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FORM 5500 DATA

Avery Dennison Corporation Employee Savings Plan

Overview

Plan Information

  • Plan Year01/01/2017 — 12/31/2017
  • Date of Plan12/01/1984
  • Net Assets as of 12/31/2017 $1,018,134,800
  • Plan Number4
  • Plan Type Single Employer
  • Is the plan collectively bargained?Yes
  • 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 12/31/2017

  • Active (Eligible) Participants4,196
  • Retired or separated participants receiving benefits151
  • Other retired or separated participants entitled to future benefits2,619
  • Subtotal6,966
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits33
  • Total6,999
  • Total number of participants as of 01/01/20177,053
  • Number of participants with account balances6,822
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested124

Expenses

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

Sponsor Information

  • Address207 Goode Avenue
  • CityGlendale
  • StateCA
  • Zip91203
  • Telephone(626) 304-2000
  • EIN95-1492269
  • Industry Code322200
  • Named AdministratorMonina Diaz

Audit Information

  • Audit StatusAudited
  • AuditorPricewaterhousecoopers
  • Auditor EIN13-4008324
  • Audit OpinionUnqualified
  • Audit Type Full Audit

Benefits Provided Under the Plan

Code Benefit Description
2D Offset plan Plan benefits are subject to offset for retirement benefits provided in another plan or arrangement of the employer.
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.
2O ESOP other than a leveraged ESOP An Employee Stock Ownership Plan (ESOP) is a type of employee benefit plan designed to invest primarily in employer stock.
2R Brokerage Window Participant-directed brokerage accounts provided as an investment option under the plan.
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.

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 $42
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 $25,000,000
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? Yes $6,923
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 $257,414,602
Contributions $54,170,446
Cash Contributions $33,855,543
Cash from Employers $42
Cash from Participants $32,043,683
Others (including rollovers) $1,811,818
Noncash Contributions $20,314,903
Total Earnings on Investments $203,244,156
Total Interest $2,554,613
Interest-Bearing Cash $89,308
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $760,093
Interest from Other Investments $1,705,212
Total Dividends $7,124,855
Preferred Stock $0
Common Stock $4,319,627
Rents $0
Net gain (loss) on sale of assets $10,948,427
Aggregate Proceeds $46,233,107
Aggregate Carrying Amount $35,284,680
Total Unrealized Appreciation (depreciation) of assets $98,585,256
Real Estate $0
Other $98,585,256
Net investment gain (loss) from common/collective trusts $75,930,054
Net investment gain (loss) from pooled separate accounts $0
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 $8,100,951
Other Income $0
Expenses $68,388,163
Total Benefit Payments $68,011,695
Directly to participants or beneficiaries, including direct rollovers $68,011,695
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $14,244
Certain deemed distributions of participant loans $65,827
Interest expense $0
Total Administrative Expenses $296,397
Professional Fees $0
Contract Administrator Fees $0
Investment Advisory and management fees $294,248
Other Administrative Fees $2,149
Net Income $189,026,439
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2017 12/31/2016 Change YOY
Total Assets $1,018,306,163 $829,859,695 22.71%
Total noninterest-bearing cash $2,663 $830 220.84%
Receivables $9,254 $627,768 -98.53%
Employer Contributions $0 $33 -100.00%
Participant Contributions $0 $0 0.0%
Other Contributions $9,254 $627,735 -98.53%
General Investments $13,272,054 $13,402,948 -0.98%
Interest-bearing cash $13,272,054 $13,402,948 -0.98%
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 $17,357,274 $17,435,287 -0.45%
Value of interest in common/collective trusts $548,383,389 $455,610,327 20.36%
Value of interest in pooled separate accounts $0 $4,955,797 -100.00%
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 $65,313,017 $50,812,058 28.54%
Value of funds held in insurance co. general account $0 $0 0.0%
Other Investments $102,389,935 $102,843,402 -0.44%
Employer-related Investments $271,578,577 $184,171,278 47.46%
Employer Securities $271,578,577 $184,171,278 47.46%
Employer Real Property $0 $0 0.0%
Buildings and other property used in plan operation $0 $0 0.0%
Total Liabilities $171,363 $751,334 -77.19%
Benefit Claims Payable (1) $0 $0 0.0%
Operating Payables (1) $139,319 $190,334 -26.80%
Acquisition Indebtedness (1) $0 $0 0.0%
Other liabilities (1) $32,044 $561,000 -94.29%
Net Assets $1,018,134,800 $829,108,361 22.80%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

