Civic Intelligence
Filing

Capstone Corporation 401(K) Plan

CLIENT SOLUTION ARCHITECTS LLC • EIN 54-1393220 • Plan year 2003

Company ProfileSource Archive
Filing Insights

Participants

Down

182 → 87

-95 • -52.20%

Assets

Up

$974,096 → $1,511,929

$537,833 • 55.21%

Investment Management Fee

0.00%

$0

Admin expenses $13,417 • Total expenses $99,927

Filing Details

Context
Net investment result
$537,833
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

Not reported

Plan blackout period

Not reported

Plan termination resolution adopted

No

Counterparties
ProviderServicesLocationDirect CompensationRelated
RUBINO & MCGEEHIN, CHARTEREDEIN 52-1186096Accountant--Rubino & Mcgeehin, Chartered

Company Timeline

This filing is highlighted inside the broader sponsor history.

Year / FilingFilingsParticipantsAssetsContributionsContrib./Participant
20243734$43,146,626$6,658,223$9,071iApproximate average salary by contribution assumption: employee only about $226,779 at 4% or $151,186 at 6%; with 50% employer match about $151,186 at 4% or $100,791 at 6%; with 100% employer match about $113,389 at 4% or $75,593 at 6%.
Capstone Corporation 401(K) Plan-734$43,146,626$6,658,223$9,071iApproximate average salary by contribution assumption: employee only about $226,779 at 4% or $151,186 at 6%; with 50% employer match about $151,186 at 4% or $100,791 at 6%; with 100% employer match about $113,389 at 4% or $75,593 at 6%.
Csa Health and Welfare Plan-527---
Csa Health and Welfare Plan-527---
20231780$37,971,320$7,511,184$9,630iApproximate average salary by contribution assumption: employee only about $240,743 at 4% or $160,495 at 6%; with 50% employer match about $160,495 at 4% or $106,997 at 6%; with 100% employer match about $120,372 at 4% or $80,248 at 6%.
Capstone Corporation 401(K) Plan-780$37,971,320$7,511,184$9,630iApproximate average salary by contribution assumption: employee only about $240,743 at 4% or $160,495 at 6%; with 50% employer match about $160,495 at 4% or $106,997 at 6%; with 100% employer match about $120,372 at 4% or $80,248 at 6%.
20221768$31,706,226$7,169,008$9,335iApproximate average salary by contribution assumption: employee only about $233,366 at 4% or $155,577 at 6%; with 50% employer match about $155,577 at 4% or $103,718 at 6%; with 100% employer match about $116,683 at 4% or $77,789 at 6%.
Capstone Corporation 401(K) Plan-768$31,706,226$7,169,008$9,335iApproximate average salary by contribution assumption: employee only about $233,366 at 4% or $155,577 at 6%; with 50% employer match about $155,577 at 4% or $103,718 at 6%; with 100% employer match about $116,683 at 4% or $77,789 at 6%.
20213652$21,794,911$4,135,630$6,343iApproximate average salary by contribution assumption: employee only about $158,575 at 4% or $105,717 at 6%; with 50% employer match about $105,717 at 4% or $70,478 at 6%; with 100% employer match about $79,287 at 4% or $52,858 at 6%.
Capstone Corporation 401(K) Plan-652$21,794,911$4,135,630$6,343iApproximate average salary by contribution assumption: employee only about $158,575 at 4% or $105,717 at 6%; with 50% employer match about $105,717 at 4% or $70,478 at 6%; with 100% employer match about $79,287 at 4% or $52,858 at 6%.
Csa Health and Welfare Plan-0---
Capstone Corporation Dental Vision Life Ad&D Ltd and Std Plan-0---
20203425$19,746,658$3,117,465$7,335iApproximate average salary by contribution assumption: employee only about $183,380 at 4% or $122,254 at 6%; with 50% employer match about $122,254 at 4% or $81,502 at 6%; with 100% employer match about $91,690 at 4% or $61,127 at 6%.
Capstone Corporation 401(K) Plan-425$19,746,658$3,117,465$7,335iApproximate average salary by contribution assumption: employee only about $183,380 at 4% or $122,254 at 6%; with 50% employer match about $122,254 at 4% or $81,502 at 6%; with 100% employer match about $91,690 at 4% or $61,127 at 6%.
Capstone Corporation Dental Vision Life Ad&D Ltd and Std Plan-343---
