Civic Intelligence
Filing

Ameriplan USA 401K Retirement Savings Plan Plan

Ameriplan Corporation • EIN 75-2452941 • Plan year 2001

Filing Insights

Participants

Up

163 → 173

10 • 6.13%

Assets

Up

$501,413 → $762,996

$261,583 • 52.17%

Investment Management Fee

0.00%

$0

Admin expenses $11,700 • Total expenses $78,417

Filing Details

Context
Net investment result
$261,583
Pension payor EIN
10-0000000

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
WARD, ASEL & ASSOCIATES, PCEIN 75-2747768Accountant--

Company Timeline

This filing is highlighted inside the broader sponsor history.

Year / FilingFilingsParticipantsAssetsContributionsContrib./Participant
201010$0$0-
Ameriplan USA 401K Retirement Savings Plan Plan-0$0--
200910$932,468$280,968-
Ameriplan USA 401K Retirement Savings Plan Plan-0$932,468$280,968-
20081191$2,332,590$480,091$2,514iApproximate average salary by contribution assumption: employee only about $62,839 at 4% or $41,893 at 6%; with 50% employer match about $41,893 at 4% or $27,929 at 6%; with 100% employer match about $31,420 at 4% or $20,946 at 6%.
Ameriplan USA 401K Retirement Savings Plan Plan-191$2,332,590$480,091$2,514iApproximate average salary by contribution assumption: employee only about $62,839 at 4% or $41,893 at 6%; with 50% employer match about $41,893 at 4% or $27,929 at 6%; with 100% employer match about $31,420 at 4% or $20,946 at 6%.
20071289$3,303,188$559,446$1,936iApproximate average salary by contribution assumption: employee only about $48,395 at 4% or $32,263 at 6%; with 50% employer match about $32,263 at 4% or $21,509 at 6%; with 100% employer match about $24,197 at 4% or $16,132 at 6%.
Ameriplan USA 401K Retirement Savings Plan Plan-289$3,303,188$559,446$1,936iApproximate average salary by contribution assumption: employee only about $48,395 at 4% or $32,263 at 6%; with 50% employer match about $32,263 at 4% or $21,509 at 6%; with 100% employer match about $24,197 at 4% or $16,132 at 6%.
20061197$0$0-
Ameriplan USA 401K Retirement Savings Plan Plan-197---
20051220$2,205,179$493,050$2,241iApproximate average salary by contribution assumption: employee only about $56,028 at 4% or $37,352 at 6%; with 50% employer match about $37,352 at 4% or $24,902 at 6%; with 100% employer match about $28,014 at 4% or $18,676 at 6%.
Ameriplan USA 401K Retirement Savings Plan Plan-220$2,205,179$493,050$2,241iApproximate average salary by contribution assumption: employee only about $56,028 at 4% or $37,352 at 6%; with 50% employer match about $37,352 at 4% or $24,902 at 6%; with 100% employer match about $28,014 at 4% or $18,676 at 6%.
20041198$1,708,291$349,603$1,766iApproximate average salary by contribution assumption: employee only about $44,142 at 4% or $29,428 at 6%; with 50% employer match about $29,428 at 4% or $19,619 at 6%; with 100% employer match about $22,071 at 4% or $14,714 at 6%.
Ameriplan USA 401K Retirement Savings Plan Plan-198$1,708,291$349,603$1,766iApproximate average salary by contribution assumption: employee only about $44,142 at 4% or $29,428 at 6%; with 50% employer match about $29,428 at 4% or $19,619 at 6%; with 100% employer match about $22,071 at 4% or $14,714 at 6%.
20031203$1,320,499$325,756$1,605iApproximate average salary by contribution assumption: employee only about $40,118 at 4% or $26,745 at 6%; with 50% employer match about $26,745 at 4% or $17,830 at 6%; with 100% employer match about $20,059 at 4% or $13,373 at 6%.
Ameriplan USA 401K Retirement Savings Plan Plan-203$1,320,499$325,756$1,605iApproximate average salary by contribution assumption: employee only about $40,118 at 4% or $26,745 at 6%; with 50% employer match about $26,745 at 4% or $17,830 at 6%; with 100% employer match about $20,059 at 4% or $13,373 at 6%.
20011173$762,996$371,380$2,147iApproximate average salary by contribution assumption: employee only about $53,668 at 4% or $35,778 at 6%; with 50% employer match about $35,778 at 4% or $23,852 at 6%; with 100% employer match about $26,834 at 4% or $17,889 at 6%.
Ameriplan USA 401K Retirement Savings Plan PlanCurrent173$762,996$371,380$2,147iApproximate average salary by contribution assumption: employee only about $53,668 at 4% or $35,778 at 6%; with 50% employer match about $35,778 at 4% or $23,852 at 6%; with 100% employer match about $26,834 at 4% or $17,889 at 6%.
20001147$0$0-
Ameriplan USA 401K Retirement Savings Plan Plan-147---
Schedule Details

