Fidelity bond in place
Yes
Filing3346 West Bell RdPhoenix, AZ 85053-2925
Valle Luna Inc. Employees 401(K) Plan
Valle Luna Inc. • EIN 86-0455497 • Phoenix, AZ • Plan year 2004
Filing Insights
Participants
Up207 → 210
3 • 1.45%
Assets
Up$325,632 → $416,822
$91,190 • 28.00%
Investment Management Fee
0.00%$0
Admin expenses $2,310 • Total expenses $48,891
Filing Details
Context- Net investment result
- $91,190
- Pension payor EIN
- 35-0145825
Status Flags
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
| Provider | Services | Location | Direct Compensation | Related |
|---|---|---|---|---|
| TULL, FORSBERG & OLSON, PLCEIN 86-0130568 | Accountant | - | - | Tull, Forsberg & Olson PLC |
Company Timeline
This filing is highlighted inside the broader sponsor history.
| Year / Filing | Filings | Participants | Assets | Contributions | Contrib./Participant |
|---|---|---|---|---|---|
| 2024 | 1 | 101 | $4,556,158 | $362,539 | $3,589iApproximate average salary by contribution assumption: employee only about $89,737 at 4% or $59,825 at 6%; with 50% employer match about $59,825 at 4% or $39,883 at 6%; with 100% employer match about $44,869 at 4% or $29,912 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | - | 101 | $4,556,158 | $362,539 | $3,589iApproximate average salary by contribution assumption: employee only about $89,737 at 4% or $59,825 at 6%; with 50% employer match about $59,825 at 4% or $39,883 at 6%; with 100% employer match about $44,869 at 4% or $29,912 at 6%. |
| 2023 | 1 | 98 | $3,996,714 | $331,576 | $3,383iApproximate average salary by contribution assumption: employee only about $84,586 at 4% or $56,390 at 6%; with 50% employer match about $56,390 at 4% or $37,594 at 6%; with 100% employer match about $42,293 at 4% or $28,195 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | - | 98 | $3,996,714 | $331,576 | $3,383iApproximate average salary by contribution assumption: employee only about $84,586 at 4% or $56,390 at 6%; with 50% employer match about $56,390 at 4% or $37,594 at 6%; with 100% employer match about $42,293 at 4% or $28,195 at 6%. |
| 2022 | 1 | 164 | $3,266,123 | $324,192 | $1,977iApproximate average salary by contribution assumption: employee only about $49,420 at 4% or $32,946 at 6%; with 50% employer match about $32,946 at 4% or $21,964 at 6%; with 100% employer match about $24,710 at 4% or $16,473 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | - | 164 | $3,266,123 | $324,192 | $1,977iApproximate average salary by contribution assumption: employee only about $49,420 at 4% or $32,946 at 6%; with 50% employer match about $32,946 at 4% or $21,964 at 6%; with 100% employer match about $24,710 at 4% or $16,473 at 6%. |
| 2021 | 1 | 165 | $3,929,609 | $281,092 | $1,704iApproximate average salary by contribution assumption: employee only about $42,590 at 4% or $28,393 at 6%; with 50% employer match about $28,393 at 4% or $18,929 at 6%; with 100% employer match about $21,295 at 4% or $14,197 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | - | 165 | $3,929,609 | $281,092 | $1,704iApproximate average salary by contribution assumption: employee only about $42,590 at 4% or $28,393 at 6%; with 50% employer match about $28,393 at 4% or $18,929 at 6%; with 100% employer match about $21,295 at 4% or $14,197 at 6%. |
| 2020 | 1 | 175 | $3,420,081 | $232,301 | $1,327iApproximate average salary by contribution assumption: employee only about $33,186 at 4% or $22,124 at 6%; with 50% employer match about $22,124 at 4% or $14,749 at 6%; with 100% employer match about $16,593 at 4% or $11,062 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | - | 175 | $3,420,081 | $232,301 | $1,327iApproximate average salary by contribution assumption: employee only about $33,186 at 4% or $22,124 at 6%; with 50% employer match about $22,124 at 4% or $14,749 at 6%; with 100% employer match about $16,593 at 4% or $11,062 at 6%. |
