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Overview

Plan Information

  • Plan Year01/01/2017 — 12/31/2017
  • Date of Plan06/01/1999
  • Net Assets as of 12/31/2017 $2,988,126
  • Plan Number1
  • Plan Type Single Employer
  • Is the plan collectively bargained? No
  • Did the plan file for an extension of time or the DFVC Program?Yes
  • Plan Funding ArrangementInsurance Trust
  • Plan Benefit ArrangementInsurance Trust

Participant Information as of 12/31/2017

  • Active (Eligible) Participants201
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits19
  • Subtotal220
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
  • Total220
  • Total number of participants as of 01/01/2017337
  • Number of participants with account balances58
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested0

Expenses

  • Total Benefit Payments$0
  • Corrective Distributions$0
  • Administrative Service Providers$0
  • Other Expenses$0
  • Total Expenses$0
  • Total Transfers$0

Sponsor Information

  • Address560 Pleasant Street
  • CityWatertown
  • StateMA
  • Zip02472-2408
  • Telephone(617) 923-1500
  • EIN04-2062759
  • Industry Code541990
  • Named AdministratorVictor Moreira
  • Named Plan SponsorVictor Moreira

Audit Information

  • Audit StatusAudited
  • AuditorRobert A. Cooper CPA, Pc
  • Auditor EIN26-1099960
  • Audit Opinion Disclaimer
  • Audit TypeLimited Scope Audit

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.
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.

Questions and Answers

Question Answer Amount
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
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
Were any leases to which the plan was a party in default or classified during the year as uncollectible? No
Were there any nonexempt transactions with any party-in-interest? No
Was this plan covered by a fidelity bond? Yes $300,000
Did the plan have a loss, whether or not reimbursed by the plan's fidelity bond, that was caused by fraud or dishonesty? No
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
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
Did the plan have assets held for investment? Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of plan assets? No
Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? No
Has the plan failed to provide any benefit when due under the plan? No
If this is an individual account plan, was there a blackout period? No
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? No

Financials

Income and Expense Statement

Income $535,876
Contributions $138,726
Cash Contributions $138,726
Cash from Employers $18,152
Cash from Participants $120,574
Others (including rollovers) $0
Noncash Contributions $0
Total Earnings on Investments $397,150
Total Interest $2,794
Interest-Bearing Cash $72
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $2,722
Interest from Other Investments $0
Total Dividends $1,120
Preferred Stock $0
Common Stock $0
Rents $0
Net gain (loss) on sale of assets $0
Aggregate Proceeds $0
Aggregate Carrying Amount $0
Total Unrealized Appreciation (depreciation) of assets $0
Real Estate $0
Other $0
Net investment gain (loss) from common/collective trusts $0
Net investment gain (loss) from pooled separate accounts $304,652
Net investment gain (loss) from master trust investment accounts $0
Net investment gain (loss) from 103-12 investment entities $0
Net investment gain (loss) from registered investment companies $88,584
Other Income $0
Expenses $246,515
Total Benefit Payments $201,774
Directly to participants or beneficiaries, including direct rollovers $201,774
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $3,278
Certain deemed distributions of participant loans $16,244
Interest expense $0
Total Administrative Expenses $25,219
Professional Fees $0
Contract Administrator Fees $25,219
Investment Advisory and management fees $0
Other Administrative Fees $0
Net Income $289,361
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2017 12/31/2016 Change YOY
Total Assets $2,988,126 $2,698,765 10.72%
Total noninterest-bearing cash $778 $0 0.0%
Receivables $0 $0 0.0%
Employer Contributions $0 $0 0.0%
Participant Contributions $0 $0 0.0%
Other Contributions $0 $0 0.0%
General Investments $0 $169,141 -100.00%
Interest-bearing cash $0 $169,141 -100.00%
U.S. Government Securities $0 $0 0.0%
Corporate Debt Instruments $0 $0 0.0%
Preferred $0 $0 0.0%
All Other $0 $0 0.0%
Corporate Stocks $0 $0 0.0%
Preferred $0 $0 0.0%
Common $0 $0 0.0%
Partnership/joint venture interests $0 $0 0.0%
Real estate (other than employer real property) $0 $0 0.0%
Loans (other than to participants) $0 $0 0.0%
Participants Loans $70,520 $71,285 -1.07%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $0 $0 0.0%
Value of interest in master trust investment accounts $0 $0 0.0%
Value of interest in 103-12 investment entities $0 $0 0.0%
Value of interest in registered investment companies $2,899,157 $2,458,339 17.93%
Value of funds held in insurance co. general account $0 $0 0.0%
Other Investments $17,671 $0 0.0%
Employer-related Investments $0 $0 0.0%
Employer Securities $0 $0 0.0%
Employer Real Property $0 $0 0.0%
Buildings and other property used in plan operation $0 $0 0.0%
Total Liabilities $0 $0 0.0%
Benefit Claims Payable (1) $0 $0 0.0%
Operating Payables (1) $0 $0 0.0%
Acquisition Indebtedness (1) $0 $0 0.0%
Other liabilities (1) $0 $0 0.0%
Net Assets $2,988,126 $2,698,765 10.72%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

