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   Basic Info (Short Form)

Company:
Avantas

Plan:
Avantas 401k Plan
 
Form 5500 | Basic Information
Plan Information
Plan Year 01/01/2011 — 12/31/2011
Effective Date of Plan 01/01/2002
Net Assets as of 12/31/2011 $645,256
Plan Number 1
Plan Type Single Employer
Did the plan file for an extension of time or the DFVC Program? No

Participant Information as of 12/31/2011
Total 47
Total number of participants as of 01/01/2011 59
Number of participants with account balances 35

Financial Information as of 12/31/2011
Total Assets (EOY) $645,256
Total Liabilities (EOY) $0
Net Assets (EOY) $645,256
Financial Information as of 01/01/2011
Total Assets (BOY) $663,499
Total Liabilities (BOY) $0
Net Assets (BOY) $663,499
Income
Cash from Employers $0
Cash from Participants $105,041
Others (including rollovers) $0
Other Income $-31,919
Total Income $73,122
Net Income $-18,243
Expenses
Total Benefit Payments $80,231
Corrective Distributions $10,304
Administrative Service Providers $830
Other Expenses $0
Total Expenses $91,365
Total Transfers $0
Plan Sponsor Information
Address 11128 John Galt Blvd
Suite 400
Omaha, NE 68137
Telephone (402) 717-7769
EIN 39-2045003
Industry Code 561300
Named Administrator Nancy Vogel
Named Plan Sponsor Nancy Vogel

Plan Administrator Information
Administrator Name Avantas, LLC
Address 11128 John Galt Blvd
Suite 400
Omaha, NE 68137
Telephone (402) 717-7769
Administrator EIN 39-2045003

Benefits Provided Under the Plan
Code Benefit Description
2E Profit-sharing A defined contribution plan that allows employer discretionary contributions. These plans often contain a 401(k) feature.
2F ERISA section 404(c) Plan This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
2G Total participant-directed account plan Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
2J Code section 401(k) feature A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
2K Code section 401(m) arrangement Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contributions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
2T Participant-directed Account Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
3D Master plan A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
3H Controlled Group Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

Question   Answer Amount
1. During the plan year did the employer fail to transmit to the plan any participant contributions within the time period described in 29 CFT 2510.3-102? No  
2. Were there any nonexempt transactions with any party-in-interest? No  
3. Was this plan covered by a fidelity bond? Yes $1,000,000
4. Did the plan have a loss, whether or not reimbursed by the plan's fidelity bond, that was caused by fraud or dishonesty? No  
5. Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? No  
6. Has the plan failed to provide any benefit when due under the plan? No  
7. If this is an individual account plan, was there a blackout period? No  
8. If there was a blackout period, have you either provided the required notice or one of the exceptions to providing the notice applied under 29 CFR 2520.101-3?