401k Plan data: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN plan

HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 401k Plan overview

Plan Name	HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN
Plan identification number	001

HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

HAWTHORN RETIREMENT GROUP, LLC has sponsored the creation of one or more 401k plans.

Company Name: HAWTHORN RETIREMENT GROUP, LLC

Employer identification number (EIN): 931236890

NAIC Classification: 721310
NAIC Description: Rooming and Boarding Houses

Additional information about HAWTHORN RETIREMENT GROUP, LLC

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 2007-03-27

Company Identification Number: 602709997

Legal Registered Office Address: 601 S 74TH PL UNIT 100

RIDGEFIELD
United States of America (USA)
986427151

More information about HAWTHORN RETIREMENT GROUP, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-01-01 SUSAN HAIDER 2019-08-05
001 2017-01-01
001 2017-01-01
001 2016-01-01 SUSAN HAIDER
001 2015-01-01 SUSAN HAIDER
001 2014-01-01 SUSAN HAIDER
001 2013-01-01 SUSAN HAIDER
001 2012-01-01 SUSAN HAIDER
001 2011-01-01 SUSAN HAIDER
001 2010-01-01 SUSAN HAIDER
001 2009-01-01 SUSAN HAIDER

Plan Statistics for HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN

401k plan membership statisitcs for HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN

Measure Date Value
2018: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 136
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 0
Number of participants with account balances 2018-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1,330
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 136
Total of all active and inactive participants 2017-01-01 136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 136
Number of participants with account balances 2017-01-01 136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 18
2016: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1,217
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 1,186
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 62
Total of all active and inactive participants 2016-01-01 1,248
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 1,248
Number of participants with account balances 2016-01-01 300
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 29
2015: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,366
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1,088
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 60
Total of all active and inactive participants 2015-01-01 1,148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 1,148
Number of participants with account balances 2015-01-01 284
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 46
2014: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,148
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,228
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 47
Total of all active and inactive participants 2014-01-01 1,275
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 1,275
Number of participants with account balances 2014-01-01 353
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 42
2013: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,200
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,000
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 82
Total of all active and inactive participants 2013-01-01 1,082
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 1,082
Number of participants with account balances 2013-01-01 407
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 19
2012: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,025
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 995
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 157
Total of all active and inactive participants 2012-01-01 1,152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 1,152
Number of participants with account balances 2012-01-01 392
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 26
2011: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 931
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 863
Number of retired or separated participants receiving benefits 2011-01-01 2
Number of other retired or separated participants entitled to future benefits 2011-01-01 132
Total of all active and inactive participants 2011-01-01 997
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 997
Number of participants with account balances 2011-01-01 341
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 61
2010: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,109
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 823
Number of retired or separated participants receiving benefits 2010-01-01 1
Number of other retired or separated participants entitled to future benefits 2010-01-01 97
Total of all active and inactive participants 2010-01-01 921
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 921
Number of participants with account balances 2010-01-01 234
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 53
2009: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 954
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,013
Number of retired or separated participants receiving benefits 2009-01-01 1
Number of other retired or separated participants entitled to future benefits 2009-01-01 91
Total of all active and inactive participants 2009-01-01 1,105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 1,105
Number of participants with account balances 2009-01-01 271
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 18

Measure	Date	Value
2018: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	136
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	0
Number of participants with account balances	2018-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1,330
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	136
Total of all active and inactive participants	2017-01-01	136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	136
Number of participants with account balances	2017-01-01	136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	18
2016: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1,217
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	1,186
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	62
Total of all active and inactive participants	2016-01-01	1,248
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	1,248
Number of participants with account balances	2016-01-01	300
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	29
2015: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,366
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1,088
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	60
Total of all active and inactive participants	2015-01-01	1,148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	1,148
Number of participants with account balances	2015-01-01	284
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	46
2014: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,148
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,228
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	47
Total of all active and inactive participants	2014-01-01	1,275
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	1,275
Number of participants with account balances	2014-01-01	353
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	42
2013: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,200
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,000
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	82
Total of all active and inactive participants	2013-01-01	1,082
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	1,082
Number of participants with account balances	2013-01-01	407
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	19
2012: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,025
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	995
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	157
Total of all active and inactive participants	2012-01-01	1,152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	1,152
Number of participants with account balances	2012-01-01	392
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	26
2011: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	931
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	863
Number of retired or separated participants receiving benefits	2011-01-01	2
Number of other retired or separated participants entitled to future benefits	2011-01-01	132
Total of all active and inactive participants	2011-01-01	997
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	997
Number of participants with account balances	2011-01-01	341
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	61
2010: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,109
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	823
Number of retired or separated participants receiving benefits	2010-01-01	1
Number of other retired or separated participants entitled to future benefits	2010-01-01	97
Total of all active and inactive participants	2010-01-01	921
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	921
Number of participants with account balances	2010-01-01	234
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	53
2009: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	954
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,013
Number of retired or separated participants receiving benefits	2009-01-01	1
Number of other retired or separated participants entitled to future benefits	2009-01-01	91
Total of all active and inactive participants	2009-01-01	1,105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	1,105
Number of participants with account balances	2009-01-01	271
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	18

