Civic Intelligence
Filing

Self Funded Plans Inc. 401K Plan

Self Funded Plans Inc. • EIN 34-1317210 • Plan year 2000

Filing Insights

Participants

Down

157 → 81

-76 • -48.41%

Assets

Up

$1,436,102 → $1,444,231

$8,129 • 0.57%

Investment Management Fee

0.00%

$0

Admin expenses $8,330 • Total expenses $312,583

Filing Details

Context
Net investment result
$8,129
Pension payor EIN
35-0145825

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

Not reported

Plan blackout period

Not reported

Plan termination resolution adopted

No

Counterparties
ProviderServicesLocationDirect CompensationRelated
SAMUEL, KELLOGG & CO., INCEIN 34-1651498Accountant--

Company Timeline

This filing is highlighted inside the broader sponsor history.

Year / FilingFilingsParticipantsAssetsContributionsContrib./Participant
2024118$2,589,841$17,133$952iApproximate average salary by contribution assumption: employee only about $23,796 at 4% or $15,864 at 6%; with 50% employer match about $15,864 at 4% or $10,576 at 6%; with 100% employer match about $11,898 at 4% or $7,932 at 6%.
Self Funded Plans Inc. 401K Plan-18$2,589,841$17,133$952iApproximate average salary by contribution assumption: employee only about $23,796 at 4% or $15,864 at 6%; with 50% employer match about $15,864 at 4% or $10,576 at 6%; with 100% employer match about $11,898 at 4% or $7,932 at 6%.
2023116$2,204,587$18,795$1,175iApproximate average salary by contribution assumption: employee only about $29,367 at 4% or $19,578 at 6%; with 50% employer match about $19,578 at 4% or $13,052 at 6%; with 100% employer match about $14,684 at 4% or $9,789 at 6%.
Self Funded Plans Inc. 401K Plan-16$2,204,587$18,795$1,175iApproximate average salary by contribution assumption: employee only about $29,367 at 4% or $19,578 at 6%; with 50% employer match about $19,578 at 4% or $13,052 at 6%; with 100% employer match about $14,684 at 4% or $9,789 at 6%.
2022116$1,869,517$18,368$1,148iApproximate average salary by contribution assumption: employee only about $28,700 at 4% or $19,133 at 6%; with 50% employer match about $19,133 at 4% or $12,756 at 6%; with 100% employer match about $14,350 at 4% or $9,567 at 6%.
Self Funded Plans Inc. 401K Plan-16$1,869,517$18,368$1,148iApproximate average salary by contribution assumption: employee only about $28,700 at 4% or $19,133 at 6%; with 50% employer match about $19,133 at 4% or $12,756 at 6%; with 100% employer match about $14,350 at 4% or $9,567 at 6%.
2021119$2,325,701$20,340$1,071iApproximate average salary by contribution assumption: employee only about $26,763 at 4% or $17,842 at 6%; with 50% employer match about $17,842 at 4% or $11,895 at 6%; with 100% employer match about $13,382 at 4% or $8,921 at 6%.
Self Funded Plans Inc. 401K Plan-19$2,325,701$20,340$1,071iApproximate average salary by contribution assumption: employee only about $26,763 at 4% or $17,842 at 6%; with 50% employer match about $17,842 at 4% or $11,895 at 6%; with 100% employer match about $13,382 at 4% or $8,921 at 6%.
2020119$1,897,690$21,119$1,112iApproximate average salary by contribution assumption: employee only about $27,788 at 4% or $18,525 at 6%; with 50% employer match about $18,525 at 4% or $12,350 at 6%; with 100% employer match about $13,894 at 4% or $9,263 at 6%.
Self Funded Plans Inc. 401K Plan-19$1,897,690$21,119$1,112iApproximate average salary by contribution assumption: employee only about $27,788 at 4% or $18,525 at 6%; with 50% employer match about $18,525 at 4% or $12,350 at 6%; with 100% employer match about $13,894 at 4% or $9,263 at 6%.
2019119$1,801,688$20,139$1,060iApproximate average salary by contribution assumption: employee only about $26,499 at 4% or $17,666 at 6%; with 50% employer match about $17,666 at 4% or $11,777 at 6%; with 100% employer match about $13,249 at 4% or $8,833 at 6%.