Csa Health and Welfare Plan-159---
20192385$15,899,024$3,505,927$9,106iApproximate average salary by contribution assumption: employee only about $227,658 at 4% or $151,772 at 6%; with 50% employer match about $151,772 at 4% or $101,181 at 6%; with 100% employer match about $113,829 at 4% or $75,886 at 6%.
Capstone Corporation 401(K) Plan-385$15,899,024$3,505,927$9,106iApproximate average salary by contribution assumption: employee only about $227,658 at 4% or $151,772 at 6%; with 50% employer match about $151,772 at 4% or $101,181 at 6%; with 100% employer match about $113,829 at 4% or $75,886 at 6%.
Capstone Corporation Dental Vision Life Ad&D Ltd and Std Plan-318---
20182251$11,547,167$1,388,285$5,531iApproximate average salary by contribution assumption: employee only about $138,275 at 4% or $92,184 at 6%; with 50% employer match about $92,184 at 4% or $61,456 at 6%; with 100% employer match about $69,138 at 4% or $46,092 at 6%.
Capstone Corporation 401(K) Plan-251$11,547,167$1,388,285$5,531iApproximate average salary by contribution assumption: employee only about $138,275 at 4% or $92,184 at 6%; with 50% employer match about $92,184 at 4% or $61,456 at 6%; with 100% employer match about $69,138 at 4% or $46,092 at 6%.
Capstone Corporation Dental Vision Life Ad&D Ltd and Std Plan-205---
20172222$12,025,457$1,210,843$5,454iApproximate average salary by contribution assumption: employee only about $136,356 at 4% or $90,904 at 6%; with 50% employer match about $90,904 at 4% or $60,603 at 6%; with 100% employer match about $68,178 at 4% or $45,452 at 6%.
Capstone Corporation 401(K) Plan-222$12,025,457$1,210,843$5,454iApproximate average salary by contribution assumption: employee only about $136,356 at 4% or $90,904 at 6%; with 50% employer match about $90,904 at 4% or $60,603 at 6%; with 100% employer match about $68,178 at 4% or $45,452 at 6%.
Capstone Corporation Dental Vision Life Ad&D Ltd and Std Plan-167---
20162221$10,401,880$995,654$4,505iApproximate average salary by contribution assumption: employee only about $112,631 at 4% or $75,087 at 6%; with 50% employer match about $75,087 at 4% or $50,058 at 6%; with 100% employer match about $56,315 at 4% or $37,544 at 6%.
Capstone Corporation 401(K) Plan-221$10,401,880$995,654$4,505iApproximate average salary by contribution assumption: employee only about $112,631 at 4% or $75,087 at 6%; with 50% employer match about $75,087 at 4% or $50,058 at 6%; with 100% employer match about $56,315 at 4% or $37,544 at 6%.
Capstone Corporation Dental Vision Life Ad&D Ltd and Std Plan-187---
20152251$10,930,749$1,086,090$4,327iApproximate average salary by contribution assumption: employee only about $108,176 at 4% or $72,118 at 6%; with 50% employer match about $72,118 at 4% or $48,078 at 6%; with 100% employer match about $54,088 at 4% or $36,059 at 6%.
Capstone Corporation 401(K) Plan-251$10,930,749$1,086,090$4,327iApproximate average salary by contribution assumption: employee only about $108,176 at 4% or $72,118 at 6%; with 50% employer match about $72,118 at 4% or $48,078 at 6%; with 100% employer match about $54,088 at 4% or $36,059 at 6%.
Capstone Corporation Dental Vision Life Ad&D Ltd and Std Plan-187---
20143243$11,709,263$1,478,835$6,086iApproximate average salary by contribution assumption: employee only about $152,144 at 4% or $101,429 at 6%; with 50% employer match about $101,429 at 4% or $67,619 at 6%; with 100% employer match about $76,072 at 4% or $50,715 at 6%.
Capstone Corporation 401(K) Plan-243$11,709,263$1,478,835$6,086iApproximate average salary by contribution assumption: employee only about $152,144 at 4% or $101,429 at 6%; with 50% employer match about $101,429 at 4% or $67,619 at 6%; with 100% employer match about $76,072 at 4% or $50,715 at 6%.
Csa Health and Welfare Plan-97---
Capstone Corporation Dental Vision Life Ad&D Ltd and Std Plan-228---