| 2019 | 1 | 178 | $2,940,292 | $234,927 | $1,320iApproximate average salary by contribution assumption: employee only about $32,995 at 4% or $21,997 at 6%; with 50% employer match about $21,997 at 4% or $14,665 at 6%; with 100% employer match about $16,498 at 4% or $10,998 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | - | 178 | $2,940,292 | $234,927 | $1,320iApproximate average salary by contribution assumption: employee only about $32,995 at 4% or $21,997 at 6%; with 50% employer match about $21,997 at 4% or $14,665 at 6%; with 100% employer match about $16,498 at 4% or $10,998 at 6%. |
| 2018 | 1 | 184 | $2,425,497 | $223,077 | $1,212iApproximate average salary by contribution assumption: employee only about $30,309 at 4% or $20,206 at 6%; with 50% employer match about $20,206 at 4% or $13,471 at 6%; with 100% employer match about $15,155 at 4% or $10,103 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | - | 184 | $2,425,497 | $223,077 | $1,212iApproximate average salary by contribution assumption: employee only about $30,309 at 4% or $20,206 at 6%; with 50% employer match about $20,206 at 4% or $13,471 at 6%; with 100% employer match about $15,155 at 4% or $10,103 at 6%. |
| 2017 | 1 | 175 | $2,459,196 | $231,121 | $1,321iApproximate average salary by contribution assumption: employee only about $33,017 at 4% or $22,012 at 6%; with 50% employer match about $22,012 at 4% or $14,674 at 6%; with 100% employer match about $16,509 at 4% or $11,006 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | - | 175 | $2,459,196 | $231,121 | $1,321iApproximate average salary by contribution assumption: employee only about $33,017 at 4% or $22,012 at 6%; with 50% employer match about $22,012 at 4% or $14,674 at 6%; with 100% employer match about $16,509 at 4% or $11,006 at 6%. |
| 2016 | 1 | 263 | $2,017,380 | $221,064 | $841iApproximate average salary by contribution assumption: employee only about $21,014 at 4% or $14,009 at 6%; with 50% employer match about $14,009 at 4% or $9,339 at 6%; with 100% employer match about $10,507 at 4% or $7,005 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | - | 263 | $2,017,380 | $221,064 | $841iApproximate average salary by contribution assumption: employee only about $21,014 at 4% or $14,009 at 6%; with 50% employer match about $14,009 at 4% or $9,339 at 6%; with 100% employer match about $10,507 at 4% or $7,005 at 6%. |
| 2015 | 1 | 249 | $1,698,280 | $229,068 | $920iApproximate average salary by contribution assumption: employee only about $22,999 at 4% or $15,333 at 6%; with 50% employer match about $15,333 at 4% or $10,222 at 6%; with 100% employer match about $11,499 at 4% or $7,666 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | - | 249 | $1,698,280 | $229,068 | $920iApproximate average salary by contribution assumption: employee only about $22,999 at 4% or $15,333 at 6%; with 50% employer match about $15,333 at 4% or $10,222 at 6%; with 100% employer match about $11,499 at 4% or $7,666 at 6%. |
| 2014 | 1 | 250 | $1,525,971 | $196,929 | $788iApproximate average salary by contribution assumption: employee only about $19,693 at 4% or $13,129 at 6%; with 50% employer match about $13,129 at 4% or $8,752 at 6%; with 100% employer match about $9,846 at 4% or $6,564 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | - | 250 | $1,525,971 | $196,929 | $788iApproximate average salary by contribution assumption: employee only about $19,693 at 4% or $13,129 at 6%; with 50% employer match about $13,129 at 4% or $8,752 at 6%; with 100% employer match about $9,846 at 4% or $6,564 at 6%. |
