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Overview

Plan Information

  • Plan Year01/01/2016 — 12/31/2016
  • Date of Plan01/01/1999
  • Net Assets as of 12/31/2016 $2,674,924
  • 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? No
  • Plan Funding ArrangementInsurance Trust
  • Plan Benefit ArrangementInsurance Trust

Participant Information as of 12/31/2016

  • Active (Eligible) Participants118
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits20
  • Subtotal138
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
  • Total138
  • Total number of participants as of 01/01/2016155
  • Number of participants with account balances108
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested13

Expenses

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

Sponsor Information

  • Address27096 Oakmead Dr.
  • CityPerrysburg
  • StateOH
  • Zip43551
  • Telephone(419) 874-9262
  • EIN34-1872737
  • Industry Code541990
  • Named AdministratorRyan Hetrick

Audit Information

  • Audit StatusAudited
  • AuditorGilmore Jasion Mahler, Ltd
  • Auditor EIN34-1827159
  • 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? Yes $15,305
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 $668,879
Contributions $467,411
Cash Contributions $467,411
Cash from Employers $131,503
Cash from Participants $335,834
Others (including rollovers) $74
Noncash Contributions $0
Total Earnings on Investments $201,468
Total Interest $6,300
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $6,300
Interest from Other Investments $0
Total Dividends $0
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 $195,168
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 $0
Other Income $0
Expenses $68,854
Total Benefit Payments $47,995
Directly to participants or beneficiaries, including direct rollovers $47,995
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $0
Certain deemed distributions of participant loans $7,000
Interest expense $0
Total Administrative Expenses $13,859
Professional Fees $0
Contract Administrator Fees $0
Investment Advisory and management fees $0
Other Administrative Fees $13,859
Net Income $600,025
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2016 12/31/2015 Change YOY
Total Assets $2,674,924 $2,074,899 28.92%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $144,494 $159,362 -9.33%
Employer Contributions $132,774 $131,212 1.19%
Participant Contributions $11,720 $28,150 -58.37%
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 $144,748 $154,650 -6.40%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $2,366,755 $1,751,424 35.13%
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 $0 $0 0.0%
Value of funds held in insurance co. general account $18,927 $9,463 100.01%
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 $2,674,924 $2,074,899 28.92%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

There is no information on eligible indirect compensation for this plan.

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
Lincoln National Corporation Contract Administrator Service Provider $9,648 $0 $9,648
Creative Retirement Systems Recordkeeping and information management (computing, tabulating, data processing, etc.) TPA $4,211 $0 $4,211
Total $13,859 $0 $13,859

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
Lnl Sav2 Vanguard Target Retirement Lincoln National Life Insurance Co. DFE: Pooled Separate Account $570,869
Lnl Sav4 Vanguard Target Retirement Lincoln National Life Insurance Co. DFE: Pooled Separate Account $567,888
Lincoln Life Separate Account 4K Lincoln National Life Insurance Co. DFE: Pooled Separate Account $303,283
Lnl Sav5 Vanguard Target Retirement Lincoln National Life Insurance Co. DFE: Pooled Separate Account $186,648
Lnl Sal9 Ssga Russell Large Cap Gro Lincoln National Life Insurance Co. DFE: Pooled Separate Account $119,257
Lnl Salc Ssga Russell Small Cap Gro Lincoln National Life Insurance Co. DFE: Pooled Separate Account $87,567
Lnl Sa64 Janus Aspen Enterprise Por Lincoln National Life Insurance Co. DFE: Pooled Separate Account $86,067
Lnl Sa21 Vanguard Lifestrategy Mode Lincoln National Life Insurance Co. DFE: Pooled Separate Account $70,795
Lnl Sav3 Vanguard Target Retirement Lincoln National Life Insurance Co. DFE: Pooled Separate Account $62,986
Lnl Sal8 Ssga Russell Large Cap Val Lincoln National Life Insurance Co. DFE: Pooled Separate Account $60,027
Lnl Sa11 Lvip Dimensional Core Equi Lincoln National Life Insurance Co. DFE: Pooled Separate Account $53,924
Lnl Sa27 Lvip Ssga S&P 500 Index Lincoln National Life Insurance Co. DFE: Pooled Separate Account $51,427
Lnl Sa20 Franklin High Income Lincoln National Life Insurance Co. DFE: Pooled Separate Account $48,575
Lnl Salb Ssga Russell Small Cap Val Lincoln National Life Insurance Co. DFE: Pooled Separate Account $47,080
Lnl Sa32 Vanguard Lifestrategy Grow Lincoln National Life Insurance Co. DFE: Pooled Separate Account $16,727
Lnl Sa94 Oppenheimer Developing Mar Lincoln National Life Insurance Co. DFE: Pooled Separate Account $14,543
Lnl Sav1 Vanguard Target Retirement Lincoln National Life Insurance Co. DFE: Pooled Separate Account $11,614
Lnl Sa30 Vanguard Lifestrategy Cons Lincoln National Life Insurance Co. DFE: Pooled Separate Account $4,836
Lnl Sal5 Lvip Ssga International In Lincoln National Life Insurance Co. DFE: Pooled Separate Account $1,653
Lnl Sal6 Lvip Ssga Bond Index Lincoln National Life Insurance Co. DFE: Pooled Separate Account $989
Total $2,366,755

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Lincoln National Life Insurance Co 108
EIN 35-0742300
Industry Code 65676
Contract Number GP 29300
Contract Year 01/01/2016 — 12/31/2016
Value in General Account at Year End $18,927
Value in Separate Accounts at Year End $2,366,755
Insurance Fees and Commissions $8,481
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Merrill Lynch Pierce Fenner 101 S Tryton St 33Rd Fl Charlotte, NC 28255 Agent or Broker other than Insurance $6,175 $0
Merrill Lynch Life Agency Inc Bldg 1 2nd Fl Jacksonville, FL 32246 Agent or Broker other than Insurance $0 $1,639 MARKETING ALLOWANCE
Creative Retirement Systems 25 Merchant Street, Ste 135 Cincinnati, OH 45246 Third Party Administrator $0 $667 TPA AWARDS/TPA SUBSIDY
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 GROUP VAR ANNUITY W/GUAR FUND
Balance at the end of the previous year $9,463
Additions $15,498
Contributions Deposited during the year $3,894
Dividends and credits $0
Interest credited during the year $218
Transferred from separate account $0
Other $11,386
Total of Balance and Additions $24,961
Deductions $6,034
Disbursed from fund to pay benefits or purchase annuities during the year $3
Administration charge made by carrier $54
Transferred to Separate Account $0
Other $5,977
Balance at the end of the current year $18,927