20133320$13,366,287$2,181,880$6,818iApproximate average salary by contribution assumption: employee only about $170,459 at 4% or $113,640 at 6%; with 50% employer match about $113,640 at 4% or $75,760 at 6%; with 100% employer match about $85,230 at 4% or $56,820 at 6%.
Capstone Corporation 401(K) Plan-320$13,366,287$2,181,880$6,818iApproximate average salary by contribution assumption: employee only about $170,459 at 4% or $113,640 at 6%; with 50% employer match about $113,640 at 4% or $75,760 at 6%; with 100% employer match about $85,230 at 4% or $56,820 at 6%.
Csa Health and Welfare Plan-120---
Capstone Corporation Dental Vision Life Ad&D Ltd and Std Plan-233---
20123448$12,317,402$2,541,189$5,672iApproximate average salary by contribution assumption: employee only about $141,807 at 4% or $94,538 at 6%; with 50% employer match about $94,538 at 4% or $63,026 at 6%; with 100% employer match about $70,904 at 4% or $47,269 at 6%.
Capstone Corporation 401(K) Plan-448$12,317,402$2,541,189$5,672iApproximate average salary by contribution assumption: employee only about $141,807 at 4% or $94,538 at 6%; with 50% employer match about $94,538 at 4% or $63,026 at 6%; with 100% employer match about $70,904 at 4% or $47,269 at 6%.
Csa Health and Welfare Plan-181---
Capstone Corporation Dental Vision Life Ad&D Ltd and Std Plan-245---
20113511$10,690,461$2,733,725$5,350iApproximate average salary by contribution assumption: employee only about $133,744 at 4% or $89,163 at 6%; with 50% employer match about $89,163 at 4% or $59,442 at 6%; with 100% employer match about $66,872 at 4% or $44,581 at 6%.
Capstone Corporation 401(K) Plan-511$10,690,461$2,733,725$5,350iApproximate average salary by contribution assumption: employee only about $133,744 at 4% or $89,163 at 6%; with 50% employer match about $89,163 at 4% or $59,442 at 6%; with 100% employer match about $66,872 at 4% or $44,581 at 6%.
Csa Health and Welfare Plan-190---
Capstone Corporation Dental Vision Life Ad&D Ltd and Std Plan-372---
20103541$10,588,143$3,152,973$5,828iApproximate average salary by contribution assumption: employee only about $145,701 at 4% or $97,134 at 6%; with 50% employer match about $97,134 at 4% or $64,756 at 6%; with 100% employer match about $72,851 at 4% or $48,567 at 6%.
Capstone Corporation 401(K) Plan-541$10,588,143$3,152,973$5,828iApproximate average salary by contribution assumption: employee only about $145,701 at 4% or $97,134 at 6%; with 50% employer match about $97,134 at 4% or $64,756 at 6%; with 100% employer match about $72,851 at 4% or $48,567 at 6%.
Csa Health and Welfare Plan-293---
Capstone Corporation Dental Vision Life Ad&D Ltd and Std Plan-444---
20093503$0$0-
Capstone Corporation 401(K) Plan-----
Csa Health and Welfare Plan-379---
Capstone Corporation Dental Vision Life Ad&D Ltd and Std Plan-503---
20083407$3,566,330$1,915,859$4,707iApproximate average salary by contribution assumption: employee only about $117,682 at 4% or $78,455 at 6%; with 50% employer match about $78,455 at 4% or $52,303 at 6%; with 100% employer match about $58,841 at 4% or $39,227 at 6%.
Capstone Corporation 401(K) Plan-404$3,566,330$1,915,859$4,742iApproximate average salary by contribution assumption: employee only about $118,556 at 4% or $79,037 at 6%; with 50% employer match about $79,037 at 4% or $52,691 at 6%; with 100% employer match about $59,278 at 4% or $39,519 at 6%.
Csa Health and Welfare Plan-192---
Capstone Corporation Dental Vision Life Ad&D Ltd and Std Plan-407---
20073342$3,616,337$981,386$2,870iApproximate average salary by contribution assumption: employee only about $71,739 at 4% or $47,826 at 6%; with 50% employer match about $47,826 at 4% or $31,884 at 6%; with 100% employer match about $35,869 at 4% or $23,913 at 6%.
Capstone Corporation 401(K) Plan-234$3,616,337$981,386$4,194iApproximate average salary by contribution assumption: employee only about $104,849 at 4% or $69,899 at 6%; with 50% employer match about $69,899 at 4% or $46,600 at 6%; with 100% employer match about $52,424 at 4% or $34,950 at 6%.
