Civic Intelligence
Filing

Ameriplan USA 401K Retirement Savings Plan Plan

Ameriplan Corporation • EIN 75-2452941 • Plan year 2004

Filing Insights

Participants

Down

212 → 198

-14 • -6.60%

Assets

Up

$1,320,499 → $1,708,291

$387,792 • 29.37%

Investment Management Fee

0.00%

$0

Admin expenses $0 • Total expenses $63,467

Filing Details

Context
Net investment result
$387,792
Pension payor EIN
42-0127290

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

Yes

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$3,008,177$908,394$4,611iApproximate average salary by contribution assumption: employee only about $115,278 at 4% or $76,852 at 6%; with 50% employer match about $76,852 at 4% or $51,235 at 6%; with 100% employer match about $57,639 at 4% or $38,426 at 6%.
Ameriplan USA 401K Retirement Savings Plan Plan-197$3,008,177$908,394$4,611iApproximate average salary by contribution assumption: employee only about $115,278 at 4% or $76,852 at 6%; with 50% employer match about $76,852 at 4% or $51,235 at 6%; with 100% employer match about $57,639 at 4% or $38,426 at 6%.
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 PlanCurrent198$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 Plan-173$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 D

Row 1
Filing Id
84037356156275
Page Id
3
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
4020375356156020002
Row 2
Filing Id
84037356156275
Page Id
1
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
PUTNAM VOYAGER M SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290037
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 3
Filing Id
84037356156275
Page Id
1
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
PRINCIPAL MONEY MKT SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290024
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 4
Filing Id
84037356156275
Page Id
2
Page Seq
1
Page Row Num
1
Row Num
10
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
PRINCIPAL INTL SM CP SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290014
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 5
Filing Id
84037356156275
Page Id
2
Page Seq
1
Page Row Num
2
Row Num
11
Image Form Id
4020375356156020002
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
420127290043
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 6
Filing Id
84037356156275
Page Id
2
Page Seq
1
Page Row Num
3
Row Num
12
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
AMER CT INC & GR ADV SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290044
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 7
Filing Id
84037356156275
Page Id
2
Page Seq
1
Page Row Num
4
Row Num
13
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
FID ADV MID CAP SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290047
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 8
Filing Id
84037356156275
Page Id
2
Page Seq
1
Page Row Num
5
Row Num
14
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
FID ADV OVERSEAS SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290048
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 9
Filing Id
84037356156275
Page Id
2
Page Seq
1
Page Row Num
6
Row Num
15
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
AMER CT SMCP VAL ADV SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290053
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 10
Filing Id
84037356156275
Page Id
2
Page Seq
2
Page Row Num
1
Row Num
16
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
FID ADV VAL STRAT SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290054
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 11
Filing Id
84037356156275
Page Id
2
Page Seq
2
Page Row Num
2
Row Num
17
Image Form Id
4020375356156020002
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
420127290059
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 12
Filing Id
84037356156275
Page Id
2
Page Seq
2
Page Row Num
3
Row Num
18
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
INVESCO CORE EQUITY SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290060
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 13
Filing Id
84037356156275
Page Id
2
Page Seq
2
Page Row Num
4
Row Num
19
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
JANUS ADV MID-CAP GR I SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290056
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 14
Filing Id
84037356156275
Page Id
1
Page Seq
0
Page Row Num
3
Row Num
2
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
PRINCIPAL BOND AND MTG SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290005
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 15
Filing Id
84037356156275
Page Id
2
Page Seq
2
Page Row Num
5
Row Num
20
Image Form Id
4020375356156020002
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
420127290086
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 16
Filing Id
84037356156275
Page Id
2
Page Seq
2
Page Row Num
6
Row Num
21
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
PRIN PTR MD-CP GROWTH SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290026
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 17
Filing Id
84037356156275
Page Id
2
Page Seq
3
Page Row Num
1
Row Num
22
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
PRIN PTR LG-CAP BLEND SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290065
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 18
Filing Id
84037356156275
Page Id
2
Page Seq
3
Page Row Num
2
Row Num
23
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
PRIN PTR SM-CAP GR II SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290071
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 19
Filing Id
84037356156275
Page Id
2
Page Seq
3
Page Row Num
3
Row Num
24
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
PRINCIPAL LIFETM 2010 SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290075
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 20
Filing Id
84037356156275
Page Id
2
Page Seq
3
Page Row Num
4
Row Num
25
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
PRINCIPAL LIFETM 2020 SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290076
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 21
Filing Id
84037356156275
Page Id
2
Page Seq
3
Page Row Num
5
Row Num
26
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
PRINCIPAL LIFETM 2030 SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290077
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 22
Filing Id
84037356156275
Page Id
2
Page Seq
3
Page Row Num
6
Row Num
27
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
PRINCIPAL LIFETM 2040 SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290078
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 23
Filing Id
84037356156275
Page Id
2
Page Seq
4
Page Row Num
1
Row Num
28
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
PRINCIPAL LIFETM 2050 SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290079
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 24
Filing Id
84037356156275
Page Id
2
Page Seq
4
Page Row Num
2
Row Num
29
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
PRIN LIFETM STR INC SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290080
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 25
Filing Id
84037356156275
Page Id
1
Page Seq
0
Page Row Num
4
Row Num
3
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
PRINCIPAL GOVT SEC SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290007
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 26
Filing Id
84037356156275
Page Id
2
Page Seq
4
Page Row Num
3
Row Num
30
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
NATIONWIDE QUALIFIED PLANS VARIABLE
DFE P1 Spons 01 Name
NATIONWIDE TRUST
DFE P1 Plan 01 EIN Plan number
311592130009
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$1,527,328
Row 27
Filing Id
84037356156275
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
4
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
PRINCIPAL LG CP STK INDX SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290016
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 28
Filing Id
84037356156275
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
5
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
PRINCIPAL STOCK EMPH BAL SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290032
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 29
Filing Id
84037356156275
Page Id
2
Page Seq
0
Page Row Num
3
Row Num
6
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
AMER CENT ULTRA ADV SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290041
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 30
Filing Id
84037356156275
Page Id
2
Page Seq
0
Page Row Num
4
Row Num
7
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
PRINCIPAL LG CO GRWTH SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290018
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 31
Filing Id
84037356156275
Page Id
2
Page Seq
0
Page Row Num
5
Row Num
8
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
PRINCIPAL MED CO GR SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290021
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 32
Filing Id
84037356156275
Page Id
2
Page Seq
0
Page Row Num
6
Row Num
9
Image Form Id
4020375356156020002
DFE P1 Entity 01 Name
PRINCIPAL SM CO GRWTH SEP ACCT
DFE P1 Spons 01 Name
PRINCIPAL LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
420127290030
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0

