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Overview

Plan Information

  • Plan Year01/01/2008 — 12/31/2008
  • Date of Plan01/01/2006
  • Net Assets as of 12/31/2008 $686,024
  • 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 12/31/2008

  • Active (Eligible) Participants91
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits2
  • Subtotal93
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
  • Total93
  • Total number of participants as of 01/01/200893
  • Number of participants with account balances28
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested0
  • Number of participants required to be reported on Schedule SSA2

Expenses

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

Sponsor Information

  • Address1147 Benson Street
  • CityRiver Falls
  • StateWI
  • Zip54022-1594
  • Telephone(715) 426-2090
  • EIN41-1288452
  • Industry Code445291

Plan Administrator Information

  • Administrator NameSAME
  • Administrator EIN

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.
3E Prototype plan A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a separate funding medium (for example, a separate trust or custodial account) is established for the use of each adopting employer.

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 $47,848
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 $200,000
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 at any time hold 20% or more of its assets in any single security, debt, mortgage, parcel of real estate, or partnership/joint venture interest? No $0
Are you claiming a waiver of the annual examination and report of an independent qualified public accountant (IQPA) under 29 CFR 2520.104-46? Yes
Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? No

Financials

Income and Expense Statement

Income $-161,461
Contributions $0
Cash Contributions $201,775
Cash from Employers $67,078
Cash from Participants $134,697
Others (including rollovers) $0
Noncash Contributions $0
Other Income $-363,236
Expenses $30,983
Total Benefit Payments $27,037
Corrective Distributions $0
Certain deemed distributions of participant loans $0
Other Expenses $3,946
Net Income $-192,444
Transfers of Assets to (from) this Plan $0

Asset and Liability Statement

12/31/2008 12/31/2007 Change YOY
Total Assets $715,235 $902,888 -20.78%
Total Liabilities $29,211 $24,420 19.62%
Net Assets $686,024 $878,468 -21.91%

Specific Assets Statement

Held? Amount
Total Specific Assets No $16,345
Partnership/joint venture interests Yes $0
Employer Real Property Yes $0
Real Estate Yes $0
Employer Securities Yes $0
Participant Loans No $16,345
Loans (other than to participants) Yes $0
Tangible Personal Property Yes $0

Service Providers

Service Providers

There are no service providers listed for this plan.

Investments

Investments

Name of Investment Investment Manager Type of Investment Dollar Value
The Growth Fund of America John Hancock Life Insurance Company DFE: Pooled Separate Account $123,968
International Value Fund John Hancock Life Insurance Company DFE: Pooled Separate Account $88,081
Fundamental Value Fund John Hancock Life Insurance Company DFE: Pooled Separate Account $79,972
Investment Company of America John Hancock Life Insurance Company DFE: Pooled Separate Account $72,566
Lifestyle Growth John Hancock Life Insurance Company DFE: Pooled Separate Account $68,902
Templeton World John Hancock Life Insurance Company DFE: Pooled Separate Account $59,502
Total Return Fund John Hancock Life Insurance Company DFE: Pooled Separate Account $39,658
Mid Cap Stock Fund John Hancock Life Insurance Company DFE: Pooled Separate Account $33,307
Real Return Bond Fund John Hancock Life Insurance Company DFE: Pooled Separate Account $28,982
International Opps Fund John Hancock Life Insurance Company DFE: Pooled Separate Account $25,386
Small Cap Opportunities Fund John Hancock Life Insurance Company DFE: Pooled Separate Account $22,182
Small Company Value Fund John Hancock Life Insurance Company DFE: Pooled Separate Account $11,383
American Balanced Fund John Hancock Life Insurance Company DFE: Pooled Separate Account $8,790
Lifestyle Moderate John Hancock Life Insurance Company DFE: Pooled Separate Account $7,153
Lifestle Balanced John Hancock Life Insurance Company DFE: Pooled Separate Account $5,255
Lifestyle Aggressive John Hancock Life Insurance Company DFE: Pooled Separate Account $3,453
Mid Value Fund John Hancock Life Insurance Company DFE: Pooled Separate Account $2,519
Washington Mutual Investors John Hancock Life Insurance Company DFE: Pooled Separate Account $1,837
John Hancock Stable Value John Hancock Life Insurance Company DFE: Pooled Separate Account $1,613
Lifestyle Conservative John Hancock Life Insurance Company DFE: Pooled Separate Account $1,528
Small Cap Growth Fund John Hancock Life Insurance Company DFE: Pooled Separate Account $81
Global Fund John Hancock Life Insurance Company DFE: Pooled Separate Account $0
Quantitative Mid Cap Fund John Hancock Life Insurance Company DFE: Pooled Separate Account $0
Small Cap Fund John Hancock Life Insurance Company DFE: Pooled Separate Account $0
Total $686,118

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
John Hancock Life Insurance Company 28
EIN 01-0233346
Industry Code 65838
Contract Number 47915
Contract Year 01/01/2008 — 12/31/2008
Value in General Account at Year End $0
Value in Separate Accounts at Year End $686,118
Insurance Fees and Commissions $4,330
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Salomon Smith Barney Information Not Provided Insurance Agent or Broker $2,169 $0
Morgan Stanley Insurance Services Information Not Provided Insurance Agent or Broker $1,197 $79 OTHER ALLOWANCES
Rsm Mcgladrey, Inc. 801 Nicollet Avenue, Suite 1100 Minneapolis, MI 55402 -2526 Third Party Administrator $0 $885 TPA FEES AND COMPENSATION
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