| 2013 | 1 | 246 | $1,355,632 | $180,582 | $734iApproximate average salary by contribution assumption: employee only about $18,352 at 4% or $12,235 at 6%; with 50% employer match about $12,235 at 4% or $8,156 at 6%; with 100% employer match about $9,176 at 4% or $6,117 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | - | 246 | $1,355,632 | $180,582 | $734iApproximate average salary by contribution assumption: employee only about $18,352 at 4% or $12,235 at 6%; with 50% employer match about $12,235 at 4% or $8,156 at 6%; with 100% employer match about $9,176 at 4% or $6,117 at 6%. |
| 2012 | 1 | 232 | $955,565 | $148,532 | $640iApproximate average salary by contribution assumption: employee only about $16,006 at 4% or $10,670 at 6%; with 50% employer match about $10,670 at 4% or $7,114 at 6%; with 100% employer match about $8,003 at 4% or $5,335 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | - | 232 | $955,565 | $148,532 | $640iApproximate average salary by contribution assumption: employee only about $16,006 at 4% or $10,670 at 6%; with 50% employer match about $10,670 at 4% or $7,114 at 6%; with 100% employer match about $8,003 at 4% or $5,335 at 6%. |
| 2011 | 1 | 218 | $766,789 | $143,380 | $658iApproximate average salary by contribution assumption: employee only about $16,443 at 4% or $10,962 at 6%; with 50% employer match about $10,962 at 4% or $7,308 at 6%; with 100% employer match about $8,221 at 4% or $5,481 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | - | 218 | $766,789 | $143,380 | $658iApproximate average salary by contribution assumption: employee only about $16,443 at 4% or $10,962 at 6%; with 50% employer match about $10,962 at 4% or $7,308 at 6%; with 100% employer match about $8,221 at 4% or $5,481 at 6%. |
| 2010 | 1 | 216 | $1,021,501 | $131,299 | $608iApproximate average salary by contribution assumption: employee only about $15,197 at 4% or $10,131 at 6%; with 50% employer match about $10,131 at 4% or $6,754 at 6%; with 100% employer match about $7,598 at 4% or $5,066 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | - | 216 | $1,021,501 | $131,299 | $608iApproximate average salary by contribution assumption: employee only about $15,197 at 4% or $10,131 at 6%; with 50% employer match about $10,131 at 4% or $6,754 at 6%; with 100% employer match about $7,598 at 4% or $5,066 at 6%. |
| 2009 | 1 | 215 | $910,418 | $128,855 | $599iApproximate average salary by contribution assumption: employee only about $14,983 at 4% or $9,989 at 6%; with 50% employer match about $9,989 at 4% or $6,659 at 6%; with 100% employer match about $7,492 at 4% or $4,994 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | - | 215 | $910,418 | $128,855 | $599iApproximate average salary by contribution assumption: employee only about $14,983 at 4% or $9,989 at 6%; with 50% employer match about $9,989 at 4% or $6,659 at 6%; with 100% employer match about $7,492 at 4% or $4,994 at 6%. |
| 2008 | 1 | 205 | $634,221 | $160,565 | $783iApproximate average salary by contribution assumption: employee only about $19,581 at 4% or $13,054 at 6%; with 50% employer match about $13,054 at 4% or $8,703 at 6%; with 100% employer match about $9,791 at 4% or $6,527 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | - | 205 | $634,221 | $160,565 | $783iApproximate average salary by contribution assumption: employee only about $19,581 at 4% or $13,054 at 6%; with 50% employer match about $13,054 at 4% or $8,703 at 6%; with 100% employer match about $9,791 at 4% or $6,527 at 6%. |