Self Funded Plans Inc. 401K Plan-19$1,801,688$20,139$1,060iApproximate average salary by contribution assumption: employee only about $26,499 at 4% or $17,666 at 6%; with 50% employer match about $17,666 at 4% or $11,777 at 6%; with 100% employer match about $13,249 at 4% or $8,833 at 6%.
2018119$1,459,726$20,276$1,067iApproximate average salary by contribution assumption: employee only about $26,679 at 4% or $17,786 at 6%; with 50% employer match about $17,786 at 4% or $11,857 at 6%; with 100% employer match about $13,339 at 4% or $8,893 at 6%.
Self Funded Plans Inc. 401K Plan-19$1,459,726$20,276$1,067iApproximate average salary by contribution assumption: employee only about $26,679 at 4% or $17,786 at 6%; with 50% employer match about $17,786 at 4% or $11,857 at 6%; with 100% employer match about $13,339 at 4% or $8,893 at 6%.
2017118$1,527,322$19,348$1,075iApproximate average salary by contribution assumption: employee only about $26,872 at 4% or $17,915 at 6%; with 50% employer match about $17,915 at 4% or $11,943 at 6%; with 100% employer match about $13,436 at 4% or $8,957 at 6%.
Self Funded Plans Inc. 401K Plan-18$1,527,322$19,348$1,075iApproximate average salary by contribution assumption: employee only about $26,872 at 4% or $17,915 at 6%; with 50% employer match about $17,915 at 4% or $11,943 at 6%; with 100% employer match about $13,436 at 4% or $8,957 at 6%.
2016120$1,331,472$21,246$1,062iApproximate average salary by contribution assumption: employee only about $26,558 at 4% or $17,705 at 6%; with 50% employer match about $17,705 at 4% or $11,803 at 6%; with 100% employer match about $13,279 at 4% or $8,853 at 6%.
Self Funded Plans Inc. 401K Plan-20$1,331,472$21,246$1,062iApproximate average salary by contribution assumption: employee only about $26,558 at 4% or $17,705 at 6%; with 50% employer match about $17,705 at 4% or $11,803 at 6%; with 100% employer match about $13,279 at 4% or $8,853 at 6%.
2015124$1,512,930$28,381$1,183iApproximate average salary by contribution assumption: employee only about $29,564 at 4% or $19,709 at 6%; with 50% employer match about $19,709 at 4% or $13,139 at 6%; with 100% employer match about $14,782 at 4% or $9,855 at 6%.
Self Funded Plans Inc. 401K Plan-24$1,512,930$28,381$1,183iApproximate average salary by contribution assumption: employee only about $29,564 at 4% or $19,709 at 6%; with 50% employer match about $19,709 at 4% or $13,139 at 6%; with 100% employer match about $14,782 at 4% or $9,855 at 6%.
2014123$1,534,284$24,837$1,080iApproximate average salary by contribution assumption: employee only about $26,997 at 4% or $17,998 at 6%; with 50% employer match about $17,998 at 4% or $11,999 at 6%; with 100% employer match about $13,498 at 4% or $8,999 at 6%.
Self Funded Plans Inc. 401K Plan-23$1,534,284$24,837$1,080iApproximate average salary by contribution assumption: employee only about $26,997 at 4% or $17,998 at 6%; with 50% employer match about $17,998 at 4% or $11,999 at 6%; with 100% employer match about $13,498 at 4% or $8,999 at 6%.
2013126$1,876,764$24,911$958iApproximate average salary by contribution assumption: employee only about $23,953 at 4% or $15,969 at 6%; with 50% employer match about $15,969 at 4% or $10,646 at 6%; with 100% employer match about $11,976 at 4% or $7,984 at 6%.
Self Funded Plans Inc. 401K Plan-26$1,876,764$24,911$958iApproximate average salary by contribution assumption: employee only about $23,953 at 4% or $15,969 at 6%; with 50% employer match about $15,969 at 4% or $10,646 at 6%; with 100% employer match about $11,976 at 4% or $7,984 at 6%.
2012127$1,537,800$25,120$930iApproximate average salary by contribution assumption: employee only about $23,259 at 4% or $15,506 at 6%; with 50% employer match about $15,506 at 4% or $10,337 at 6%; with 100% employer match about $11,630 at 4% or $7,753 at 6%.
