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FORM 5500 DATA

R & R Insurance Services, Inc. 401k Profit Sharing Plan

Overview

Plan Information

  • Plan Year01/01/2015 — 12/31/2015
  • Date of Plan01/01/1980
  • Net Assets as of 12/31/2015 $35,077,361
  • 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 12/31/2015

  • Active (Eligible) Participants160
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits39
  • Subtotal199
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
  • Total199
  • Total number of participants as of 01/01/2015193
  • Number of participants with account balances196
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested14

Expenses

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

Sponsor Information

  • Address1581 East Racine Ave.
  • CityWaukesha
  • StateWI
  • Zip53186-6826
  • Telephone(262) 574-7000
  • EIN39-1230987
  • Industry Code524210
  • Named AdministratorMichael Franz

Audit Information

  • Audit StatusAudited
  • AuditorSikich, LLP
  • Auditor EIN36-3168081
  • 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.
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 $2,240,043
Contributions $2,752,175
Cash Contributions $2,752,175
Cash from Employers $855,174
Cash from Participants $1,179,079
Others (including rollovers) $717,922
Noncash Contributions $0
Total Earnings on Investments $-512,132
Total Interest $11,433
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $11,433
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 $-523,565
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 $2,144,174
Total Benefit Payments $2,073,456
Directly to participants or beneficiaries, including direct rollovers $2,073,456
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 $70,718
Professional Fees $240
Contract Administrator Fees $70,475
Investment Advisory and management fees $3
Other Administrative Fees $0
Net Income $95,869
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2015 12/31/2014 Change YOY
Total Assets $35,077,361 $34,981,492 0.27%
Total noninterest-bearing cash $21,226 $71,106 -70.15%
Receivables $600,000 $551,741 8.75%
Employer Contributions $600,000 $551,741 8.75%
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 $215,437 $290,601 -25.87%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $34,240,698 $34,068,044 0.51%
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 $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 $35,077,361 $34,981,492 0.27%

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
John Hancock Life Insurance Company Recordkeeping and information management (computing, tabulating, data processing, etc.), Investment management, Shareholder servicing fees, Sub-transfer agency fees, Float revenue, Distribution (12b-1) fees Recordkeeper $70,475 $0 $70,475
Total $70,475 $0 $70,475