Financial Data on HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN

Measure	Date	Value
2018 : HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-11-23	$0
Total transfer of assets from this plan	2018-11-23	$47,998
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-11-23	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-11-23	$0
Total income from all sources (including contributions)	2018-11-23	$46,097
Total loss/gain on sale of assets	2018-11-23	$0
Total of all expenses incurred	2018-11-23	$1,417,126
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-11-23	$1,364,956
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-11-23	$0
Value of total assets at end of year	2018-11-23	$0
Value of total assets at beginning of year	2018-11-23	$1,419,027
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-11-23	$52,170
Total interest from all sources	2018-11-23	$4,908
Total dividends received (eg from common stock, registered investment company shares)	2018-11-23	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-11-23	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2018-11-23	$0
Administrative expenses professional fees incurred	2018-11-23	$27,360
Was this plan covered by a fidelity bond	2018-11-23	Yes
Value of fidelity bond cover	2018-11-23	$500,000
If this is an individual account plan, was there a blackout period	2018-11-23	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-11-23	$0
Were there any nonexempt tranactions with any party-in-interest	2018-11-23	No
Participant contributions at end of year	2018-11-23	$0
Participant contributions at beginning of year	2018-11-23	$0
Participant contributions at end of year	2018-11-23	$0
Participant contributions at beginning of year	2018-11-23	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-11-23	No
Value of net income/loss	2018-11-23	$-1,371,029
Value of net assets at end of year (total assets less liabilities)	2018-11-23	$0
Value of net assets at beginning of year (total assets less liabilities)	2018-11-23	$1,419,027
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-11-23	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-11-23	No
Were any leases to which the plan was party in default or uncollectible	2018-11-23	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-11-23	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-11-23	$1,150,920
Interest earned on other investments	2018-11-23	$4,908
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-11-23	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-11-23	$268,107
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-11-23	$41,189
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-11-23	No
Was there a failure to transmit to the plan any participant contributions	2018-11-23	No
Has the plan failed to provide any benefit when due under the plan	2018-11-23	No
Employer contributions (assets) at end of year	2018-11-23	$0
Employer contributions (assets) at beginning of year	2018-11-23	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-11-23	$1,364,956
Contract administrator fees	2018-11-23	$24,810
Did the plan have assets held for investment	2018-11-23	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-11-23	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-11-23	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-11-23	Yes
Opinion of an independent qualified public accountant for this plan	2018-11-23	Disclaimer
Accountancy firm name	2018-11-23	GROVE, MUELLER & SWANK, PC
Accountancy firm EIN	2018-11-23	930874157
2017 : HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total transfer of assets from this plan	2017-12-31	$7,791,683
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
Total income from all sources (including contributions)	2017-12-31	$2,517,632
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$1,078,033
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$995,008
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,271,341
Value of total assets at end of year	2017-12-31	$1,419,027
Value of total assets at beginning of year	2017-12-31	$7,771,111
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$83,025
Total interest from all sources	2017-12-31	$33,260
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Administrative expenses professional fees incurred	2017-12-31	$36,435
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$777,216
Participant contributions at end of year	2017-12-31	$0
Participant contributions at beginning of year	2017-12-31	$211,965
Participant contributions at end of year	2017-12-31	$0
Participant contributions at beginning of year	2017-12-31	$1,060
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$176,858
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$1,439,599
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,419,027
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$7,771,111
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$1,150,920
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$6,579,024
Interest on participant loans	2017-12-31	$10,510
Interest earned on other investments	2017-12-31	$22,750
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$268,107
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$978,833
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$1,213,031
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$317,267
Employer contributions (assets) at end of year	2017-12-31	$0
Employer contributions (assets) at beginning of year	2017-12-31	$229
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$995,008
Contract administrator fees	2017-12-31	$46,590
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	GROVE, MUELLER & SWANK, PC
Accountancy firm EIN	2017-12-31	930874157
2016 : HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$1,864,169
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$463,271
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$392,537
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,305,132
Value of total assets at end of year	2016-12-31	$7,771,111
Value of total assets at beginning of year	2016-12-31	$6,370,213
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$70,734
Total interest from all sources	2016-12-31	$23,969
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$215,008
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$215,008
Administrative expenses professional fees incurred	2016-12-31	$33,133
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$784,970
Participant contributions at end of year	2016-12-31	$211,965
Participant contributions at beginning of year	2016-12-31	$181,347
Participant contributions at end of year	2016-12-31	$1,060
Participant contributions at beginning of year	2016-12-31	$576
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$156,081
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$1,400,898
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$7,771,111
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$6,370,213
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$6,579,024
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$5,686,778
Interest on participant loans	2016-12-31	$9,418
Interest earned on other investments	2016-12-31	$14,551
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$978,833
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$501,279
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$320,060
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$364,081
Employer contributions (assets) at end of year	2016-12-31	$229
Employer contributions (assets) at beginning of year	2016-12-31	$233
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$392,537
Contract administrator fees	2016-12-31	$37,601
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	GROVE, MUELLER & SWANK, PC
Accountancy firm EIN	2016-12-31	930874157
2015 : HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
