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FORM 5500 DATA

P. J. Iowa, L.C. 401k Savings Plan

Overview

Plan Information

  • Plan Year01/01/2015 — 12/31/2015
  • Date of Plan01/01/2000
  • Net Assets as of 12/31/2015 $548,684
  • 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 12/31/2015

  • Active (Eligible) Participants196
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits6
  • Subtotal202
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
  • Total202
  • Total number of participants as of 01/01/2015253
  • Number of participants with account balances37
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2

Expenses

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

Sponsor Information

  • Address5335 Merle Hay Road, Ste #6
  • CityJohnston
  • StateIA
  • Zip50131
  • Telephone(515) 251-5909
  • EIN56-1938675
  • Industry Code722513
  • Named AdministratorKim Donaldson
  • Named Plan SponsorKim Donaldson

Audit Information

  • Audit StatusAudited
  • AuditorScott Skibbie, Inc.
  • Auditor EIN27-0851321
  • 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 $150,000
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 $51,704
Contributions $74,137
Cash Contributions $74,137
Cash from Employers $11,474
Cash from Participants $62,663
Others (including rollovers) $0
Noncash Contributions $0
Total Earnings on Investments $-22,433
Total Interest $78
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $78
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 $12,048
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 $-34,559
Other Income $0
Expenses $17,840
Total Benefit Payments $2,999
Directly to participants or beneficiaries, including direct rollovers $2,999
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $13,370
Certain deemed distributions of participant loans $0
Interest expense $0
Total Administrative Expenses $1,471
Professional Fees $1,336
Contract Administrator Fees $135
Investment Advisory and management fees $0
Other Administrative Fees $0
Net Income $33,864
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2015 12/31/2014 Change YOY
Total Assets $548,754 $514,820 6.59%
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 $12,467 $3,502 256.00%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $0 $490,047 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 $536,287 $0 0.0%
Value of funds held in insurance co. general account $0 $21,271 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 $70 $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) $70 $0 0.0%
Net Assets $548,684 $514,820 6.58%

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
Mass Mutual Life Insurance Co. Recordkeeping and information management (computing, tabulating, data processing, etc.), Insurance services, Participant loan processing, Participant communication, Direct payment from the plan, Sales loads (front end and deferred), Other commissions, Shareholder servicing fees, Sub-transfer agency fees, Float revenue, Distribution (12b-1) fees, Recordkeeping fees, Account maintenance fees, Insurance mortality and expense charge, Other fees NONE $1,266 $0 $1,266
Principal Life Insurance Company Contract Administrator, Participant loan processing, Direct payment from the plan, Recordkeeping fees Contract Administrator $134 $0 $134
Total $1,400 $0 $1,400

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
Separate Account Scai Massmutual Life Insurance Co. DFE: Pooled Separate Account $536,287
Prin Life Tm 2020 Sep Acct-Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Life Tm 2030 Sep Acct-Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Life Tm 2040 Sep Acct-Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Life Tm 2050 Sep Acct-Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Life Tm Str Inc Sa-Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Sam Flex Inc Sa - Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Sam Strat Gr Sa - Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Lifetm 2015 Sep Acct - Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Life Tm 2035 Sep Acct - Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Life Tm 2045 Sep Acct - Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Life Tm 2055 Sep Acct- Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Largecap Growth II Sa-Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Largecap Blend II Sa-Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Smallcap Growth I Sa-Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Smcap Blend Sep Acct-Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Midcap Sep Acct-Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Intl Em Mkt Sep Acct-Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Lgcap Value Sep Acct-Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Midcap Grwth Sep Acct-Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Div Intl Sa-Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Lgcap S&P 500 Idx Sa-Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Midcap Value I Sa-Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Intl I Separate Acct-Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Smcap S&P 600 Idx Sa-Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Midcap S&P 400 Idx Sa-Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Life Tm 2060 Sepacct-Pro Principal Life Insurance Company DFE: Pooled Separate Account $0
Total $536,287

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Massmutual Life Insurance Co. 37
EIN 04-1590850
Industry Code 65935
Contract Number GA-835595
Contract Year 01/01/2015 — 12/31/2015
Value in General Account at Year End $0
Value in Separate Accounts at Year End $536,287
Insurance Fees and Commissions $4,161
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Kidder Benefits Consultants, Inc. 5700 Westown Parkway Ste 100 West Des Moines, IA 50266 -8221 Agent or Broker other than Insurance $0 $2,500 REIMBURSEMENT FOR INVESTMENT PLATFORM OPERATIONAL SUPPORT
Lpl Finanical Corporation 4707 Executive Dr San Diego, CA 92121 Agent or Broker other than Insurance $1,661 $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 Unspecified
Balance at the end of the previous year $0
Additions $523,231
Contributions Deposited during the year $0
Dividends and credits $0
Interest credited during the year $144
Transferred from separate account $0
Other $523,087
Total of Balance and Additions $523,231
Deductions $523,231
Disbursed from fund to pay benefits or purchase annuities during the year $0
Administration charge made by carrier $0
Transferred to Separate Account $523,231
Other $0
Balance at the end of the current year $0
Principal Life Insurance Company 0
EIN 42-0127290
Industry Code 61271
Contract Number 521328
Contract Year 01/01/2015 — 02/13/2015
Value in General Account at Year End $0
Value in Separate Accounts at Year End $0
Insurance Fees and Commissions $1,534
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Lpl Financial Corporation 4707 Executive Dr San Diego, CA 92121 -3091 Insurance Agent or Broker $0 $1,534 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 PENSION PROVIDER
Balance at the end of the previous year $21,271
Additions $3
Contributions Deposited during the year $0
Dividends and credits $0
Interest credited during the year $3
Transferred from separate account $0
Other $0
Total of Balance and Additions $21,274
Deductions $21,274
Disbursed from fund to pay benefits or purchase annuities during the year $0
Administration charge made by carrier $135
Transferred to Separate Account $0
Other $21,139
Balance at the end of the current year $0