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Overview

Plan Information

  • Plan Year01/01/2009 — 12/31/2009
  • Date of Plan09/01/1999
  • Net Assets as of 12/31/2009 $2,457,914
  • 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) Participants158
  • Retired or separated participants receiving benefits5
  • Other retired or separated participants entitled to future benefits98
  • Subtotal261
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
  • Total261
  • Total number of participants as of 01/01/2009239
  • Number of participants with account balances261
  • 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

  • Address3001 S. Madison
  • CityWichita
  • StateKS
  • Zip67216
  • Telephone(316) 201-4210
  • EIN74-2850413
  • Industry Code312110
  • Named AdministratorMichael Shook
  • Named Plan SponsorMichael Shook

Plan Administrator Information

  • Administrator NameKan-Pak, L.L.C.
  • Address3001 S. Madison
  • CityWichita
  • StateKS
  • Zip67216
  • Telephone(316) 201-4210
  • Administrator EIN74-2850413

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.
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.
3B Self-Employed Plan Plan covering Self-Employed individuals.
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? Yes $726,600
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 $208,217
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 $969,832
Contributions $483,313
Cash Contributions $483,313
Cash from Employers $213,962
Cash from Participants $269,351
Others (including rollovers) $0
Noncash Contributions $0
Total Earnings on Investments $486,519
Total Interest $6,035
Interest-Bearing Cash $6,035
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $0
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 $480,484
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 $228,238
Total Benefit Payments $224,842
Directly to participants or beneficiaries, including direct rollovers $224,842
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 $3,396
Professional Fees $0
Contract Administrator Fees $3,396
Investment Advisory and management fees $0
Other Administrative Fees $0
Net Income $741,594
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 $2,457,914 $1,716,320 43.21%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $22,926 $65,131 -64.80%
Employer Contributions $20,509 $45,023 -54.45%
Participant Contributions $2,417 $20,108 -87.98%
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 $117,688 $106,186 10.83%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $2,317,300 $1,545,003 49.99%
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 $2,457,914 $1,716,320 43.21%

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 Recordkeeping and information management (computing, tabulating, data processing, etc.), Investment management, Shareholder servicing fees, Sub-transfer agency fees, Float revenue, Distribution (12b-1) fees, Other insurance wrap fees Recordkeeping $742 $0 $742
Total $742 $0 $742

