Civic Intelligence
Filing

Source Code Inc. 401K Plan

Source Code Inc. • EIN 04-3150778 • Plan year 2009

Company ProfileSource Archive
Filing Insights

Participants

Down

104 → 87

-17 • -16.35%

Assets

Up

$1,506,874 → $2,198,048

$691,174 • 45.87%

Investment Management Fee

0.39%

$7,256

Admin expenses $7,256 • Total expenses $38,191

Filing Details

Context
Net investment result
$691,174
Accountant opinion
Disclaimer of opinion
Pension payor EIN
01-0233346

Status Flags

Fidelity bond in place

Yes

Limited-scope audit performed

Not reported

Contributions transmitted on time

No

Participant loans in default

No

Leases in default

No

Reportable party-in-interest issues

No

Loss discovered during year

No

Assets with undetermined value

No

Non-cash contributions

No

Assets held for investment

Yes

5% transactions reported

No

All plan assets distributed

No

Benefits paid when due

No

Plan blackout period

No

Plan termination resolution adopted

No

Counterparties
Known direct compensation$1340.01%
ProviderServicesLocationDirect CompensationRelated
JOHN HANCOCK LIFE INSURANCE COMPANYEIN 01-0233346Contract administration, Education services, Service code 59, Service code 60, Service code 62, Service code 63, Service code 67-$1340.01%The Manufacturers Life Insurance Co
FEELEY & DRISCOLL, P.C.EIN 04-2684828Accountant, Disclaimer of opinion--Feeley & Driscoll PC.

Company Timeline

This filing is highlighted inside the broader sponsor history.

Year / FilingFilingsParticipantsAssetsContributionsContrib./Participant
20172156$0$0-
Source Code Inc. 401K Plan-156---
Source Code Corporation Employee Medical Only Benefit Plan-0---
20161130$0$0-
Source Code Inc. 401K Plan-130---
2015164$4,860,775$529,378$8,272iApproximate average salary by contribution assumption: employee only about $206,788 at 4% or $137,859 at 6%; with 50% employer match about $137,859 at 4% or $91,906 at 6%; with 100% employer match about $103,394 at 4% or $68,929 at 6%.
Source Code Inc. 401K Plan-64$4,860,775$529,378$8,272iApproximate average salary by contribution assumption: employee only about $206,788 at 4% or $137,859 at 6%; with 50% employer match about $137,859 at 4% or $91,906 at 6%; with 100% employer match about $103,394 at 4% or $68,929 at 6%.
2014255$4,344,261$262,259$4,768iApproximate average salary by contribution assumption: employee only about $119,209 at 4% or $79,472 at 6%; with 50% employer match about $79,472 at 4% or $52,982 at 6%; with 100% employer match about $59,604 at 4% or $39,736 at 6%.
Source Code Inc. 401K Plan-55$4,344,261$262,259$4,768iApproximate average salary by contribution assumption: employee only about $119,209 at 4% or $79,472 at 6%; with 50% employer match about $79,472 at 4% or $52,982 at 6%; with 100% employer match about $59,604 at 4% or $39,736 at 6%.
Source Code Corporation Employee Medical Only Benefit Plan-52---
2013154$4,005,948$363,049$6,723iApproximate average salary by contribution assumption: employee only about $168,078 at 4% or $112,052 at 6%; with 50% employer match about $112,052 at 4% or $74,701 at 6%; with 100% employer match about $84,039 at 4% or $56,026 at 6%.
Source Code Inc. 401K Plan-54$4,005,948$363,049$6,723iApproximate average salary by contribution assumption: employee only about $168,078 at 4% or $112,052 at 6%; with 50% employer match about $112,052 at 4% or $74,701 at 6%; with 100% employer match about $84,039 at 4% or $56,026 at 6%.
2012188$0$0-
Source Code Inc. 401K Plan-88---
2011192$0$0-
Source Code Inc. 401K Plan-92---
2010293$0$0-
Source Code Corporation Employee Medical Only Benefit Plan-52---
Source Code Inc. 401K Plan-93---
2009287$0$0-
Source Code Inc. 401K PlanCurrent87---
Source Code Corporation Employee Medical Only Benefit Plan-36---
2008292$0$0-
Source Code Inc. 401K Plan-92---
Source Code Corporation Employee Medical Only Benefit Plan-45---
2007583$0$0-
SOURCE CODE CORPORATION SELF FUNDED MEDICAL REIMBURSEMENT PLAN-0---
Source Code Corporation Employee Medical Only Benefit Plan-37---
SOURCE CODE MID-WEST EMPLOYEE MEDICAL ONLY BENEFIT PLAN-0---
INTEGRATED IT SOLUTIONS EMPLOYEE MEDICAL ONLY BENEFIT PLAN-0---
Source Code Inc. 401K Plan-83---
2006271$0$0-
SOURCE CODE CORPORATION SELF FUNDED MEDICAL REIMBURSEMENT PLAN-0---
Source Code Inc. 401K Plan-71---
2005180$0$0-
Source Code Inc. 401K Plan-80---
2004185$0$0-
Source Code Inc. 401K Plan-85---
20031100$0$0-
Source Code Inc. 401K Plan-100---
20021124$0$0-
Source Code Inc. 401K Plan-124---
2001144$0$0-
Source Code Inc. 401K Plan-44---
2000130$0$0-
Source Code Inc. 401K Plan-30---
1999251$0$0-
Source Code Inc. 401K Plan-51---
Source Code Inc. 401K Plan-28---
Schedule Details

