Civic Intelligence
Filing

Anchor Lamina America Inc. 401(K) Retirement Plan

ANCHOR LAMINA, INC. • EIN 38-3362809 • Plan year 2005

Filing Insights

Participants

Up

167 → 172

5 • 2.99%

Assets

Down

$17,229,699 → $16,654,424

-$575,275 • -3.34%

Investment Management Fee

0.00%

$0

Admin expenses $19,858 • Total expenses $2,686,961

Filing Details

Context
Net investment result
$-575,275
Pension payor EIN
04-1590850

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
TOFIAS PCEIN 04-2714776Accountant--

Company Timeline

This filing is highlighted inside the broader sponsor history.

Year / FilingFilingsParticipantsAssetsContributionsContrib./Participant
202510$0$43,629-
Anchor Lamina America Inc. 401(K) Retirement Plan-0-$43,629-
20241156$21,151,092$1,250,510$8,016iApproximate average salary by contribution assumption: employee only about $200,402 at 4% or $133,601 at 6%; with 50% employer match about $133,601 at 4% or $89,068 at 6%; with 100% employer match about $100,201 at 4% or $66,801 at 6%.
Anchor Lamina America Inc. 401(K) Retirement Plan-156$21,151,092$1,250,510$8,016iApproximate average salary by contribution assumption: employee only about $200,402 at 4% or $133,601 at 6%; with 50% employer match about $133,601 at 4% or $89,068 at 6%; with 100% employer match about $100,201 at 4% or $66,801 at 6%.
20231163$22,688,819$1,255,462$7,702iApproximate average salary by contribution assumption: employee only about $192,556 at 4% or $128,370 at 6%; with 50% employer match about $128,370 at 4% or $85,580 at 6%; with 100% employer match about $96,278 at 4% or $64,185 at 6%.
Anchor Lamina America Inc. 401(K) Retirement Plan-163$22,688,819$1,255,462$7,702iApproximate average salary by contribution assumption: employee only about $192,556 at 4% or $128,370 at 6%; with 50% employer match about $128,370 at 4% or $85,580 at 6%; with 100% employer match about $96,278 at 4% or $64,185 at 6%.
20221156$20,111,117$1,169,096$7,494iApproximate average salary by contribution assumption: employee only about $187,355 at 4% or $124,903 at 6%; with 50% employer match about $124,903 at 4% or $83,269 at 6%; with 100% employer match about $93,678 at 4% or $62,452 at 6%.
Anchor Lamina America Inc. 401(K) Retirement Plan-156$20,111,117$1,169,096$7,494iApproximate average salary by contribution assumption: employee only about $187,355 at 4% or $124,903 at 6%; with 50% employer match about $124,903 at 4% or $83,269 at 6%; with 100% employer match about $93,678 at 4% or $62,452 at 6%.
20211163$22,969,925$1,066,277$6,542iApproximate average salary by contribution assumption: employee only about $163,539 at 4% or $109,026 at 6%; with 50% employer match about $109,026 at 4% or $72,684 at 6%; with 100% employer match about $81,770 at 4% or $54,513 at 6%.
Anchor Lamina America Inc. 401(K) Retirement Plan-163$22,969,925$1,066,277$6,542iApproximate average salary by contribution assumption: employee only about $163,539 at 4% or $109,026 at 6%; with 50% employer match about $109,026 at 4% or $72,684 at 6%; with 100% employer match about $81,770 at 4% or $54,513 at 6%.
20201181$22,490,862$928,940$5,132iApproximate average salary by contribution assumption: employee only about $128,307 at 4% or $85,538 at 6%; with 50% employer match about $85,538 at 4% or $57,025 at 6%; with 100% employer match about $64,153 at 4% or $42,769 at 6%.
Anchor Lamina America Inc. 401(K) Retirement Plan-181$22,490,862$928,940$5,132iApproximate average salary by contribution assumption: employee only about $128,307 at 4% or $85,538 at 6%; with 50% employer match about $85,538 at 4% or $57,025 at 6%; with 100% employer match about $64,153 at 4% or $42,769 at 6%.