| 2007 | 1 | 153 | $884,135 | $175,848 | $1,149iApproximate average salary by contribution assumption: employee only about $28,733 at 4% or $19,156 at 6%; with 50% employer match about $19,156 at 4% or $12,770 at 6%; with 100% employer match about $14,367 at 4% or $9,578 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | - | 153 | $884,135 | $175,848 | $1,149iApproximate average salary by contribution assumption: employee only about $28,733 at 4% or $19,156 at 6%; with 50% employer match about $19,156 at 4% or $12,770 at 6%; with 100% employer match about $14,367 at 4% or $9,578 at 6%. |
| 2006 | 1 | 160 | $735,981 | $146,765 | $917iApproximate average salary by contribution assumption: employee only about $22,932 at 4% or $15,288 at 6%; with 50% employer match about $15,288 at 4% or $10,192 at 6%; with 100% employer match about $11,466 at 4% or $7,644 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | - | 160 | $735,981 | $146,765 | $917iApproximate average salary by contribution assumption: employee only about $22,932 at 4% or $15,288 at 6%; with 50% employer match about $15,288 at 4% or $10,192 at 6%; with 100% employer match about $11,466 at 4% or $7,644 at 6%. |
| 2005 | 1 | 152 | $574,711 | $143,726 | $946iApproximate average salary by contribution assumption: employee only about $23,639 at 4% or $15,759 at 6%; with 50% employer match about $15,759 at 4% or $10,506 at 6%; with 100% employer match about $11,820 at 4% or $7,880 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | - | 152 | $574,711 | $143,726 | $946iApproximate average salary by contribution assumption: employee only about $23,639 at 4% or $15,759 at 6%; with 50% employer match about $15,759 at 4% or $10,506 at 6%; with 100% employer match about $11,820 at 4% or $7,880 at 6%. |
| 2004 | 1 | 210 | $416,822 | $111,529 | $531iApproximate average salary by contribution assumption: employee only about $13,277 at 4% or $8,852 at 6%; with 50% employer match about $8,852 at 4% or $5,901 at 6%; with 100% employer match about $6,639 at 4% or $4,426 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | Current | 210 | $416,822 | $111,529 | $531iApproximate average salary by contribution assumption: employee only about $13,277 at 4% or $8,852 at 6%; with 50% employer match about $8,852 at 4% or $5,901 at 6%; with 100% employer match about $6,639 at 4% or $4,426 at 6%. |
| 2003 | 1 | 206 | $325,632 | $103,779 | $504iApproximate average salary by contribution assumption: employee only about $12,595 at 4% or $8,396 at 6%; with 50% employer match about $8,396 at 4% or $5,598 at 6%; with 100% employer match about $6,297 at 4% or $4,198 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | - | 206 | $325,632 | $103,779 | $504iApproximate average salary by contribution assumption: employee only about $12,595 at 4% or $8,396 at 6%; with 50% employer match about $8,396 at 4% or $5,598 at 6%; with 100% employer match about $6,297 at 4% or $4,198 at 6%. |
| 2002 | 1 | 172 | $186,073 | $108,348 | $630iApproximate average salary by contribution assumption: employee only about $15,748 at 4% or $10,499 at 6%; with 50% employer match about $10,499 at 4% or $6,999 at 6%; with 100% employer match about $7,874 at 4% or $5,249 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | - | 172 | $186,073 | $108,348 | $630iApproximate average salary by contribution assumption: employee only about $15,748 at 4% or $10,499 at 6%; with 50% employer match about $10,499 at 4% or $6,999 at 6%; with 100% employer match about $7,874 at 4% or $5,249 at 6%. |