Schedule A

Row 1
Form Id
1
Ins Broker Name
THE ANGELL PENSION GROUP
Ins Broker US Address1
10 HEMINGWAY DRIVE
Ins Broker US City
EAST PROVIDENCE
Ins Broker US State
RI
Ins Broker US ZIP
02915
Ins Broker Fees Pd Amount
$7,306
Ins Broker Fees Pd Text
TPA ADMINISTRATIVE ALLOWANCE
Ins Broker Code
5
Row 2
Form Id
1
Ins Broker Name
LPL FINANCIAL CORPORATION
Ins Broker US Address1
9785 TOWNE CENTRE DRIVE
Ins Broker US City
SAN DIEGO
Ins Broker US State
CA
Ins Broker US ZIP
92121
Ins Broker Comm Pd Amount
$6,611
Ins Broker Code
3
Row 3
Form Id
1
Ins Broker Name
VANGUARD GROUP, INC.
Ins Broker US Address1
PO BOX 2600
Ins Broker US City
VALLEY FORGE
Ins Broker US State
PA
Ins Broker US ZIP
19482
Ins Broker Fees Pd Amount
$35
Ins Broker Fees Pd Text
REDEMPTION FEES
Ins Broker Code
6
Row 4
Ins Carrier Name: JOHN HANCOCK LIFE INSURANCE COMPANY USA
Form Id
1
Schedule A Plan Year Begin Date
2009-01-01
Schedule A Plan Year End Date
2009-12-31
Schedule A Plan Num
001
Schedule A EIN
04-3150778
Ins Carrier Name
JOHN HANCOCK LIFE INSURANCE COMPANY USA
Ins Carrier EIN
01-0233346
Ins Carrier Naic Code
65838
Ins Contract Num
77207
Ins Prsn Covered End of year Count
58
Ins Policy From Date
2009-01-01
Ins Policy To Date
2009-12-31
Ins Broker Comm Total Amount
$6,611
Ins Broker Fees Total Amount
$7,341
Pension End of year Gen Account Amount
$0
Pension End of year Sep Account Amount
$2,157,829
Alloc Contracts Indiv Indicator
No
Alloc Contracts Group Indicator
No
Alloc Contracts Other Indicator
No
Pens Distr Bnft Terminate Pln Indicator
No
Unalloc Contracts Dep Adm Indicator
No
Unal Contrac Imm Part Guar Indicator
No
Unal Contracts Guar Invest Indicator
No
Unalloc Contracts Other Indicator
Yes
Unalloc Contracts Other Text
GUARANTEED INTEREST
Pension End Prev Bal Amount
$0
Pension Contribution Dep Amount
$0
Pension Divnd Cr Dep Amount
$0
Pension Interest Cr Dur Yr Amount
$0
Pension Transfer From Amount
$0
Pension Other Amount
$0
Pension Total Additions Amount
$0
Pension Total Bal Addn Amount
$0
Pension Bnfts Dsbrsd Amount
$0
Pension Admin Chrg Amount
$0
Pension Transfer To Amount
$0
Pension Oth Ded Amount
$0
Pension Total Ded Amount
$0
Pension End of year Bal Amount
$0
Wlfr Bnft Health Indicator
No
Wlfr Bnft Dental Indicator
No
Wlfr Bnft Vision Indicator
No
Wlfr Bnft Life Insur Indicator
No
Wlfr Bnft Temp Disab Indicator
No
Wlfr Bnft Long Terminate Disab Indicator
No
Wlfr Bnft Unemp Indicator
No
Wlfr Bnft Drug Indicator
No
Wlfr Bnft Stop Loss Indicator
No
Wlfr Bnft Hmo Indicator
No
Wlfr Bnft Ppo Indicator
No
Wlfr Bnft Indemnity Indicator
No
Wlfr Bnft Other Indicator
No
Wlfr Refund Cash Indicator
No
Wlfr Refund Credit Indicator
No