20191186$21,187,924$1,368,791$7,359iApproximate average salary by contribution assumption: employee only about $183,977 at 4% or $122,652 at 6%; with 50% employer match about $122,652 at 4% or $81,768 at 6%; with 100% employer match about $91,989 at 4% or $61,326 at 6%.
Anchor Lamina America Inc. 401(K) Retirement Plan-186$21,187,924$1,368,791$7,359iApproximate average salary by contribution assumption: employee only about $183,977 at 4% or $122,652 at 6%; with 50% employer match about $122,652 at 4% or $81,768 at 6%; with 100% employer match about $91,989 at 4% or $61,326 at 6%.
20181188$18,684,036$939,898$4,999iApproximate average salary by contribution assumption: employee only about $124,986 at 4% or $83,324 at 6%; with 50% employer match about $83,324 at 4% or $55,550 at 6%; with 100% employer match about $62,493 at 4% or $41,662 at 6%.
Anchor Lamina America Inc. 401(K) Retirement Plan-188$18,684,036$939,898$4,999iApproximate average salary by contribution assumption: employee only about $124,986 at 4% or $83,324 at 6%; with 50% employer match about $83,324 at 4% or $55,550 at 6%; with 100% employer match about $62,493 at 4% or $41,662 at 6%.
20171201$19,571,551$930,672$4,630iApproximate average salary by contribution assumption: employee only about $115,755 at 4% or $77,170 at 6%; with 50% employer match about $77,170 at 4% or $51,447 at 6%; with 100% employer match about $57,878 at 4% or $38,585 at 6%.
Anchor Lamina America Inc. 401(K) Retirement Plan-201$19,571,551$930,672$4,630iApproximate average salary by contribution assumption: employee only about $115,755 at 4% or $77,170 at 6%; with 50% employer match about $77,170 at 4% or $51,447 at 6%; with 100% employer match about $57,878 at 4% or $38,585 at 6%.
20161205$20,100,137$864,995$4,219iApproximate average salary by contribution assumption: employee only about $105,487 at 4% or $70,325 at 6%; with 50% employer match about $70,325 at 4% or $46,883 at 6%; with 100% employer match about $52,744 at 4% or $35,162 at 6%.
Anchor Lamina America Inc. 401(K) Retirement Plan-205$20,100,137$864,995$4,219iApproximate average salary by contribution assumption: employee only about $105,487 at 4% or $70,325 at 6%; with 50% employer match about $70,325 at 4% or $46,883 at 6%; with 100% employer match about $52,744 at 4% or $35,162 at 6%.
20151221$21,465,891$1,076,475$4,871iApproximate average salary by contribution assumption: employee only about $121,773 at 4% or $81,182 at 6%; with 50% employer match about $81,182 at 4% or $54,121 at 6%; with 100% employer match about $60,887 at 4% or $40,591 at 6%.
Anchor Lamina America Inc. 401(K) Retirement Plan-221$21,465,891$1,076,475$4,871iApproximate average salary by contribution assumption: employee only about $121,773 at 4% or $81,182 at 6%; with 50% employer match about $81,182 at 4% or $54,121 at 6%; with 100% employer match about $60,887 at 4% or $40,591 at 6%.
20142207$22,459,386$833,498$4,027iApproximate average salary by contribution assumption: employee only about $100,664 at 4% or $67,109 at 6%; with 50% employer match about $67,109 at 4% or $44,740 at 6%; with 100% employer match about $50,332 at 4% or $33,555 at 6%.
Anchor Lamina America Inc. 401(K) Retirement Plan-207$22,459,386$833,498$4,027iApproximate average salary by contribution assumption: employee only about $100,664 at 4% or $67,109 at 6%; with 50% employer match about $67,109 at 4% or $44,740 at 6%; with 100% employer match about $50,332 at 4% or $33,555 at 6%.
Anchor Lamina America Inc. Group Insurance Plan-0---
20132315$23,148,461$815,682$2,589iApproximate average salary by contribution assumption: employee only about $64,737 at 4% or $43,158 at 6%; with 50% employer match about $43,158 at 4% or $28,772 at 6%; with 100% employer match about $32,368 at 4% or $21,579 at 6%.
