    Number of Individuals Covered138
    Insurance policy start date2017-01-01
    Insurance policy end date2017-12-31
    Are there contracts with allocated funds for individual policies?0
    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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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?Yes
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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
    AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )
    Policy contract number511-62944
    Policy instance 3
    Insurance contract or identification number511-62944
    Number of Individuals Covered89
    Insurance policy start date2017-01-01
    Insurance policy end date2017-12-31
    Total amount of commissions paid to insurance brokerUSD $4,834
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?0
    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?Yes
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    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?Yes
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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
    Other information about contractN/A THIS PLA NIS FULLY FUNDED WITH ALLOCATED FUNDS
    Commission paid to Insurance BrokerUSD $3,867
    Insurance broker organization code?3
    Insurance broker nameR. HURTTE
    GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
    Policy contract number95708-01
    Policy instance 2
    Insurance contract or identification number95708-01
    Number of Individuals Covered228
    Insurance policy start date2017-01-01
    Insurance policy end date2017-12-31
    Are there contracts with allocated funds for individual policies?0
    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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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?Yes
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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
    GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
    Policy contract number95708-01
    Policy instance 2
    Insurance contract or identification number95708-01
    Number of Individuals Covered289
    Insurance policy start date2015-01-01
    Insurance policy end date2015-12-31
    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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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?Yes
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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
    AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )
    Policy contract number511-62944
    Policy instance 3
    Insurance contract or identification number511-62944
    Number of Individuals Covered104
    Insurance policy start date2015-01-01
    Insurance policy end date2015-12-31
    Total amount of commissions paid to insurance brokerUSD $8,779
    Total amount of fees paid to insurance companyUSD $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?Yes
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    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?Yes
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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
    Other information about contractN/A THIS PLAN IS FULLY FUNDED WITH ALLOCATED FUNDS
    Commission paid to Insurance BrokerUSD $7,873
    Insurance broker organization code?3
    Insurance broker nameR. HURTTE
    GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
    Policy contract number95842-01
    Policy instance 1
    Insurance contract or identification number95842-01
    Number of Individuals Covered63
    Insurance policy start date2015-01-01
    Insurance policy end date2015-12-31
    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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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?Yes
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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
    AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )
    Policy contract number077577
    Policy instance 3
    Insurance contract or identification number077577
    Number of Individuals Covered124
    Insurance policy start date2014-01-01
    Insurance policy end date2014-12-31
    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?Yes
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    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?Yes
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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
    Other information about contractN/A THIS PLAN IS FULLY FUNDED WITH ALLOCATED FUNDS
    GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
    Policy contract number95708-01
    Policy instance 2
    Insurance contract or identification number95708-01
    Number of Individuals Covered425
    Insurance policy start date2014-01-01
    Insurance policy end date2014-12-31
    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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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?Yes
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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
    GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
    Policy contract number95842-01
    Policy instance 1
    Insurance contract or identification number95842-01
    Number of Individuals Covered31
    Insurance policy start date2014-01-01
    Insurance policy end date2014-12-31
    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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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?Yes
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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
    AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )
    Policy contract number077577
    Policy instance 3
    Insurance contract or identification number077577
    Number of Individuals Covered123
    Insurance policy start date2013-01-01
    Insurance policy end date2013-12-31
    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?Yes
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    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?Yes
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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
    Other information about contractN/A-THIS PLAN IS FULLY FUNDED WITH ALLOCATED FUNDS
    GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
    Policy contract number95708-01
    Policy instance 2
    Insurance contract or identification number95708-01
    Number of Individuals Covered486
    Insurance policy start date2013-01-01
    Insurance policy end date2013-12-31
    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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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?Yes
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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
    GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
    Policy contract number95842-01
    Policy instance 1
    Insurance contract or identification number95842-01
    Number of Individuals Covered24
    Insurance policy start date2013-01-01
    Insurance policy end date2013-12-31
    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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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?Yes
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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
    GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
    Policy contract number95842-01
    Policy instance 1
    Insurance contract or identification number95842-01
    Number of Individuals Covered9
    Insurance policy start date2012-01-01
    Insurance policy end date2012-12-31
    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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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 BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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
    AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )
    Policy contract number077577-0001
    Policy instance 3
    Insurance contract or identification number077577-0001
    Number of Individuals Covered0
    Insurance policy start date2012-01-01
    Insurance policy end date2012-12-31
    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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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 BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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?Yes
    GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
    Policy contract number95708-01
    Policy instance 2
    Insurance contract or identification number95708-01
    Number of Individuals Covered759
    Insurance policy start date2012-01-01
    Insurance policy end date2012-12-31
    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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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 BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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
    GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
    Policy contract number95708-01
    Policy instance 2
    Insurance contract or identification number95708-01
    Number of Individuals Covered823
    Insurance policy start date2011-01-01
    Insurance policy end date2011-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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?Yes
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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
    AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )
    Policy contract number077577-0001
    Policy instance 1
    Insurance contract or identification number077577-0001
    Number of Individuals Covered212
    Insurance policy start date2011-01-01
    Insurance policy end date2011-12-31
    Total amount of commissions paid to insurance brokerUSD $20,555
    Total amount of fees paid to insurance companyUSD $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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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?Yes
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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
    AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )
    Policy contract number077577-0001
    Policy instance 2
    Insurance contract or identification number077577-0001
    Number of Individuals Covered214
    Insurance policy start date2010-01-01
    Insurance policy end date2010-12-31
    Total amount of commissions paid to insurance brokerUSD $23,089
    Total amount of fees paid to insurance companyUSD $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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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?Yes
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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
    GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
    Policy contract number95708-01
    Policy instance 1
    Insurance contract or identification number95708-01
    Number of Individuals Covered747
    Insurance policy start date2010-01-01
    Insurance policy end date2010-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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?Yes
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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

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