  • Fidelity Investments Institutional

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
Fidelity Investments Institutional Participant loan processing, Sub-transfer agency fees, Recordkeeping fees, Account maintenance fees, Securities brokerage commissions and fees Recordkeeper $567,224 $0 $567,224
Latham and Watkins LLP Legal Attorney $62,332 $0 $62,332
Aon Hewitt Investment Consulting Consulting (pension), Other fees Other Services $33,423 $0 $33,423
Total $662,979 $0 $662,979

Indirect Compensation

Name Source of Indirect Compensation* Nature of Service Description of Indirect Compensation Indirect Compensation Paid by Plan
Fidelity Investments Institutional Johcm International Select Fd Cl II Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Ycg Enhanced Fund Service/Regular Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Westcore Plus Bond Fund Sub-transfer agency fees 0.30% $0
Fidelity Investments Institutional Wells Fargo Special Mid Cap Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Wells Fargo Intl Equity Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Wasatch Emerging Markets Small Cap Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Wasatch Emerging India Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Wasatch Small Cap Value Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Wasatch Core Growth Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Voya Securitized Crd Fund Class A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Victory Sycamore Established Value Sub-transfer agency fees 0.10% $0
Fidelity Investments Institutional Undiscovered Managerbehavioral Val Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Usaa Nasdaq 100 Index Retail Sub-transfer agency fees 0.10% $0
Fidelity Investments Institutional Usaa Science & Technology Adviser Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Usaa Growth & Tax Strategy Retail Sub-transfer agency fees 0.10% $0
Fidelity Investments Institutional Performance Trust Strategic Bond Fd Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Thornburg Developingworld Fund Cl I Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional Thornburg Intl Value Cl Instl Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional Thornburg Global Opportunities Fd A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Thompson Bond Fund Sub-transfer agency fees 0.25% $0
Fidelity Investments Institutional Templeton Global Bond Class C Sub-transfer agency fees $19.00 $0
Fidelity Investments Institutional Templeton Global Bond Class A Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Templeton Foreign Class A Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Tcw Emerging Mkts Income Cl I Sub-transfer agency fees 0.08% $0
Fidelity Investments Institutional Sound Shore Fd Inc Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Sit Us Govt Secs Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Schwab Health Care Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Rydex Biotechnology Inv Class Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Rydex Consumer Products Investor Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Rydex Nasdaq 100 Inv Class Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Royce Micro Cap Opportunity Service Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional T Rowe Price Qm Us Sml Cap Grwth Eq Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional T Rowe Price Diversdmid Cap Growth Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional T Rowe Price Personal Strat Grwth Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional T Rowe Price Value Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional T Rowe Price Global Stock Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional T.Rowe Price Asia Opportuniti Inves Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional T Rowe Price New Asia Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional T Rowe Price European Stock Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional T Rowe Price Intl Discovery Fund Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional T Rowe Price Blue Chip Growth Inc Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional Motley Fool Great America Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Boston Partners All Cap Value Invs Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Putnam Income Fund Class A Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Putnam Capital Spectrum Fund Cl A Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Putnam Absolute Return 500 Fund Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Putnam Small Cap Growth Cl A Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Prudential Global Total Return Clas Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Oil Equipment Scvs & Dist Ultra Inv Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Ultra Bull Pro Fund Investors Share Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Biotechnology Ultra Sector Pro Fd I Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Oil & Gas Ultra Sectpro Fds Investo Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Becker Value Equity Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Hodges Small Cap Fund Retail Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Akre Focus Fund Instl Sub-transfer agency fees 0.10% $0
Fidelity Investments Institutional Akre Focus Fund Retail Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Hodges Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Principal Preferred Securities Fd C Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Primecap Odyssey Growth Fund Sub-transfer agency fees 0.08% $0
Fidelity Investments Institutional T Rowe Price Us Large Cap Core Fund Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional T Rowe Price Global Technology Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional T Rowe Price Health Sciences Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional T Rowe Price Growth Stock Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional Pimco Long Term Us Government Cl D Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Pimco Commodities Plus Strategy Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Pimco Income Fund Cl D Sub-transfer agency fees 0.38% $0
Fidelity Investments Institutional Pimco Stocksplus Internatl (Ushdg) Sub-transfer agency fees 0.20% $0