Schedule A

Row 1
Filing Id
84037246569813
Form Id
37567269
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
1040373246569060002
Ins Broker 01 Name
MML INSURANCE AGENCY INC
Ins Broker 01 Street Addr
1414 MAIN ST 9TH FLOOR
Ins Broker 01 City
SPRINGFIELD
Ins Broker Comm Pd 01 Amount
$3,750
Ins Broker Fees Pd 01 Amount
$6
Ins Broker Fees Pd 01 Text
ERVICE FEE
Row 2
Filing Id
84037246569813
Form Id
37567269
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
1040373246569060002
Ins Broker 01 Name
CORPORATE BENEFITS SYSTES INC
Ins Broker 01 Street Addr
14911 QUORUM DR STE 300
Ins Broker 01 City
DALLAS
Ins Broker Comm Pd 01 Amount
$337
Ins Broker Fees Pd 01 Amount
$0
Row 3
Ins Carrier Name: PRINCIPAL LIFE INSURANCE COMPANY
Filing Id
84037246569813
Form Id
37567269
Schedule A EIN
75-2452941
Schedule A Plan Num
001
Schedule A Plan Year Begin Date
2001-01-01
Schedule A Tax Period
20011231
Ins Carrier Name
PRINCIPAL LIFE INSURANCE COMPANY
Ins Carrier EIN
42-0127290
Ins Carrier Naic Code
61271
Ins Contract Num
33038
Ins Prsn Covered End of year Count
0
Ins Policy From Date
2001-01-01
Ins Policy To Date
2001-12-31
Ins Broker Comm Total Amount
$4,087
Ins Broker Fees Total Amount
$0
Pension End of year Gen Account Amount
$37,839
Pension End of year Sep Account Amount
$660,781
Pension Prem Paid Total Amount
$0
Pension Unpaid Premium Amount
$0
Pension Contract Cost Amount
$0
Pension Type Alloc Cntrct Indicator
Yes
Pnsn Type Unalloc Cntrct I
4
Pension Oth Unalloc Type Text
FLEXIBLE INVESTMENT ANNUITY
Pension End Prev Bal Amount
$1
Pension Contribution Dep Amount
$13,614
Pension Divnd Cr Dep Amount
$0
Pension Interest Cr Dur Yr Amount
$1,890
Pension Transfer From Amount
$0
Pension Other Amount
$1,240
Pension Other Text
LOAN PAYMENT, MKT VALUE CHANGE
Pension Total Additions Amount
$0
Pension Total Bal Addn Amount
$0
Pension Bnfts Dsbrsd Amount
$5,897
Pension Admin Chrg Amount
$0
Pension Transfer To Amount
$24
Pension Oth Ded Amount
$3,671
Pension Oth Ded Text
LOAN WTTHDRAWAL, EXCESS CONTTIB
Pension Total Ded Amount
$10,929
Pension End of year Bal Amount
$37,839
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
84037246569813
Page Id
1
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
1040373246569060003
Row 2
Filing Id
84037246569813
Page Id
1
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
1040373246569060003
Provider 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
Provider 01 EIN
42-0127290
Provider 01 Position
CONTRACT ADMINISTRATOR
Provider 01 Relation
SERVICE PROVIDER
Provider 01 Salary Amount
$0
Provider 01 Fees Amount
$117
Provider 01 Srvc Code
12