Anchor Lamina America Inc. 401(K) Retirement Plan-315$23,148,461$815,682$2,589iApproximate average salary by contribution assumption: employee only about $64,737 at 4% or $43,158 at 6%; with 50% employer match about $43,158 at 4% or $28,772 at 6%; with 100% employer match about $32,368 at 4% or $21,579 at 6%.
Anchor Lamina America Inc. Group Insurance Plan-259---
20122424$20,107,908$1,251,977$2,953iApproximate average salary by contribution assumption: employee only about $73,819 at 4% or $49,213 at 6%; with 50% employer match about $49,213 at 4% or $32,809 at 6%; with 100% employer match about $36,910 at 4% or $24,606 at 6%.
Anchor Lamina America Inc. 401(K) Retirement Plan-323$20,107,908$1,251,977$3,876iApproximate average salary by contribution assumption: employee only about $96,902 at 4% or $64,601 at 6%; with 50% employer match about $64,601 at 4% or $43,068 at 6%; with 100% employer match about $48,451 at 4% or $32,301 at 6%.
Anchor Lamina America Inc. Group Insurance Plan-424---
20112420$23,617,812$1,065,287$2,536iApproximate average salary by contribution assumption: employee only about $63,410 at 4% or $42,273 at 6%; with 50% employer match about $42,273 at 4% or $28,182 at 6%; with 100% employer match about $31,705 at 4% or $21,137 at 6%.
Anchor Lamina America Inc. 401(K) Retirement Plan-301$23,617,812$1,065,287$3,539iApproximate average salary by contribution assumption: employee only about $88,479 at 4% or $58,986 at 6%; with 50% employer match about $58,986 at 4% or $39,324 at 6%; with 100% employer match about $44,239 at 4% or $29,493 at 6%.
Anchor Lamina America Inc. Group Insurance Plan-420---
20102370$23,184,317$721,592$1,950iApproximate average salary by contribution assumption: employee only about $48,756 at 4% or $32,504 at 6%; with 50% employer match about $32,504 at 4% or $21,669 at 6%; with 100% employer match about $24,378 at 4% or $16,252 at 6%.
Anchor Lamina America Inc. 401(K) Retirement Plan-287$23,184,317$721,592$2,514iApproximate average salary by contribution assumption: employee only about $62,856 at 4% or $41,904 at 6%; with 50% employer match about $41,904 at 4% or $27,936 at 6%; with 100% employer match about $31,428 at 4% or $20,952 at 6%.
Anchor Lamina America Inc. Group Insurance Plan-370---
20093350$20,943,234$765,002$2,186iApproximate average salary by contribution assumption: employee only about $54,643 at 4% or $36,429 at 6%; with 50% employer match about $36,429 at 4% or $24,286 at 6%; with 100% employer match about $27,321 at 4% or $18,214 at 6%.
Anchor Lamina America Inc. 401(K) Retirement Plan-283$20,943,234$714,550$2,525iApproximate average salary by contribution assumption: employee only about $63,123 at 4% or $42,082 at 6%; with 50% employer match about $42,082 at 4% or $28,055 at 6%; with 100% employer match about $31,561 at 4% or $21,041 at 6%.
Anchor Lamina America Inc. Group Insurance Plan-350---
ANCHOR LAMINA, INC. RETIREMENT SAVINGS PLAN-0-$50,452-
20083439$16,167,660$1,067,014$2,431iApproximate average salary by contribution assumption: employee only about $60,764 at 4% or $40,509 at 6%; with 50% employer match about $40,509 at 4% or $27,006 at 6%; with 100% employer match about $30,382 at 4% or $20,255 at 6%.
Anchor Lamina America Inc. 401(K) Retirement Plan-208$14,472,176$842,961$4,053iApproximate average salary by contribution assumption: employee only about $101,317 at 4% or $67,545 at 6%; with 50% employer match about $67,545 at 4% or $45,030 at 6%; with 100% employer match about $50,659 at 4% or $33,772 at 6%.