Fidelity Investments Institutional Pimco Stocksplus Internatl (Ushdg) Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Pimco Investment Grade Corp Bond Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional The Wireless Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Dreyfus Midcap Index Fund Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Pear Tree Polaris Frgn Val Sm Cap I Sub-transfer agency fees 0.12% $0
Fidelity Investments Institutional Parnassus Core Equity Instl Sub-transfer agency fees 0.10% $0
Fidelity Investments Institutional Parnassus Core Equity Investor Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Parnassus Mid Cap Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Parnassus Endeavor Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Parnassus Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Pimco Total Return Class D Sub-transfer agency fees 0.38% $0
Fidelity Investments Institutional Pimco Foreign Bond Us Dollar Hedged Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Oppenheimer Dev Markets Class A Sub-transfer agency fees $16.50 $0
Fidelity Investments Institutional Oppenheimer Global Opportunities Cl Sub-transfer agency fees $16.50 $0
Fidelity Investments Institutional Oppenheimer Intl Smlmid Company Cl Sub-transfer agency fees $16.50 $0
Fidelity Investments Institutional Oberweis Intl Opportunities Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Red Oak Technology Select Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Nuveen Symphony Credit Oppty A Shrs Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Nuveen Equity Long Short Fd Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Riskpro Pfg Global 30 Fd Cl R Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Riskpro Dynamic 15 25 Fund Cl R Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Riskpro Pfg Balanced 20 30 Cl R Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Riskpro Pfg Equity 30 Fund Cl R Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Riskpro Aggressive 30 Fund Cl R Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Riskpro 30 Fund Cl R Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Riskpro Pfg 30 Fund Cl R Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Riskpro Pfg Aggressive 30 Fd R Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Pacific Financ Flex Grwth Income Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Pacific Financial Dynamic Alloc Inv Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Pfg Core Equity Fund Investor Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Pfg Explorer Fund Investor Class Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Pfg International Fund Investor Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Pfg Strategic Conservative Invst Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional American New World Class F1 Sub-transfer agency fees 0.37% $0
Fidelity Investments Institutional American New Perspective Class A Sub-transfer agency fees $18.00 $0
Fidelity Investments Institutional Asg Managed Futures Stratey Fund Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Eventide Gilead Fund Class N Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Msif Frontier Markets Port Cl I Sub-transfer agency fees 0.10% $0
Fidelity Investments Institutional Morgan Stanley Global Opportunity A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Morgan Stanley Core Plus Fixed Inc Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Matthews Asian Innovators Fd Invst Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Matthews India Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Matthews China Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Matthews Korea Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Matthews Asian Growth & Income Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Matthews Pacific Tiger Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Matthews Emerging Asia Fund Investo Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Matthew 25 Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Manning & Napier Real Estate Srs S Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Manning & Napier Problend Max Term Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Atac Inflation Rotation Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Mairs & Power Growth Fund Sub-transfer agency fees 0.10% $0
Fidelity Investments Institutional Mainstay Internatnl Opportunities F Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Mainstay Income Builder Fd Class A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Lord Abbett Floating Rate Fd Cl A Sub-transfer agency fees 0.37% $0
Fidelity Investments Institutional Lord Abbett Alpha Strategy Cl A Sub-transfer agency fees 0.45% $0
Fidelity Investments Institutional Loomis Sayles Bond Retail Shares Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Leuthold Grizzly Short Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Clearbridge Energy Mlp & Infrastruc Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Clearbridge Large Cap Growth A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Clearbridge Appreciation Class A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Clearbridge Aggressive Growth A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Clearbridge Small Cap Fund Class A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Brandywineglobal Glbl Oppor Bd Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Lazard Global Listedinfrastructe In Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional Lazard Global Listedinfrastructure Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Lazard Us Realty Equity Port Open S Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Kinetics Paradigm Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Jpmorgan Mid Cap Growth Fudn Class Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Jpmorgan Intrepid Mid Cap Fund Clas Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Jpmorgan Equity Income Fund Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Jpmorgan Small Cap Equity Class A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Jpmorgan Intrepid European Class A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Janus Henderson U.S.Managed Volatil Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Janus Henderson Balanced T Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Janus Henderson Research T Sub-transfer agency fees $14.00 $0