Self Funded Plans Inc. 401K Plan-27$1,537,800$25,120$930iApproximate average salary by contribution assumption: employee only about $23,259 at 4% or $15,506 at 6%; with 50% employer match about $15,506 at 4% or $10,337 at 6%; with 100% employer match about $11,630 at 4% or $7,753 at 6%.
2011128$1,374,980$24,017$858iApproximate average salary by contribution assumption: employee only about $21,444 at 4% or $14,296 at 6%; with 50% employer match about $14,296 at 4% or $9,531 at 6%; with 100% employer match about $10,722 at 4% or $7,148 at 6%.
Self Funded Plans Inc. 401K Plan-28$1,374,980$24,017$858iApproximate average salary by contribution assumption: employee only about $21,444 at 4% or $14,296 at 6%; with 50% employer match about $14,296 at 4% or $9,531 at 6%; with 100% employer match about $10,722 at 4% or $7,148 at 6%.
2010129$1,370,571$23,838$822iApproximate average salary by contribution assumption: employee only about $20,550 at 4% or $13,700 at 6%; with 50% employer match about $13,700 at 4% or $9,133 at 6%; with 100% employer match about $10,275 at 4% or $6,850 at 6%.
Self Funded Plans Inc. 401K Plan-29$1,370,571$23,838$822iApproximate average salary by contribution assumption: employee only about $20,550 at 4% or $13,700 at 6%; with 50% employer match about $13,700 at 4% or $9,133 at 6%; with 100% employer match about $10,275 at 4% or $6,850 at 6%.
2009230$1,351,227$81,719$2,724iApproximate average salary by contribution assumption: employee only about $68,099 at 4% or $45,399 at 6%; with 50% employer match about $45,399 at 4% or $30,266 at 6%; with 100% employer match about $34,050 at 4% or $22,700 at 6%.
Self Funded Plans Inc. 401K Plan-30$1,351,227$81,719$2,724iApproximate average salary by contribution assumption: employee only about $68,099 at 4% or $45,399 at 6%; with 50% employer match about $45,399 at 4% or $30,266 at 6%; with 100% employer match about $34,050 at 4% or $22,700 at 6%.
Self-Funded Plans Inc. Profit Sharing Plan-0$0$0-
2008225$1,205,465$26,210$1,048iApproximate average salary by contribution assumption: employee only about $26,210 at 4% or $17,473 at 6%; with 50% employer match about $17,473 at 4% or $11,649 at 6%; with 100% employer match about $13,105 at 4% or $8,737 at 6%.
Self Funded Plans Inc. 401K Plan-25$1,029,979$26,210$1,048iApproximate average salary by contribution assumption: employee only about $26,210 at 4% or $17,473 at 6%; with 50% employer match about $17,473 at 4% or $11,649 at 6%; with 100% employer match about $13,105 at 4% or $8,737 at 6%.
Self-Funded Plans Inc. Profit Sharing Plan-14$175,486--
2007228$281,692$0-
Self-Funded Plans Inc. Profit Sharing Plan-19$281,692--
Self Funded Plans Inc. 401K Plan-28---
2006229$1,733,626$30,401$1,048iApproximate average salary by contribution assumption: employee only about $26,208 at 4% or $17,472 at 6%; with 50% employer match about $17,472 at 4% or $11,648 at 6%; with 100% employer match about $13,104 at 4% or $8,736 at 6%.
Self Funded Plans Inc. 401K Plan-29$1,459,957$30,401$1,048iApproximate average salary by contribution assumption: employee only about $26,208 at 4% or $17,472 at 6%; with 50% employer match about $17,472 at 4% or $11,648 at 6%; with 100% employer match about $13,104 at 4% or $8,736 at 6%.
Self-Funded Plans Inc. Profit Sharing Plan-24$273,669--
2005229$1,682,850$38,848$1,340iApproximate average salary by contribution assumption: employee only about $33,490 at 4% or $22,326 at 6%; with 50% employer match about $22,326 at 4% or $14,884 at 6%; with 100% employer match about $16,745 at 4% or $11,163 at 6%.
Self Funded Plans Inc. 401K Plan-29$1,413,659$38,848$1,340iApproximate average salary by contribution assumption: employee only about $33,490 at 4% or $22,326 at 6%; with 50% employer match about $22,326 at 4% or $14,884 at 6%; with 100% employer match about $16,745 at 4% or $11,163 at 6%.