Schedule C Provider

Provider 2

Provider details

Source fields
Row 3
Filing Id
84037246569813
Page Id
1
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
1040373246569060003
Provider 01 Name
12
Provider 01 Salary Amount
$0
Provider 01 Fees Amount
$0

Schedule C Provider

Provider 3

Provider details

Source fields
Row 4
Filing Id
84037246569813
Schedule C Plan number
001
Schedule C Plan Year Begin Date
2001-01-01
Schedule C Tax Period
20011231
Provider Total Comp Paid Amount
$0

Schedule D

Row 1
Filing Id
84037246569813
Page Id
1
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
1040373246569060004
Row 2
Filing Id
84037246569813
Page Id
1
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
1040373246569060004
DFE P1 Entity 01 Name
UTNAM VOYAGER M SEP ACCT
DFE P1 Spons 01 Name
RINCIPAL LIFE INSURANCE COMPAN
DFE P1 Plan 01 EIN Plan number
201272900370
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$5,844
Row 3
Filing Id
84037246569813
Page Id
1
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
1040373246569060004
DFE P1 Entity 01 Name
PRINCIPAL MONEY MKT SEP ACCT
DFE P1 Spons 01 Name
RINCIPAL LIFE INSURANCE COMPA
DFE P1 Plan 01 EIN Plan number
201272900240
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$3
Row 4
Filing Id
84037246569813
Page Id
2
Page Seq
1
Page Row Num
1
Row Num
10
Image Form Id
1040373246569060004
DFE P1 Entity 01 Name
PRINCIPAL INTL SM CO SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
201272900140
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$565
Row 5
Filing Id
84037246569813
Page Id
2
Page Seq
1
Page Row Num
2
Row Num
11
Image Form Id
1040373246569060004
DFE P1 Entity 01 Name
AMER CENT VALUE ADV SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
201272900400
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$11
Row 6
Filing Id
84037246569813
Page Id
2
Page Seq
1
Page Row Num
3
Row Num
12
Image Form Id
1040373246569060004
DFE P1 Entity 01 Name
MER CT INC & GR (ADV) SP ACCT
DFE P1 Spons 01 Name
RINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
201272900440
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$94
Row 7
Filing Id
84037246569813
Page Id
2
Page Seq
1
Page Row Num
4
Row Num
13
Image Form Id
1040373246569060004
DFE P1 Entity 01 Name
ID ADV MID CAP SEP ACCT
DFE P1 Spons 01 Name
RINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
201272900470
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$1,880
Row 8
Filing Id
84037246569813
Page Id
2
Page Seq
1
Page Row Num
5
Row Num
14
Image Form Id
1040373246569060004
DFE P1 Entity 01 Name
ID ADV OVERSEAS SEP ACCT
DFE P1 Spons 01 Name
C CO
DFE P1 Plan 01 EIN Plan number
201272900480
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$192
Row 9
Filing Id
84037246569813
Page Id
2
Page Seq
1
Page Row Num
6
Row Num
15
Image Form Id
1040373246569060004
DFE P1 Entity 01 Name
MER CT SMCP VAI (ANV) SP ACCT
DFE P1 Spons 01 Name
RINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
201272900530
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$3,968
Row 10
Filing Id
84037246569813
Page Id
2
Page Seq
2
Page Row Num
1
Row Num
16
Image Form Id
1040373246569060004
DFE P1 Entity 01 Name
FID ADV VAL STRAT SEP ACCT
DFE P1 Spons 01 Name
RINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420121290054
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$23,533
Row 11
Filing Id
84037246569813
Page Id
2
Page Seq
2
Page Row Num
2
Row Num
17
Image Form Id
1040373246569060004
DFE P1 Entity 01 Name
INVESCO LEISURE SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
