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Plan Information

  • Plan Year12/01/2018 — 11/30/2019
  • Date of Plan12/01/1977
  • Net Assets as of 11/30/2019 $4,024,841
  • 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 11/30/2019

  • Active (Eligible) Participants128
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits44
  • Subtotal172
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
  • Total172
  • Total number of participants as of 12/01/2018174
  • Number of participants with account balances156
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested8


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

Sponsor Information

  • Address1616 Burt St
  • CityOmaha
  • StateNE
  • Zip68102-4734
  • Telephone(402) 558-3677
  • EIN47-0361768
  • Industry Code812320
  • Named AdministratorDonald R Wheeler

Audit Information

  • Audit StatusAudited
  • AuditorLutz & Company, P.C.
  • Auditor EIN47-0625816
  • 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.
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 $400,000
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


Income and Expense Statement

Income $545,649
Contributions $106,472
Cash Contributions $106,472
Cash from Employers $25,800
Cash from Participants $80,672
Others (including rollovers) $0
Noncash Contributions $0
Total Earnings on Investments $439,177
Total Interest $18
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 $18
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 $439,159
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 $240,901
Total Benefit Payments $231,153
Directly to participants or beneficiaries, including direct rollovers $231,153
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $5,159
Certain deemed distributions of participant loans $0
Interest expense $0
Total Administrative Expenses $4,589
Professional Fees $0
Contract Administrator Fees $4,589
Investment Advisory and management fees $0
Other Administrative Fees $0
Net Income $304,748
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

11/30/2019 11/30/2018 Change YOY
Total Assets $4,024,841 $3,720,093 8.19%
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 $0 $0 0.0%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $4,022,937 $3,719,351 8.16%
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 $1,904 $742 156.60%
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 $4,024,841 $3,720,093 8.19%

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
Minnesota Life Insurance Company Contract Administrator, Recordkeeping and information management (computing, tabulating, data processing, etc.), Investment management, Valuation (appraisals, etc.), Participant communication, Direct payment from the plan, Investment management fees paid indirectly by plan, Recordkeeping fees, Account maintenance fees NONE $4,589 $0 $4,589
Total $4,589 $0 $4,589

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.



Name of Investment Investment Manager Type of Investment Dollar Value
Securian Am S&P 500 Index Minnesota Life Insurance Company DFE: Pooled Separate Account $1,478,124
Vanguard Interm Bond Idx Adm Minnesota Life Insurance Company DFE: Pooled Separate Account $1,466,089
Vanguard Small-Cap Idx Adm Minnesota Life Insurance Company DFE: Pooled Separate Account $440,970
Tiaa-Cref Intl Eq Idx Instl Minnesota Life Insurance Company DFE: Pooled Separate Account $399,312
Vgd Wellesley Inc Admiral Minnesota Life Insurance Company DFE: Pooled Separate Account $125,256
Disciplined Gro Mid Cap Gro Minnesota Life Insurance Company DFE: Pooled Separate Account $50,422
Dfa Emerging Markets Val Port Minnesota Life Insurance Company DFE: Pooled Separate Account $33,452
Vanguard Mid Cap Index Admiral Minnesota Life Insurance Company DFE: Pooled Separate Account $27,465
Janus Opportunistic Growth Minnesota Life Insurance Company DFE: Pooled Separate Account $1,847
Vanguard Sm-Cap Gro Ind Adm Minnesota Life Insurance Company DFE: Pooled Separate Account $0
Total $4,022,937

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Minnesota Life Insurance Company 173
EIN 41-0417830
Industry Code 66168
Contract Number 067844
Contract Year 12/01/2018 — 11/30/2019
Value in General Account at Year End $1,904
Value in Separate Accounts at Year End $4,022,937
Insurance Fees and Commissions $19,205
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Securian Financial Services 400 Robert St N St. Paul, MN 55101 Insurance Agent or Broker $19,205 $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
Balance at the end of the previous year $742
Additions $1,162
Contributions Deposited during the year $0
Dividends and credits $0
Interest credited during the year $18
Transferred from separate account $1,144
Other $0
Total of Balance and Additions $1,904
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 $1,904