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| 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. |
| 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 | $115,000 |
| 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? |