Self-Funded Plans Inc. Profit Sharing Plan-25$269,191--
2004238$1,683,968$55,410$1,458iApproximate average salary by contribution assumption: employee only about $36,454 at 4% or $24,303 at 6%; with 50% employer match about $24,303 at 4% or $16,202 at 6%; with 100% employer match about $18,227 at 4% or $12,151 at 6%.
Self Funded Plans Inc. 401K Plan-38$1,398,544$55,410$1,458iApproximate average salary by contribution assumption: employee only about $36,454 at 4% or $24,303 at 6%; with 50% employer match about $24,303 at 4% or $16,202 at 6%; with 100% employer match about $18,227 at 4% or $12,151 at 6%.
Self-Funded Plans Inc. Profit Sharing Plan-29$285,424--
2003247$1,546,282$58,176$1,238iApproximate average salary by contribution assumption: employee only about $30,945 at 4% or $20,630 at 6%; with 50% employer match about $20,630 at 4% or $13,753 at 6%; with 100% employer match about $15,472 at 4% or $10,315 at 6%.
Self Funded Plans Inc. 401K Plan-47$1,276,419$58,176$1,238iApproximate average salary by contribution assumption: employee only about $30,945 at 4% or $20,630 at 6%; with 50% employer match about $20,630 at 4% or $13,753 at 6%; with 100% employer match about $15,472 at 4% or $10,315 at 6%.
Self-Funded Plans Inc. Profit Sharing Plan-38$269,863--
2002256$1,564,306$79,388$1,418iApproximate average salary by contribution assumption: employee only about $35,441 at 4% or $23,627 at 6%; with 50% employer match about $23,627 at 4% or $15,752 at 6%; with 100% employer match about $17,721 at 4% or $11,814 at 6%.
Self Funded Plans Inc. 401K Plan-56$1,275,701$79,388$1,418iApproximate average salary by contribution assumption: employee only about $35,441 at 4% or $23,627 at 6%; with 50% employer match about $23,627 at 4% or $15,752 at 6%; with 100% employer match about $17,721 at 4% or $11,814 at 6%.
Self-Funded Plans Inc. Profit Sharing Plan-48$288,605--
2001265$1,790,262$90,601$1,394iApproximate average salary by contribution assumption: employee only about $34,847 at 4% or $23,231 at 6%; with 50% employer match about $23,231 at 4% or $15,487 at 6%; with 100% employer match about $17,423 at 4% or $11,616 at 6%.
Self Funded Plans Inc. 401K Plan-65$1,430,531$90,601$1,394iApproximate average salary by contribution assumption: employee only about $34,847 at 4% or $23,231 at 6%; with 50% employer match about $23,231 at 4% or $15,487 at 6%; with 100% employer match about $17,423 at 4% or $11,616 at 6%.
Self-Funded Plans Inc. Profit Sharing Plan-48$359,731--
2000281$1,850,522$143,610$1,773iApproximate average salary by contribution assumption: employee only about $44,324 at 4% or $29,549 at 6%; with 50% employer match about $29,549 at 4% or $19,700 at 6%; with 100% employer match about $22,162 at 4% or $14,775 at 6%.
Self Funded Plans Inc. 401K PlanCurrent81$1,444,231$143,610$1,773iApproximate average salary by contribution assumption: employee only about $44,324 at 4% or $29,549 at 6%; with 50% employer match about $29,549 at 4% or $19,700 at 6%; with 100% employer match about $22,162 at 4% or $14,775 at 6%.
Self-Funded Plans Inc. Profit Sharing Plan-64$406,291--
19992114$1,923,189$169,054$1,483iApproximate average salary by contribution assumption: employee only about $37,073 at 4% or $24,715 at 6%; with 50% employer match about $24,715 at 4% or $16,477 at 6%; with 100% employer match about $18,537 at 4% or $12,358 at 6%.
Self Funded Plans Inc. 401K Plan-114$1,436,102$169,054$1,483iApproximate average salary by contribution assumption: employee only about $37,073 at 4% or $24,715 at 6%; with 50% employer match about $24,715 at 4% or $16,477 at 6%; with 100% employer match about $18,537 at 4% or $12,358 at 6%.
Self-Funded Plans Inc. Profit Sharing Plan-92$487,087--
Schedule Details

