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Overview

Plan Information

  • Plan Year07/01/2016 — 06/30/2017
  • Date of Plan07/01/2002
  • Net Assets as of 06/30/2017 $762,062
  • 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 Arrangement Trust

Participant Information as of 06/30/2017

  • Active (Eligible) Participants475
  • Retired or separated participants receiving benefits2
  • Other retired or separated participants entitled to future benefits27
  • Subtotal504
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
  • Total504
  • Total number of participants as of 07/01/2016569
  • Number of participants with account balances144
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested17

Expenses

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

Sponsor Information

  • Address35 Elm Street
  • CityNaugatuck
  • StateCT
  • Zip06770
  • Telephone(203) 723-4133
  • EIN47-0873083
  • Industry Code624100
  • Named AdministratorChet Doheny

Audit Information

  • Audit StatusAudited
  • AuditorCohnreznick LLP
  • Auditor EIN22-1478099
  • 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? 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 $136,179
Contributions $44,092
Cash Contributions $44,092
Cash from Employers $0
Cash from Participants $44,092
Others (including rollovers) $0
Noncash Contributions $0
Total Earnings on Investments $92,087
Total Interest $2,105
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $2,105
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 $0
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 $89,982
Other Income $0
Expenses $59,768
Total Benefit Payments $43,736
Directly to participants or beneficiaries, including direct rollovers $43,736
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 $16,032
Professional Fees $0
Contract Administrator Fees $16,032
Investment Advisory and management fees $0
Other Administrative Fees $0
Net Income $76,411
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

06/30/2017 06/30/2016 Change YOY
Total Assets $762,062 $685,651 11.14%
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 $20,011 $2,271 781.15%
Interest-bearing cash $20,011 $2,271 781.15%
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 $47,798 $51,213 -6.67%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $0 $0 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 $694,253 $632,167 9.82%
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 $762,062 $685,651 11.14%

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 Co Recordkeeping and information management (computing, tabulating, data processing, etc.) Recordkeeper $11,312 $0 $11,312
Total $11,312 $0 $11,312

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 Multimanager Balanced Ls John Hancock USA DFE: Pooled Separate Account $410,368
Jh Multimanager Growth Ls John Hancock USA DFE: Pooled Separate Account $216,400
Jh Multimanager Moderate Ls John Hancock USA DFE: Pooled Separate Account $15,481
Jh Multimanager Aggressive Ls John Hancock USA DFE: Pooled Separate Account $5,543
Intl Small Cap Fund John Hancock USA DFE: Pooled Separate Account $4,583
Small Cap Growth Fund John Hancock USA DFE: Pooled Separate Account $3,990
Science & Technology Fund John Hancock USA DFE: Pooled Separate Account $3,121
Capital Appreciation Fund John Hancock USA DFE: Pooled Separate Account $3,084
Mid Cap Stock Fund John Hancock USA DFE: Pooled Separate Account $2,815
Invesco International Growth John Hancock USA DFE: Pooled Separate Account $2,548
Invesco Small Cap Growth John Hancock USA DFE: Pooled Separate Account $2,536
American Century Heritage John Hancock USA DFE: Pooled Separate Account $2,448
Vanguard Small Cap Grow Index John Hancock USA DFE: Pooled Separate Account $2,357
The Growth Fund of America John Hancock USA DFE: Pooled Separate Account $2,234
Intl Equity Index Fund John Hancock USA DFE: Pooled Separate Account $1,783
Financial Industries Fund John Hancock USA DFE: Pooled Separate Account $1,665
T. Rowe Price Health Sci John Hancock USA DFE: Pooled Separate Account $1,531
Europacific Growth Fund John Hancock USA DFE: Pooled Separate Account $1,056
Real Est. Securities Fund John Hancock USA DFE: Pooled Separate Account $989
Blue Chip Growth Fund John Hancock USA DFE: Pooled Separate Account $898
Jh Disciplined Value Intl Fund John Hancock USA DFE: Pooled Separate Account $836
Mid Cap Index Fund John Hancock USA DFE: Pooled Separate Account $823
Strategic Income Opp Fund John Hancock USA DFE: Pooled Separate Account $812
John Hancock Stable Val John Hancock USA DFE: Pooled Separate Account $765
Small Company Value Fund John Hancock USA DFE: Pooled Separate Account $681
Natural Resources Fund John Hancock USA DFE: Pooled Separate Account $667
Jh Multimanager Conserv Ls John Hancock USA DFE: Pooled Separate Account $645
U.S. Growth Fund John Hancock USA DFE: Pooled Separate Account $620
Washington Mutual Investors John Hancock USA DFE: Pooled Separate Account $498
500 Index Fund John Hancock USA DFE: Pooled Separate Account $434
Small Cap Index Fund John Hancock USA DFE: Pooled Separate Account $400
New Opportunities Fund John Hancock USA DFE: Pooled Separate Account $393
International Value Fund John Hancock USA DFE: Pooled Separate Account $393
Templeton World John Hancock USA DFE: Pooled Separate Account $391
Dfa Us Targeted Value Fund John Hancock USA DFE: Pooled Separate Account $390
Utilities Fund John Hancock USA DFE: Pooled Separate Account $75
Total $694,253

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
John Hancock USA 168
EIN 01-0233346
Industry Code 65838
Contract Number 65838
Contract Year 07/01/2016 — 06/30/2017
Value in General Account at Year End $0
Value in Separate Accounts at Year End $0
Insurance Fees and Commissions $4,225
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Infinex Investments, Inc. 555 Highland Ave Cheshire, CT 06410 Insurance Agent or Broker $3,869 $0
Pension Consultants, Inc. 74 Batterson Park Road Farmington, CT 06032 Third Party Administrator $0 $356 TPA FORUM 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