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Overview

Plan Information

  • Plan Year01/01/2015 — 12/31/2015
  • Date of Plan01/01/2003
  • Net Assets as of 12/31/2015 $101,018,409
  • Plan Number2
  • 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 12/31/2015

  • Active (Eligible) Participants3,306
  • Retired or separated participants receiving benefits15
  • Other retired or separated participants entitled to future benefits393
  • Subtotal3,714
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits5
  • Total3,719
  • Total number of participants as of 01/01/20153,595
  • Number of participants with account balances1,920
  • 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

  • Address250 Pleasant Street
  • CityConcord
  • StateNH
  • Zip03301-2598
  • Telephone(603) 230-7228
  • EIN22-2594672
  • Industry Code622000
  • Named AdministratorRobin Moore
  • Named Plan SponsorRobin Moore

Audit Information

  • Audit StatusAudited
  • AuditorBaker Newman and Noyes
  • Auditor EIN01-0494526
  • Audit Opinion Disclaimer
  • Audit Type Full Audit

Benefits Provided Under the Plan

Code Benefit Description
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.
2L Code section 403(b)(1) arrangement A 403(b) plan, also known as a tax-sheltered annuity (TSA) plan, is a retirement plan for certain employees of public schools, employees of certain tax-exempt organizations, and certain ministers.
2M Code section 403(b)(7) accounts A 403(b)(7) plan is a tax-deferred retirement plan often available to employees of public schools or non-profit organizations.
2R Brokerage Window Participant-directed brokerage accounts provided as an investment option under the plan.
3H Controlled Group Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

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 $5,000,000
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 $10,072,347
Contributions $9,045,494
Cash Contributions $9,045,494
Cash from Employers $0
Cash from Participants $7,767,321
Others (including rollovers) $1,278,173
Noncash Contributions $0
Total Earnings on Investments $1,029,869
Total Interest $69,319
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $68,769
Interest from Other Investments $550
Total Dividends $2,863,835
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 $871,060
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 $-2,774,345
Other Income $-3,016
Expenses $5,767,414
Total Benefit Payments $5,742,100
Directly to participants or beneficiaries, including direct rollovers $5,742,100
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $0
Certain deemed distributions of participant loans $20,214
Interest expense $0
Total Administrative Expenses $5,100
Professional Fees $0
Contract Administrator Fees $0
Investment Advisory and management fees $0
Other Administrative Fees $5,100
Net Income $4,304,933
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2015 12/31/2014 Change YOY
Total Assets $101,018,409 $96,713,476 4.45%
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 $1,360,892 $1,254,603 8.47%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $21,677,489 $21,238,313 2.07%
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 $77,965,080 $74,207,565 5.06%
Value of funds held in insurance co. general account $14,948 $12,995 15.03%
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 $101,018,409 $96,713,476 4.45%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

  • Voya Retirement Insurance & Annuity

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
Shawn P Millerick Other commissions Broker/Dealer $0 $53,464 $53,464
Voya Retirement Insurance & Annuity Recordkeeping fees Service Provider $5,100 $0 $5,100
Total $5,100 $53,464 $58,564

Indirect Compensation

Name Source of Indirect Compensation* Nature of Service Description of Indirect Compensation Indirect Compensation Paid by Plan
Shawn P Millerick Voya Financial Partners LLC Other commissions Asset Based Commissions $53,464
*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
Variable Annuity Account C Voya Retirement Insurance and Annuity Company DFE: Pooled Separate Account $46,814,092
Separate Account 393 Voya Retirement Insurance and Annuity Company DFE: Pooled Separate Account $21,677,489
Total $68,491,581

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Voya Retirement Insurance and Annuity Company 3,719
EIN 71-0294708
Industry Code 86509
Contract Number VFZ104
Contract Year 01/01/2015 — 12/31/2015
Value in General Account at Year End $0
Value in Separate Accounts at Year End $68,490,857
Insurance Fees and Commissions $116,436
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Millerick Shawn P 6 Loudon Rd Ste 505 Concord, NH 03301 Insurance Agent or Broker $116,436 $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 Unspecified
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
Voya Retirement Insurance and Annuity Company 4
EIN 71-0294708
Industry Code 86509
Contract Number VE6537
Contract Year 01/01/2015 — 12/31/2015
Value in General Account at Year End $14,948
Value in Separate Accounts at Year End $724
Insurance Fees and Commissions $15
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Millerick Shawn 6 Loudon Rd Ste 505 Concord, NH 03301 Insurance Agent or Broker $15 $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 UNALLOCATED ANNUITY CONTRACT
Balance at the end of the previous year $12,995
Additions $1,953
Contributions Deposited during the year $0
Dividends and credits $0
Interest credited during the year $550
Transferred from separate account $0
Other $1,403
Total of Balance and Additions $14,948
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 $14,948