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
Jh Ls Grow Active Strategy John Hancock USA DFE: Pooled Separate Account $5,837,551
Jh Ls Mod Active Strategy John Hancock USA DFE: Pooled Separate Account $4,291,858
Jh Ls Bal Active Strategy John Hancock USA DFE: Pooled Separate Account $2,953,477
Jh Thru 2025 Active Strategy John Hancock USA DFE: Pooled Separate Account $1,887,243
Jh Ls Agg Active Strategy John Hancock USA DFE: Pooled Separate Account $1,592,879
Jh Ret To 2025 Managed Port John Hancock USA DFE: Pooled Separate Account $1,313,962
Fidelity Advisor Total Bond John Hancock USA DFE: Pooled Separate Account $1,309,344
Jh Ls Con Active Strategy John Hancock USA DFE: Pooled Separate Account $1,305,559
Jh Ret To 2020 Managed Port John Hancock USA DFE: Pooled Separate Account $902,315
Money Market Fund John Hancock USA DFE: Pooled Separate Account $845,191
T. Rowe Price Health Sci John Hancock USA DFE: Pooled Separate Account $652,767
Jh Thru 2020 Active Strategy John Hancock USA DFE: Pooled Separate Account $553,322
Jh Thru 2030 Active Strategy John Hancock USA DFE: Pooled Separate Account $550,853
Jh Thru 2035 Active Strategy John Hancock USA DFE: Pooled Separate Account $520,866
Strategic Income Opp Fund John Hancock USA DFE: Pooled Separate Account $423,920
Templeton Global Bond Fund John Hancock USA DFE: Pooled Separate Account $410,314
John Hancock Disciplined Value John Hancock USA DFE: Pooled Separate Account $401,340
Franklin Small-Mid Growth John Hancock USA DFE: Pooled Separate Account $343,296
Oppenheimer Developing Mkt John Hancock USA DFE: Pooled Separate Account $285,716
Jpmorgan Midcap Value Fund John Hancock USA DFE: Pooled Separate Account $283,827
Dfa U.S. Small Cap Fund John Hancock USA DFE: Pooled Separate Account $264,825
Small Cap Value Fund John Hancock USA DFE: Pooled Separate Account $248,093
Oppenheimer Intl Growth Fund John Hancock USA DFE: Pooled Separate Account $241,680
Pimco All Asset John Hancock USA DFE: Pooled Separate Account $233,306
Jh Thru 2040 Active Strategy John Hancock USA DFE: Pooled Separate Account $225,317
T. Rowe Price Cap Appreciation John Hancock USA DFE: Pooled Separate Account $218,841
Blue Chip Growth Fund John Hancock USA DFE: Pooled Separate Account $203,616
Federated High Yield Bond John Hancock USA DFE: Pooled Separate Account $195,028
T. Rowe Price Sci & Tech John Hancock USA DFE: Pooled Separate Account $190,872
Blackrock Global Allocation John Hancock USA DFE: Pooled Separate Account $185,629
T. Rowe Price Equity Inc John Hancock USA DFE: Pooled Separate Account $177,006
Pimco Real Return John Hancock USA DFE: Pooled Separate Account $176,481
Legg Mason Clearbr Agg Growth John Hancock USA DFE: Pooled Separate Account $162,633
Lord Abbett Value Opps Fund John Hancock USA DFE: Pooled Separate Account $153,060
Fidelity Adv New Insights John Hancock USA DFE: Pooled Separate Account $152,099
Europacific Growth Fund John Hancock USA DFE: Pooled Separate Account $151,609
Jh Ret To 2010 Managed Port John Hancock USA DFE: Pooled Separate Account $148,443
Templeton World John Hancock USA DFE: Pooled Separate Account $147,507
Total Bond Market Fund John Hancock USA DFE: Pooled Separate Account $143,569
Jh Ret To 2045 Managed Port John Hancock USA DFE: Pooled Separate Account $137,433
John Hancock Intl Growth John Hancock USA DFE: Pooled Separate Account $123,399
American Century Heritage John Hancock USA DFE: Pooled Separate Account $118,152
Utilities Fund John Hancock USA DFE: Pooled Separate Account $115,434
Oppenheimer Global John Hancock USA DFE: Pooled Separate Account $108,141
Washington Mutual Investors John Hancock USA DFE: Pooled Separate Account $105,919
Jh Ret To 2035 Managed Port John Hancock USA DFE: Pooled Separate Account $104,350
Jh Thru 2050 Active Strategy John Hancock USA DFE: Pooled Separate Account $102,220
Aston/Fairpointe Mid Cap Fund John Hancock USA DFE: Pooled Separate Account $101,595
Mid Value Fund John Hancock USA DFE: Pooled Separate Account $100,009
Jh Ret To 2030 Managed Port John Hancock USA DFE: Pooled Separate Account $99,524
U.S. Equity Fund John Hancock USA DFE: Pooled Separate Account $99,235
Dfa International Value John Hancock USA DFE: Pooled Separate Account $95,664
Invesco Small Cap Growth John Hancock USA DFE: Pooled Separate Account $94,661
Parnassus Core Equity Fund John Hancock USA DFE: Pooled Separate Account $81,246
Ivy Asset Strategy Fund John Hancock USA DFE: Pooled Separate Account $80,992
Fidelity Contrafund John Hancock USA DFE: Pooled Separate Account $78,252
Natural Resources Fund John Hancock USA DFE: Pooled Separate Account $77,880
Vanguard Energy Fund John Hancock USA DFE: Pooled Separate Account $77,598
