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FORM 5500 DATA

Autumn Harp, Inc. 401k Profit Sharing Plan

Overview

Plan Information

  • Plan Year01/01/2016 — 12/31/2016
  • Date of Plan01/01/1994
  • Net Assets as of 12/31/2016 $6,195,490
  • Plan Number1
  • Plan Type Multiple Employer
  • Is the plan collectively bargained? No
  • Did the plan file for an extension of time or the DFVC Program? No
  • Plan Funding ArrangementInsurance Trust
  • Plan Benefit ArrangementInsurance Trust

Participant Information as of 12/31/2016

  • Active (Eligible) Participants193
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits41
  • Subtotal234
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
  • Total234
  • Total number of participants as of 01/01/2016229
  • Number of participants with account balances180
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested4

Expenses

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

Sponsor Information

  • Address26 Thompson Drive
  • CityEssex Junction
  • StateVT
  • Zip05452
  • Telephone(802) 857-4600
  • EIN03-0284189
  • Industry Code325900

Audit Information

  • Audit StatusAudited
  • AuditorGallagher Flynn & Company LLP
  • Auditor EIN03-0225774
  • 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? Yes

Financials

Income and Expense Statement

Income $1,591,047
Contributions $1,178,141
Cash Contributions $1,178,141
Cash from Employers $160,026
Cash from Participants $456,105
Others (including rollovers) $562,010
Noncash Contributions $0
Total Earnings on Investments $412,906
Total Interest $3,613
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $3,613
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 $409,293
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 $756,767
Total Benefit Payments $718,926
Directly to participants or beneficiaries, including direct rollovers $718,926
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $4,662
Certain deemed distributions of participant loans $0
Interest expense $0
Total Administrative Expenses $33,179
Professional Fees $6,240
Contract Administrator Fees $20,189
Investment Advisory and management fees $6,750
Other Administrative Fees $0
Net Income $834,280
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2016 12/31/2015 Change YOY
Total Assets $6,195,490 $5,361,210 15.56%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $32,069 $25,976 23.46%
Employer Contributions $14,885 $10,223 45.60%
Participant Contributions $17,184 $15,753 9.08%
Other Contributions $0 $0 0.0%
General Investments $10,500 $9,363 12.14%
Interest-bearing cash $10,500 $9,363 12.14%
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 $78,323 $106,578 -26.51%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $6,074,598 $5,219,275 16.39%
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 $0 $0 0.0%
Other Investments $0 $18 -100.00%
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 $6,195,490 $5,361,210 15.56%

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
Cetera Advisor Networks LLC Investment advisory (participants) RIA $6,750 $0 $6,750
John Hancock Life Insurance Co USA Recordkeeping and information management (computing, tabulating, data processing, etc.), Investment management, Sub-transfer agency fees, Float revenue, Distribution (12b-1) fees, Other insurance wrap fees, Soft dollars commissions Recordkeeper $482 $0 $482
Total $7,232 $0 $7,232

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
American Balanced Fund John Hancock USA DFE: Pooled Separate Account $1,078,643
Vanguard Value Index Fund John Hancock USA DFE: Pooled Separate Account $851,420
Parnassus Core Equity Fund John Hancock USA DFE: Pooled Separate Account $816,497
Oppenheimer Intl Growth Fund John Hancock USA DFE: Pooled Separate Account $799,785
T. Rowe Price Retirement 2020 John Hancock USA DFE: Pooled Separate Account $664,298
T. Rowe Price Retirement 2045 John Hancock USA DFE: Pooled Separate Account $447,042
Active Bond Fund John Hancock USA DFE: Pooled Separate Account $363,821
New World Fund John Hancock USA DFE: Pooled Separate Account $307,627
Dfa U.S. Small Cap Fund John Hancock USA DFE: Pooled Separate Account $219,942
Mid Cap Index Fund John Hancock USA DFE: Pooled Separate Account $149,012
T. Rowe Price Retirement 2010 John Hancock USA DFE: Pooled Separate Account $92,454
500 Index Fund John Hancock USA DFE: Pooled Separate Account $86,672
John Hancock Stable Val John Hancock USA DFE: Pooled Separate Account $57,872
Clearbridge Aggressive Growth John Hancock USA DFE: Pooled Separate Account $55,988
Real Est. Securities Fund John Hancock USA DFE: Pooled Separate Account $27,572
T. Rowe Price Retirement 2050 John Hancock USA DFE: Pooled Separate Account $21,249
Total Bond Market Fund John Hancock USA DFE: Pooled Separate Account $7,950
Intl Equity Index Fund John Hancock USA DFE: Pooled Separate Account $5,910
T. Rowe Price Retirement 2055 John Hancock USA DFE: Pooled Separate Account $5,784
T. Rowe Price Retirement 2060 John Hancock USA DFE: Pooled Separate Account $4,230
T. Rowe Price Retirement 2025 John Hancock USA DFE: Pooled Separate Account $4,111
T. Rowe Price Retirement 2035 John Hancock USA DFE: Pooled Separate Account $2,131
T. Rowe Price Retirement 2015 John Hancock USA DFE: Pooled Separate Account $2,006
T. Rowe Price Retirement 2040 John Hancock USA DFE: Pooled Separate Account $1,308
T. Rowe Price Retirement 2030 John Hancock USA DFE: Pooled Separate Account $1,277
Total $6,074,601

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
John Hancock Life Insurance Company USA 191
EIN 01-0233346
Industry Code 65838
Contract Number 119318
Contract Year 01/01/2016 — 12/31/2016
Value in General Account at Year End $0
Value in Separate Accounts at Year End $6,074,598
Insurance Fees and Commissions $16,153
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Future Planning Associates, Inc. 600 Blair Park Road, Suite 331 Williston, VT 05495 Third Party Administrator $0 $9,865 TPA FEES
Future Planning Associates, Inc. 600 Blair Park Road, Suite 331 Williston, VT 05495 Third Party Administrator $0 $6,288 TPA COMPENSATION
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