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Overview

Plan Information

  • Plan Year01/01/2009 — 12/31/2009
  • Date of Plan04/01/1995
  • Net Assets as of 12/31/2009 $7,300,668
  • 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 12/31/2009

  • Active (Eligible) Participants398
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits27
  • Subtotal425
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
  • Total425
  • Total number of participants as of 01/01/2009408
  • Number of participants with account balances360
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested1

Expenses

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

Sponsor Information

  • Address106 E. Washington Street
  • CityCUBA
  • StateMO
  • Zip65453
  • Telephone(573) 885-2277
  • EIN43-0908410
  • Industry Code447100
  • Named AdministratorLynn Wallis

Plan Administrator Information

  • Administrator NameLynn Wallis
  • Address106 E Washington
  • CityCUBA
  • StateMO
  • Zip65453
  • Telephone(573) 885-2277
  • Administrator EIN43-0908410

Audit Information

  • Audit StatusAudited
  • AuditorBender, Weltman, Thomas, Perry
  • Auditor EIN43-1698328
  • 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.
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? 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 $1,000,000
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 $2,708,441
Contributions $1,428,976
Cash Contributions $1,428,976
Cash from Employers $507,584
Cash from Participants $886,185
Others (including rollovers) $35,207
Noncash Contributions $0
Total Earnings on Investments $1,273,299
Total Interest $19,230
Interest-Bearing Cash $90
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $19,140
Interest from Other Investments $0
Total Dividends $138,381
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 $69,297
Net investment gain (loss) from pooled separate accounts $625,642
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 $420,749
Other Income $6,166
Expenses $608,467
Total Benefit Payments $597,347
Directly to participants or beneficiaries, including direct rollovers $597,347
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 $11,120
Professional Fees $0
Contract Administrator Fees $10,720
Investment Advisory and management fees $0
Other Administrative Fees $400
Net Income $2,099,974
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2009 12/31/2008 Change YOY
Total Assets $7,301,793 $5,200,694 40.40%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $17,949 $0 0.0%
Employer Contributions $11,080 $0 0.0%
Participant Contributions $6,176 $0 0.0%
Other Contributions $693 $0 0.0%
General Investments $123,510 $0 0.0%
Interest-bearing cash $123,510 $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 $278,180 $223,003 24.74%
Value of interest in common/collective trusts $735,673 $764,302 -3.75%
Value of interest in pooled separate accounts $190,748 $2,711,626 -92.97%
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 $5,955,733 $1,034,776 475.56%
Value of funds held in insurance co. general account $0 $466,987 -100.00%
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 $1,125 $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) $1,125 $0 0.0%
Net Assets $7,300,668 $5,200,694 40.38%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

  • Fiioc
  • 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 Claims processing, Contract Administrator, Participant loan processing, Recordkeeping fees Contract Administrator $10,718 $0 $10,718
Fidelity Investments Institutional Sub-transfer agency fees, Recordkeeping fees, Participant loan processing, Account maintenance fees Recordkeeper $400 $0 $400
Cbiz Financial Solutions Inc Finders' fees/placement fees Advisor $0 $0 $0
Total $11,118 $0 $11,118