ANCHOR LAMINA, INC. RETIREMENT SAVINGS PLAN-50$1,695,484$224,053$4,481iApproximate average salary by contribution assumption: employee only about $112,027 at 4% or $74,684 at 6%; with 50% employer match about $74,684 at 4% or $49,790 at 6%; with 100% employer match about $56,013 at 4% or $37,342 at 6%.
Anchor Lamina America Inc. Group Insurance Plan-439---
20072207$18,431,999$883,613$4,269iApproximate average salary by contribution assumption: employee only about $106,717 at 4% or $71,144 at 6%; with 50% employer match about $71,144 at 4% or $47,430 at 6%; with 100% employer match about $53,358 at 4% or $35,572 at 6%.
Anchor Lamina America Inc. 401(K) Retirement Plan-207$18,431,999$883,613$4,269iApproximate average salary by contribution assumption: employee only about $106,717 at 4% or $71,144 at 6%; with 50% employer match about $71,144 at 4% or $47,430 at 6%; with 100% employer match about $53,358 at 4% or $35,572 at 6%.
ANCHOR LAMINA, INC. RETIREMENT SAVINGS PLAN-51---
20063239$19,266,165$1,618,060$6,770iApproximate average salary by contribution assumption: employee only about $169,253 at 4% or $112,835 at 6%; with 50% employer match about $112,835 at 4% or $75,224 at 6%; with 100% employer match about $84,627 at 4% or $56,418 at 6%.
Anchor Lamina America Inc. 401(K) Retirement Plan-215$17,250,710$1,348,882$6,274iApproximate average salary by contribution assumption: employee only about $156,847 at 4% or $104,564 at 6%; with 50% employer match about $104,564 at 4% or $69,710 at 6%; with 100% employer match about $78,423 at 4% or $52,282 at 6%.
ANCHOR LAMINA, INC. RETIREMENT SAVINGS PLAN-55$2,015,455$269,178$4,894iApproximate average salary by contribution assumption: employee only about $122,354 at 4% or $81,569 at 6%; with 50% employer match about $81,569 at 4% or $54,379 at 6%; with 100% employer match about $61,177 at 4% or $40,785 at 6%.
Anchor Lamina America Inc. Group Insurance Plan-239---
20053213$18,419,914$1,337,144$6,278iApproximate average salary by contribution assumption: employee only about $156,942 at 4% or $104,628 at 6%; with 50% employer match about $104,628 at 4% or $69,752 at 6%; with 100% employer match about $78,471 at 4% or $52,314 at 6%.
Anchor Lamina America Inc. 401(K) Retirement PlanCurrent172$16,654,424$1,052,273$6,118iApproximate average salary by contribution assumption: employee only about $152,947 at 4% or $101,964 at 6%; with 50% employer match about $101,964 at 4% or $67,976 at 6%; with 100% employer match about $76,473 at 4% or $50,982 at 6%.
ANCHOR LAMINA, INC. RETIREMENT SAVINGS PLAN-66$1,765,490$284,871$4,316iApproximate average salary by contribution assumption: employee only about $107,906 at 4% or $71,937 at 6%; with 50% employer match about $71,937 at 4% or $47,958 at 6%; with 100% employer match about $53,953 at 4% or $35,969 at 6%.
Anchor Lamina America Inc. Group Insurance Plan-213---
20043178$18,748,406$1,239,326$6,963iApproximate average salary by contribution assumption: employee only about $174,063 at 4% or $116,042 at 6%; with 50% employer match about $116,042 at 4% or $77,361 at 6%; with 100% employer match about $87,031 at 4% or $58,021 at 6%.
Anchor Lamina America Inc. 401(K) Retirement Plan-147$17,229,699$976,211$6,641iApproximate average salary by contribution assumption: employee only about $166,022 at 4% or $110,682 at 6%; with 50% employer match about $110,682 at 4% or $73,788 at 6%; with 100% employer match about $83,011 at 4% or $55,341 at 6%.
ANCHOR LAMINA, INC. RETIREMENT SAVINGS PLAN-59$1,518,707$263,115$4,460iApproximate average salary by contribution assumption: employee only about $111,489 at 4% or $74,326 at 6%; with 50% employer match about $74,326 at 4% or $49,551 at 6%; with 100% employer match about $55,745 at 4% or $37,163 at 6%.
