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| Benefits Provided Under the Plan | ||
| Code | Benefit | Description |
| 2C | Money purchase | A pension plan, other than a target benefit plan that requires a fixed percentage of compensation to be contributed to each eligible employee. |
| 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. |
| 2H | Partial participant-directed account plan | Participants have the opportunity to direct the investment of a portion of 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. |
| 2R | Brokerage Window | Participant-directed brokerage accounts provided as an investment option under the plan. |
| 3F | Leased Employees | Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year. |
| 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? | Yes | $55,991 |
| 2. | Were any loans by the plan or fixed income obligations due the plan in default as of the close of plan year or classified during the year as uncollectible? Disregard participant loans secured by participant's account balance. | No | |
| 3. | Were any leases to which the plan was a party in default or classified during the year as uncollectible? | No | |
| 4. | Were there any nonexempt transactions with any party-in-interest? | No | |
| 5. | Was this plan covered by a fidelity bond? | Yes | $10,000,000 |
| 6. | Did the plan have a loss, whether or not reimbursed by the plan's fidelity bond, that was caused by fraud or dishonesty? | No | |
| 7. | Did the plan hold any assets whose current value was neither readily determinable on an established market nor set by an independent third party appraiser? | No | |
| 8. | Did the plan receive any noncash contributions whose value was neither readily determinable on an established market nor set by an independent third party appraiser? | No | |
| 9. | Did the plan have assets held for investment? | Yes | |
| 10. | Were any plan transactions or series of transactions in excess of 5% of the current value of plan assets? | No | |
| 11. | Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? | No | |
| 12. | Has the plan failed to provide any benefit when due under the plan? | No | |
| 13. | If this is an individual account plan, was there a blackout period? | Yes | |
| 14. | 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? | Yes |