| 2001 | 1 | 182 | $148,960 | $111,042 | $610iApproximate average salary by contribution assumption: employee only about $15,253 at 4% or $10,169 at 6%; with 50% employer match about $10,169 at 4% or $6,779 at 6%; with 100% employer match about $7,627 at 4% or $5,084 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | - | 182 | $148,960 | $111,042 | $610iApproximate average salary by contribution assumption: employee only about $15,253 at 4% or $10,169 at 6%; with 50% employer match about $10,169 at 4% or $6,779 at 6%; with 100% employer match about $7,627 at 4% or $5,084 at 6%. |
| 2000 | 2 | 182 | $64,142 | $71,860 | $395iApproximate average salary by contribution assumption: employee only about $9,871 at 4% or $6,581 at 6%; with 50% employer match about $6,581 at 4% or $4,387 at 6%; with 100% employer match about $4,935 at 4% or $3,290 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | - | 182 | $64,142 | $71,860 | $395iApproximate average salary by contribution assumption: employee only about $9,871 at 4% or $6,581 at 6%; with 50% employer match about $6,581 at 4% or $4,387 at 6%; with 100% employer match about $4,935 at 4% or $3,290 at 6%. |
| Valle Luna Inc. Employees 401(K) Plan | - | 182 | - | - | - |
Schedule Details
Schedule A
- Row 1
- Filing Id
- 84037347319025
- Form Id
- 65596447
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 1
- Row Num
- 0
- Image Form Id
- 4010375347319020002
- Ins Broker 01 Name
- ANDREW DZURINKO
- Ins Broker 01 Street Addr
- 2164 E. BROADWAY ROAD, SUITE 270
- Ins Broker 01 City
- TEMPE
- Ins Broker 01 State
- AZ
- Ins Broker 01 ZIP Code
- 852820000
- Ins Broker Comm Pd 01 Amount
- $735
- Ins Broker Fees Pd 01 Amount
- $0
- Ins Broker Fees Pd 01 Text
- N/A
- Ins Broker 01 Code
- 3
- Row 2
- Ins Carrier Name: AMERICAN UNITED LIFE INSURANCE COMPANY
- Filing Id
- 84037347319025
- Form Id
- 65596447
- Schedule A EIN
- 86-0455497
- Schedule A Plan Num
- 001
- Schedule A Plan Year Begin Date
- 2004-01-01
- Schedule A Tax Period
- 20041231
- Ins Carrier Name
- AMERICAN UNITED LIFE INSURANCE COMPANY
- Ins Carrier EIN
- 35-0145825
- Ins Carrier Naic Code
- 60895
- Ins Contract Num
- G30282
- Ins Prsn Covered End of year Count
- 37
- Ins Policy From Date
- 2004-01-01
- Ins Policy To Date
- 2004-12-31
- Ins Broker Comm Total Amount
- $735
- Ins Broker Fees Total Amount
- $0
- Pension End of year Gen Account Amount
- $6,976
- Pension End of year Sep Account Amount
- $399,290
- 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
- $7,231
- Pension Contribution Dep Amount
- $4,076
- Pension Divnd Cr Dep Amount
- $0
- Pension Interest Cr Dur Yr Amount
- $267
- Pension Transfer From Amount
- $0
- Pension Other Amount
- $0
- Pension Total Additions Amount
- $4,343
- Pension Total Bal Addn Amount
- $11,574
- Pension Bnfts Dsbrsd Amount
- $2,288
- Pension Admin Chrg Amount
- $2,310
- Pension Transfer To Amount
- $0
- Pension Oth Ded Amount
- $0
- Pension Total Ded Amount
- $4,598
- Pension End of year Bal Amount
- $6,976
- Wlfr Type Bnft Indicator
- ACEGIJKM
- 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 Indicator
- No
- 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
- 84037347319025
- Page Id
- 1
- Page Seq
- 0
- Page Row Num
- 1
- Row Num
- 0
- Image Form Id
- 4010375347319020003
- DFE P1 Entity 01 Name
- SEPARATE ACCOUNT II
- DFE P1 Spons 01 Name
- AMERICAN UNITED LIFE INSURANCE CO
- DFE P1 Plan 01 EIN Plan number
- 350145825000
- DFE P1 Entity 01 Code
- P
- DFE P1 Plan Interest End of year 01 Amount
- $399,290
- Row 2
- Filing Id
- 84037347319025
- Page Id
- 3
- Page Seq
- 0
- Page Row Num
- 1
- Row Num
- 0
- Image Form Id
- 4010375347319020003
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$416,822$91,190 change
Balance Sheet
Beginning and end of plan year.