Anchor Lamina America Inc. Group Insurance Plan-178---
20033188$17,156,702$1,248,805$6,643iApproximate average salary by contribution assumption: employee only about $166,064 at 4% or $110,710 at 6%; with 50% employer match about $110,710 at 4% or $73,806 at 6%; with 100% employer match about $83,032 at 4% or $55,355 at 6%.
Anchor Lamina America Inc. 401(K) Retirement Plan-161$16,023,353$1,014,515$6,301iApproximate average salary by contribution assumption: employee only about $157,533 at 4% or $105,022 at 6%; with 50% employer match about $105,022 at 4% or $70,015 at 6%; with 100% employer match about $78,767 at 4% or $52,511 at 6%.
ANCHOR LAMINA, INC. RETIREMENT SAVINGS PLAN-58$1,133,349$234,290$4,039iApproximate average salary by contribution assumption: employee only about $100,987 at 4% or $67,325 at 6%; with 50% employer match about $67,325 at 4% or $44,883 at 6%; with 100% employer match about $50,494 at 4% or $33,662 at 6%.
Anchor Lamina America Inc. Group Insurance Plan-188---
20023202$14,106,196$1,035,597$5,127iApproximate average salary by contribution assumption: employee only about $128,168 at 4% or $85,445 at 6%; with 50% employer match about $85,445 at 4% or $56,964 at 6%; with 100% employer match about $64,084 at 4% or $42,723 at 6%.
Anchor Lamina America Inc. 401(K) Retirement Plan-178$14,106,196$1,035,597$5,818iApproximate average salary by contribution assumption: employee only about $145,449 at 4% or $96,966 at 6%; with 50% employer match about $96,966 at 4% or $64,644 at 6%; with 100% employer match about $72,725 at 4% or $48,483 at 6%.
Anchor Lamina America Inc. Group Insurance Plan-202---
ANCHOR LAMINA, INC. RETIREMENT SAVINGS PLAN-63---
20012225$15,748,687$1,126,380$5,006iApproximate average salary by contribution assumption: employee only about $125,153 at 4% or $83,436 at 6%; with 50% employer match about $83,436 at 4% or $55,624 at 6%; with 100% employer match about $62,577 at 4% or $41,718 at 6%.
Anchor Lamina America Inc. 401(K) Retirement Plan-186$15,748,687$1,126,380$6,056iApproximate average salary by contribution assumption: employee only about $151,395 at 4% or $100,930 at 6%; with 50% employer match about $100,930 at 4% or $67,287 at 6%; with 100% employer match about $75,698 at 4% or $50,465 at 6%.
Anchor Lamina America Inc. Group Insurance Plan-225---
20004236$19,519,169$1,786,006$7,568iApproximate average salary by contribution assumption: employee only about $189,196 at 4% or $126,130 at 6%; with 50% employer match about $126,130 at 4% or $84,087 at 6%; with 100% employer match about $94,598 at 4% or $63,065 at 6%.
Anchor Lamina America Inc. 401(K) Retirement Plan-215$18,873,316$1,423,463$6,621iApproximate average salary by contribution assumption: employee only about $165,519 at 4% or $110,346 at 6%; with 50% employer match about $110,346 at 4% or $73,564 at 6%; with 100% employer match about $82,759 at 4% or $55,173 at 6%.
ANCHOR LAMINA, INC. RETIREMENT SAVINGS PLAN-90$644,629$335,408$3,727iApproximate average salary by contribution assumption: employee only about $93,169 at 4% or $62,113 at 6%; with 50% employer match about $62,113 at 4% or $41,408 at 6%; with 100% employer match about $46,584 at 4% or $31,056 at 6%.
ANCHOR LAMINA 401K SAVINGS PLAN-1$1,224$27,135$27,135iApproximate average salary by contribution assumption: employee only about $678,375 at 4% or $452,250 at 6%; with 50% employer match about $452,250 at 4% or $301,500 at 6%; with 100% employer match about $339,188 at 4% or $226,125 at 6%.
Anchor Lamina America Inc. Group Insurance Plan-236---
19991306$0$0-
Anchor Lamina America Inc. Group Insurance Plan-306---
Schedule Details