Schedule C

Schedule C Provider

JOHN HANCOCK LIFE INSURANCE COMPANY

RECORDKEEPER • EIN 01-0233346

Direct compensation$134
Contract administrationEducation servicesService code 59Service code 60Service code 62Service code 63Service code 67
Indirect compensationYes
Formula-based compensationNo
Source fields
Row 1
Service code: Contract administration
Service code
Contract administration
Row 2
Service code: Education services
Service code
Education services
Row 3
Service code: Service code 59
Service code
Service code 59
Row 4
Service code: Service code 60
Service code
Service code 60
Row 5
Service code: Service code 62
Service code
Service code 62
Row 6
Service code: Service code 63
Service code
Service code 63
Row 7
Service code: Service code 67
Service code
Service code 67
JOHN HANCOCK LIFE INSURANCE COMPANY
Other provider name
JOHN HANCOCK LIFE INSURANCE COMPANY
Other provider EIN
01-0233346
Relationship to employer or plan
RECORDKEEPER
Direct compensation
$134
Indirect compensation reported
Yes
Provider Other Elig Indicator Comp Indicator
Yes
Provider Other Total Indicator Comp Amount
$0
Provider Other Amount Formula Indicator
No

Schedule C Provider

Provider 2

Provider details

Source fields
Row 9
Excluded provider reported
No

Schedule D

Row 1
DFE P1 Entity Name
LIFECYCLE 2045
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$12,088
Row 2
DFE P1 Entity Name
LIFESTYLE GROWTH
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$205,709
Row 3
DFE P1 Entity Name
LIFESTYLE BALANCED
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$328,672
Row 4
DFE P1 Entity Name
LIFESTYLE MODERATE
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$4,845
Row 5
DFE P1 Entity Name
LIFESTYLE CONSERVATIVE
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$726
Row 6
DFE P1 Entity Name
FIDELITY ADV LEVERAGED CO STK
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$670
Row 7
DFE P1 Entity Name
DFA EMERGING MARKETS VALUE
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$17,884
Row 8
DFE P1 Entity Name
ROYCE OPPORTUNITY
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$687
Row 9
DFE P1 Entity Name
ENERGY
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$141,031
Row 10
DFE P1 Entity Name
OPPENHEIMER DEVELOPING MKT
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$905
Row 11
DFE P1 Entity Name
OPPENHEIMER INTL GROWTH FUND
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$5,962
Row 12
DFE P1 Entity Name
LIFECYCLE 2040
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$61,069
Row 13
DFE P1 Entity Name
T. ROWE PRICE SCI & TECH
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$35,961
Row 14
DFE P1 Entity Name
INTERNATIONAL OPPS FUND
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$20,963
Row 15
DFE P1 Entity Name
SCIENCE & TECHNOLOGY FUND
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$663
Row 16
DFE P1 Entity Name
SMALL CAP GROWTH INDEX
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$35
Row 17
DFE P1 Entity Name
BRIDGEWAY ULTRA-SMALL CO
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$6,037
Row 18
DFE P1 Entity Name
INTL EQUITY INDEX FUND
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$10,937
Row 19
DFE P1 Entity Name
SMALL CAP GROWTH FUND
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$624
Row 20
DFE P1 Entity Name
FRANKLIN SMALL-MID GROWTH
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$641
Row 21
DFE P1 Entity Name
LEGG MASON CLEARBR AGG GROWTH
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$340
Row 22
DFE P1 Entity Name
T. ROWE PRICE HEALTH SCI