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	$713
Total income from all sources (including contributions)	2015-12-31	$1,031,814
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$975,163
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$911,509
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,062,335
Value of total assets at end of year	2015-12-31	$6,370,213
Value of total assets at beginning of year	2015-12-31	$6,314,275
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$63,654
Total interest from all sources	2015-12-31	$19,920
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$273,007
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$273,007
Administrative expenses professional fees incurred	2015-12-31	$23,455
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$715,824
Participant contributions at end of year	2015-12-31	$181,347
Participant contributions at beginning of year	2015-12-31	$196,309
Participant contributions at end of year	2015-12-31	$576
Participant contributions at beginning of year	2015-12-31	$1,041
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$1,192
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$713
Total non interest bearing cash at beginning of year	2015-12-31	$43,809
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$56,651
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$6,370,213
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$6,313,562
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$5,686,778
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$5,575,752
Interest on participant loans	2015-12-31	$9,099
Interest earned on other investments	2015-12-31	$10,821
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$501,279
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$496,718
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-323,448
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$345,319
Employer contributions (assets) at end of year	2015-12-31	$233
Employer contributions (assets) at beginning of year	2015-12-31	$646
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$911,509
Contract administrator fees	2015-12-31	$40,199
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	GROVE, MUELLER & SWANK, PC
Accountancy firm EIN	2015-12-31	930874157
2014 : HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$713
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$1,507,903
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$474,517
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$421,925
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,128,545
Value of total assets at end of year	2014-12-31	$6,314,275
Value of total assets at beginning of year	2014-12-31	$5,280,176
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$52,592
Total interest from all sources	2014-12-31	$19,486
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$226,483
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$226,483
Administrative expenses professional fees incurred	2014-12-31	$42,088
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$736,349
Participant contributions at end of year	2014-12-31	$196,309
Participant contributions at beginning of year	2014-12-31	$133,449
Participant contributions at end of year	2014-12-31	$1,041
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$33,624
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$713
Total non interest bearing cash at end of year	2014-12-31	$43,809
Total non interest bearing cash at beginning of year	2014-12-31	$2,738
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$1,033,386
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$6,313,562
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$5,280,176
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$5,575,752
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$4,752,368
Interest on participant loans	2014-12-31	$8,288
Interest earned on other investments	2014-12-31	$11,198
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$496,718
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$391,621
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$133,389
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$358,572
Employer contributions (assets) at end of year	2014-12-31	$646
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$421,925
Contract administrator fees	2014-12-31	$10,504
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	GROVE, MUELLER & SWANK PC
Accountancy firm EIN	2014-12-31	930874157
2013 : HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$100
Total income from all sources (including contributions)	2013-12-31	$1,844,141
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$533,953
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$487,829
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,052,541
Value of total assets at end of year	2013-12-31	$5,280,176
Value of total assets at beginning of year	2013-12-31	$3,970,088
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$46,124
Total interest from all sources	2013-12-31	$6,454
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$146,233
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$146,233
Administrative expenses professional fees incurred	2013-12-31	$11,805
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$631,326
Participant contributions at end of year	2013-12-31	$133,449
Participant contributions at beginning of year	2013-12-31	$101,046
Participant contributions at end of year	2013-12-31	$0
Participant contributions at beginning of year	2013-12-31	$341
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$98,316
Liabilities. Value of operating payables at end of year	2013-12-31	$0
Liabilities. Value of operating payables at beginning of year	2013-12-31	$100
Total non interest bearing cash at end of year	2013-12-31	$2,738
Total non interest bearing cash at beginning of year	2013-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$1,310,188
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$5,280,176
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$3,969,988
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$30,133
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$4,752,368
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$3,478,542
Interest on participant loans	2013-12-31	$5,822
Interest earned on other investments	2013-12-31	$530
Value of interest in common/collective trusts at end of year	2013-12-31	$0
Value of interest in common/collective trusts at beginning of year	2013-12-31	$373,475
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$16,599
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$16,599
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$102
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$391,621
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$638,913
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$322,899
Employer contributions (assets) at end of year	2013-12-31	$0
Employer contributions (assets) at beginning of year	2013-12-31	$85
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$487,829
Contract administrator fees	2013-12-31	$4,186
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	Yes
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	GROVE, MUELLER & SWANK PC
Accountancy firm EIN	2013-12-31	930874157
2012 : HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total transfer of assets from this plan	2012-12-31	$54,125
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$100
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$11,294
Total income from all sources (including contributions)	2012-12-31	$1,256,223
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$552,298
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$521,187
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$822,036
Value of total assets at end of year	2012-12-31	$3,970,088
