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Overview

Plan Information

  • Plan Year01/01/2011 — 12/31/2011
  • Date of Plan10/01/2001
  • Net Assets as of 12/31/2011 $864,607
  • 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
  • Report Description This is an amended report.
  • Plan Funding ArrangementInsurance Trust
  • Plan Benefit ArrangementInsurance Trust

Participant Information as of 12/31/2011

  • Active (Eligible) Participants182
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits15
  • Subtotal197
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
  • Total197
  • Total number of participants as of 01/01/2011285
  • Number of participants with account balances33
  • 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

  • Address7840 W. Hicks Street
  • CityMilwaukee
  • StateWI
  • Zip53219
  • Telephone(414) 431-4532
  • EIN39-1998361
  • Industry Code722210
  • Named AdministratorRichard S. Schroeder
  • Named Plan SponsorRichard S. Schroeder

Plan Administrator Information

  • Administrator NameH & K Partners
  • Address7840 W. Hicks Street
  • CityMilwaukee
  • StateWI
  • Zip53219
  • Telephone(414) 431-4532
  • Administrator EIN39-1998361

Audit Information

  • Audit StatusAudited
  • AuditorBaker Tilly Virchow Krause, LLP
  • Auditor EIN39-0859910
  • 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.

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 $9,843
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 $100,000
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? Yes
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? Yes

Financials

Income and Expense Statement

Income $125,115
Contributions $129,320
Cash Contributions $129,320
Cash from Employers $50,092
Cash from Participants $79,228
Others (including rollovers) $0
Noncash Contributions $0
Total Earnings on Investments $-4,205
Total Interest $16,071
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $2,403
Interest from Other Investments $13,668
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 $-20,276
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 $54,974
Total Benefit Payments $44,824
Directly to participants or beneficiaries, including direct rollovers $44,824
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 $10,150
Professional Fees $9,500
Contract Administrator Fees $650
Investment Advisory and management fees $0
Other Administrative Fees $0
Net Income $70,141
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2011 12/31/2010 Change YOY
Total Assets $864,607 $794,466 8.83%
Total noninterest-bearing cash $822,861 $0 0.0%
Receivables $0 $3,987 0.0%
Employer Contributions $0 $1,239 0.0%
Participant Contributions $0 $2,748 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 $41,746 $12,811 225.86%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $0 $737,088 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 $0 $0 0.0%
Value of funds held in insurance co. general account $0 $40,580 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 $864,607 $794,466 8.83%

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
Ing Life Insurance and Annuity Co Insurance mortality and expense charge, Account maintenance fees, Sub-transfer agency fees, Recordkeeping fees Service Provi Der $0 $10,820 $10,820
Baker Tilly Virchow Krause, LLP Accounting (including auditing) Auditor $9,500 $0 $9,500
Total $9,500 $10,820 $20,320

Indirect Compensation

Name Source of Indirect Compensation* Nature of Service Description of Indirect Compensation Indirect Compensation Paid by Plan
Ing Life Insurance and Annuity Co American Funds Capital World Growth Sub-transfer agency fees, Insurance mortality and expense charge Sub-Transfer/Reimbursement Fees Insurance Mortality and Expense Charge $1,205
Ing Life Insurance and Annuity Co Ing Baron Small Cap Growth Portfoli Sub-transfer agency fees, Insurance mortality and expense charge Sub-Transfer/Reimbursement Fees Insurance Mortality and Expense Charge $1,567
Ing Life Insurance and Annuity Co Ing Van Kampen Equity and Income Po Insurance mortality and expense charge, Sub-transfer agency fees Sub-Transfer/Reimbursement Fees Insurance Mortality and Expense Charge $1,899
Ing Life Insurance and Annuity Co Fidelity Vip Contrafund Port I Sub-transfer agency fees, Insurance mortality and expense charge Sub-Transfer/Reimbursement Fees Insurance Mortality and Expense Charge $1,098
Ing Life Insurance and Annuity Co Pioneer Equity Income Vct Port I Sub-transfer agency fees, Insurance mortality and expense charge Sub-Transfer/Reimbursement Fees Insurance Mortality and Expense Charge $1,561
*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
Map Contract Separate Account D Ing Life Insurance and Annuity Co DFE: Pooled Separate Account $0
Total $0

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Ing Life Insurance & Annuity Company 33
EIN 71-0294708
Industry Code 86509
Contract Number PHK653
Contract Year 01/01/2011 — 12/31/2011
Value in General Account at Year End $0
Value in Separate Accounts at Year End $0
Insurance Fees and Commissions $2,667
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Apex Global Partners LLC 9400 N Central Expy Ste 1400 Dallas, TX 75231 Insurance Agent or Broker $2,667 $0
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 PENSION FUNDING
Balance at the end of the previous year $40,580
Additions $1,009,353
Contributions Deposited during the year $133,350
Dividends and credits $0
Interest credited during the year $1,298
Transferred from separate account $859,910
Other $14,795
Total of Balance and Additions $1,049,933
Deductions $1,049,933
Disbursed from fund to pay benefits or purchase annuities during the year $44,924
Administration charge made by carrier $365
Transferred to Separate Account $134,098
Other $870,546
Balance at the end of the current year $0