Schedule A

Row 1
Filing Id
84037347301276
Form Id
75437452
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
5020376347301020002
Ins Broker Comm Pd 01 Amount
$0
Ins Broker Fees Pd 01 Amount
$0
Row 2
Ins Carrier Name: MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY
Filing Id
84037347301276
Form Id
75437452
Schedule A EIN
38-3362809
Schedule A Plan Num
001
Schedule A Plan Year Begin Date
2005-01-01
Schedule A Tax Period
20051231
Ins Carrier Name
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY
Ins Carrier EIN
04-1590850
Ins Carrier Naic Code
65935
Ins Contract Num
SF 51129
Ins Prsn Covered End of year Count
192
Ins Policy From Date
2005-01-01
Ins Policy To Date
2005-12-31
Ins Broker Comm Total Amount
$0
Ins Broker Fees Total Amount
$0
Pension End of year Gen Account Amount
$0
Pension End of year Sep Account Amount
$9,687,419
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
$6,791,750
Pension Contribution Dep Amount
$1,048,842
Pension Divnd Cr Dep Amount
$0
Pension Interest Cr Dur Yr Amount
$260,953
Pension Transfer From Amount
$617,797
Pension Other Amount
$220,142
Pension Other Text
LOAN DEFAULT, LN INT, LN PRIN, ROLL
Pension Total Additions Amount
$2,147,734
Pension Total Bal Addn Amount
$8,939,484
Pension Bnfts Dsbrsd Amount
$1,476,162
Pension Admin Chrg Amount
$8,286
Pension Transfer To Amount
$867,140
Pension Oth Ded Amount
$40,808
Pension Oth Ded Text
LN DISTRIB
Pension Total Ded Amount
$2,392,396
Pension End of year Bal Amount
$6,547,088
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 C

Schedule C Provider

Provider 1

Provider details

Source fields
Row 1
Filing Id
84037347301276
Page Id
1
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
5020376347301020003
Provider 01 Position
CONTRACT ADMINISTRATOR
Provider 01 Salary Amount
$0
Provider 01 Fees Amount
$0
Provider 01 Srvc Code
12
Row 2
Filing Id
84037347301276
Page Id
3
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
5020376347301020003

Schedule C Provider

Provider 2

Provider details

Source fields
Row 3
Filing Id
84037347301276
Page Id
1
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
5020376347301020003
Provider 01 Name
MASSACHUSETTS MUTUAL LIFE INSURANCE
Provider 01 EIN
04-1590850
Provider 01 Position
RECORD KEEPER
Provider 01 Relation
SERVICE PROVIDER
Provider 01 Salary Amount
$0
Provider 01 Fees Amount
$19,857
Provider 01 Srvc Code
24

Schedule C Provider

Provider 3

Provider details

Source fields
Row 4
Filing Id
84037347301276
Schedule C EIN
38-3362809
Schedule C Plan number
001
Schedule C Plan Year Begin Date
2005-01-01
Schedule C Tax Period
20051231
Provider Total Comp Paid Amount
$0