Total assets$325,632$416,822Increase +$91,190 (28.00%)
Total liabilities$0$0No change $0
Net assets$325,632$416,822Increase +$91,190 (28.00%)
Contributions
Employer contributions$42,907
Participant contributions$66,312
Other contributions$2,310
Total contributions$111,529
Income & Investment Result
Total income$140,081
Interest$411
Dividends$0
Net income$91,190
Expenses & Fees
Benefits paid$46,581
Investment management$0
Administrative expenses$2,310
Total expenses$48,891
Accountant
FirmTULL, FORSBERG & OLSON, PLC
Firm EIN86-0130568
Compliance
Fidelity bondYes
Fidelity bond amount$50,000
Participant loans$1,694
Late contributionsNo
Schedule H source fields
- Financial summary
- Total assets at beginning of year: $325,632Total assets at end of year: $416,822Total liabilities at end of year: $0Net income or loss: $91,190
- Filing Id
- 84037347319025
- Schedule H EIN
- 86-0455497
- 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
- $2,965
- Participants Contribution Beginning of year Amount
- $4,802
- 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
- $3,132
- Interest Common Tr Beginning of year Amount
- $0
- Interest Pool Sep Account Beginning of year Amount
- $0
- 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
- $307,502
- Ins Co Gen Account Beginning of year Amount
- $7,231
- 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
- $325,632
- 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
- $325,632
- Non Interest Bear Cash End of year Amount
- $0
- Employer Contribution End of year Amount
- $3,563
- Participants Contribution End of year Amount
- $5,299
- 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
- $1,694
- Interest Common Tr End of year Amount
- $0
- Interest Pool Sep Account End of year Amount
- $0
- Interest Master Tr End of year Amount
- $0
- Interest 103 12 Investment End of year Amount
- $0
- Interest in registered investment companies at end of year
- $399,290
- Ins Co Gen Account End of year Amount
- $6,976
- 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
- $416,822
- 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
- $416,822
- Employer contributions
- $42,907
- Participant contributions
- $66,312
- Oth Contribution Rcvd Amount
- $2,310
- Non Cash Contribution Bs Amount
- $0
- Total contributions
- $111,529
- Interest Bear Cash Amount
- $267
- Interest On Govt Sec Amount
- $0
- Interest On Corp Debt Amount
- $0
- Interest On Oth Loans Amount
- $0
- Interest on participant loans
- $144
- Interest On Oth Investment Amount
- $0
- Total interest income
- $411
- 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
- $0
- Gain Loss Master Tr Amount
- $0
- Gain Loss 103 12 Investment Amount
- $0
- Gain or loss on registered investments
- $28,141
- Other Income Amount
- $0
- Total income
- $140,081
- Participant distributions
- $46,581
- Ins Carrier Bnfts Amount
- $0
- Oth Bnft Payment Amount
- $0
- Total benefit distributions
- $46,581
- 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
- $2,310
- Total administrative expenses
- $2,310
- Total expenses
- $48,891
- Net income or loss
- $91,190
- Total Transfers To Amount
- $0
- Transfers from other plans
- $0
- Accountant Opinion Type Indicator
- 3
- Account Performed Limited Audit Indicator
- Yes
- Accountant firm name
- TULL, FORSBERG & OLSON, PLC
- Accountant firm EIN
- 86-0130568
- 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
- $50,000
- Loss discovered during year
- No
- Loss Discovered Dur Year Amount
- $0
- Assets with undetermined value
- No
- Asset Undeterm Valuation Amount
- $0
- Non-cash contributions reported
- No
- Non Cash Contribution Amount
- $0
- Assets held for investment
- Yes
- Reportable 5% transactions
- No
- All plan assets distributed
- No
- Resolution to terminate plan adopted
- No
- Res Terminate Plan Adpt Amount
- $0
Schedule R
Schedule R Pension Information
Retirement plan characteristics
Testing, payor, opinion-letter, and transfer information reported with the filing.
Pension & Payor
Payor EIN35-0145825
Transfers
Distributed property value$0
Schedule R source fields
- Payor 35-0145825
- Filing Id
- 84037347319025
- Schedule R EIN
- 86-0455497
- 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
- 35-0145825
- Pension Bnft Distribution Sngl Sum Count
- 0
- Pension Employer Contribution Rqr Amount
- $0
- Pension Employer Contribution Paid Amount
- $0
- Pension Funding Deficiency Amount
- $0