Fidelity Investments Institutional Janus Henderson Enterprise T Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Janus Henderson High Yield T Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Janus Henderson Gl Life Sciences T Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Janus Henderson Global Technology T Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Janus Henderson Contrarian T Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Janus Henderson Flexible Bond T Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Janus Henderson Small Cap Value T Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Janus Henderson Triton T Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Janus Henderson Venture T Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Janus Henderson Global Reseach T Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional James Balanced Golden Rainbow Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Jpmorgan Gl Bond Opportunities Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Wcm Focused Intl Growth Fund Invest Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional The Internet Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Williston Basin/Mid North America S Sub-transfer agency fees 0.10% $0
Fidelity Investments Institutional Icon Utilities Fund Class S Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Icon Energy Cl S Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Icon Natural Resources Fd Cl S Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Hotchkis & Wiley Value Opp Class A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Homestead Small Company Stock Fd Sub-transfer agency fees 0.12% $0
Fidelity Investments Institutional Hennessy Small Cap Financial Invstr Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Hennessy Gas Utilityinvestor Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Hennessy Cornerstone Growth Fund In Sub-transfer agency fees 0.12% $0
Fidelity Investments Institutional Hennessy Cornerstonemid Cap 30 Inv Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Oakmark Global Select Fd Investor Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Oakmark Select Investor Cl Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Oakmark Intl Investor Cl Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Oakmark Fund Investor Class Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Harding Loevner Emerg Mrkts Port Ad Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Harbor Global Growthinvestor Share Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Harbor Internationalinvestor Shares Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Harbor International Institutional Sub-transfer agency fees 0.10% $0
Fidelity Investments Institutional John Hancock Regional Bank Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Guinness Atkinson Global Innovators Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Guggenheim Total Return Bond Cl P Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Guggenheim Total Return Bond A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Goodhaven Fund Sub-transfer agency fees 0.12% $0
Fidelity Investments Institutional Goldman Sachs Risingdividend Growth Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Goldman Sachs Mlp Energy Infrstctr Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Goldman Sachs Mid Cap Value Class A Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Goldman Sachs Emerging Markets A Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Glenmede Large Cap Core Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Glenmede Large Cap Growth Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Gabelli Small Cap Growth Aaa Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Gabelli Gold Fund Claaa Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Franklin Small Cap Value Class A Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Franklin Income Class C Sub-transfer agency fees $19.00 $0
Fidelity Investments Institutional Franklin Growth Class A Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Jp Morgan Mid Cap Value Fund Class Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Firsthand Technologyopportunities F Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional First Eagle Gold Fund Class C Sub-transfer agency fees 0.09% $0
Fidelity Investments Institutional Vulcan Value Partners Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Seafarer Overseas Growth & Income I Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Emerald Banking and Finance Fd Inve Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Federated Mdt Small Cap Core Fd Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Federated Bond Class A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Federated High Yieldtrust Ss Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Federated Strategic Value Dividend Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Fairholme Fund Sub-transfer agency fees $8.00 $0
Fidelity Investments Institutional Fmi International Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Fmi Large Cap Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional American Europacificgrowth Class A Sub-transfer agency fees $18.00 $0
Fidelity Investments Institutional Parametric Emerging Mkts Inv Cl Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Eaton Vance Floatingrate Advantage Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Eaton Vance Sht Dur Strategic Inc F Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Eaton Vance High Incopportunities C Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Eaton Vance Floatingrate Class I Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Eaton Vance Short Duration Gov Inc Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Eaton Vance Balanced Class A Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Dreyfus Natural Resources A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Dreyfus Small Cap Stock Index Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Dreyfus S & P 500 Index Fund Sub-transfer agency fees 0.30% $0
Fidelity Investments Institutional Doubleline Shiller Enhanced Cap Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Doubleline Core Fixed Income Cl I Sub-transfer agency fees 0.06% $0
Fidelity Investments Institutional Doubleline Total Rt Bond Fd Cl N Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Doubleline Total Return Bond Fd Cl Sub-transfer agency fees 0.06% $0