Schedule D

Row 1
Filing Id
84037347301276
Page Id
1
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
5020376347301020004
DFE P1 Entity 01 Name
SIA-BA
DFE P1 Spons 01 Name
MASSACHUSETTS MUTUAL LIFE INSURANCE
DFE P1 Plan 01 EIN Plan number
041590850029
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$364,514
Row 2
Filing Id
84037347301276
Page Id
3
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
5020376347301020004
Row 3
Filing Id
84037347301276
Page Id
1
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
5020376347301020004
DFE P1 Entity 01 Name
SIA-BC
DFE P1 Spons 01 Name
MASSACHUSETTS MUTUAL LIFE INSURANCE
DFE P1 Plan 01 EIN Plan number
041590850030
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$233,152
Row 4
Filing Id
84037347301276
Page Id
2
Page Seq
1
Page Row Num
1
Row Num
10
Image Form Id
5020376347301020004
DFE P1 Entity 01 Name
SIA-SU
DFE P1 Spons 01 Name
MASSACHUSETTS MUTUAL LIFE INSURANCE
DFE P1 Plan 01 EIN Plan number
041590850181
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$187,070
Row 5
Filing Id
84037347301276
Page Id
2
Page Seq
1
Page Row Num
2
Row Num
11
Image Form Id
5020376347301020004
DFE P1 Entity 01 Name
SIA-SY
DFE P1 Spons 01 Name
MASSACHUSETTS MUTUAL LIFE INSURANCE
DFE P1 Plan 01 EIN Plan number
041590850171
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$552,578
Row 6
Filing Id
84037347301276
Page Id
2
Page Seq
1
Page Row Num
3
Row Num
12
Image Form Id
5020376347301020004
DFE P1 Entity 01 Name
SIA-WF
DFE P1 Spons 01 Name
MASSACHUSETTS MUTUAL LIFE INSURANCE
DFE P1 Plan 01 EIN Plan number
041590850126
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$2,070,341
Row 7
Filing Id
84037347301276
Page Id
2
Page Seq
1
Page Row Num
4
Row Num
13
Image Form Id
5020376347301020004
DFE P1 Entity 01 Name
SIA-X
DFE P1 Spons 01 Name
MASSACHUSETTS MUTUAL LIFE INSURANCE
DFE P1 Plan 01 EIN Plan number
041590850133
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$1,398,747
Row 8
Filing Id
84037347301276
Page Id
2
Page Seq
1
Page Row Num
5
Row Num
14
Image Form Id
5020376347301020004
DFE P1 Entity 01 Name
SIA-Y1
DFE P1 Spons 01 Name
MASSACHUSETTS MUTUAL LIFE INSURANCE
DFE P1 Plan 01 EIN Plan number
041590850170
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$207,416
Row 9
Filing Id
84037347301276
Page Id
1
Page Seq
0
Page Row Num
3
Row Num
2
Image Form Id
5020376347301020004
DFE P1 Entity 01 Name
SIA-BE
DFE P1 Spons 01 Name
MASSACHUSETTS MUTUAL LIFE INSURANCE
DFE P1 Plan 01 EIN Plan number
041590850031
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$274,141
Row 10
Filing Id
84037347301276
Page Id
1
Page Seq
0
Page Row Num
4
Row Num
3
Image Form Id
5020376347301020004
DFE P1 Entity 01 Name
SIA-BP
DFE P1 Spons 01 Name
MASSACHUSETTS MUTUAL LIFE INSURANCE
DFE P1 Plan 01 EIN Plan number
041590850032
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$676,925
Row 11
Filing Id
84037347301276
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
4
Image Form Id
5020376347301020004
DFE P1 Entity 01 Name
SIA-E
DFE P1 Spons 01 Name
MASSACHUSETTS MUTUAL LIFE INSURANCE
DFE P1 Plan 01 EIN Plan number
041590850041
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$358,564
Row 12
Filing Id
84037347301276
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
5
Image Form Id
5020376347301020004
DFE P1 Entity 01 Name
SIA-I
DFE P1 Spons 01 Name
MASSACHUSETTS MUTUAL LIFE INSURANCE
DFE P1 Plan 01 EIN Plan number
041590850044
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$979,134
Row 13
Filing Id
84037347301276
Page Id
2
Page Seq
0
Page Row Num
3
Row Num
6
Image Form Id
5020376347301020004
DFE P1 Entity 01 Name
SIA-N1
DFE P1 Spons 01 Name
MASSACHUSETTS MUTUAL LIFE INSURANCE
DFE P1 Plan 01 EIN Plan number
041590850068
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$814,914
Row 14
Filing Id
84037347301276
Page Id
2
Page Seq
0
Page Row Num
4
Row Num
7
Image Form Id
5020376347301020004
DFE P1 Entity 01 Name
SIA-N5
DFE P1 Spons 01 Name
MASSACHUSETTS MUTUAL LIFE INSURANCE
DFE P1 Plan 01 EIN Plan number
041590850072
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$767,060
Row 15
Filing Id
84037347301276
Page Id
2
Page Seq
0
Page Row Num
5
Row Num
8
Image Form Id
5020376347301020004
DFE P1 Entity 01 Name
SIA-SC
DFE P1 Spons 01 Name
MASSACHUSETTS MUTUAL LIFE INSURANCE
DFE P1 Plan 01 EIN Plan number
041590850105
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$428,755
Row 16
Filing Id
84037347301276
Page Id
2
Page Seq
0
Page Row Num
6
Row Num
9
Image Form Id
5020376347301020004
DFE P1 Entity 01 Name
SIA-SK
DFE P1 Spons 01 Name
MASSACHUSETTS MUTUAL LIFE INSURANCE
DFE P1 Plan 01 EIN Plan number
041590850174
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$374,108
Row 17
Filing Id
84037347301276
Schedule D EIN
38-3362809
Schedule D Plan number
001
Schedule D Plan Year Begin Date
2005-01-01
Schedule D Tax Period
20051231

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$16,654,424-$575,275 change

Balance Sheet

Beginning and end of plan year.