100000000000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$12,580
Row 12
Filing Id
84037246569813
Page Id
2
Page Seq
2
Page Row Num
3
Row Num
18
Image Form Id
1040373246569060004
DFE P1 Entity 01 Name
NVESCO CORE EQUITY SEP ACCT
DFE P1 Spons 01 Name
RINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
201272900600
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$118
Row 13
Filing Id
84037246569813
Page Id
2
Page Seq
2
Page Row Num
4
Row Num
19
Image Form Id
1040373246569060004
DFE P1 Entity 01 Name
JAUS ADV AGGR GROWTH SEP ACCT
DFE P1 Spons 01 Name
RICF LIE INUE COPANY
DFE P1 Plan 01 EIN Plan number
201272900560
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$16
Row 14
Filing Id
84037246569813
Page Id
1
Page Seq
0
Page Row Num
3
Row Num
2
Image Form Id
1040373246569060004
DFE P1 Entity 01 Name
RINCIPAL BOND & MTGE SEP ACCT
DFE P1 Spons 01 Name
RINCIPAL LIFE INSURANCE COMPA
DFE P1 Plan 01 EIN Plan number
201272900050
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$21
Row 15
Filing Id
84037246569813
Page Id
2
Page Seq
2
Page Row Num
5
Row Num
20
Image Form Id
1040373246569060004
DFE P1 Entity 01 Name
PRIN FIN GRP INC. STK SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
201272900860
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$313
Row 16
Filing Id
84037246569813
Page Id
1
Page Seq
0
Page Row Num
4
Row Num
3
Image Form Id
1040373246569060004
DFE P1 Entity 01 Name
RINCIPAL, GOVT SEC SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPA
DFE P1 Plan 01 EIN Plan number
201272900070
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$2
Row 17
Filing Id
84037246569813
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
4
Image Form Id
1040373246569060004
DFE P1 Entity 01 Name
RIN LG CP STK IDX SEP ACCT
DFE P1 Spons 01 Name
RINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
201212900160
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$6
Row 18
Filing Id
84037246569813
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
5
Image Form Id
1040373246569060004
DFE P1 Entity 01 Name
RIN STOCK EMPH BAL SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
012290000000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$23,187
Row 19
Filing Id
84037246569813
Page Id
2
Page Seq
0
Page Row Num
3
Row Num
6
Image Form Id
1040373246569060004
DFE P1 Entity 01 Name
MER CENT ULTRA (ANV) SEP ACCT
DFE P1 Spons 01 Name
RINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
201272900410
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$161
Row 20
Filing Id
84037246569813
Page Id
2
Page Seq
0
Page Row Num
4
Row Num
7
Image Form Id
1040373246569060004
DFE P1 Entity 01 Name
RINCIPAL LG CO GRWTH SEP ACCT
DFE P1 Spons 01 Name
RINCIPAI LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
201272900180
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$7,891
Row 21
Filing Id
84037246569813
Page Id
2
Page Seq
0
Page Row Num
5
Row Num
8
Image Form Id
1040373246569060004
DFE P1 Entity 01 Name
RINCIPAL MED CO GR SEP ACCT
DFE P1 Spons 01 Name
RR CMPAN
DFE P1 Plan 01 EIN Plan number
201272900210
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$5,332
Row 22
Filing Id
84037246569813
Page Id
2
Page Seq
0
Page Row Num
6
Row Num
9
Image Form Id
1040373246569060004
DFE P1 Entity 01 Name
RINCIPAL SM CO GRWTH SEP ACCT
DFE P1 Spons 01 Name
RINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
201272900300
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$7,904

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$762,996$261,583 change

Balance Sheet

Beginning and end of plan year.