Value of total assets at beginning of year	2012-12-31	$3,331,482
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$31,111
Total interest from all sources	2012-12-31	$7,788
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$96,418
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$96,418
Administrative expenses professional fees incurred	2012-12-31	$4,696
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$397,855
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$541,575
Participant contributions at end of year	2012-12-31	$101,046
Participant contributions at beginning of year	2012-12-31	$134,820
Participant contributions at end of year	2012-12-31	$341
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$4,636
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$460
Other income not declared elsewhere	2012-12-31	$-8,303
Liabilities. Value of operating payables at end of year	2012-12-31	$100
Liabilities. Value of operating payables at beginning of year	2012-12-31	$10,834
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$703,925
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$3,969,988
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$3,320,188
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$20,490
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$3,478,542
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$2,778,827
Interest on participant loans	2012-12-31	$7,199
Value of interest in common/collective trusts at end of year	2012-12-31	$373,475
Value of interest in common/collective trusts at beginning of year	2012-12-31	$389,162
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$16,599
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$28,673
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$28,673
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$589
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$335,067
Net investment gain or loss from common/collective trusts	2012-12-31	$3,217
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$275,825
Employer contributions (assets) at end of year	2012-12-31	$85
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$521,187
Contract administrator fees	2012-12-31	$5,925
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	GROVE, MULLER & SWANK, PC
Accountancy firm EIN	2012-12-31	930874157
2011 : HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total transfer of assets from this plan	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$11,294
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$17,704
Total income from all sources (including contributions)	2011-12-31	$931,623
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$524,994
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$476,191
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$971,172
Value of total assets at end of year	2011-12-31	$3,331,482
Value of total assets at beginning of year	2011-12-31	$2,931,263
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$48,803
Total interest from all sources	2011-12-31	$7,947
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$71,278
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$71,278
Administrative expenses professional fees incurred	2011-12-31	$12,112
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$525,894
Participant contributions at end of year	2011-12-31	$134,820
Participant contributions at beginning of year	2011-12-31	$166,689
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$189,470
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$460
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$17,704
Other income not declared elsewhere	2011-12-31	$19,687
Administrative expenses (other) incurred	2011-12-31	$284
Liabilities. Value of operating payables at end of year	2011-12-31	$10,834
Liabilities. Value of operating payables at beginning of year	2011-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$406,629
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$3,320,188
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,913,559
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$18,307
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$2,778,827
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$2,281,114
Interest on participant loans	2011-12-31	$7,947
Value of interest in common/collective trusts at end of year	2011-12-31	$389,162
Value of interest in common/collective trusts at beginning of year	2011-12-31	$482,612
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$28,673
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$848
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$848
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-139,540
Net investment gain or loss from common/collective trusts	2011-12-31	$1,079
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$255,808
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$476,191
Contract administrator fees	2011-12-31	$18,100
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	GROVE, MULLER & SWANK, PC
Accountancy firm EIN	2011-12-31	930874157
2010 : HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets from this plan	2010-12-31	$886,980
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$17,704
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$1,290
Total income from all sources (including contributions)	2010-12-31	$1,130,326
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$529,452
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$492,627
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$802,293
Value of total assets at end of year	2010-12-31	$2,931,263
Value of total assets at beginning of year	2010-12-31	$3,200,955
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$36,825
Total interest from all sources	2010-12-31	$8,450
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$53,635
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$53,635
Administrative expenses professional fees incurred	2010-12-31	$13,183
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$484,739
Participant contributions at end of year	2010-12-31	$166,689
Participant contributions at beginning of year	2010-12-31	$188,607
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$91,758
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$17,704
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$719
Other income not declared elsewhere	2010-12-31	$1,290
Administrative expenses (other) incurred	2010-12-31	$692
Liabilities. Value of operating payables at end of year	2010-12-31	$0
Liabilities. Value of operating payables at beginning of year	2010-12-31	$571
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$600,874
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,913,559
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$3,199,665
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$18,450
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$2,281,114
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$2,520,428
Interest on participant loans	2010-12-31	$8,450
Value of interest in common/collective trusts at end of year	2010-12-31	$482,612
Value of interest in common/collective trusts at beginning of year	2010-12-31	$491,664
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$848
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$256
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$256
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$262,352
Net investment gain or loss from common/collective trusts	2010-12-31	$2,306
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$225,796
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$492,627
Contract administrator fees	2010-12-31	$4,500
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	GROVE, MUELLER & SWANK, PC
Accountancy firm EIN	2010-12-31	930874157
2009 : HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN

