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Overview

Plan Information

  • Plan Year01/01/2015 — 12/31/2015
  • Date of Plan01/01/2000
  • Net Assets as of 12/31/2015 $8,152,600
  • 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 12/31/2015

  • Active (Eligible) Participants113
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits31
  • Subtotal144
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
  • Total144
  • Total number of participants as of 01/01/2015175
  • Number of participants with account balances130
  • 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

  • Address9110 Strada Place, Suite 6210
  • CityNaples
  • StateFL
  • Zip34108
  • Telephone(405) 359-6587
  • EIN73-1276186
  • Industry Code541511
  • Named AdministratorTammy Dawson

Audit Information

  • Audit StatusAudited
  • AuditorCliftonlarsonallen LLP
  • Auditor EIN41-0746749
  • 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 $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 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 $563,738
Contributions $665,313
Cash Contributions $665,313
Cash from Employers $248,545
Cash from Participants $400,645
Others (including rollovers) $16,123
Noncash Contributions $0
Total Earnings on Investments $-101,575
Total Interest $10,221
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $10,221
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 $-111,796
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 $392,414
Total Benefit Payments $386,677
Directly to participants or beneficiaries, including direct rollovers $386,677
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $0
Certain deemed distributions of participant loans $4,973
Interest expense $0
Total Administrative Expenses $764
Professional Fees $0
Contract Administrator Fees $764
Investment Advisory and management fees $0
Other Administrative Fees $0
Net Income $171,324
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $1,603,487

Asset and Liability Statement

12/31/2015 12/31/2014 Change YOY
Total Assets $8,152,600 $9,584,763 -14.94%
Total noninterest-bearing cash $4,437 $4,437 0.00%
Receivables $0 $48,820 0.0%
Employer Contributions $0 $24,251 0.0%
Participant Contributions $0 $24,569 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 $269,961 $275,649 -2.06%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $7,872,730 $9,229,314 -14.70%
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 $5,472 $26,543 -79.38%
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 $8,152,600 $9,584,763 -14.94%

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. USA Recordkeeping and information management (computing, tabulating, data processing, etc.) Recordkeeper $764 $0 $764
Total $764 $0 $764

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

Name Position Explanation
Hbc CPAS & Advisors Auditor Company Is No Longer Providing Certain Auditing Services.