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$14,377
Row 23
DFE P1 Entity Name
LIFECYCLE 2035
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$144,720
Row 24
DFE P1 Entity Name
EUROPACIFIC GROWTH FUND
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$4,700
Row 25
DFE P1 Entity Name
MID VALUE FUND
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$627
Row 26
DFE P1 Entity Name
RIVERSOURCE MID CAP VALUE
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$686
Row 27
DFE P1 Entity Name
DREYFUS STRUCTURED MID CAP
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$11,023
Row 28
DFE P1 Entity Name
OPPENHEIMER GLOBAL
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$11,914
Row 29
DFE P1 Entity Name
BLUE CHIP GROWTH FUND
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$605
Row 30
DFE P1 Entity Name
MFS UTILITIES
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$26,157
Row 31
DFE P1 Entity Name
THE GROWTH FUND OF AMERICA
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$18,923
Row 32
DFE P1 Entity Name
MUTUAL GLOBAL DISCOVERY
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$6,076
Row 33
DFE P1 Entity Name
LARGE CAP FUND
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$575
Row 34
DFE P1 Entity Name
LIFECYCLE 2030
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$78,316
Row 35
DFE P1 Entity Name
DAVIS NEW YORK VENTURE
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$571
Row 36
DFE P1 Entity Name
MUTUAL BEACON
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$551
Row 37
DFE P1 Entity Name
PIMCO ALL ASSET
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$711
Row 38
DFE P1 Entity Name
PIMCO TOTAL RETURN
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$40,930
Row 39
DFE P1 Entity Name
PIMCO GLOBAL BOND
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$189,293
Row 40
DFE P1 Entity Name
PIMCO REAL RETURN
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$185,566
Row 41
DFE P1 Entity Name
T. ROWE PRICE SPECTRUM INC
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$289,578
Row 42
DFE P1 Entity Name
JOHN HANCOCK STABLE VAL
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$3,995
Row 43
DFE P1 Entity Name
LIFECYCLE RETIREMENT
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$0
Row 44
DFE P1 Entity Name
ALLIANZ RCM TECH FUND
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$0
Row 45
DFE P1 Entity Name
LIFECYCLE 2025
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$143,858
Row 46
DFE P1 Entity Name
COLUMBIA MARSICO INTL OPPS
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$0
Row 47
DFE P1 Entity Name
MID CAP VALUE FUND
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$0
Row 48
DFE P1 Entity Name
T. ROWE PRICE BLUE CHIP
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$0
Row 49
DFE P1 Entity Name
UBS U.S. LARGE CAP EQUITY
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$0
Row 50
DFE P1 Entity Name
LIFECYCLE 2020
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$55,577
Row 51
DFE P1 Entity Name
LIFECYCLE 2015
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$13,807
Row 52
DFE P1 Entity Name
LIFECYCLE 2010
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$17,381
Row 53
DFE P1 Entity Name
LIFESTYLE AGGRESSIVE
DFE P1 Spons Name
JOHN HANCOCK USA
DFE P1 Plan EIN
01-0233346
DFE P1 Plan Plan number
000
DFE P1 Entity Code
P
DFE P1 Plan Interest End of year Amount
$40,863
Row 54
Schedule D Plan Year Begin Date
2009-01-01
Schedule D Tax Period
2009-12-31
Schedule D Plan number
001
Schedule D EIN
04-3150778

