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Overview

Plan Information

  • Plan Year01/01/2019 — 12/31/2019
  • Date of Plan01/01/2012
  • Net Assets as of 12/31/2019 $625,152
  • Plan Number101
  • Plan Type Single Employer
  • Is the plan collectively bargained? No
  • Did the plan file for an extension of time or the DFVC Program?Yes
  • Report Description This is an amended report.
  • Plan Funding ArrangementInsurance Trust
  • Plan Benefit ArrangementInsurance Trust

Participant Information as of 12/31/2019

  • Active (Eligible) Participants3,850
  • Retired or separated participants receiving benefits13
  • Other retired or separated participants entitled to future benefits50
  • Subtotal3,913
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
  • Total3,913
  • Total number of participants as of 01/01/20192,514
  • Number of participants with account balances182
  • 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

  • Address15729 College Blvd
  • CityLenexa
  • StateKS
  • Zip66219
  • Telephone(913) 928-5000
  • EIN72-1605854
  • Industry Code488210
  • Named AdministratorPhil Tisue

Plan Administrator Information

  • Administrator NameTag Resources, LLC
  • Address6501 Deane Hill Dr.
  • CityKnoxville
  • StateTN
  • Zip37919
  • Telephone(865) 670-1844
  • Administrator EIN62-1874769

Audit Information

  • Audit StatusAudited
  • AuditorCoulter & Justus
  • Auditor EIN62-1532536
  • Audit Opinion Disclaimer
  • Audit TypeLimited Scope 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.
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.
3B Self-Employed Plan Plan covering Self-Employed individuals.
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? Yes $13,646
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 $299,907
Contributions $191,570
Cash Contributions $191,570
Cash from Employers $0
Cash from Participants $188,635
Others (including rollovers) $2,935
Noncash Contributions $0
Total Earnings on Investments $108,337
Total Interest $136
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 $136
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 $108,201
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 $103,451
Total Benefit Payments $91,878
Directly to participants or beneficiaries, including direct rollovers $91,878
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 $11,573
Professional Fees $0
Contract Administrator Fees $11,573
Investment Advisory and management fees $0
Other Administrative Fees $0
Net Income $196,456
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2019 12/31/2018 Change YOY
Total Assets $625,152 $452,007 38.31%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $12,314 $0 0.0%
Employer Contributions $0 $0 0.0%
Participant Contributions $12,314 $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 $600,237 $444,914 34.91%
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 $12,601 $7,093 77.65%
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 $23,311 -100.00%
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 $23,311 -100.00%
Net Assets $625,152 $428,696 45.83%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

  • Transamerica Financial Life Ins Co

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
Tag Resources, LLC Recordkeeping and information management (computing, tabulating, data processing, etc.), Participant loan processing, Recordkeeping fees Record Keeper $6,956 $1 $6,957
Transamerica Financial Life Ins Co Recordkeeping and information management (computing, tabulating, data processing, etc.), Participant loan processing, Investment management fees paid indirectly by plan, Float revenue, Recordkeeping fees, Other insurance wrap fees Record Keeper $4,617 $0 $4,617
Total $11,573 $1 $11,574

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
Ta Vanguard Institutional Target Re Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $81,374
Eaton Vance Atlanta Cap Smid-Cap Re Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $73,472
Ta Vanguard Institutional Target Re Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $71,002
Ta Vanguard Institutional Target Re Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $62,618
Ta Vanguard Institutional Target Re Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $61,450
Columbia Contrarian Core Ret Acct Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $43,518
Ta Vanguard Total Stock Market Inde Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $33,797
Transamerica Partners Stock Index R Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $30,989
Ta Vanguard Institutional Target Re Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $25,834
Morgan Stanley Growth Ret Acct Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $24,466
Ta Vanguard Institutional Target Re Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $20,266
Dfa Emerging Markets Core Equity Re Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $18,515
Ta Vanguard Institutional Target Re Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $13,919
Ta Vanguard Institutional Target Re Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $12,986
Ta Vanguard Institutional Target Re Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $5,573
Ta Vanguard Institutional Target Re Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $3,611
Goldman Sachs Bond Ret Acct Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $3,455
Ta Vanguard Institutional Target Re Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $3,398
Principal Diversified Real Asset Re Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $3,029
American Century Focused Global Ret Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $1,914
Eaton Vance High Income Opportuniti Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $1,538
State Street International Index Re Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $1,516
T. Rowe Price Equity Income Ret Acc Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $931
Transamerica International Equity R Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $624
State Street Russell Small Cap Inde Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $216
State Street U.S. Bond Index Ret Ac Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $167
State Street S&P Mid Cap Index Ret Transamerica Financial Life Insurance Company DFE: Pooled Separate Account $59
Total $600,237

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Transamerica Financial Life Insurance Company 3,913
EIN 36-6071399
Industry Code 70688
Contract Number 932339-00132
Contract Year 01/01/2019 — 12/31/2019
Value in General Account at Year End $0
Value in Separate Accounts at Year End $600,237
Insurance Fees and Commissions $2,239
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
David Pacer Commonwealth Financial Network Waltham, MA 02453 Insurance Agent or Broker $1,791 $0 N/A
Tim Disette Commonwealth Financial Network Waltham, MA 02453 Insurance Agent or Broker $224 $0 N/A
Bruce Gleen Commonwealth Financial Network Waltham, MA 02453 Insurance Agent or Broker $224 $0 N/A
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 STABLE VALUE OPTION
Balance at the end of the previous year $7,093
Additions $7,492
Contributions Deposited during the year $1,208
Dividends and credits $0
Interest credited during the year $136
Transferred from separate account $6,148
Other $0
Total of Balance and Additions $14,585
Deductions $1,984
Disbursed from fund to pay benefits or purchase annuities during the year $1,854
Administration charge made by carrier $0
Transferred to Separate Account $0
Other $130
Balance at the end of the current year $12,601