Fidelity Investments Institutional Domini Impact Equityinvestor Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Direxion Monthly S&P 500 Bull 2X In Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Direxion Monthly Nasdaq100Bull2X In Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Direxion Monthly 10 Yr Bear 2X Invs Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Deutsche Health and Wellness Fund A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Commonwealth Africa Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Commerce Value Institutional Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Columbia Seligman Global Technolgy Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Columbia Balanced Fund Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Columbia Strategic Income Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Columbia Greater China Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Causeway Internatl Opportunities In Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Causeway Emerging Mrkts Fd Inv Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Carillon Scout Mid Cap Fund Cl I Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Calvert Ultra Short Duration Income Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Buffalo Discovery Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Brown Advisory Smallcap Fundmntl Va Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional William Blair Small Mid Cap Growth Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Blackrock Multi Asset Income Port A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Blackrock Strategic Inc Opp Port Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Blackrock Health Sciences Opp Prt A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Blackrock Technologyopportunities C Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Berkshire Focus Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Baron Emerging Markets Fund Retail Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Baron Real Estate Fund Institutiona Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional Baron Real Estate Fund Retail Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Baron Partners Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Baron Small Cap Fd Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Baron Growth Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Baird Core Plus Bond Fd Investor Cl Sub-transfer agency fees 0.28% $0
Fidelity Investments Institutional Baird Short Term Bond Fund Investor Sub-transfer agency fees 0.28% $0
Fidelity Investments Institutional Bbh Core Select Fund Cl N Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Artisan Global Equity Fund Investor Sub-transfer agency fees 0.39% $0
Fidelity Investments Institutional Artisan Internatl Investor Class Sub-transfer agency fees 0.39% $0
Fidelity Investments Institutional Ariel Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional American Funds Conv Grwth & Incm Po Sub-transfer agency fees 0.37% $0
Fidelity Investments Institutional American Funds Mod Grth & Incme Por Sub-transfer agency fees 0.37% $0
Fidelity Investments Institutional American Funds Grwth& Inc Portfolio Sub-transfer agency fees 0.37% $0
Fidelity Investments Institutional American Century Utilities Investor Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional American Century Equity Growth Inv Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional American Century Gl Real Estate Inv Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional American Century Equity Income Inv Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional American Beacon Brid Large Cap Valu Sub-transfer agency fees 0.04% $0
Fidelity Investments Institutional Amer Beacon Brdgway Large Cap Val I Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional American Beacon Large Cap Investor Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Amana Mutual Fund Trust Income Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Allianzgi Income & Growth Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Allianzgi Nfj Emerg Mrkts Value Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Ab Emerging Markets Multi Asset Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Ab Large Cap Growth Class A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Alger Spectra Cl Z Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional Adv Preferred Gold Bullion Strat In Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Semper Mbs Total Return Investor Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Thomson Horstmann & Bryant Microcap Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Frost Total Return Bond Investor Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Aqr Large Cap Defensive Style Cl N Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Aqr Large Cap Momentum Style Cl N Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Amg Managers Lmcg Smcap Growth Clas Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Amg Yacktman Fund I Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Amg Managers Center Square Real Est Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Invesco Dividend Income Fund A Sub-transfer agency fees 0.40% $0
*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
Ah Growth Reliance Trust Company DFE: Common/Collective Trust $147,524,087
Btc Lifepath 2030 G Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $82,416,179
Btc Lifepath 2020 G Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $62,287,863
Btc Lifepath 2025 G Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $57,375,055
Btc Lifepath 2040 G Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $50,107,157
Btc Lifepath 2035 G Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $47,189,952
Btc Lifepath 2050 G Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $27,186,233
Btc Lifepath 2045 G Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $24,030,975
Btc Lifepath Ret G Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $20,412,972
Btc Lifepath 2055 G Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $18,559,700
Ah Income Reliance Trust Company DFE: Common/Collective Trust $8,321,480
Ah Inflation Stratgy Reliance Trust Company DFE: Common/Collective Trust $2,971,736
Voya Bny Mellon Sv Fund Sep Voya Retirement Insurance and Annuity Company DFE: Pooled Separate Account $0
Total $548,383,389