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$1,708,291$387,792 change

Balance Sheet

Beginning and end of plan year.

Total assets$1,320,499$1,708,291Increase +$387,792 (29.37%)
Total liabilities$0$0No change $0
Net assets$1,320,499$1,708,291Increase +$387,792 (29.37%)

Contributions

Employer contributions$96,802
Participant contributions$252,801
Other contributions$0
Total contributions$349,603

Income & Investment Result

Total income$451,259
Interest$7,287
Dividends$0
Net income$387,792

Expenses & Fees

Benefits paid$59,034
Investment management$0
Administrative expenses$0
Total expenses$63,467

Accountant

FirmWARD, ASEL & ASSOCIATES, PC
Firm EIN75-2747768

Compliance

Fidelity bondYes
Fidelity bond amount$250,000
Participant loans$161,934
Late contributionsNo
Schedule H source fields
Financial summary
Total assets at beginning of year: $1,320,499Total assets at end of year: $1,708,291Total liabilities at end of year: $0Net income or loss: $387,792
Filing Id
84037356156275
Schedule H EIN
75-2452941
Schedule H Plan number
001
Schedule H Plan Year Begin Date
2004-01-01
Schedule H Tax Period
20041231
Non Interest Bear Cash Beginning of year Amount
$0
Employer Contribution Beginning of year Amount
$2,739
Participants Contribution Beginning of year Amount
$6,444
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
$138,736
Interest Common Tr Beginning of year Amount
$0
Interest Pool Sep Account Beginning of year Amount
$1,101,124
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
$71,456
Oth Investment Beginning of year Amount
$0
Employer Sec Beginning of year Amount
$0
Employer Prop Beginning of year Amount
$0
Bldgs Used Beginning of year Amount
$0
Total assets at beginning of year
$1,320,499
Bnfts Payable Beginning of year Amount
$0
Oprtng Payable Beginning of year Amount
$0
Acquis Indbt Beginning of year Amount
$0
Other Liability Beginning of year Amount
$0
Total liabilities at beginning of year
$0
Net assets at beginning of year
$1,320,499
Non Interest Bear Cash End of year Amount
$0
Employer Contribution End of year Amount
$4,910
Participants Contribution End of year Amount
$11,334
Other Receivables End of year Amount
$2,785
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
$161,934
Interest Common Tr End of year Amount
$0
Interest Pool Sep Account End of year Amount
$1,527,328
Interest Master Tr End of year Amount
$0
Interest 103 12 Investment End of year Amount
$0
Interest in registered investment companies at end of year
$0
Ins Co Gen Account End of year Amount
$0
Oth Investment End of year Amount
$0
Employer Sec End of year Amount
$0
Employer Prop End of year Amount
$0
Bldgs Used End of year Amount
$0
Total assets at end of year
$1,708,291
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
$1,708,291
Employer contributions
$96,802
Participant contributions
$252,801
Oth Contribution Rcvd Amount
$0
Non Cash Contribution Bs Amount
$0
Total contributions
$349,603
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
$7,287
Interest On Oth Investment Amount
$0
Total interest income
$7,287
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
$93,562
Gain Loss Master Tr Amount
$0
Gain Loss 103 12 Investment Amount
$0
Gain or loss on registered investments
$0
Other Income Amount
$807
Total income
$451,259
Participant distributions
$59,034
Ins Carrier Bnfts Amount
$0
Oth Bnft Payment Amount
$0
Total benefit distributions
$59,034
Total Corrective Distribution Amount
$4,433
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
$0
Total administrative expenses
$0
Total expenses
$63,467
Net income or loss
$387,792
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
$250,000
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
Yes
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 EIN42-0127290

Transfers

Distributed property value$0
Schedule R source fields
Payor 42-0127290
Filing Id
84037356156275
Schedule R EIN
75-2452941
Schedule R Plan number
001
Schedule R Plan Year Begin Date
2004-01-01
Schedule R Tax Period
20041231
Pension Value Dstrb Pd Property Amount
$0
Pension payor EIN
42-0127290
Pension Payor 02 EIN
31-1592130
Pension Bnft Distribution Sngl Sum Count
0
Pension Employer Contribution Rqr Amount
$0
Pension Employer Contribution Paid Amount
$0
Pension Funding Deficiency Amount
$0