401k Plan data: AMERICAN REPROGRAPHICS COMPANY 401(K) PLAN plan

AMERICAN REPROGRAPHICS COMPANY 401(K) PLAN 401k Plan overview

Plan Name	AMERICAN REPROGRAPHICS COMPANY 401(K) PLAN
Plan identification number	001

AMERICAN REPROGRAPHICS COMPANY 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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

401k Sponsoring company profile

AMERICAN REPROGRAPHICS COMPANY, LLC has sponsored the creation of one or more 401k plans.

Company Name: AMERICAN REPROGRAPHICS COMPANY, LLC

Employer identification number (EIN): 954657871

NAIC Classification: 323100

Additional information about AMERICAN REPROGRAPHICS COMPANY, LLC

Jurisdiction of Incorporation: Georgia Department of States Corporations Division

Incorporation Date:

Company Identification Number: 1388653

More information about AMERICAN REPROGRAPHICS COMPANY, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN REPROGRAPHICS COMPANY 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-01-01 JORGE AVALOS
001 2011-01-01 JORGEAVALOS1 JORGEAVALOS1 2012-10-12
001 2009-01-01 JORGE AVALOS JORGE AVALOS 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2012-01-01	JORGE AVALOS
001	2011-01-01	JORGEAVALOS1	JORGEAVALOS1	2012-10-12
001	2009-01-01	JORGE AVALOS	JORGE AVALOS	2010-10-14

Plan Statistics for AMERICAN REPROGRAPHICS COMPANY 401(K) PLAN

401k plan membership statisitcs for AMERICAN REPROGRAPHICS COMPANY 401(K) PLAN

Measure Date Value
2012: AMERICAN REPROGRAPHICS COMPANY 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2,771
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2,143
Number of retired or separated participants receiving benefits 2012-01-01 4
Number of other retired or separated participants entitled to future benefits 2012-01-01 347
Total of all active and inactive participants 2012-01-01 2,494
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 2,494
Number of participants with account balances 2012-01-01 1,524
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 22
2011: AMERICAN REPROGRAPHICS COMPANY 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 4,470
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2,441
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 330
Total of all active and inactive participants 2011-01-01 2,771
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 2,771
Number of participants with account balances 2011-01-01 1,698
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 58
2009: AMERICAN REPROGRAPHICS COMPANY 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 5,153
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 3,372
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 966
Total of all active and inactive participants 2009-01-01 4,338
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 4,338
Number of participants with account balances 2009-01-01 2,520
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 4

Measure	Date	Value
2012: AMERICAN REPROGRAPHICS COMPANY 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2,771
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2,143
Number of retired or separated participants receiving benefits	2012-01-01	4
Number of other retired or separated participants entitled to future benefits	2012-01-01	347
Total of all active and inactive participants	2012-01-01	2,494
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	2,494
Number of participants with account balances	2012-01-01	1,524
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	22
2011: AMERICAN REPROGRAPHICS COMPANY 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	4,470
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2,441
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	330
Total of all active and inactive participants	2011-01-01	2,771
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	2,771
Number of participants with account balances	2011-01-01	1,698
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	58
2009: AMERICAN REPROGRAPHICS COMPANY 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	5,153
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	3,372
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	966
Total of all active and inactive participants	2009-01-01	4,338
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	4,338
Number of participants with account balances	2009-01-01	2,520
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	4