Total assets$501,413$762,996Increase +$261,583 (52.17%)
Total liabilities$0$0No change $0
Net assets$501,413$762,996Increase +$261,583 (52.17%)

Contributions

Employer contributions$71,275
Participant contributions$205,175
Other contributions$94,930
Total contributions$371,380

Income & Investment Result

Total income$340,000
Interest$6,037
Dividends$0
Net income$261,583

Expenses & Fees

Benefits paid$52,852
Investment management$0
Administrative expenses$11,700
Total expenses$78,417

Accountant

FirmWARD, ASEL & ASSOCIATES, PC
Firm EIN75-2747768

Compliance

Fidelity bondYes
Fidelity bond amount$20,000
Participant loans$62,954
Late contributionsNo
Schedule H source fields
Financial summary
Total assets at beginning of year: $501,413Total assets at end of year: $762,996Total liabilities at end of year: $0Net income or loss: $261,583
Filing Id
84037246569813
Schedule H EIN
75-2452941
Schedule H Plan number
001
Schedule H Plan Year Begin Date
2001-01-01
Schedule H Tax Period
20011231
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
$40,647
Interest Common Tr Beginning of year Amount
$0
Interest Pool Sep Account Beginning of year Amount
$428,994
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
$31,772
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
$501,413
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
$501,413
Non Interest Bear Cash End of year Amount
$0
Employer Contribution End of year Amount
$454
Participants Contribution End of year Amount
$968
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
$62,954
Interest Common Tr End of year Amount
$0
Interest Pool Sep Account End of year Amount
$660,781
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
$37,839
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
$762,996
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
$762,996
Employer contributions
$71,275
Participant contributions
$205,175
Oth Contribution Rcvd Amount
$94,930
Non Cash Contribution Bs Amount
$0
Total contributions
$371,380
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
$4,147
Interest On Oth Investment Amount
$1,890
Total interest income
$6,037
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
$-62,465
Gain Loss Master Tr Amount
$0
Gain Loss 103 12 Investment Amount
$0
Gain or loss on registered investments
$0
Other Income Amount
$25,048
Total income
$340,000
Participant distributions
$52,852
Ins Carrier Bnfts Amount
$0
Oth Bnft Payment Amount
$0
Total benefit distributions
$52,852
Total Corrective Distribution Amount
$13,865
Total Dm Distribution Ptcp Lns A
0
Total Interest Expense Amount
$0
Professional Fees Amount
$0
Contract Admin Fees Amount
$11,700
Investment management fees
$0
Other Admin Fees Amount
$0
Total administrative expenses
$11,700
Total expenses
$78,417
Net income or loss
$261,583
Total Transfers To Amount
$0
Transfers from other plans
$0
Accountant Opinion Type Indicator
No
Account Performed Limited Audit Indicator
Yes
Accountant firm name
WARD, ASEL & ASSOCIATES, PC
Accountant firm EIN
75-2747768
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
$20,000
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
Plan Transfer 04 Name
E

Schedule R

Schedule R Pension Information

Retirement plan characteristics

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

Pension & Payor

Payor EIN10-0000000

Transfers

Distributed property value$0
Schedule R source fields
Payor 10-0000000
Filing Id
84037246569813
Schedule R EIN
75-2452941
Schedule R Plan number
001
Schedule R Plan Year Begin Date
2001-01-01
Schedule R Tax Period
20011231
Pension Value Dstrb Pd Property Amount
$0
Pension payor EIN
10-0000000
Pension Bnft Distribution Sngl Sum Count
0
Pension Employer Contribution Rqr Amount
$0
Pension Employer Contribution Paid Amount
$0
Pension Funding Deficiency Amount
$0