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Overview

Plan Information

  • Plan Year01/01/2006 — 12/31/2006
  • Date of Plan09/01/1999
  • Net Assets as of 12/31/2006 $1,735,924
  • 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 12/31/2006

  • Active (Eligible) Participants87
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits53
  • Subtotal140
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
  • Total140
  • Total number of participants as of 01/01/2006135
  • Number of participants with account balances134
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested4
  • Number of participants required to be reported on Schedule SSA7

Expenses

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

Sponsor Information

  • Address3001 S Madison Ave
  • CityWichita
  • StateKS
  • Zip67216-2422
  • Telephone(316) 201-4210
  • EIN74-2850413
  • Industry Code312110
  • Named AdministratorDennis Cohlmia
  • Named Plan SponsorDennis Cohlmia

Plan Administrator Information

  • Administrator NameSAME
  • Administrator EIN

Audit Information

  • Audit StatusAudited
  • AuditorMcgladrey & Pullen, LLP
  • Auditor EIN42-0714325
  • Audit Opinion Disclaimer
  • Audit TypeLimited Scope Audit

Benefits Provided Under the Plan

Code Benefit Description
2A Age/Service Weighted or New Comparability or Similar Plan Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New Comparability or Similar Plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the threshold or additional rate allowed under the permitted disparity rules of section 401(l)
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.
3B Self-Employed Plan Plan covering Self-Employed individuals.
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 $551,000
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? No
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

Financials

Income and Expense Statement

Income $497,239
Contributions $327,631
Cash Contributions $327,631
Cash from Employers $144,935
Cash from Participants $182,696
Others (including rollovers) $0
Noncash Contributions $0
Total Earnings on Investments $169,608
Total Interest $5,023
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $5,023
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 $164,585
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 $69,558
Total Benefit Payments $66,284
Directly to participants or beneficiaries, including direct rollovers $66,284
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 $3,274
Professional Fees $0
Contract Administrator Fees $0
Investment Advisory and management fees $3,274
Other Administrative Fees $0
Net Income $427,681
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2006 12/31/2005 Change YOY
Total Assets $1,735,924 $1,308,243 32.69%
Total noninterest-bearing cash $73,568 $21,359 244.44%
Receivables $63,232 $19,360 226.61%
Employer Contributions $37,117 $8,393 342.24%
Participant Contributions $26,115 $10,967 138.12%
Other Contributions $0 $0 0.0%
General Investments $166,681 $122,727 35.81%
Interest-bearing cash $166,681 $122,727 35.81%
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 $90,525 $95,985 -5.69%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $1,341,918 $1,048,812 27.95%
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 $0 $0 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 $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 $1,735,924 $1,308,243 32.69%

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
Lifestyle Growth John Hancock Life Insurance Co. DFE: Pooled Separate Account $194,849
Money Market Fund John Hancock Life Insurance Co. DFE: Pooled Separate Account $166,681
Lifestyle Aggressive John Hancock Life Insurance Co. DFE: Pooled Separate Account $155,784
Lifestyle Balanced John Hancock Life Insurance Co. DFE: Pooled Separate Account $145,668
Total Stock Market Index Fund John Hancock Life Insurance Co. DFE: Pooled Separate Account $111,609
Real Est Securities Fund (Vs) John Hancock Life Insurance Co. DFE: Pooled Separate Account $83,089
Utilities Fund (Vs) John Hancock Life Insurance Co. DFE: Pooled Separate Account $72,185
Pacific Rim Fund (Vs) John Hancock Life Insurance Co. DFE: Pooled Separate Account $70,327
Financial Services Fund (Vs) John Hancock Life Insurance Co. DFE: Pooled Separate Account $47,452
Capital Appreciation Fund (Vs) John Hancock Life Insurance Co. DFE: Pooled Separate Account $43,947
Mid Cap Stock Fund (Vs) John Hancock Life Insurance Co. DFE: Pooled Separate Account $43,133
International Value Fund (Vs) John Hancock Life Insurance Co. DFE: Pooled Separate Account $39,334
Dynamic Growth Fund (Vs) John Hancock Life Insurance Co. DFE: Pooled Separate Account $35,649
U. S. Large Cap Fund (Vs) John Hancock Life Insurance Co. DFE: Pooled Separate Account $29,620
Health Sciences Fund John Hancock Life Insurance Co. DFE: Pooled Separate Account $29,213
Lifestyle Conservative John Hancock Life Insurance Co. DFE: Pooled Separate Account $28,424
U.S. Core Fund (Vs) John Hancock Life Insurance Co. DFE: Pooled Separate Account $25,156
Small Cap Index Fund John Hancock Life Insurance Co. DFE: Pooled Separate Account $21,323
Global Fund (Vs) John Hancock Life Insurance Co. DFE: Pooled Separate Account $18,787
Small Co. Value Fund (Vs) John Hancock Life Insurance Co. DFE: Pooled Separate Account $16,241
Equity Income Fund (Vs) John Hancock Life Insurance Co. DFE: Pooled Separate Account $15,053
Blue Chip Growth Fund (Vs) John Hancock Life Insurance Co. DFE: Pooled Separate Account $14,044
Lifestyle Moderate John Hancock Life Insurance Co. DFE: Pooled Separate Account $14,000
Strategic Bond Fund (Vs) John Hancock Life Insurance Co. DFE: Pooled Separate Account $10,663
Income & Value Fund (Vs) John Hancock Life Insurance Co. DFE: Pooled Separate Account $10,604
Investment Qual Bond Fund (Vs) John Hancock Life Insurance Co. DFE: Pooled Separate Account $10,120
Strategic Opps Fund (Vs) John Hancock Life Insurance Co. DFE: Pooled Separate Account $9,449
U. S. Government Secs Fund (Vs) John Hancock Life Insurance Co. DFE: Pooled Separate Account $8,818
Large Cap Value Fund (Vs) John Hancock Life Insurance Co. DFE: Pooled Separate Account $8,142
Mid Cap Value Fund John Hancock Life Insurance Co. DFE: Pooled Separate Account $6,820
Science & Technology Fund (Vs) John Hancock Life Insurance Co. DFE: Pooled Separate Account $5,938
Mid Cap Index Fund John Hancock Life Insurance Co. DFE: Pooled Separate Account $5,109
Intl Equity Index Fund John Hancock Life Insurance Co. DFE: Pooled Separate Account $4,127
Global Bond Fund (Vs) John Hancock Life Insurance Co. DFE: Pooled Separate Account $2,853
U.S. Global Leaders Fund (Vs) John Hancock Life Insurance Co. DFE: Pooled Separate Account $2,307
Emerging Small Co Fund (Vs0 John Hancock Life Insurance Co. DFE: Pooled Separate Account $2,080
Total $1,508,598

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
John Hancock Life Insurance Company 134
EIN 01-0233346
Industry Code 65838
Contract Number 83584
Contract Year 01/01/2006 — 12/31/2006
Value in General Account at Year End $0
Value in Separate Accounts at Year End $1,267,525
Insurance Fees and Commissions $2,489
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Carey Thomas Hoover Breault Inc. 8080 East Central, Suite 200 Wichita, KS 67206 Insurance Agent or Broker $2,489 $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
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