Csa Health and Welfare Plan-180---
Capstone Corporation Dental Vision Life Ad&D Ltd and Std Plan-342---
20063235$2,991,959$692,810$2,948iApproximate average salary by contribution assumption: employee only about $73,703 at 4% or $49,135 at 6%; with 50% employer match about $49,135 at 4% or $32,757 at 6%; with 100% employer match about $36,852 at 4% or $24,568 at 6%.
Capstone Corporation 401(K) Plan-227$2,991,959$692,810$3,052iApproximate average salary by contribution assumption: employee only about $76,301 at 4% or $50,867 at 6%; with 50% employer match about $50,867 at 4% or $33,911 at 6%; with 100% employer match about $38,150 at 4% or $25,434 at 6%.
Capstone Corporation Dental Vision Life Ad&D Ltd and Std Plan-235---
Csa Health and Welfare Plan-146---
20053230$2,375,969$554,215$2,410iApproximate average salary by contribution assumption: employee only about $60,241 at 4% or $40,161 at 6%; with 50% employer match about $40,161 at 4% or $26,774 at 6%; with 100% employer match about $30,120 at 4% or $20,080 at 6%.
Capstone Corporation 401(K) Plan-217$2,375,969$554,215$2,554iApproximate average salary by contribution assumption: employee only about $63,850 at 4% or $42,566 at 6%; with 50% employer match about $42,566 at 4% or $28,378 at 6%; with 100% employer match about $31,925 at 4% or $21,283 at 6%.
Csa Health and Welfare Plan-119---
Capstone Corporation Dental Vision Life Ad&D Ltd and Std Plan-230---
20042179$1,819,701$424,824$2,373iApproximate average salary by contribution assumption: employee only about $59,333 at 4% or $39,555 at 6%; with 50% employer match about $39,555 at 4% or $26,370 at 6%; with 100% employer match about $29,666 at 4% or $19,778 at 6%.
Capstone Corporation 401(K) Plan-167$1,819,701$424,824$2,544iApproximate average salary by contribution assumption: employee only about $63,596 at 4% or $42,398 at 6%; with 50% employer match about $42,398 at 4% or $28,265 at 6%; with 100% employer match about $31,798 at 4% or $21,199 at 6%.
Csa Health and Welfare Plan-179---
20034163$1,511,929$354,447$2,175iApproximate average salary by contribution assumption: employee only about $54,363 at 4% or $36,242 at 6%; with 50% employer match about $36,242 at 4% or $24,161 at 6%; with 100% employer match about $27,182 at 4% or $18,121 at 6%.
Capstone Corporation 401(K) PlanCurrent87$1,511,929$354,447$4,074iApproximate average salary by contribution assumption: employee only about $101,853 at 4% or $67,902 at 6%; with 50% employer match about $67,902 at 4% or $45,268 at 6%; with 100% employer match about $50,926 at 4% or $33,951 at 6%.
Csa Health and Welfare Plan-163---
Csa Health and Welfare Plan-0---
Capstone Corporation Dental Vision Life Ad&D Ltd and Std Plan-0---
20021157$974,096$323,631$2,061iApproximate average salary by contribution assumption: employee only about $51,534 at 4% or $34,356 at 6%; with 50% employer match about $34,356 at 4% or $22,904 at 6%; with 100% employer match about $25,767 at 4% or $17,178 at 6%.
Capstone Corporation 401(K) Plan-157$974,096$323,631$2,061iApproximate average salary by contribution assumption: employee only about $51,534 at 4% or $34,356 at 6%; with 50% employer match about $34,356 at 4% or $22,904 at 6%; with 100% employer match about $25,767 at 4% or $17,178 at 6%.
20011195$862,915$269,130$1,380iApproximate average salary by contribution assumption: employee only about $34,504 at 4% or $23,003 at 6%; with 50% employer match about $23,003 at 4% or $15,335 at 6%; with 100% employer match about $17,252 at 4% or $11,501 at 6%.
Capstone Corporation 401(K) Plan-195$862,915$269,130$1,380iApproximate average salary by contribution assumption: employee only about $34,504 at 4% or $23,003 at 6%; with 50% employer match about $23,003 at 4% or $15,335 at 6%; with 100% employer match about $17,252 at 4% or $11,501 at 6%.
2000173$0$0-
Capstone Corporation 401(K) Plan-73---
Schedule Details