Investments

Investments

Name of Investment Investment Manager Type of Investment Dollar Value
Ls Growth Active Strategy John Hancock Life Insurance Co DFE: Pooled Separate Account $1,845,741
Ls Bal Active Strategy John Hancock Life Insurance Co DFE: Pooled Separate Account $1,210,142
Money Market Fund John Hancock Life Insurance Co DFE: Pooled Separate Account $626,062
Ls Agg Active Strategy John Hancock Life Insurance Co DFE: Pooled Separate Account $517,889
500 Index Fund John Hancock Life Insurance Co DFE: Pooled Separate Account $418,120
Legg Mason Clearbr Agg Growth John Hancock Life Insurance Co DFE: Pooled Separate Account $360,011
Vanguard Short Term Federal John Hancock Life Insurance Co DFE: Pooled Separate Account $284,759
T. Rowe Price Sci & Tech John Hancock Life Insurance Co DFE: Pooled Separate Account $263,578
American Century Heritage John Hancock Life Insurance Co DFE: Pooled Separate Account $221,003
Ls Mod Active Strategy John Hancock Life Insurance Co DFE: Pooled Separate Account $212,660
Value Fund John Hancock Life Insurance Co DFE: Pooled Separate Account $208,141
Europacific Growth Fund John Hancock Life Insurance Co DFE: Pooled Separate Account $193,070
Fidelity Advisor Total Bond John Hancock Life Insurance Co DFE: Pooled Separate Account $173,120
Capital Appreciation Fund John Hancock Life Insurance Co DFE: Pooled Separate Account $152,873
Oppenheimer Developing Mkt John Hancock Life Insurance Co DFE: Pooled Separate Account $145,751
John Hancock Disciplined Value John Hancock Life Insurance Co DFE: Pooled Separate Account $123,932
Franklin Mutual Beacon John Hancock Life Insurance Co DFE: Pooled Separate Account $121,014
Blue Chip Growth Fund John Hancock Life Insurance Co DFE: Pooled Separate Account $94,353
Small Cap Index Fund John Hancock Life Insurance Co DFE: Pooled Separate Account $78,805
High Yield Fund John Hancock Life Insurance Co DFE: Pooled Separate Account $64,940
Fundamental Large Cap Value John Hancock Life Insurance Co DFE: Pooled Separate Account $62,952
Oppenheimer Global John Hancock Life Insurance Co DFE: Pooled Separate Account $62,542
Total Stock Market Index Fund John Hancock Life Insurance Co DFE: Pooled Separate Account $52,788
Ls Conservative Active Strategy John Hancock Life Insurance Co DFE: Pooled Separate Account $49,703
Jp Morgan Us Equity Fund John Hancock Life Insurance Co DFE: Pooled Separate Account $49,432
Mutual Global Discovery John Hancock Life Insurance Co DFE: Pooled Separate Account $49,295
Royce Opportunity John Hancock Life Insurance Co DFE: Pooled Separate Account $26,709
American Balanced Fund John Hancock Life Insurance Co DFE: Pooled Separate Account $26,034
Vanguard Small Cap Growth Index John Hancock Life Insurance Co DFE: Pooled Separate Account $25,945
Mid Cap Index Fund John Hancock Life Insurance Co DFE: Pooled Separate Account $24,948
Templeton World John Hancock Life Insurance Co DFE: Pooled Separate Account $22,440
Intl Equity Index Fund John Hancock Life Insurance Co DFE: Pooled Separate Account $20,898
International Value Fund John Hancock Life Insurance Co DFE: Pooled Separate Account $17,286
T Rowe Price Spectrum Inc John Hancock Life Insurance Co DFE: Pooled Separate Account $13,469
T. Rowe Price Equity Inc John Hancock Life Insurance Co DFE: Pooled Separate Account $12,794
Invesco Small Cap Growth John Hancock Life Insurance Co DFE: Pooled Separate Account $10,890
Fundamental All Cap Core Fund John Hancock Life Insurance Co DFE: Pooled Separate Account $9,015
Intl Small Cap Fund John Hancock Life Insurance Co DFE: Pooled Separate Account $8,846
Domini Social Equity John Hancock Life Insurance Co DFE: Pooled Separate Account $6,203
Mid Cap Stock Fund John Hancock Life Insurance Co DFE: Pooled Separate Account $3,153
Franklin Small-Mid Growth John Hancock Life Insurance Co DFE: Pooled Separate Account $421
Davis New York Venture John Hancock Life Insurance Co DFE: Pooled Separate Account $0
Franklin Balance Sheet John Hancock Life Life Insurance Co DFE: Pooled Separate Account $0
Pimco Total Return John Hancock Life Insurance Co DFE: Pooled Separate Account $0
Columbia Value & Restructuring John Hancock Life Insurance Co DFE: Pooled Separate Account $0
Total $7,871,727

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
John Hancock Life Insurance Company 130
EIN 01-0233346
Industry Code 65838
Contract Number 71731
Contract Year 01/01/2015 — 12/31/2015
Value in General Account at Year End $5,472
Value in Separate Accounts at Year End $7,872,730
Insurance Fees and Commissions $4,142
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Employee Benefits Group, LLC 2627 E. 21st St., Suite 205 Tulsa, OK 74114 Third Party Administrator $0 $4,142 TPA 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 GROUP ANNUITY INVESTMENT
Balance at the end of the previous year $26,088
Additions $11,390
Contributions Deposited during the year $11,375
Dividends and credits $0
Interest credited during the year $13
Transferred from separate account $0
Other $2
Total of Balance and Additions $37,478
Deductions $32,006
Disbursed from fund to pay benefits or purchase annuities during the year $31,992
Administration charge made by carrier $0
Transferred to Separate Account $0
Other $14
Balance at the end of the current year $5,472