Financial Data on AMERICAN REPROGRAPHICS COMPANY 401(K) PLAN

Measure	Date	Value
2012 : AMERICAN REPROGRAPHICS COMPANY 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$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	$10,734,048
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$9,143,313
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$9,032,025
Expenses. Certain deemed distributions of participant loans	2012-12-31	$-8,871
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$3,469,394
Value of total assets at end of year	2012-12-31	$60,196,768
Value of total assets at beginning of year	2012-12-31	$58,606,033
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$120,159
Total interest from all sources	2012-12-31	$266,765
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$636,958
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	$636,958
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$2,798,907
Participant contributions at end of year	2012-12-31	$1,893,553
Participant contributions at beginning of year	2012-12-31	$2,161,811
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$670,487
Other income not declared elsewhere	2012-12-31	$88,179
Administrative expenses (other) incurred	2012-12-31	$120,159
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	$1,590,735
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$60,196,768
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$58,606,033
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$48,315,361
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$45,676,269
Interest on participant loans	2012-12-31	$83,853
Interest earned on other investments	2012-12-31	$182,912
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$9,987,854
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$10,767,953
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$6,272,752
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$9,032,025
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	MILLER KAPLAN ARASE LLP
Accountancy firm EIN	2012-12-31	952036255
2011 : AMERICAN REPROGRAPHICS COMPANY 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
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	$2,801,174
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$8,696,386
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$8,521,899
Expenses. Certain deemed distributions of participant loans	2011-12-31	$14,656
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$3,651,194
Value of total assets at end of year	2011-12-31	$58,606,033
Value of total assets at beginning of year	2011-12-31	$64,501,245
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$159,831
Total interest from all sources	2011-12-31	$338,837
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$561,686
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	$561,686
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	$3,343,621
Participant contributions at end of year	2011-12-31	$2,161,811
Participant contributions at beginning of year	2011-12-31	$2,385,373
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$307,573
Other income not declared elsewhere	2011-12-31	$129,648
Administrative expenses (other) incurred	2011-12-31	$159,831
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	$-5,895,212
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$58,606,033
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$64,501,245
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$45,676,269
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$51,273,344
Interest on participant loans	2011-12-31	$107,740
Interest earned on other investments	2011-12-31	$231,097
Value of interest in common/collective trusts at end of year	2011-12-31	$0
Value of interest in common/collective trusts at beginning of year	2011-12-31	$10,842,528
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$10,767,953
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-1,880,191
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$8,521,899
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	MILLER, KAPLAN, ARASE & CO., LLP
Accountancy firm EIN	2011-12-31	952036255
2010 : AMERICAN REPROGRAPHICS COMPANY 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets to this plan	2010-12-31	$51,134
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	$10,158,581
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$6,088,981
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$5,754,577
Value of total corrective distributions	2010-12-31	$7,103
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$3,887,787
Value of total assets at end of year	2010-12-31	$64,501,245
Value of total assets at beginning of year	2010-12-31	$60,380,511
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$327,301
Total interest from all sources	2010-12-31	$114,708
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$937,547
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	$937,547
Administrative expenses professional fees incurred	2010-12-31	$37,973
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	$3,457,074
Participant contributions at end of year	2010-12-31	$2,385,373
Participant contributions at beginning of year	2010-12-31	$2,259,429
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$430,713
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	$4,069,600
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$64,501,245
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$60,380,511
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	$192,159
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$51,273,344
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$47,081,774
Interest on participant loans	2010-12-31	$114,708
Value of interest in common/collective trusts at end of year	2010-12-31	$10,842,528
Value of interest in common/collective trusts at beginning of year	2010-12-31	$11,039,308
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$4,830,062
Net investment gain or loss from common/collective trusts	2010-12-31	$388,477
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	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$5,754,577
Contract administrator fees	2010-12-31	$97,169
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	MILLER, KAPLAN, ARASE & CO., LLP
Accountancy firm EIN	2010-12-31	952036255
2009 : AMERICAN REPROGRAPHICS COMPANY 401(K) 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 AMERICAN REPROGRAPHICS COMPANY 401(K) PLAN

2012: AMERICAN REPROGRAPHICS COMPANY 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single 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 – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: AMERICAN REPROGRAPHICS COMPANY 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single 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 – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: AMERICAN REPROGRAPHICS COMPANY 401(K) 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

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

041664

Policy instance

Insurance contract or identification number	041664
Number of Individuals Covered	2494
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

041664

Policy instance

Insurance contract or identification number	041664
Number of Individuals Covered	2771
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $10,852
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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

Potentially related plans

AMERICAN REPROGRAPHICS, INC. RETIREMENT PLAN [EIN = 521747036]

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Company Name:	AMERICAN REPROGRAPHICS COMPANY, LLC
Employer identification number (EIN):	954657871
NAIC Classification:	323100

Jurisdiction of Incorporation:	Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number:	1388653