Schedule A

Row 1
Filing Id
84037362412274
Form Id
55368113
Page Id
1
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
3020374362412020003
Ins Broker Comm Pd 01 Amount
$0
Ins Broker Fees Pd 01 Amount
$0
Row 2
Filing Id
84037362412274
Form Id
55368112
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
3020374362412020002
Ins Broker 01 Name
SOLOMON SMITH BARNEY
Ins Broker Comm Pd 01 Amount
$6,316
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
4
Row 3
Filing Id
84037362412274
Form Id
55368112
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
3020374362412020002
Ins Broker 01 Name
POLLARD & ASSOCIATES, INC.
Ins Broker 01 Street Addr
ONE NORTH PARK DRIVE, SUITE 104
Ins Broker 01 City
HUNT VALLEY
Ins Broker 01 State
MD
Ins Broker 01 ZIP Code
21030
Ins Broker Comm Pd 01 Amount
$651
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
5
Row 4
Ins Carrier Name: THE MANUFACTURERS LIFE INSURANCE COMPANY USA
Filing Id
84037362412274
Form Id
55368112
Schedule A EIN
54-1393220
Schedule A Plan Num
001
Schedule A Plan Year Begin Date
2003-01-01
Schedule A Tax Period
20031231
Ins Carrier Name
THE MANUFACTURERS LIFE INSURANCE COMPANY USA
Ins Carrier EIN
01-0233346
Ins Carrier Naic Code
65838
Ins Contract Num
72209
Ins Prsn Covered End of year Count
175
Ins Policy From Date
2003-01-01
Ins Policy To Date
2003-12-31
Ins Broker Comm Total Amount
$6,967
Ins Broker Fees Total Amount
$0
Pension End of year Gen Account Amount
$13,743
Pension End of year Sep Account Amount
$1,417,680
Pension Prem Paid Total Amount
$0
Pension Unpaid Premium Amount
$0
Pension Contract Cost Amount
$0
Pnsn Type Unalloc Cntrct I
3
Pension End Prev Bal Amount
$5,457
Pension Contribution Dep Amount
$8,072
Pension Divnd Cr Dep Amount
$0
Pension Interest Cr Dur Yr Amount
$328
Pension Transfer From Amount
$0
Pension Other Amount
$0
Pension Total Additions Amount
$8,400
Pension Total Bal Addn Amount
$13,857
Pension Bnfts Dsbrsd Amount
$0
Pension Admin Chrg Amount
$114
Pension Transfer To Amount
$0
Pension Oth Ded Amount
$0
Pension Total Ded Amount
$114
Pension End of year Bal Amount
$13,743
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
Row 5
Ins Carrier Name: AETNA LIFE INSURANCE AND ANNUITY COMPANY
Filing Id
84037362412274
Form Id
55368113
Schedule A EIN
54-1393220
Schedule A Plan Num
001
Schedule A Plan Year Begin Date
2003-01-01
Schedule A Tax Period
20031231
Ins Carrier Name
AETNA LIFE INSURANCE AND ANNUITY COMPANY
Ins Carrier EIN
71-0294708
Ins Carrier Naic Code
86509
Ins Contract Num
PH2044
Ins Prsn Covered End of year Count
3
Ins Policy From Date
2003-01-01
Ins Policy To Date
2003-12-31
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
$15,163
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 PENSION FUNDING
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
$45
Pension Other Amount
$0
Pension Total Additions Amount
$45
Pension Total Bal Addn Amount
$45
Pension Bnfts Dsbrsd Amount
$0
Pension Admin Chrg Amount
$45
Pension Transfer To Amount
$0
Pension Oth Ded Amount
$0
Pension Total Ded Amount
$45
Pension End of year Bal Amount
$0
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
84037362412274
Page Id
1
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
DIVERSIFIED BOND FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$7,561
Row 2
Filing Id
84037362412274
Page Id
1
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
3020374362412020004
Row 3
Filing Id
84037362412274
Page Id
1
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
LIFESTYLE CONSERVATIVE 280
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$33,657
Row 4
Filing Id
84037362412274
Page Id
2
Page Seq
1
Page Row Num
1
Row Num
10
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
GLOBAL BOND FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$45,467
Row 5
Filing Id
84037362412274
Page Id
2
Page Seq
1
Page Row Num
2
Row Num
11
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
STRATEGIC BOND FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$9,189
Row 6
Filing Id
84037362412274
Page Id
2
Page Seq
1
Page Row Num
3
Row Num
12
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
HIGH YIELD FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$4,705
Row 7
Filing Id
84037362412274
Page Id
2
Page Seq
1
Page Row Num
4
Row Num
13
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
BALANCED FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$1,790
Row 8
Filing Id
84037362412274
Page Id
2
Page Seq
1
Page Row Num
5
Row Num
14
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
INCOME & VALUE FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$1,907
Row 9
