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Overview

Plan Information

  • Plan Year01/01/2018 — 12/31/2018
  • Date of Plan01/01/2007
  • Net Assets as of 12/31/2018 $5,660,721
  • 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 12/31/2018

  • Active (Eligible) Participants201
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits28
  • Subtotal229
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
  • Total229
  • Total number of participants as of 01/01/2018207
  • Number of participants with account balances216
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested12

Expenses

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

Sponsor Information

  • AddressP.O. Box 1080
  • CityCoos Bay
  • StateOR
  • Zip97420
  • Telephone(541) 269-5921
  • EIN93-0496274
  • Industry Code445220
  • Named AdministratorWilliam Caldwell

Audit Information

  • Audit StatusAudited
  • AuditorHough,Macadam,Wartnik,Fisher&Gorman
  • Auditor EIN56-2437610
  • 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.
2S Automatic Enrollment Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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 $246,051
Contributions $743,811
Cash Contributions $743,811
Cash from Employers $319,344
Cash from Participants $424,467
Others (including rollovers) $0
Noncash Contributions $0
Total Earnings on Investments $-497,760
Total Interest $0
Interest-Bearing Cash $0
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 $6,944
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 $-433,557
Net investment gain (loss) from pooled separate accounts $-52,045
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 $-19,102
Other Income $0
Expenses $1,047,079
Total Benefit Payments $1,045,189
Directly to participants or beneficiaries, including direct rollovers $1,045,189
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 $1,890
Professional Fees $0
Contract Administrator Fees $1,890
Investment Advisory and management fees $0
Other Administrative Fees $0
Net Income $-801,028
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2018 12/31/2017 Change YOY
Total Assets $5,660,721 $6,461,749 -12.40%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $1,283 $4,120 -68.86%
Employer Contributions $1,283 $4,120 -68.86%
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 $0 $0 0.0%
Value of interest in common/collective trusts $5,267,169 $5,623,554 -6.34%
Value of interest in pooled separate accounts $237,023 $514,039 -53.89%
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 $155,246 $320,036 -51.49%
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 $5,660,721 $6,461,749 -12.40%

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
Edward Jones Investment advisory (plan), Other fees Investment Advisory $0 $16,435 $16,435
Principal Life Insurance Company Contract Administrator, Direct payment from the plan, Recordkeeping fees Contract Administrator $1,789 $0 $1,789
Wilshire Associates Incorporated Investment advisory (plan), Other investment fees and expenses Investment Advisory $0 $0 $0
Total $1,789 $16,435 $18,224

Indirect Compensation

Name Source of Indirect Compensation* Nature of Service Description of Indirect Compensation Indirect Compensation Paid by Plan
Wilshire Associates Incorporated Principal Life Insurance Investment advisory (plan), Other investment fees and expenses 1 Basis Point Annually On Total Plan Assets In Wilshire's 3(21) Investment Fiduciary Service Per Client's Signed Agreement With Wilshire $0
Edward Jones Principal Life Insurance Company Investment advisory (plan), Other fees Investment Advisory (Plan) $16,435
*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
Prin Trust Target 2025 Fund R3 Principal Trust Company DFE: Common/Collective Trust $1,489,251
Prin Trust Target 2020 Fund R3 Principal Trust Company DFE: Common/Collective Trust $1,260,138
Prin Trust Target 2035 Fund R3 Principal Trust Company DFE: Common/Collective Trust $710,148
Prin Trust Target 2040 Fund R3 Principal Trust Company DFE: Common/Collective Trust $492,956
Prin Trust Target 2030 Fund R3 Principal Trust Company DFE: Common/Collective Trust $492,314
Prin Trust Target 2015 Fund R3 Principal Trust Company DFE: Common/Collective Trust $201,352
Prin Trust Target 2050 Fund R3 Principal Trust Company DFE: Common/Collective Trust $134,976
Prin Trust Target 2045 Fund R3 Principal Trust Company DFE: Common/Collective Trust $134,878
Principal Stable Value Signature Principal Global Investors Trust Company DFE: Common/Collective Trust $127,053
Prin Trust Target 2055 Fund R3 Principal Trust Company DFE: Common/Collective Trust $121,652
Prin Largecap Growth I Sa-R3 Principal Life Insurance Company DFE: Pooled Separate Account $94,151
Prin Lgcap S&P 500 Index Sa-R3 Principal Life Insurance Company DFE: Pooled Separate Account $61,682
Prin Trust Target 2010 Fund R3 Principal Trust Company DFE: Common/Collective Trust $54,844
Principal Trust Tgt 2060 Fund R3 Principal Trust Company DFE: Common/Collective Trust $47,606
Prin Smcap S&P 600 Index Sa-R3 Principal Life Insurance Company DFE: Pooled Separate Account $27,514
Prin Real Estate Secs Sa-R3 Principal Life Insurance Company DFE: Pooled Separate Account $25,855
Prin Midcap S&P 400 Idx Sa-R3 Principal Life Insurance Company DFE: Pooled Separate Account $19,186
Prin Inflation Protect Sa-R3 Principal Life Insurance Company DFE: Pooled Separate Account $5,899
Principal Intl Equity Index Sa-R3 Principal Life Insurance Company DFE: Pooled Separate Account $2,736
Principal Bond Mkt Index Sa-R3 Principal Trust Company DFE: Pooled Separate Account $0
Total $5,504,191

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Principal Life Insurance Company 228
EIN 42-0127290
Industry Code 61271
Contract Number 619905
Contract Year 01/01/2018 — 12/31/2018
Value in General Account at Year End $0
Value in Separate Accounts at Year End $237,023
Insurance Fees and Commissions $291
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Pension Plan Specialists, Pc 805 Broadway Suite 600 Vancouver, WA 98660 Insurance Agent or Broker $0 $291 REFERRAL/SERVICE 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 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