Indirect Compensation

Name Source of Indirect Compensation* Nature of Service Description of Indirect Compensation Indirect Compensation Paid by Plan
Fidelity Investments Institutional Am Cent Eq Inc A - American Century Sub-transfer agency fees 0.25% $0
Fidelity Investments Institutional Col Sm Cap Value I A - Columbia Man Sub-transfer agency fees 0.25% $0
Fidelity Investments Institutional Janus Balanced S - Janus Services L Sub-transfer agency fees 0.25% $0
Fidelity Investments Institutional Jpm Emrg Mkts Eq A - Boston Financi Sub-transfer agency fees 0.25% $0
Fidelity Investments Institutional Jpm Equity Idx A - Boston Financial Sub-transfer agency fees $15.00 $0
Fidelity Investments Institutional Perkins Mid Cp Val S - Janus Servic Sub-transfer agency fees 0.25% $0
Fidelity Investments Institutional Pimco Total Return A - Boston Finan Sub-transfer agency fees 0.25% $0
Fidelity Investments Institutional 1st Am Midcp Index A - Us Bancorp F Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional 1st Amer Sm Cp Idx A - Us Bancorp F Sub-transfer agency fees 0.15% $0
Cbiz Financial Solutions Inc Col Sm Cap Value I A - Columbia Man Finders' fees/placement fees $0-<$3M=1.00% $3M-<$50M=0.50% $50M+=0.25% $0
Cbiz Financial Solutions Inc Fa Freedom Inc A - Fidelity Distrib Finders' fees/placement fees $1M-<$4M=1.00% $4M-<$25M=0.50% $25M+=0.25% $0
Cbiz Financial Solutions Inc Fa Freedom 2005 A - Fidelity Distri Finders' fees/placement fees $1M-<$4M=1.00% $4M-<$25M=0.50% $25M+=0.25% $0
Cbiz Financial Solutions Inc Fa Freedom 2010 A - Fidelity Distri Finders' fees/placement fees $1M-<$4M=1.00% $4M-<$25M=0.50% $25M+=0.25% $0
Cbiz Financial Solutions Inc Fa Freedom 2015 A - Fidelity Distri Finders' fees/placement fees $1M-<$4M=1.00% $4M-<$25M=0.50% $25M+=0.25% $0
Cbiz Financial Solutions Inc Fa Freedom 2020 A - Fidelity Distri Finders' fees/placement fees $1M-<$4M=1.00% $4M-<$25M=0.50% $25M+=0.25% $0
Cbiz Financial Solutions Inc Fa Freedom 2025 A - Fidelity Distri Finders' fees/placement fees $1M-<$4M=1.00% $4M-<$25M=0.50% $25M+=0.25% $0
Cbiz Financial Solutions Inc Fa Freedom 2030 A - Fidelity Distri Finders' fees/placement fees $1M-<$4M=1.00% $4M-<$25M=0.50% $25M+=0.25% $0
Cbiz Financial Solutions Inc Fa Freedom 2035 A - Fidelity Distri Finders' fees/placement fees $1M-<$4M=1.00% $4M-<$25M=0.50% $25M+=0.25% $0
Cbiz Financial Solutions Inc Fa Freedom 2040 A - Fidelity Distri Finders' fees/placement fees $1M-<$4M=1.00% $4M-<$25M=0.50% $25M+=0.25% $0
Cbiz Financial Solutions Inc Fa Freedom 2045 A - Fidelity Distri Finders' fees/placement fees $1M-<$4M=1.00% $4M-<$25M=0.50% $25M+=0.25% $0
Cbiz Financial Solutions Inc Fa Freedom 2050 A - Fidelity Distri Finders' fees/placement fees $1M-<$4M=1.00% $4M-<$25M=0.50% $25M+=0.25% $0
Cbiz Financial Solutions Inc Fa Intl Discovery A - Fidelity Dist Finders' fees/placement fees $1M-<$4M=1.00% $4M-<$25M=0.50% $25M+=0.25% $0
Cbiz Financial Solutions Inc Fa Mid Cap II A - Fidelity Distribu Finders' fees/placement fees $1M-<$4M=1.00% $4M-<$25M=0.50% $25M+=0.25% $0
Cbiz Financial Solutions Inc Fa New Insights A - Fidelity Distri Finders' fees/placement fees $1M-<$4M=1.00% $4M-<$25M=0.50% $25M+=0.25% $0
Cbiz Financial Solutions Inc Fa Small Cap A - Fidelity Distribut Finders' fees/placement fees $1M-<$4M=1.00% $4M-<$25M=0.50% $25M+=0.25% $0
Cbiz Financial Solutions Inc Fa Strat Income A - Fidelity Distri Finders' fees/placement fees $1M-<$4M=1.00% $4M-<$25M=0.50% $25M+=0.25% $0
*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
Principal Stable Value Fund Union Bond and Trust Company DFE: Common/Collective Trust $731,536
Principal Us Property Sepact Principal Life Insurance Company DFE: Pooled Separate Account $190,748
Fa Stable Value Fidelity Management Trust Company DFE: Common/Collective Trust $4,137
Prin Lifetime 2030 Sep Acct R6 Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Lgcap S and P 500 Index Sa R6 Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Lifetime 2040 Spe Acct R6 Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Midcap Value I Sa R6 Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Lifetime 2050 Sept Acct R6 Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Midcap Growth III Sa R6 Principal Life Insurance Company DFE: Pooled Separate Account $0
Principal Diversified Intl Sa R6 Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Real Estate Secs Sa R6 Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Lifetime 2020 Sep Acct R6 Principal Life Insurance Company DFE: Pooled Separate Account $0
Principal Smcap Growth Sep Acct R6 Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Fin Grp Inc Stock Sa R6 Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Lifetime 2010 Sep Acct R6 Principal Life Insurance Company DFE: Pooled Separate Account $0
Principal Lgcap Growth Sep Acct R6 Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Intl Smallcap Sep Acct R6 Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Lifetime Strat Inc Sa R6 Principal Life Insurance Company DFE: Pooled Separate Account $0
Total $926,421

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Principal Life Insurance Company 369
EIN 42-0127290
Industry Code 61271
Contract Number 417766
Contract Year 01/01/2009 — 12/31/2009
Value in General Account at Year End $0
Value in Separate Accounts at Year End $190,748
Insurance Fees and Commissions $13,513
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Cbiz Benefits and Insurance Service 11440 Tomahawk Creek Leawood, KS 66211 -2672 Insurance Agent or Broker $6,636 $1,206 REFERRAL/SERVICE FEE
Cbiz Benefits and Insurance Service 222 S 9th Street Minneapolis, MN 55402 -3360 Insurance Agent or Broker $2,618 $725 REFERRAL/SERVICE FEE
Cbiz Financial Solutions Inc 6050 Oak Tree Blvd Cleveland, OH 44131 Insurance Agent or Broker $0 $2,328 REFERRAL//SERVICE FEE AND PRORATED INCENTIVE NOT DEDUCTED FROM PLAN
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 $466,987
Additions $13,747
Contributions Deposited during the year $0
Dividends and credits $0
Interest credited during the year $13,747
Transferred from separate account $0
Other $0
Total of Balance and Additions $480,734
Deductions $480,734
Disbursed from fund to pay benefits or purchase annuities during the year $5,486
Administration charge made by carrier $169
Transferred to Separate Account $48,784
Other $426,295
Balance at the end of the current year $0