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
Money Market Fund John Hancock USA DFE: Pooled Separate Account $269,791
Lifestyle Balanced John Hancock USA DFE: Pooled Separate Account $222,197
Total Stock Market Index Fund John Hancock USA DFE: Pooled Separate Account $178,500
Pacific Rim Fund John Hancock USA DFE: Pooled Separate Account $168,658
Lifestyle Growth John Hancock USA DFE: Pooled Separate Account $166,433
Lifecycle 2025 John Hancock USA DFE: Pooled Separate Account $156,569
Lifestyle Aggressive John Hancock USA DFE: Pooled Separate Account $129,778
Dfa Emerging Markets Value John Hancock USA DFE: Pooled Separate Account $89,239
Utilities Fund John Hancock USA DFE: Pooled Separate Account $75,061
Real Est. Securities Fund John Hancock USA DFE: Pooled Separate Account $71,935
Lifestyle Conservative John Hancock USA DFE: Pooled Separate Account $60,126
Fundamental Investors John Hancock USA DFE: Pooled Separate Account $56,199
Lifestyle Moderate John Hancock USA DFE: Pooled Separate Account $48,292
Blue Chip Growth Fund John Hancock USA DFE: Pooled Separate Account $44,402
T. Rowe Price Health Sci John Hancock USA DFE: Pooled Separate Account $42,781
Templeton World John Hancock USA DFE: Pooled Separate Account $40,121
Investment Qual Bond Fund John Hancock USA DFE: Pooled Separate Account $38,237
Science & Technology Fund John Hancock USA DFE: Pooled Separate Account $37,526
Intl Equity Index Fund John Hancock USA DFE: Pooled Separate Account $35,507
International Value Fund John Hancock USA DFE: Pooled Separate Account $34,415
Equity Income Fund John Hancock USA DFE: Pooled Separate Account $34,299
Intl Small Cap Fund John Hancock USA DFE: Pooled Separate Account $29,585
Global Bond Fund John Hancock USA DFE: Pooled Separate Account $29,188
Small Cap Index Fund John Hancock USA DFE: Pooled Separate Account $28,964
American Balanced Fund John Hancock USA DFE: Pooled Separate Account $26,817
Mid Cap Stock Fund John Hancock USA DFE: Pooled Separate Account $22,807
Capital Appreciation Fund John Hancock USA DFE: Pooled Separate Account $18,793
Mid Value Fund John Hancock USA DFE: Pooled Separate Account $16,717
Small Company Value Fund John Hancock USA DFE: Pooled Separate Account $16,660
Royce Opportunity John Hancock USA DFE: Pooled Separate Account $14,694
High Yield Fund John Hancock USA DFE: Pooled Separate Account $12,728
Mutual Global Discovery John Hancock USA DFE: Pooled Separate Account $11,965
Strategic Bond Fund John Hancock USA DFE: Pooled Separate Account $11,312
Large Cap Fund John Hancock USA DFE: Pooled Separate Account $10,443
Mid Cap Index Fund John Hancock USA DFE: Pooled Separate Account $9,830
Financial Services Fund John Hancock USA DFE: Pooled Separate Account $9,062
Wamco U.S. Government Sec Fund John Hancock USA DFE: Pooled Separate Account $7,880
Large Cap Value Fund John Hancock USA DFE: Pooled Separate Account $6,631
Growth Index Fund John Hancock USA DFE: Pooled Separate Account $3,851
The Growth Fund of America John Hancock USA DFE: Pooled Separate Account $3,785
Total Bond Market Fund John Hancock USA DFE: Pooled Separate Account $3,509
American Century Vista John Hancock USA DFE: Pooled Separate Account $3,497
Investment Company of America John Hancock USA DFE: Pooled Separate Account $3,004
Natural Resources Fund John Hancock USA DFE: Pooled Separate Account $2,865
Fundamental Value Fund John Hancock USA DFE: Pooled Separate Account $2,787
Lifecycle 2015 John Hancock USA DFE: Pooled Separate Account $2,444
Aim Small Cap Growth John Hancock USA DFE: Pooled Separate Account $1,811
Columbia Value & Restructuring John Hancock USA DFE: Pooled Separate Account $1,757
Europacific Growth Fund John Hancock USA DFE: Pooled Separate Account $1,441
Pimco Real Return John Hancock USA DFE: Pooled Separate Account $1,286
Energy John Hancock USA DFE: Pooled Separate Account $1,120
U.S. Large Cap Fund John Hancock USA DFE: Pooled Separate Account $0
Health Sciences Fund John Hancock USA DFE: Pooled Separate Account $0
Mid Cap Value Fund John Hancock USA DFE: Pooled Separate Account $0
Davis Financial John Hancock USA DFE: Pooled Separate Account $0
T. Rowe Price Equity Inc John Hancock USA DFE: Pooled Separate Account $0
Emerging Small Co Fund John Hancock USA DFE: Pooled Separate Account $0
Income & Value Fund John Hancock USA DFE: Pooled Separate Account $0
Total $2,317,299

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
John Hancock Life Insurance Company 290
EIN 01-0233346
Industry Code 65838
Contract Number 83584
Contract Year 01/01/2009 — 12/31/2009
Value in General Account at Year End $0
Value in Separate Accounts at Year End $0
Insurance Fees and Commissions $3,723
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 $3,723 $0
Vanguard Group, Inc Po Box 1110 Valley Forge, PA 19482 Investment Company/Mutual Fund $0 $0 REDEMPTION 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 GUARANTEED INTEREST
Balance at the end of the previous year $0
Additions $4
Contributions Deposited during the year $4
Dividends and credits $0
Interest credited during the year $0
Transferred from separate account $0
Other $0
Total of Balance and Additions $4
Deductions $4
Disbursed from fund to pay benefits or purchase annuities during the year $4
Administration charge made by carrier $0
Transferred to Separate Account $0
Other $0
Balance at the end of the current year $0