New World Fund John Hancock USA DFE: Pooled Separate Account $76,374
Royce Opportunity John Hancock USA DFE: Pooled Separate Account $76,320
Tocqueville Gold Fund John Hancock USA DFE: Pooled Separate Account $75,135
Total Stock Market Index Fund John Hancock USA DFE: Pooled Separate Account $74,826
John Hancock Select Growth John Hancock USA DFE: Pooled Separate Account $74,430
T. Rowe Price Spectrum Inc John Hancock USA DFE: Pooled Separate Account $74,197
Jh Thru 2045 Active Strategy John Hancock USA DFE: Pooled Separate Account $71,538
U.S. High Yield Bond Fund John Hancock USA DFE: Pooled Separate Account $71,274
Dfa Inflation-Protected Sec John Hancock USA DFE: Pooled Separate Account $70,442
Dfa Emerging Markets Value John Hancock USA DFE: Pooled Separate Account $69,133
Jh Thru 2015 Active Strategy John Hancock USA DFE: Pooled Separate Account $68,649
Jh Ret To 2050 Managed Port John Hancock USA DFE: Pooled Separate Account $66,249
Ft Founding Funds Allocation John Hancock USA DFE: Pooled Separate Account $65,647
Jh Ret To 2040 Managed Port John Hancock USA DFE: Pooled Separate Account $62,145
American Balanced Fund John Hancock USA DFE: Pooled Separate Account $61,045
Real Est. Securities Fund John Hancock USA DFE: Pooled Separate Account $60,595
Invesco International Growth John Hancock USA DFE: Pooled Separate Account $60,151
T. Rowe Price Sml Cap Val John Hancock USA DFE: Pooled Separate Account $57,416
High Yield Fund John Hancock USA DFE: Pooled Separate Account $55,590
Capital Appreciation Fund John Hancock USA DFE: Pooled Separate Account $49,790
Value Fund John Hancock USA DFE: Pooled Separate Account $49,652
Blackrock Basic Value John Hancock USA DFE: Pooled Separate Account $43,301
New Perspective Fund John Hancock USA DFE: Pooled Separate Account $42,815
500 Index Fund John Hancock USA DFE: Pooled Separate Account $39,719
Mutual Global Discovery John Hancock USA DFE: Pooled Separate Account $39,421
Intl Small Cap Fund John Hancock USA DFE: Pooled Separate Account $39,226
Investment Qual Bond Fund John Hancock USA DFE: Pooled Separate Account $38,770
Active Bond Fund John Hancock USA DFE: Pooled Separate Account $37,208
Jpmorgan Us Equity Fund John Hancock USA DFE: Pooled Separate Account $37,108
Oppenheimer Intl Bond John Hancock USA DFE: Pooled Separate Account $35,053
Science & Technology Fund John Hancock USA DFE: Pooled Separate Account $34,787
Mid Cap Index Fund John Hancock USA DFE: Pooled Separate Account $33,535
Pru Jennison Mid Growth Fund John Hancock USA DFE: Pooled Separate Account $31,969
Vanguard Value Index Fund John Hancock USA DFE: Pooled Separate Account $29,462
Massachusetts Investors Fund John Hancock USA DFE: Pooled Separate Account $28,764
The Growth Fund of America John Hancock USA DFE: Pooled Separate Account $27,002
Capital World Growth & Income John Hancock USA DFE: Pooled Separate Account $24,336
Smallcap World Fund John Hancock USA DFE: Pooled Separate Account $23,639
All Cap Core Fund John Hancock USA DFE: Pooled Separate Account $18,775
Fidelity Adv Leveraged Co Stk John Hancock USA DFE: Pooled Separate Account $15,797
International Value Fund John Hancock USA DFE: Pooled Separate Account $10,266
Jh Ret To 2055 Managed Port John Hancock USA DFE: Pooled Separate Account $7,096
Jh Ret Income Managed Port John Hancock USA DFE: Pooled Separate Account $6,773
Vanguard Explorer Fund John Hancock USA DFE: Pooled Separate Account $5,107
Keeley Small Cap Value John Hancock USA DFE: Pooled Separate Account $4,732
Pimco Global Bond John Hancock USA DFE: Pooled Separate Account $3,892
Jh Thru 2055 Active Strategy John Hancock USA DFE: Pooled Separate Account $1,820
Fundamental Investors John Hancock USA DFE: Pooled Separate Account $1,091
Vanguard Small Cap Grow Index John Hancock USA DFE: Pooled Separate Account $902
Vanguard Growth Index Fund John Hancock USA DFE: Pooled Separate Account $812
Total $34,240,694

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
John Hancock Life Insurance Company 196
EIN 01-0233346
Industry Code 65838
Contract Number 101897
Contract Year 01/01/2015 — 12/31/2015
Value in General Account at Year End $0
Value in Separate Accounts at Year End $34,240,698
Insurance Fees and Commissions $105,923
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
1st Global Capital Corp 8150 North Global Expressway Dallas, TX 75206 Investment Manager/Adviser $69,560 $0
Ppg Retirement Plan Services 5525 Green Bay Road Kenosha, WI 53144 Third Party Administrator $0 $26,451 TPA COMPENSATION
R&R Insurance Services 1581 E Racine Ave Waukesha, WI 53186 Other $0 $9,909 AUDIT FEES
T. Rowe Price 100 East Pratt Street Baltimore, MD 21202 Investment Company/Mutual Fund $0 $3 REDEMPTION 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