Schedule A

Row 1
Filing Id
84037158366302
Form Id
16478476
Page Id
1
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
20372158366050002
Ins Broker Comm Pd 01 Amount
$0
Ins Broker Fees Pd 01 Amount
$0
Row 2
Ins Carrier Name: AMERICAN UNITED LIFE INSURANCE COMPANY
Filing Id
84037158366302
Form Id
16478476
Schedule A EIN
34-1317210
Schedule A Plan Num
001
Schedule A Plan Year Begin Date
2000-01-01
Schedule A Tax Period
20001231
Ins Carrier Name
AMERICAN UNITED LIFE INSURANCE COMPANY
Ins Carrier EIN
35-0145825
Ins Carrier Naic Code
60895
Ins Contract Num
GA90269
Ins Prsn Covered End of year Count
98
Ins Policy From Date
2000-01-01
Ins Policy To Date
2000-12-31
Ins Broker Comm Total Amount
$0
Ins Broker Fees Total Amount
$0
Pension End of year Gen Account Amount
$483,232
Pension End of year Sep Account Amount
$957,620
Pension Prem Paid Total Amount
$0
Pension Unpaid Premium Amount
$0
Pension Contract Cost Amount
$0
Pnsn Type Unalloc Cntrct I
4
Pension Oth Unalloc Type Text
GROUP ANNUITY CONTRACT
Pension End Prev Bal Amount
$499,222
Pension Contribution Dep Amount
$53,109
Pension Divnd Cr Dep Amount
$0
Pension Interest Cr Dur Yr Amount
$29,436
Pension Transfer From Amount
$63,722
Pension Other Amount
$0
Pension Total Additions Amount
$146,267
Pension Total Bal Addn Amount
$645,489
Pension Bnfts Dsbrsd Amount
$153,890
Pension Admin Chrg Amount
$8,330
Pension Transfer To Amount
$37
Pension Oth Ded Amount
$0
Pension Total Ded Amount
$162,257
Pension End of year Bal Amount
$483,232
Wlfr Premium Rcvd Amount
$0
Wlfr Unpaid Due Amount
$0
Wlfr Reserve Amount
$0
Wlfr Total Earned Prem Amount
$0
Wlfr Claims Paid Amount
$0
Wlfr Incr Reserve Amount
$0
Wlfr Incurred Claim Amount
$0
Wlfr Claims Chrgd Amount
$0
Wlfr Ret Commissions Amount
$0
Wlfr Ret Admin Amount
$0
Wlfr Ret Oth Cost Amount
$0
Wlfr Ret Oth Expense Amount
$0
Wlfr Ret Taxes Amount
$0
Wlfr Ret Charges Amount
$0
Wlfr Ret Oth Chrgs Amount
$0
Wlfr Ret Total Amount
$0
Wlfr Refund Amount
$0
Wlfr Held Bnfts Amount
$0
Wlfr Claims Reserve Amount
$0
Wlfr Oth Reserve Amount
$0
Wlfr Divnds Due Amount
$0
Wlfr Total Charges Paid Amount
$0
Wlfr Acquis Cost Amount
$0

Schedule D

Row 1
Filing Id
84037158366302
Page Id
1
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
20372158366050003
Row 2
Filing Id
84037158366302
Page Id
1
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
20372158366050003
DFE P1 Entity 01 Name
POOLED EQUITY SEPARATE ACCOUNT
DFE P1 Spons 01 Name
AMERICAN UNITED LIFE INSURANCE CO.
DFE P1 Plan 01 EIN Plan number
350145825000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$788,794
Row 3
Filing Id
84037158366302
Page Id
1
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
20372158366050003
DFE P1 Entity 01 Name
FIXED INCOME SEPARATE ACCOUNT
DFE P1 Spons 01 Name
AMERICAN UNITED LIFE INSURANCE CO.
DFE P1 Plan 01 EIN Plan number
350145825000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$168,826

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$1,444,231$8,129 change

Balance Sheet

Beginning and end of plan year.

Total assets$1,436,102$1,444,231Increase +$8,129 (0.57%)
Total liabilities$0$0No change $0
Net assets$1,436,102$1,444,231Increase +$8,129 (0.57%)

Contributions

Employer contributions$0
Participant contributions$135,280
Other contributions$8,330
Total contributions$143,610

Income & Investment Result

Total income$320,712
Interest$29,436
Dividends$0
Net income$8,129

Expenses & Fees

Benefits paid$304,253
Investment management$0
Administrative expenses$8,330
Total expenses$312,583

