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Plan Information

  • Plan Year01/01/2019 — 12/31/2019
  • Date of Plan01/01/1987
  • Net Assets as of 12/31/2019 $11,276,386
  • 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 Arrangement Trust
  • Plan Benefit Arrangement Trust

Participant Information as of 12/31/2019

  • Active (Eligible) Participants145
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits39
  • Subtotal184
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
  • Total184
  • Total number of participants as of 01/01/2019192
  • Number of participants with account balances175
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested7


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

Sponsor Information

  • Address15 Technology Way
  • CityNashua
  • StateNH
  • Zip03060-3221
  • Telephone(603) 598-7000
  • EIN04-2563333
  • Industry Code812320

Plan Administrator Information

  • Administrator NameCrwon Linen Service, Inc.
  • Address15 Pine Street Extension
  • CityNashua
  • StateNH
  • Zip03060-3221
  • Telephone(603) 598-7000
  • Administrator EIN04-2563333

Audit Information

  • Audit StatusAudited
  • AuditorCaron & Bletzer, PLLC
  • Auditor EIN04-3499945
  • 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.
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)).

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


Income and Expense Statement

Income $2,669,983
Contributions $878,215
Cash Contributions $878,215
Cash from Employers $287,918
Cash from Participants $547,242
Others (including rollovers) $43,055
Noncash Contributions $0
Total Earnings on Investments $1,789,767
Total Interest $12,792
Interest-Bearing Cash $331
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $12,461
Interest from Other Investments $0
Total Dividends $597,952
Preferred Stock $0
Common Stock $1,356
Rents $0
Net gain (loss) on sale of assets $-10,310
Aggregate Proceeds $72,026
Aggregate Carrying Amount $82,336
Total Unrealized Appreciation (depreciation) of assets $3,023
Real Estate $0
Other $3,023
Net investment gain (loss) from common/collective trusts $18,111
Net investment gain (loss) from pooled separate accounts $0
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 $1,168,199
Other Income $2,001
Expenses $1,017,498
Total Benefit Payments $1,015,590
Directly to participants or beneficiaries, including direct rollovers $1,015,590
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $502
Certain deemed distributions of participant loans $0
Interest expense $0
Total Administrative Expenses $1,406
Professional Fees $0
Contract Administrator Fees $0
Investment Advisory and management fees $1,406
Other Administrative Fees $0
Net Income $1,652,485
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2019 12/31/2018 Change YOY
Total Assets $11,276,386 $9,623,901 17.17%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $279,588 $263,158 6.24%
Employer Contributions $279,588 $257,084 8.75%
Participant Contributions $0 $6,074 -100.00%
Other Contributions $0 $0 0.0%
General Investments $53,155 $1,507 3427.21%
Interest-bearing cash $53,155 $1,507 3427.21%
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 $199,087 $0 0.0%
Preferred $0 $0 0.0%
Common $199,087 $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 $207,517 $289,325 -28.28%
Value of interest in common/collective trusts $1,092,788 $827,675 32.03%
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 $9,444,251 $8,242,236 14.58%
Value of funds held in insurance co. general account $0 $0 0.0%
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 $11,276,386 $9,623,901 17.17%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

  • Fidelity Invest Instit Oper Co

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
Morgan Stanley Smith Barney Other commissions Advisor $0 $24,192 $24,192
Fidelity Invest Instit Oper Co Participant loan processing, Recordkeeping fees, Account maintenance fees Recordkeeper $-430 $0 $-430
Total $-430 $24,192 $23,762

Indirect Compensation

Name Source of Indirect Compensation* Nature of Service Description of Indirect Compensation Indirect Compensation Paid by Plan
Morgan Stanley Smith Barney National Financial Services LLC Other commissions Advisor Fees $24,192
Fidelity Invest Instit Oper Co Bny Mellon Inv Servicing Sub-transfer agency fees .25 Bps Blkrk Equity Div I.15 Bps Cba Appr I.05 Bps Is Msci Eafe Intl Is.05 Bps Is S&P 500 Idx Is $0
Fidelity Invest Instit Oper Co American Funds Service Co Sub-transfer agency fees .05 Bps Af Europac Growth R5 $0
Fidelity Invest Instit Oper Co Dst Asset Manager Solutions, Inc Sub-transfer agency fees .25 Bps Jpm Govt Bond I $0
Fidelity Invest Instit Oper Co Franklin Templeton Investor Srvcs Sub-transfer agency fees .25 Bps Franklin Growth Adv.25 Bps Tmpl Global Bond Adv $0
Fidelity Invest Instit Oper Co Wi Services Company Sub-transfer agency fees .10 Bps Ivy Small Cap Grth I.10 Bps Ivy Intl Core Eq I $0
Fidelity Invest Instit Oper Co Janus Services LLC Sub-transfer agency fees .35 Bps Janus Flexible Bd T $0
Fidelity Invest Instit Oper Co Mfs Service Center Inc Sub-transfer agency fees .15 Bps Mfs Aggr Gr Alloc R4.15 Bps Mfs Growth Alloc R4 $0
Fidelity Invest Instit Oper Co Prudential Mutual Fund Services LLC Sub-transfer agency fees .25 Bps Pru/J Mid Cap Gr Z $0
Fidelity Invest Instit Oper Co Columbia Mgt Investment Services Co Sub-transfer agency fees .10 Bps Col Mid Cap Index I2.10 Bps Col Sm Cap Index I2 $0
Fidelity Invest Instit Oper Co WF Sub-transfer agency fees .25 Bps Wf Stable Value $0
Fidelity Invest Instit Oper Co Fis Investor Services LLC Sub-transfer agency fees .10 Bps Victory S Estb Val I $0
Fidelity Invest Instit Oper Co Invesco Investment Services, Inc Sub-transfer agency fees .25 Bps I O Develop Mkt Y.25 Bps I O Intl Growth Y $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.



Name of Investment Investment Manager Type of Investment Dollar Value
Wells Fargo Stable Value Fund Class Wells Fargo DFE: Common/Collective Trust $1,092,788
Total $1,092,788

Insurance Information

Insurance Information

There are no insurance carriers listed for this plan.