2018: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Mulitple employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	Yes
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Mulitple employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Mulitple employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Mulitple employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Mulitple employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Mulitple employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Mulitple employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Mulitple employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: HAWTHORN RETIREMENT GROUP, LLC 401(K) RETIREMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

808795

Policy instance

Insurance contract or identification number	808795
Number of Individuals Covered	136
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

808795

Policy instance

Insurance contract or identification number	808795
Number of Individuals Covered	1148
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

808795

Policy instance

Insurance contract or identification number	808795
Number of Individuals Covered	1275
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

808795

Policy instance

Insurance contract or identification number	808795
Number of Individuals Covered	1082
Insurance policy start date	2013-10-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
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See full terms and conditions

Company Name:	HAWTHORN RETIREMENT GROUP, LLC
Employer identification number (EIN):	931236890
NAIC Classification:	721310
NAIC Description:	Rooming and Boarding Houses

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	2007-03-27
Company Identification Number:	602709997
Legal Registered Office Address:	601 S 74TH PL UNIT 100 RIDGEFIELD United States of America (USA) 986427151

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2018-01-01	SUSAN HAIDER	2019-08-05
001	2017-01-01
001	2017-01-01
001	2016-01-01	SUSAN HAIDER
001	2015-01-01	SUSAN HAIDER
001	2014-01-01	SUSAN HAIDER
001	2013-01-01	SUSAN HAIDER
001	2012-01-01	SUSAN HAIDER
001	2011-01-01	SUSAN HAIDER
001	2010-01-01	SUSAN HAIDER
001	2009-01-01	SUSAN HAIDER