Filing Id
84037362412274
Page Id
2
Page Seq
1
Page Row Num
6
Row Num
15
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
EQUITY INCOME FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$18,494
Row 10
Filing Id
84037362412274
Page Id
2
Page Seq
2
Page Row Num
1
Row Num
16
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
GROWTH & INCOME FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$13,209
Row 11
Filing Id
84037362412274
Page Id
2
Page Seq
2
Page Row Num
2
Row Num
17
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
FUNDAMENTAL VALUE FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$6,589
Row 12
Filing Id
84037362412274
Page Id
2
Page Seq
2
Page Row Num
3
Row Num
18
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
500 INDEX FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$19,800
Row 13
Filing Id
84037362412274
Page Id
2
Page Seq
2
Page Row Num
4
Row Num
19
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
ALL CAP VALUE FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$3,347
Row 14
Filing Id
84037362412274
Page Id
1
Page Seq
0
Page Row Num
3
Row Num
2
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
LIFESTYLE MODERATE 460
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$41,646
Row 15
Filing Id
84037362412274
Page Id
2
Page Seq
2
Page Row Num
5
Row Num
20
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
VALUE FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$6,750
Row 16
Filing Id
84037362412274
Page Id
2
Page Seq
2
Page Row Num
6
Row Num
21
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
MID CAP VALUE FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$3,346
Row 17
Filing Id
84037362412274
Page Id
2
Page Seq
3
Page Row Num
1
Row Num
22
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
SMALL COMPANY VALUE FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$15,047
Row 18
Filing Id
84037362412274
Page Id
2
Page Seq
3
Page Row Num
2
Row Num
23
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
REAL EST. SECURITIES FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$44,386
Row 19
Filing Id
84037362412274
Page Id
2
Page Seq
3
Page Row Num
3
Row Num
24
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
UTILITIES FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$215
Row 20
Filing Id
84037362412274
Page Id
2
Page Seq
3
Page Row Num
4
Row Num
25
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
US LARGE CAP FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$4,626
Row 21
Filing Id
84037362412274
Page Id
2
Page Seq
3
Page Row Num
5
Row Num
26
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
BLUE CHIP GROWTH FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$99,845
Row 22
Filing Id
84037362412274
Page Id
2
Page Seq
3
Page Row Num
6
Row Num
27
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
QUANTITATIVE EQUITY FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$519
Row 23
Filing Id
84037362412274
Page Id
2
Page Seq
4
Page Row Num
1
Row Num
28
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
TOTAL STOCK MARKET INDEX FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$801
Row 24
Filing Id
84037362412274
Page Id
2
Page Seq
4
Page Row Num
2
Row Num
29
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
LARGE CAP GROWTH FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$33,874
Row 25
Filing Id
84037362412274
Page Id
1
Page Seq
0
Page Row Num
4
Row Num
3
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
LIFESTYLE BALANCED 640
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$104,348
Row 26
Filing Id
84037362412274
Page Id
2
Page Seq
4
Page Row Num
3
Row Num
30
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
ALL CAP CORE FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$7,095
Row 27
Filing Id
84037362412274
Page Id
2
Page Seq
4
Page Row Num
4
Row Num
31
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
STRATEGIC GROWTH FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$212
Row 28
Filing Id
84037362412274
Page Id
2
Page Seq
4
Page Row Num
5
Row Num
32
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
GLOBAL EQUITY FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$12,253
Row 29
Filing Id
84037362412274
Page Id
2
Page Seq
4
Page Row Num
6
Row Num
33
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
MID CAP INDEX FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$4,081
Row 30
Filing Id
84037362412274
Page Id
2
Page Seq
5
Page Row Num
1
Row Num
34
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
INTERNATIONAL VALUE FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$14,327
Row 31
