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Overview

Plan Information

  • Plan Year01/01/2016 — 12/31/2016
  • Date of Plan06/01/1989
  • Net Assets as of 12/31/2016 $5,520,166
  • 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
  • Report Description This is an amended report.
  • Plan Funding ArrangementInsurance Trust
  • Plan Benefit ArrangementInsurance Trust

Participant Information as of 12/31/2016

  • Active (Eligible) Participants214
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits9
  • Subtotal223
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits1
  • Total224
  • Total number of participants as of 01/01/2016207
  • Number of participants with account balances139
  • 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

  • Address3216 Commerce St
  • CityLa Crosse
  • StateWI
  • Zip54603-1710
  • Telephone(608) 781-2570
  • EIN39-1286262
  • Industry Code323100
  • Named AdministratorChristine Wehrle
  • Named Plan SponsorChristine Wehrle

Audit Information

  • Audit StatusAudited
  • AuditorHawkins Ash CPAS LLP
  • Auditor EIN39-0912608
  • 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.
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? Yes $30
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 $568,923
Contributions $301,550
Cash Contributions $301,550
Cash from Employers $0
Cash from Participants $295,927
Others (including rollovers) $5,623
Noncash Contributions $0
Total Earnings on Investments $267,487
Total Interest $4,775
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $3,106
Interest from Other Investments $1,669
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 $262,712
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 $-114
Expenses $154,784
Total Benefit Payments $152,390
Directly to participants or beneficiaries, including direct rollovers $152,390
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $809
Certain deemed distributions of participant loans $0
Interest expense $0
Total Administrative Expenses $1,585
Professional Fees $0
Contract Administrator Fees $1,585
Investment Advisory and management fees $0
Other Administrative Fees $0
Net Income $414,139
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 $5,520,166 $5,106,027 8.11%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $0 $0 0.0%
Employer Contributions $0 $0 0.0%
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 $80,605 $65,019 23.97%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $5,249,942 $4,839,846 8.47%
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 $189,619 $201,162 -5.74%
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 $5,520,166 $5,106,027 8.11%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

  • Principal Life Insurance Company

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
Principal Life Insurance Company Contract Administrator, Participant loan processing, Direct payment from the plan, Recordkeeping fees Contract Administrator $1,584 $0 $1,584
Total $1,584 $0 $1,584

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
Prin Lifetime 2040 Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $620,057
Prin Core Plus Bd Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $599,062
Prin Lifetime 2030 Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $572,220
Prin Lifetime 2020 Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $508,875
Prin Lgcap S&P 500 Index Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $464,930
Prin Smallcap Growth I Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $375,016
Prin Money Market Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $299,987
Prin Lifetime 2050 Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $262,018
Prin Total Mkt Stock Idx Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $190,438
Prin Smcap S&P 600 Index Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $170,534
Prin Lifetime Strat Inc Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $159,169
Prin Diversified Intl Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $100,368
Prin Smallcap Value II Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $89,213
Prin Intl Smallcap Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $85,898
Prin Midcap Value I Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $84,124
Prin Midcap Growth III Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $80,891
Prin Lgcap Growth Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $75,826
Principal Smallcap Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $73,734
Prin Lifetime 2025 Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $73,003
Prin Lgcap Value Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $67,283
Prin Midcap Value III Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $65,084
Prin Lifetime 2035 Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $55,350
Prin Intl Emerg Markets Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $49,974
Prin U.S. Property Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $41,270
Prin Lifetime 2010 Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $34,444
Prin Lifetime 2045 Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $14,836
Prin Lifetime 2055 Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $14,008
Prin Largecap Growth II Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $10,435
Prin Midcap Growth Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $10,410
Prin Lifetime 2060 Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $1,486
Total $5,249,943

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Principal Life Insurance Company 224
EIN 42-0127290
Industry Code 61271
Contract Number 386757
Contract Year 01/01/2016 — 12/31/2016
Value in General Account at Year End $189,619
Value in Separate Accounts at Year End $5,249,942
Insurance Fees and Commissions $4,600
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Royal Alliance Associates Inc 1 World Financial Ctr New York, NY 10281 -2100 Insurance Agent or Broker $4,453 $147 REFERRAL/SERVICE FEE
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 FLEXIBLE INVESTMENT ANNUITY
Balance at the end of the previous year $204,075
Additions $11,824
Contributions Deposited during the year $4,055
Dividends and credits $0
Interest credited during the year $1,669
Transferred from separate account $5,336
Other $764
Total of Balance and Additions $215,899
Deductions $23,254
Disbursed from fund to pay benefits or purchase annuities during the year $5,434
Administration charge made by carrier $533
Transferred to Separate Account $3,844
Other $13,443
Balance at the end of the current year $192,645