Total assets$17,229,699$16,654,424Decrease -$575,275 (-3.34%)
Total liabilities$0$0No change $0
Net assets$17,229,699$16,654,424Decrease -$575,275 (-3.34%)

Contributions

Employer contributions$373,473
Participant contributions$675,370
Other contributions$3,430
Total contributions$1,052,273

Income & Investment Result

Total income$2,111,686
Interest$288,245
Dividends$0
Net income$-575,275

Expenses & Fees

Benefits paid$2,665,844
Investment management$0
Administrative expenses$19,858
Total expenses$2,686,961

Accountant

FirmTOFIAS PC
Firm EIN04-2714776

Compliance

Fidelity bondYes
Fidelity bond amount$500,000
Participant loans$419,917
Late contributionsNo
Schedule H source fields
Financial summary
Total assets at beginning of year: $17,229,699Total assets at end of year: $16,654,424Total liabilities at end of year: $0Net income or loss: $-575,275
Filing Id
84037347301276
Schedule H EIN
38-3362809
Schedule H Plan number
001
Schedule H Plan Year Begin Date
2005-01-01
Schedule H Tax Period
20051231
Non Interest Bear Cash Beginning of year Amount
$0
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
$481,987
Interest Common Tr Beginning of year Amount
$0
Interest Pool Sep Account Beginning of year Amount
$9,955,963
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
$6,791,749
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
$17,229,699
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
$17,229,699
Non Interest Bear Cash End of year Amount
$0
Employer Contribution End of year Amount
$0
Participants Contribution End of year Amount
$0
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
$419,917
Interest Common Tr End of year Amount
$0
Interest Pool Sep Account End of year Amount
$9,687,419
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
$6,547,088
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
$16,654,424
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
$16,654,424
Employer contributions
$373,473
Participant contributions
$675,370
Oth Contribution Rcvd Amount
$3,430
Non Cash Contribution Bs Amount
$0
Total contributions
$1,052,273
Interest Bear Cash Amount
$0
Interest On Govt Sec Amount
$0
Interest On Corp Debt Amount
$0
Interest On Oth Loans Amount
$0
Interest on participant loans
$27,292
Interest On Oth Investment Amount
$260,953
Total interest income
$288,245
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
$771,168
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
$2,111,686
Participant distributions
$2,665,844
Ins Carrier Bnfts Amount
$0
Oth Bnft Payment Amount
$0
Total benefit distributions
$2,665,844
Total Corrective Distribution Amount
$0
Total Dm Distribution Ptcp Lns A
1259
Total Interest Expense Amount
$0
Professional Fees Amount
$0
Contract Admin Fees Amount
$0
Investment management fees
$0
Other Admin Fees Amount
$19,858
Total administrative expenses
$19,858
Total expenses
$2,686,961
Net income or loss
$-575,275
Total Transfers To Amount
$0
Transfers from other plans
$0
Accountant Opinion Type Indicator
3
Account Performed Limited Audit Indicator
Yes
Accountant firm name
TOFIAS PC
Accountant firm EIN
04-2714776
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 EIN04-1590850

Transfers

Distributed property value$0
Schedule R source fields
Payor 04-1590850
Filing Id
84037347301276
Schedule R EIN
38-3362809
Schedule R Plan number
001
Schedule R Plan Year Begin Date
2005-01-01
Schedule R Tax Period
20051231
Pension Value Dstrb Pd Property Amount
$0
Pension payor EIN
04-1590850
Pension Bnft Distribution Sngl Sum Count
0
Pension Employer Contribution Rqr Amount
$0
Pension Employer Contribution Paid Amount
$0
Pension Funding Deficiency Amount
$0
Pension Satisfy Cover Basis Code
1