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Overview

Plan Information

  • Plan Year01/01/2019 — 12/31/2019
  • Date of Plan01/01/2007
  • Net Assets as of 12/31/2019 $7,572,485
  • 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 12/31/2019

  • Active (Eligible) Participants394
  • Retired or separated participants receiving benefits16
  • Other retired or separated participants entitled to future benefits56
  • Subtotal466
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
  • Total466
  • Total number of participants as of 01/01/2019435
  • Number of participants with account balances367
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested1

Expenses

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

Sponsor Information

  • Address225 West Owen Street
  • CityLyman
  • StateWY
  • Zip82937
  • Telephone(307) 787-6333
  • EIN13-4301855
  • Industry Code541990
  • Named AdministratorTracy Richards

Audit Information

  • Audit StatusAudited
  • AuditorRing Auditing and Accounting
  • Auditor EIN47-3311568
  • 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.
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 $500,000
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 $2,191,059
Contributions $890,012
Cash Contributions $890,012
Cash from Employers $290,290
Cash from Participants $587,439
Others (including rollovers) $12,283
Noncash Contributions $0
Total Earnings on Investments $1,301,047
Total Interest $17,094
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $17,094
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 $1,283,953
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 $1,324,193
Total Benefit Payments $1,322,625
Directly to participants or beneficiaries, including direct rollovers $1,322,625
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 $1,568
Professional Fees $0
Contract Administrator Fees $0
Investment Advisory and management fees $1,568
Other Administrative Fees $0
Net Income $866,866
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 $7,572,485 $6,705,619 12.93%
Total noninterest-bearing cash $165 $165 0.00%
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 $263,164 $386,248 -31.87%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $7,185,088 $6,205,817 15.78%
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 $124,068 $113,389 9.42%
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 $7,572,485 $6,705,619 12.93%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

  • John Hancock Life Insurance Company

Other Service Providers Receiving Direct or Indirect Compensation

There are no service providers listed for this plan.

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
Jh Multi-Index Ls Balanced John Hancock USA DFE: Pooled Separate Account $1,005,077
Jh Multi-Index Ls Moderate John Hancock USA DFE: Pooled Separate Account $959,185
Jh Multi-Index Ls Growth John Hancock USA DFE: Pooled Separate Account $753,263
Vanguard Target Ret 2045 John Hancock USA DFE: Pooled Separate Account $525,153
Vanguard Target Ret 2050 John Hancock USA DFE: Pooled Separate Account $447,300
Vanguard Target Ret 2035 John Hancock USA DFE: Pooled Separate Account $352,499
Vanguard Target Ret 2025 John Hancock USA DFE: Pooled Separate Account $337,379
Jh Multi-Index Ls Aggressive John Hancock USA DFE: Pooled Separate Account $323,675
Small Cap Index Fund John Hancock USA DFE: Pooled Separate Account $320,353
500 Index Fund John Hancock USA DFE: Pooled Separate Account $303,006
Vanguard Target Ret 2030 John Hancock USA DFE: Pooled Separate Account $281,284
Money Market Fund John Hancock USA DFE: Pooled Separate Account $265,376
Vanguard Target Ret 2040 John Hancock USA DFE: Pooled Separate Account $226,104
Vanguard Target Ret 2020 John Hancock USA DFE: Pooled Separate Account $197,116
Mid Value Fund John Hancock USA DFE: Pooled Separate Account $173,996
Vanguard Target Ret 2055 John Hancock USA DFE: Pooled Separate Account $168,825
3-Year Compound John Hancock USA DFE: Pooled Separate Account $124,022
Vanguard Target Ret 2060 John Hancock USA DFE: Pooled Separate Account $99,481
Oppenheimer Developing Mkt John Hancock USA DFE: Pooled Separate Account $57,042
Small Cap Value Fund John Hancock USA DFE: Pooled Separate Account $54,228
Vanguard Target Ret 2015 John Hancock USA DFE: Pooled Separate Account $50,931
Vanguard Energy Fund John Hancock USA DFE: Pooled Separate Account $33,793
Mid Cap Index Fund John Hancock USA DFE: Pooled Separate Account $32,510
Mutual Global Discovery John Hancock USA DFE: Pooled Separate Account $32,018
Dfa Emerging Markets Value John Hancock USA DFE: Pooled Separate Account $28,025
Vanguard Growth Index Fund John Hancock USA DFE: Pooled Separate Account $24,626
High Yield Fund John Hancock USA DFE: Pooled Separate Account $21,076
Utilities Fund John Hancock USA DFE: Pooled Separate Account $20,387
Science & Technology Fund John Hancock USA DFE: Pooled Separate Account $17,320
Lord Abbett Value Opps Fund John Hancock USA DFE: Pooled Separate Account $13,533
Capital Appreciation Fund John Hancock USA DFE: Pooled Separate Account $12,356
Vanguard Small Cap Grow Index John Hancock USA DFE: Pooled Separate Account $10,152
Sprott Gold Fund John Hancock USA DFE: Pooled Separate Account $8,676
Vanguard Value Index Fund John Hancock USA DFE: Pooled Separate Account $7,179
Vanguard Explorer Fund John Hancock USA DFE: Pooled Separate Account $7,120
Washington Mutual Investors John Hancock USA DFE: Pooled Separate Account $3,571
Jh Multi-Index Ls Conserv John Hancock USA DFE: Pooled Separate Account $2,616
Dfa U.S. Small Cap Fund John Hancock USA DFE: Pooled Separate Account $2,019
Vanguard Small Cap Value Index John Hancock USA DFE: Pooled Separate Account $1,434
Pimco Real Return John Hancock USA DFE: Pooled Separate Account $1,194
Blackrock Global Allocation John Hancock USA DFE: Pooled Separate Account $754
Intl Equity Index Fund John Hancock USA DFE: Pooled Separate Account $748
Templeton Global Bond Fund John Hancock USA DFE: Pooled Separate Account $597
Vanguard Target Ret Income John Hancock USA DFE: Pooled Separate Account $172
Pgim Jennison Mid Cap Growth John Hancock USA DFE: Pooled Separate Account $61
10-Year Compound John Hancock USA DFE: Pooled Separate Account $47
Total $7,307,279

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
John Hancock Life Insurance Company 174
EIN 01-0233346
Industry Code 65838
Contract Number 104108
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 $20,523
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Wells Fargo Advisors Ins Agency LLC 2455 E Parley's Way, Suite 250 Salt Lake City, UT 84109 Insurance Agent or Broker $10,903 $0
National Benefit Services, LLC 8523 South Redwood Road West Jordan, UT 84088 Third Party Administrator $3,636 $5,984 TPA FEES
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 Investment
Balance at the end of the previous year $113,389
Additions $10,679
Contributions Deposited during the year $9,250
Dividends and credits $0
Interest credited during the year $1,409
Transferred from separate account $20
Other $0
Total of Balance and Additions $124,068
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 $124,068