Filing Id
84037362412274
Page Id
2
Page Seq
5
Page Row Num
2
Row Num
35
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
INTL SMALL CAP FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$6,038
Row 32
Filing Id
84037362412274
Page Id
2
Page Seq
5
Page Row Num
3
Row Num
36
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
OVERSEAS FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$13,752
Row 33
Filing Id
84037362412274
Page Id
2
Page Seq
5
Page Row Num
4
Row Num
37
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
INTERNATIONAL STOCK FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$9,873
Row 34
Filing Id
84037362412274
Page Id
2
Page Seq
5
Page Row Num
5
Row Num
38
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
STRATEGIC OPPS FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$22,385
Row 35
Filing Id
84037362412274
Page Id
2
Page Seq
5
Page Row Num
6
Row Num
39
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
ALL CAP GROWTH FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$26,514
Row 36
Filing Id
84037362412274
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
4
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
LIFESTYLE GROWTH 820
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$404,188
Row 37
Filing Id
84037362412274
Page Id
2
Page Seq
6
Page Row Num
1
Row Num
40
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
MID CAP STOCK FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$216
Row 38
Filing Id
84037362412274
Page Id
2
Page Seq
6
Page Row Num
2
Row Num
41
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
DYNAMIC GROWTH FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$8,484
Row 39
Filing Id
84037362412274
Page Id
2
Page Seq
6
Page Row Num
3
Row Num
42
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
SMALL CAP INDEX FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$6,663
Row 40
Filing Id
84037362412274
Page Id
2
Page Seq
6
Page Row Num
4
Row Num
43
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
SMALL COMPANY BLEND FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$226
Row 41
Filing Id
84037362412274
Page Id
2
Page Seq
6
Page Row Num
5
Row Num
44
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
EMERGING SMALL CO FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$11,926
Row 42
Filing Id
84037362412274
Page Id
2
Page Seq
6
Page Row Num
6
Row Num
45
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
AGGRESSIVE GROWTH FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$4,375
Row 43
Filing Id
84037362412274
Page Id
2
Page Seq
7
Page Row Num
1
Row Num
46
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
HEALTH SCIENCES FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$9,656
Row 44
Filing Id
84037362412274
Page Id
2
Page Seq
7
Page Row Num
2
Row Num
47
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
PAC RIM EMERG MARKET FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$3,889
Row 45
Filing Id
84037362412274
Page Id
2
Page Seq
7
Page Row Num
3
Row Num
48
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
SCIENCE & TECHNOLOGY FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$68,629
Row 46
Filing Id
84037362412274
Page Id
2
Page Seq
7
Page Row Num
4
Row Num
49
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
MAP CONTRACT: SEPARATE ACCOUNT D
DFE P1 Spons 01 Name
ING LIFE INSURANCE AND ANNUITY CO
DFE P1 Plan 01 EIN Plan number
710294708000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$15,163
Row 47
Filing Id
84037362412274
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
5
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
LIFESTYLE AGGRESSIVE 1000
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$132,353
Row 48
Filing Id
84037362412274
Page Id
2
Page Seq
0
Page Row Num
3
Row Num
6
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
MONEY MARKET FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$80,017
Row 49
Filing Id
84037362412274
Page Id
2
Page Seq
0
Page Row Num
4
Row Num
7
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
US GOVERNMENT SECS FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$38,602
Row 50
Filing Id
84037362412274
Page Id
2
Page Seq
0
Page Row Num
5
Row Num
8
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
TOTAL RETURN FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$5,477
Row 51
Filing Id
84037362412274
Page Id
2
Page Seq
0
Page Row Num
6
Row Num
9
Image Form Id
3020374362412020004
DFE P1 Entity 01 Name
INVESTMENT QUAL BOND FUND
DFE P1 Spons 01 Name
THE MANUFACTURERS LIFE INSURANCE CO
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$5,358