Schedule H

Schedule H Financial Statement

Large plan result

Assets, contributions, fees, audit, and compliance fields reported for this large-plan filing.

End-of-year assets$2,198,048$691,174 change

Balance Sheet

Beginning and end of plan year.

Total assets$1,506,874$2,198,048Increase +$691,174 (45.87%)
Total liabilities$0$0No change $0
Net assets$1,506,874$2,198,048Increase +$691,174 (45.87%)

Contributions

Participant contributions$233,847
Other contributions$13,576
Total contributions$247,423

Income & Investment Result

Total income$729,365
Interest$1,213
Dividends$0
Net income$691,174

Expenses & Fees

Benefits paid$18,056
Administrative expenses$7,256
Total expenses$38,191

Accountant

FirmFEELEY & DRISCOLL, P.C.
Firm EIN04-2684828
OpinionDisclaimer of opinion

Compliance

Fidelity bondYes
Fidelity bond amount$250,000
Participant loans$36,513
Late contributionsNo
Schedule H source fields
Financial summary
Total assets at beginning of year: $1,506,874Total assets at end of year: $2,198,048Total liabilities at end of year: $0Net income or loss: $691,174
Schedule H Plan Year Begin Date
2009-01-01
Schedule H Tax Period
2009-12-31
Schedule H Plan number
001
Schedule H EIN
04-3150778
Non Interest Bear Cash Beginning of year Amount
$63
Employer Contribution Beginning of year Amount
$0
Participants Contribution Beginning of year Amount
$0
Other Receivables Beginning of year Amount
$0
Interest Bear Cash Beginning of year Amount
$0
Govt Sec Beginning of year Amount
$0
Corp Debt Preferred Beginning of year Amount
$0
Corp Debt Other Beginning of year Amount
$0
Pref Stock Beginning of year Amount
$0
Common Stock Beginning of year Amount
$0
Joint Venture Beginning of year Amount
$0
Real Estate Beginning of year Amount
$0
Other Loans Beginning of year Amount
$0
Participant loans at beginning of year
$18,755
Interest Common Tr Beginning of year Amount
$0
Interest Pool Sep Account Beginning of year Amount
$1,488,056
Interest Master Tr Beginning of year Amount
$0
Interest 103 12 Investment Beginning of year Amount
$0
Interest in registered investment companies at beginning of year
$0
Ins Co Gen Account Beginning of year Amount
$0
Oth Investment Beginning of year Amount
$0
Employer Sec Beginning of year Amount
$0
Employer Prop Beginning of year Amount
$0
Bldgs Used Beginning of year Amount
$0
Total assets at beginning of year
$1,506,874
Bnfts Payable Beginning of year Amount
$0
Oprtng Payable Beginning of year Amount
$0
Acquis Indbt Beginning of year Amount
$0
Other Liability Beginning of year Amount
$0
Total liabilities at beginning of year
$0
Net assets at beginning of year
$1,506,874
Non Interest Bear Cash End of year Amount
$63
Employer Contribution End of year Amount
$0
Participants Contribution End of year Amount
$3,643
Other Receivables End of year Amount
$0
Interest Bear Cash End of year Amount
$0
Govt Sec End of year Amount
$0
Corp Debt Preferred End of year Amount
$0
Corp Debt Other End of year Amount
$0
Pref Stock End of year Amount
$0
Common Stock End of year Amount
$0
Joint Venture End of year Amount
$0
Real Estate End of year Amount
$0
Other Loans End of year Amount
$0
Participant loans at end of year
$36,513
Interest Common Tr End of year Amount
$0
Interest Pool Sep Account End of year Amount
$2,157,829
Interest Master Tr End of year Amount
$0
Interest 103 12 Investment End of year Amount
$0
Interest in registered investment companies at end of year
$0
Ins Co Gen Account End of year Amount
$0
Oth Investment End of year Amount
$0
Employer Sec End of year Amount
$0
Employer Prop End of year Amount
$0
Bldgs Used End of year Amount
$0
Total assets at end of year
$2,198,048
Bnfts Payable End of year Amount
$0
Oprtng Payable End of year Amount
$0
Acquis Indbt End of year Amount
$0
Other Liability End of year Amount
$0
Total liabilities at end of year
$0
Net assets at end of year
$2,198,048
Participant contributions
$233,847
Oth Contribution Rcvd Amount
$13,576
Total contributions
$247,423
Interest on participant loans
$1,213
Total interest income
$1,213
Total dividend income
$0
Net gain or loss on sale of assets
$0
Net unrealized appreciation or depreciation
$0
Gain Loss Pool Sep Amount
$480,729
Total income
$729,365
Participant distributions
$18,056
Total benefit distributions
$18,056
Total Corrective Distribution Amount
$12,879
Professional Fees Amount
$6,044
Other Admin Fees Amount
$1,212
Total administrative expenses
$7,256
Total expenses
$38,191
Net income or loss
$691,174
Accountant opinion type
Disclaimer of opinion
Account Performed Limited Audit Indicator
Yes
Accountant firm name
FEELEY & DRISCOLL, P.C.
Accountant firm EIN
04-2684828
Failed to transmit participant contributions on time
No
Participant loans in default
No
Leases in default
No
Nonexempt transactions with parties in interest
No
Fidelity bond in place
Yes
Fidelity bond amount
$250,000
Loss discovered during year
No
Assets with undetermined value
No
Non-cash contributions reported
No
Assets held for investment
Yes
Reportable 5% transactions
No
All plan assets distributed
No
Failed to provide benefits when due
No
Blackout period occurred
No
Resolution to terminate plan adopted
No

Schedule R

Schedule R Pension Information

Retirement plan characteristics

Testing, payor, opinion-letter, and transfer information reported with the filing.

Pension & Payor

Payor EIN01-0233346

Transfers

Asset/liability transferNo
Liabilities in multiple plansNo
Distributed property value$0
Schedule R source fields
Payor 01-0233346
Schedule R Plan Year Begin Date
2009-01-01
Schedule R Tax Period
2009-12-31
Schedule R Plan number
001
Schedule R EIN
04-3150778
Pension Value Dstrb Pd Property Amount
$0
Pension payor EIN
01-0233346
Asset or liability transfer
No
Liability shared by multiple plans
No

Filing received by DOL Jul 28, 2010