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Transamerica Premier Life Insurance Company 1,573
EIN 52-0419790
Industry Code 66281
Contract Number MDA01159TR
Contract Year 01/01/2017 — 12/31/2017
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 SYNTHETIC INVESTMENT CONTRACT
Basis of premium rates 20Bps
Premiums paid to carrier $49,248
Premiums due but unpaid at the end of the year $10,521
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 Synthetic Investment Contract
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
Prudential Insurance Co of America 1,573
EIN 22-1211670
Industry Code 68241
Contract Number GA62338
Contract Year 01/01/2017 — 12/31/2017
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 SYNTHETIC INVESTMENT CONTRACT
Basis of premium rates 20Bps
Premiums paid to carrier $35,445
Premiums due but unpaid at the end of the year $7,738
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 Synthetic Investment Contract
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 1,573
EIN 71-0294708
Industry Code 86509
Contract Number 060247
Contract Year 01/01/2017 — 12/31/2017
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 SYNTHETIC INVESTMENT CONTRACT
Basis of premium rates 15Bps
Premiums paid to carrier $39,043
Premiums due but unpaid at the end of the year $8,785
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 Synthetic Investment Contract
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
Pacific Life 1,573
EIN 95-1079000
Industry Code 86509
Contract Number G-27553.01.0001
Contract Year 01/01/2017 — 12/31/2017
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 SYNTHETIC INVESTMENT CONTRACT
Basis of premium rates 20Bps
Premiums paid to carrier $58,791
Premiums due but unpaid at the end of the year $14,572
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 Synthetic Investment Contract
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
Nationwide Life Insurance Company 1,573
EIN 31-4156830
Industry Code 66869
Contract Number STAADNIP0517
Contract Year 01/01/2017 — 12/31/2017
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 SYNTHETIC INVESTMENT CONTRACT
Basis of premium rates 19Bps
Premiums paid to carrier $9,464
Premiums due but unpaid at the end of the year $5,886
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 Synthetic Investment Contract
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 0
EIN 71-0294708
Industry Code 86509
Contract Number 060328
Contract Year 01/01/2017 — 12/31/2017
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 $11,877
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