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FORM 5500 DATA

American Excelsior Company 401k Savings Plan

Overview

Plan Information

  • Plan Year01/01/2019 — 12/31/2019
  • Date of Plan10/01/1996
  • Net Assets as of 12/31/2019 $27,281,780
  • Plan Number3
  • Plan Type Single Employer
  • Is the plan collectively bargained?Yes
  • Did the plan file for an extension of time or the DFVC Program? No
  • Report Description This is an amended report.
  • Plan Funding ArrangementInsurance Trust
  • Plan Benefit ArrangementInsurance Trust

Participant Information as of 12/31/2019

  • Active (Eligible) Participants406
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits74
  • Subtotal480
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits1
  • Total481
  • Total number of participants as of 01/01/2019483
  • Number of participants with account balances398
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested79

Expenses

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

Sponsor Information

  • Address850 Avenue H E
  • CityArlington
  • StateTX
  • Zip76011-7720
  • Telephone(817) 385-3500
  • EIN75-1492124
  • Industry Code321900
  • Named AdministratorStefanie Vilaros
  • Named Plan SponsorStefanie Vilaros

Audit Information

  • Audit StatusAudited
  • AuditorWhitley Penn
  • Auditor EIN75-2393478
  • 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.
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.
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 $1,000,000
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 $6,682,386
Contributions $2,056,638
Cash Contributions $2,056,638
Cash from Employers $559,903
Cash from Participants $1,290,867
Others (including rollovers) $205,868
Noncash Contributions $0
Total Earnings on Investments $4,625,748
Total Interest $110,770
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $40,282
Interest from Other Investments $70,488
Total Dividends $28,805
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 $4,129,793
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 $356,380
Other Income $0
Expenses $1,768,314
Total Benefit Payments $1,656,337
Directly to participants or beneficiaries, including direct rollovers $1,656,337
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $9,766
Certain deemed distributions of participant loans $0
Interest expense $0
Total Administrative Expenses $102,211
Professional Fees $0
Contract Administrator Fees $102,211
Investment Advisory and management fees $0
Other Administrative Fees $0
Net Income $4,914,072
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2019 12/31/2018 Change YOY
Total Assets $27,281,780 $22,367,708 21.97%
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 $606,942 $607,462 -0.09%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $19,994,564 $17,100,049 16.93%
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 $2,938,161 $590,483 397.59%
Value of funds held in insurance co. general account $3,742,113 $4,069,714 -8.05%
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 $27,281,780 $22,367,708 21.97%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

  • Principal Life Insurance Company

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
Principal Life Insurance Company Contract Administrator, Participant loan processing, Direct payment from the plan, Recordkeeping fees Contract Administrator $102,211 $0 $102,211
Lockton Financial Advisors LLC Investment advisory (plan), Other fees Investment Advisory $0 $40,447 $40,447
Total $102,211 $40,447 $142,658

Indirect Compensation

Name Source of Indirect Compensation* Nature of Service Description of Indirect Compensation Indirect Compensation Paid by Plan
Lockton Financial Advisors LLC Principal Life Insurance Company Investment advisory (plan), Other fees Investment Advisory (Plan) $40,447
*As outlined by the Form 5500 Instructions for service providers with indirect compensation.

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
Prinl Lifetime 2030 Sep Acct-Z Principal Life Insurance Company DFE: Pooled Separate Account $3,582,896
Prin Lifetime 2020 Sep Acct-Z Principal Life Insurance Company DFE: Pooled Separate Account $3,281,787
Prin Lgcp S&P 500 Index Sa-Z Principal Life Insurance Company DFE: Pooled Separate Account $2,115,900
Principal Smallcap Sep Acct-Z Principal Life Insurance Company DFE: Pooled Separate Account $1,558,990
Prin Lifetime 2050 Sep Acct-Z Principal Life Insurance Company DFE: Pooled Separate Account $1,494,837
Prin Lifetime 2040 Sep Acct-Z Principal Life Insurance Company DFE: Pooled Separate Account $1,398,733
Prin Diversified Intl Sa-Z Principal Life Insurance Company DFE: Pooled Separate Account $1,141,711
Prin Core Plus Bond Sep Acct-Z Principal Life Insurance Company DFE: Pooled Separate Account $1,129,779
Prin Midcap Sep Acct-Z Principal Life Insurance Company DFE: Pooled Separate Account $1,033,340
Prin Lifetm 2010 Sep Acct-Z Principal Life Insurance Company DFE: Pooled Separate Account $880,795
Prin Smcap Growth I Sep Acct-Z Principal Life Insurance Company DFE: Pooled Separate Account $591,504
Prin Equity Income Sa-Z Principal Life Insurance Company DFE: Pooled Separate Account $561,617
Prin Lifetime 2060 Sep Acct-Z Principal Life Insurance Company DFE: Pooled Separate Account $427,107
Prin Midcap Value I Sa-Z Principal Life Insurance Company DFE: Pooled Separate Account $398,068
Prin Lifetime Strat Inc Sa-Z Principal Life Insurance Company DFE: Pooled Separate Account $230,051
Prin Smcap S&P 600 Index Sa-Z Principal Life Insurance Company DFE: Pooled Separate Account $167,449
Prin Lgcap Growth Sep Acct-Z Principal Life Insurance Company DFE: Pooled Separate Account $0
Prin Midcap Value III Sa-Z Principal Life Insurance Company DFE: Pooled Separate Account $0
Total $19,994,564

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Principal Life Insurance Company 481
EIN 42-0127290
Industry Code 61271
Contract Number 523084
Contract Year 01/01/2019 — 12/31/2019
Value in General Account at Year End $0
Value in Separate Accounts at Year End $19,994,564
Insurance Fees and Commissions $0
Persons Receiving Commissions and Fees There are no brokers listed for this plan.
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 FLEXIBLE INVESTMENT ANNUITY
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
Principal Life Insurance Company 481
EIN 42-0127290
Industry Code 61271
Contract Number 613953
Contract Year 01/01/2019 — 12/31/2019
Value in General Account at Year End $0
Value in Separate Accounts at Year End $0
Insurance Fees and Commissions $0
Persons Receiving Commissions and Fees There are no brokers listed for this plan.
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 CUSTODIAL GUARANTEED INTEREST CONTRACT
Balance at the end of the previous year $4,069,714
Additions $614,306
Contributions Deposited during the year $111,334
Dividends and credits $0
Interest credited during the year $70,488
Transferred from separate account $400,786
Other $31,698
Total of Balance and Additions $4,684,020
Deductions $941,907
Disbursed from fund to pay benefits or purchase annuities during the year $148,858
Administration charge made by carrier $14,850
Transferred to Separate Account $756,622
Other $21,577
Balance at the end of the current year $3,742,113