  • Paychex Securities Corporation

Other Service Providers Receiving Direct or Indirect Compensation

There are no service providers listed for this plan.

Indirect Compensation

There are no service providers with indirect compensation listed for this plan.

Service Providers Who Fail or Refuse to Provide Information

There are no service providers who failed or refused to provide information.

Termination Information on Accountants and Enrolled Actuaries

There is no termination information for this plan.

Investments

Investments

Name of Investment Investment Manager Type of Investment Dollar Value
Rl 2035 Fund John Hancock Life Ins Co DFE: Pooled Separate Account $774,959
Rl 2025 Fund John Hancock Life Ins Co DFE: Pooled Separate Account $696,921
Rl 2010 Fund John Hancock Life Ins Co DFE: Pooled Separate Account $596,526
Rl 2030 Fund John Hancock Life Ins Co DFE: Pooled Separate Account $466,126
Rl 2020 Fund John Hancock Life Ins Co DFE: Pooled Separate Account $228,361
Rl 2040 Fund John Hancock Life Ins Co DFE: Pooled Separate Account $44,181
Af 2055 Fund John Hancock Life Ins Co DFE: Pooled Separate Account $34,597
Af American Balanced Fund John Hancock Life Ins Co DFE: Pooled Separate Account $19,391
Total Bond Market Fund John Hancock Life Ins Co DFE: Pooled Separate Account $17,881
Stable Value Fund John Hancock Life Ins Co DFE: Pooled Separate Account $17,672
Rl 2045 Fund John Hancock Life Ins Co DFE: Pooled Separate Account $13,194
Science & Technology Fund John Hancock Life Ins Co DFE: Pooled Separate Account $3,590
Vs Real Estate Securities Fund John Hancock Life Ins Co DFE: Pooled Separate Account $3,112
Rl 2015 Fund John Hancock Life Ins Co DFE: Pooled Separate Account $232
Rl 2050 Fund John Hancock Life Ins Co DFE: Pooled Separate Account $86
Rl 2060 Fund John Hancock Life Ins Co DFE: Pooled Separate Account $0
Rl 2055 Fund John Hancock Life Ins Co DFE: Pooled Separate Account $0
Total $2,916,829

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
John Hancock Life Ins Co 58
EIN 01-0233346
Industry Code 65838
Contract Number 127031
Contract Year 03/07/2017 — 12/31/2017
Value in General Account at Year End $0
Value in Separate Accounts at Year End $2,916,828
Insurance Fees and Commissions $61,952
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Mml Insurance Agency Inc Insurance Agent or Broker $30,853 $0
John Hancock Po Box 600 Buffalo, NY 14201 -0600 Investment Company/Mutual Fund $0 $20,567 CONTRACT FEES
Tyler Associates Inc 33 Burncoat St Worcester, MA 01605 Third Party Administrator $0 $7,295 TPA COMPENSATION
Tyler Associates Inc 33 Burncoat St Worcester, MA 01605 Third Party Administrator $0 $3,237 TPA FEES
Allocated Funds
Type of Contract Unspecified
Basis of premium rates
Premiums paid to carrier $0
Premiums due but unpaid at the end of the year $0
If the carrier, service, or other organization incurred any specific costs in connection with the acquisition or retention of the contract or policy, enter amount $0
Specify the nature of the costs
Unallocated Funds
Type of Contract Unspecified
Balance at the end of the previous year $0
Additions $0
Contributions Deposited during the year $0
Dividends and credits $0
Interest credited during the year $0
Transferred from separate account $0
Other $0
Total of Balance and Additions $0
Deductions $0
Disbursed from fund to pay benefits or purchase annuities during the year $0
Administration charge made by carrier $0
Transferred to Separate Account $0
Other $0
Balance at the end of the current year $0