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$1,511,929$537,833 change

Balance Sheet

Beginning and end of plan year.

Total assets$974,096$1,511,929Increase +$537,833 (55.21%)
Total liabilities$0$0No change $0
Net assets$974,096$1,511,929Increase +$537,833 (55.21%)

Contributions

Employer contributions$72,343
Participant contributions$227,436
Other contributions$54,668
Total contributions$354,447

Income & Investment Result

Total income$637,760
Interest$2,763
Dividends$0
Net income$537,833

Expenses & Fees

Benefits paid$86,510
Investment management$0
Administrative expenses$13,417
Total expenses$99,927

Accountant

FirmRUBINO & MCGEEHIN, CHARTERED
Firm EIN52-1186096

Compliance

Fidelity bondYes
Fidelity bond amount$75,000
Participant loans$41,335
Late contributionsNo
Schedule H source fields
Financial summary
Total assets at beginning of year: $974,096Total assets at end of year: $1,511,929Total liabilities at end of year: $0Net income or loss: $537,833
Filing Id
84037362412274
Schedule H EIN
54-1393220
Schedule H Plan number
001
Schedule H Plan Year Begin Date
2003-01-01
Schedule H Tax Period
20031231
Non Interest Bear Cash Beginning of year Amount
$22,428
Employer Contribution Beginning of year Amount
$20,779
Participants Contribution Beginning of year Amount
$18,392
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
$39,203
Interest Common Tr Beginning of year Amount
$0
Interest Pool Sep Account Beginning of year Amount
$868,057
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
$5,237
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
$974,096
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
$974,096
Non Interest Bear Cash End of year Amount
$23,877
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
$41,335
Interest Common Tr End of year Amount
$0
Interest Pool Sep Account End of year Amount
$1,432,974
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
$13,743
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
$1,511,929
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
$1,511,929
Employer contributions
$72,343
Participant contributions
$227,436
Oth Contribution Rcvd Amount
$54,668
Non Cash Contribution Bs Amount
$0
Total contributions
$354,447
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
$2,435
Interest On Oth Investment Amount
$328
Total interest income
$2,763
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
$280,550
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
$637,760
Participant distributions
$86,510
Ins Carrier Bnfts Amount
$0
Oth Bnft Payment Amount
$0
Total benefit distributions
$86,510
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
$13,417
Total administrative expenses
$13,417
Total expenses
$99,927
Net income or loss
$537,833
Total Transfers To Amount
$0
Transfers from other plans
$0
Accountant Opinion Type Indicator
3
Accountant firm name
RUBINO & MCGEEHIN, CHARTERED
Accountant firm EIN
52-1186096
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
$75,000
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 EIN01-0233346

Transfers

Distributed property value$0
Schedule R source fields
Payor 01-0233346
Filing Id
84037362412274
Schedule R EIN
54-1393220
Schedule R Plan number
001
Schedule R Plan Year Begin Date
2003-01-01
Schedule R Tax Period
20031231
Pension Value Dstrb Pd Property Amount
$0
Pension payor EIN
01-0233346
Pension Bnft Distribution Sngl Sum Count
0
Pension Employer Contribution Rqr Amount
$0
Pension Employer Contribution Paid Amount
$0
Pension Funding Deficiency Amount
$0