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Overview

Plan Information

  • Plan Year01/01/2017 — 12/31/2017
  • Date of Plan04/01/1984
  • Net Assets as of 12/31/2017 $12,048,772
  • 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
  • Report Description This is an amended report.
  • Plan Funding ArrangementInsurance Trust
  • Plan Benefit ArrangementInsurance Trust

Participant Information as of 12/31/2017

  • Active (Eligible) Participants137
  • Retired or separated participants receiving benefits2
  • Other retired or separated participants entitled to future benefits18
  • Subtotal157
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
  • Total157
  • Total number of participants as of 01/01/2017137
  • Number of participants with account balances157
  • 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 $2,123,361
Contributions $657,795
Cash Contributions $657,795
Cash from Employers $199,360
Cash from Participants $433,738
Others (including rollovers) $24,697
Noncash Contributions $0
Total Earnings on Investments $1,451,296
Total Interest $38,185
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $7,458
Interest from Other Investments $30,727
Total Dividends $45,328
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 $1,236,184
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 $131,599
Other Income $14,270
Expenses $855,106
Total Benefit Payments $835,492
Directly to participants or beneficiaries, including direct rollovers $835,492
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $0
Certain deemed distributions of participant loans $0
Interest expense $0
Total Administrative Expenses $19,614
Professional Fees $0
Contract Administrator Fees $0
Investment Advisory and management fees $0
Other Administrative Fees $19,614
Net Income $1,268,255
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 $12,048,772 $10,780,517 11.76%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $3,534 $6,626 -46.66%
Employer Contributions $3,534 $6,626 -46.66%
Participant Contributions $0 $0 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 $137,550 $135,982 1.15%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $7,374,242 $6,401,837 15.19%
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 $2,237,623 $1,946,682 14.95%
Value of funds held in insurance co. general account $2,295,823 $2,289,390 0.28%
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 $12,048,772 $10,780,517 11.76%

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
Cambridge Investment Research Inc. Investment advisory (plan), Securities brokerage, Securities brokerage commissions and fees NONE $14,271 $1,478 $15,749
Prudential Retirement Insurance and Contract Administrator, Recordkeeping and information management (computing, tabulating, data processing, etc.), Participant loan processing, Other services, Direct payment from the plan, Recordkeeping fees NONE $5,094 $0 $5,094
Total $19,365 $1,478 $20,843

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 1/1/2017 To 4/30/2017 Guaranteed Income Fund $0
Prudential Retirement Insurance and Prudential Retirement Insurance and Recordkeeping and information management (computing, tabulating, data processing, etc.), Recordkeeping fees 46.000 Bps and $0.00 Per Participant Invested In The Fund From 5/1/2017 To 12/31/2017 Guaranteed Income Fund $0
The Prudential Insurance Company of Prudential Investments, LLC Recordkeeping and information management (computing, tabulating, data processing, etc.), Sub-transfer agency fees, Recordkeeping fees 22.000 Bps and $0.00 Per Participant Invested In The Fund From 1/1/2017 To 12/31/2017 Pru Total Return Bond A $0
The Prudential Insurance Company of Prudential Investments, LLC Recordkeeping and information management (computing, tabulating, data processing, etc.), Sub-transfer agency fees, Recordkeeping fees 22.000 Bps and $0.00 Per Participant Invested In The Fund From 1/1/2017 To 12/31/2017 Prudential Real Asset A $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
Trp Eqty Inc Stgy II Prudential Retirement Ins. DFE: Pooled Separate Account $924,321
Trp Gro Stk Stratii Prudential Retirement Ins. DFE: Pooled Separate Account $866,704
Pru Ifx Sel Lt Balanced Prudential Retirement Ins. DFE: Pooled Separate Account $757,541
Templeton Foreign Strat Prudential Retirement Ins. DFE: Pooled Separate Account $607,383
Intl Gro/Artisan Prudential Retirement Ins. DFE: Pooled Separate Account $589,700
Pru Ifx Sel Lt Agg Gro Prudential Retirement Ins. DFE: Pooled Separate Account $450,087
Mcv/Integrity Prudential Retirement Ins. DFE: Pooled Separate Account $434,527
Invesco Scg Stgy Prudential Retirement Ins. DFE: Pooled Separate Account $366,578
Balanced I/Wellington Prudential Retirement Ins. DFE: Pooled Separate Account $342,886
Mcg/Timessquare Prudential Retirement Ins. DFE: Pooled Separate Account $333,140
Pru Day One Ifx Trgt Bal Prudential Retirement Ins. DFE: Pooled Separate Account $301,071
Scv/Silvercrest Prudential Retirement Ins. DFE: Pooled Separate Account $292,419
Lcg/Jennison Fund Prudential Retirement Ins. DFE: Pooled Separate Account $281,329
Dryden S&P 500 Index Fund Prudential Retirement Ins. DFE: Pooled Separate Account $237,191
Pru Ifx Sel Lt Growth Prudential Retirement Ins. DFE: Pooled Separate Account $147,788
Pru Ifx Sel Lt Balanced Prudential Retirement Ins. DFE: Pooled Separate Account $147,198
Pru Ifx Sel Lt Growth Prudential Retirement Ins. DFE: Pooled Separate Account $89,041
Pru Ifx Sel Lt Conser Gro Prudential Retirement Ins. DFE: Pooled Separate Account $83,224
Pru Ifx Sel Lt Inc & Equ Prudential Retirement Ins. DFE: Pooled Separate Account $78,934
Qma Small Cap Index Fund Prudential Retirement Ins. DFE: Pooled Separate Account $25,429
Sa/Ofii Global Strategy Prudential Retirement Ins. DFE: Pooled Separate Account $17,751
Total $7,374,242

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Prudential Retirement Insurance and Annuity Company 157
EIN 06-1050034
Industry Code 93629
Contract Number 039952
Contract Year 01/01/2017 — 12/31/2017
Value in General Account at Year End $2,295,823
Value in Separate Accounts at Year End $7,374,242
Insurance Fees and Commissions $6,621
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Tbs Agency Attn Accounting Fairfield, IA 52556 -0000 Agent or Broker other than Insurance $0 $6,621 SERVICES TO INSURER 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 $2,289,390
Additions $317,601
Contributions Deposited during the year $111,567
Dividends and credits $0
Interest credited during the year $30,727
Transferred from separate account $150,365
Other $24,942
Total of Balance and Additions $2,606,991
Deductions $311,168
Disbursed from fund to pay benefits or purchase annuities during the year $190,973
Administration charge made by carrier $77
Transferred to Separate Account $68,253
Other $51,865
Balance at the end of the current year $2,295,823