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Overview

Plan Information

  • Plan Year01/01/2012 — 12/31/2012
  • Date of Plan04/01/1984
  • Net Assets as of 12/31/2012 $6,907,965
  • Plan Number2
  • 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 12/31/2012

  • Active (Eligible) Participants138
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits4
  • Subtotal142
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
  • Total142
  • Total number of participants as of 01/01/2012137
  • Number of participants with account balances129
  • 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

  • Address1035 N. Washington Ave.
  • CityScranton
  • StatePA
  • Zip18509
  • Telephone(570) 348-2567
  • EIN24-0637695
  • Industry Code812990
  • Named AdministratorMargaret Mccormick
  • Named Plan SponsorMargaret Mccormick

Plan Administrator Information

  • Administrator NameAaa North Penn
  • Address1035 N. Washington Ave.
  • CityScranton
  • StatePA
  • Zip18509
  • Telephone(570) 348-2567
  • Administrator EIN24-0637695

Audit Information

  • Audit StatusAudited
  • AuditorMcgrail Merkel Quinn & Associates
  • Auditor EIN23-2226550
  • 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.
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.
2S Automatic Enrollment Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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 $500,000
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 $1,123,840
Contributions $459,158
Cash Contributions $459,158
Cash from Employers $104,338
Cash from Participants $354,820
Others (including rollovers) $0
Noncash Contributions $0
Total Earnings on Investments $664,682
Total Interest $34,976
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $14,487
Interest from Other Investments $20,489
Total Dividends $16
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 $629,663
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 $27
Other Income $0
Expenses $74,275
Total Benefit Payments $66,471
Directly to participants or beneficiaries, including direct rollovers $66,471
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $0
Certain deemed distributions of participant loans $4,726
Interest expense $0
Total Administrative Expenses $3,078
Professional Fees $0
Contract Administrator Fees $0
Investment Advisory and management fees $0
Other Administrative Fees $3,078
Net Income $1,049,565
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2012 12/31/2011 Change YOY
Total Assets $6,907,965 $5,858,400 17.92%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $0 $17,323 0.0%
Employer Contributions $0 $4,504 0.0%
Participant Contributions $0 $12,819 0.0%
Other Contributions $0 $0 0.0%
General Investments $0 $0 0.0%
Interest-bearing cash $0 $0 0.0%
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 $300,884 $269,657 11.58%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $5,348,661 $4,636,757 15.35%
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 $1,406 $0 0.0%
Value of funds held in insurance co. general account $1,257,014 $934,663 34.49%
Other Investments $0 $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 $6,907,965 $5,858,400 17.92%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

  • Prudential Retirement Insurance and

Other Service Providers Receiving Direct or Indirect Compensation

Name Nature of Service Relationship to Plan Sponsor Direct Compensation Paid by Plan Indirect Compensation Paid by Plan Total Compensation
Prudential Retirement Insurance and Contract Administrator, Recordkeeping and information management (computing, tabulating, data processing, etc.), Participant loan processing, Direct payment from the plan, Recordkeeping fees NONE $3,010 $0 $3,010
Total $3,010 $0 $3,010

Indirect Compensation

Name Source of Indirect Compensation* Nature of Service Description of Indirect Compensation Indirect Compensation Paid by Plan
Prudential Retirement Insurance and Prudential Retirement Insurance and Recordkeeping and information management (computing, tabulating, data processing, etc.), Recordkeeping fees 70.000 Bps and $0.00 Per Participant Invested In The Fund From 1/1/2012 To 12/31/2012 Guaranteed Income Fund $0
*As outlined by the Form 5500 Instructions for service providers with indirect compensation.

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
Sa/Oakmark Eq & Inc Strat II Prudential Retirement Ins. DFE: Pooled Separate Account $736,172
Core Plus Bond/Pimco Prudential Retirement Ins. DFE: Pooled Separate Account $721,808
Thornburg Intl Value R3 Prudential Retirement Ins. DFE: Pooled Separate Account $621,402
Ifx Lt Balanced Fund I Prudential Retirement Ins. DFE: Pooled Separate Account $587,004
Lrge Cap Gowth/Jennison Fd Prudential Retirement Ins. DFE: Pooled Separate Account $496,838
Sa/T Rowe Price Eq Inc Str I Prudential Retirement Ins. DFE: Pooled Separate Account $441,164
Ifx Lt Agg Growth Fd I Prudential Retirement Ins. DFE: Pooled Separate Account $265,034
Mid Cap Value/ Integrity Fd Prudential Retirement Ins. DFE: Pooled Separate Account $231,162
Sa/Invesco Sm Cap Grow Strat Prudential Retirement Ins. DFE: Pooled Separate Account $218,228
Dryden S & P 500 Index Fund Prudential Retirement Ins. DFE: Pooled Separate Account $192,545
Sm Cap Val/Amer Cent Fund Prudential Retirement Ins. DFE: Pooled Separate Account $145,633
Ifx Lt Inc & Equity Fd I Prudential Retirement Ins. DFE: Pooled Separate Account $143,334
Ifx Lt Growth Fund I Prudential Retirement Ins. DFE: Pooled Separate Account $136,611
Mid Cap Gr/Timessquare Fd Prudential Retirement Ins. DFE: Pooled Separate Account $125,847
Wad & Reed Adv Sci & Tech Prudential Retirement Ins. DFE: Pooled Separate Account $108,712
Ifx Lt Conservative Fd I Prudential Retirement Ins. DFE: Pooled Separate Account $60,570
Invesco Us Mid Cap Val A Prudential Retirement Ins. DFE: Pooled Separate Account $59,074
Sa/T Rowe Price Gr Stk Str II Prudential Retirement Ins. DFE: Pooled Separate Account $36,756
Sa/Ofii Global Strategy Prudential Retirement Ins. DFE: Pooled Separate Account $14,382
Lcv/Barrow Hanley Fund Prudential Retirement Ins. DFE: Pooled Separate Account $6,385
Lord Abb Sm Cap Blend P Prudential Retirement Ins. DFE: Pooled Separate Account $0
Small Value/Opus Capital Prudential Retirement Ins. DFE: Pooled Separate Account $0
Victory Div Stock Fund Prudential Retirement Ins. DFE: Pooled Separate Account $0
Total $5,348,661

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Prudential Retirement Insurance & Annuity Company 142
EIN 06-1050034
Industry Code 93629
Contract Number 39952
Contract Year 01/01/2012 — 12/31/2012
Value in General Account at Year End $1,257,014
Value in Separate Accounts at Year End $5,348,661
Insurance Fees and Commissions $18,445
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Tbs Agency 1776 Pleasant Plain Road Fairfield, IA 52556 Agent or Broker other than Insurance $0 $18,445 SERVICES TO INSUSRER OR PLAN
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 GUARANTEED GENERAL ACCOUNT CONTRACT
Balance at the end of the previous year $934,663
Additions $335,150
Contributions Deposited during the year $97,698
Dividends and credits $0
Interest credited during the year $20,489
Transferred from separate account $200,693
Other $16,270
Total of Balance and Additions $1,269,813
Deductions $12,799
Disbursed from fund to pay benefits or purchase annuities during the year $4,405
Administration charge made by carrier $187
Transferred to Separate Account $242
Other $7,965
Balance at the end of the current year $1,257,014