Accountant

FirmSAMUEL, KELLOGG & CO., INC
Firm EIN34-1651498

Compliance

Fidelity bondYes
Fidelity bond amount$500,000
Participant loans$0
Late contributionsNo
Schedule H source fields
Financial summary
Total assets at beginning of year: $1,436,102Total assets at end of year: $1,444,231Total liabilities at end of year: $0Net income or loss: $8,129
Filing Id
84037158366302
Schedule H EIN
34-1317210
Schedule H Plan number
001
Schedule H Plan Year Begin Date
2000-01-01
Schedule H Tax Period
20001231
Non Interest Bear Cash Beginning of year Amount
$0
Employer Contribution Beginning of year Amount
$0
Participants Contribution Beginning of year Amount
$8,429
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
$0
Interest Common Tr Beginning of year Amount
$0
Interest Pool Sep Account Beginning of year Amount
$928,451
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
$499,222
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
$1,436,102
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
$1,436,102
Non Interest Bear Cash End of year Amount
$0
Employer Contribution End of year Amount
$0
Participants Contribution End of year Amount
$3,379
Other Receivables End of year Amount
$0
Interest Bear Cash End of year Amount
$48,985
Govt Sec End of year Amount
$105,094
Corp Debt Preferred End of year Amount
$0
Corp Debt Other End of year Amount
$60,317
Pref Stock End of year Amount
$0
Common Stock End of year Amount
$743,224
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
$0
Interest Common Tr End of year Amount
$0
Interest Pool Sep Account End of year Amount
$0
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
$483,232
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
$1,444,231
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
$1,444,231
Employer contributions
$0
Participant contributions
$135,280
Oth Contribution Rcvd Amount
$8,330
Non Cash Contribution Bs Amount
$0
Total contributions
$143,610
Interest Bear Cash Amount
$29,436
Interest On Govt Sec Amount
$0
Interest On Corp Debt Amount
$0
Interest On Oth Loans Amount
$0
Interest on participant loans
$0
Interest On Oth Investment Amount
$0
Total interest income
$29,436
Divnd Pref Stock Amount
$0
Divnd Common Stock Amount
$0
Total dividend income
$0
Total Rents Amount
$0
Aggregate Proceeds Amount
$0
Aggregate Costs Amount
$0
Net gain or loss on sale of assets
$0
Unrealized Apprctn Re Amount
$0
Unrealized Apprctn Oth Amount
$0
Net unrealized appreciation or depreciation
$0
Gain Loss Com Trust Amount
$0
Gain Loss Pool Sep Amount
$147,666
Gain Loss Master Tr Amount
$0
Gain Loss 103 12 Investment Amount
$0
Gain or loss on registered investments
$0
Other Income Amount
$0
Total income
$320,712
Participant distributions
$304,253
Ins Carrier Bnfts Amount
$0
Oth Bnft Payment Amount
$0
Total benefit distributions
$304,253
Total Corrective Distribution Amount
$0
Total Dm Distribution Ptcp Lns A
0
Total Interest Expense Amount
$0
Professional Fees Amount
$0
Contract Admin Fees Amount
$0
Investment management fees
$0
Other Admin Fees Amount
$8,330
Total administrative expenses
$8,330
Total expenses
$312,583
Net income or loss
$8,129
Total Transfers To Amount
$0
Transfers from other plans
$0
Accountant Opinion Type Indicator
3
Account Performed Limited Audit Indicator
Yes
Accountant firm name
SAMUEL, KELLOGG & CO., INC
Accountant firm EIN
34-1651498
Failed to transmit participant contributions on time
No
Fail Transmit Contribution Amount
$0
Participant loans in default
No
Loans In Default Amount
$0
Leases in default
No
Leases In Default Amount
$0
Nonexempt transactions with parties in interest
No
Party In Interest Not Reported Amount
$0
Fidelity bond in place
Yes
Fidelity bond amount
$500,000
Loss discovered during year
No
Loss Discovered Dur Year Amount
$0
Assets with undetermined value
No
Asset Undeterm Valuation Amount
$0
Non-cash contributions reported
No
Non Cash Contribution Amount
$0
Assets held for investment
Yes
Reportable 5% transactions
No
All plan assets distributed
No
Resolution to terminate plan adopted
No
Res Terminate Plan Adpt Amount
$0

Schedule R

Schedule R Pension Information

Retirement plan characteristics

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

Pension & Payor

Payor EIN35-0145825

Transfers

Distributed property value$0
Schedule R source fields
Payor 35-0145825
Filing Id
84037158366302
Schedule R EIN
34-1317210
Schedule R Plan number
001
Schedule R Plan Year Begin Date
2000-01-01
Schedule R Tax Period
20001231
Pension Value Dstrb Pd Property Amount
$0
Pension payor EIN
35-0145825
Pension Employer Contribution Rqr Amount
$0
Pension Employer Contribution Paid Amount
$0
Pension Funding Deficiency Amount
$0