401(k) PLAN FEE DISCLOSURE FORM Total Plan Expenses Role(s ...
401(k) PLAN FEE DISCLOSURE FORM For Services Provided by Ascensus Total Plan Expenses
Role(s) performed by service provider
Custodian/Trustee Investment
Professional
Record Keeper Other (Describe):
Third-Party Administrator
Assumptions
Total Plan Assets $4,881,263.08
Eligible Employees 27
Annual Fees
Fund Name
AllianceBern Discovery Value A ABASX BlackRock Basic Value Inv A MDBAX BlackRock Capital Appreciation Inv A MDFGX BlackRock Global Allocation Inv A MDLOX BlackRock High Yield Bond Inv A BHYAX Federated Capital Preservation Fd CL SP FCSPT Franklin Moderate Allocation A FMTIX Hartford Equity Income R4 HQISX Invesco Equity and Income Fund A ACEIX Invesco Real Estate Fund A IARAX Invesco Small Cap Discovery A VASCX Ivy High Income Y WHIYX Ivy Mid Cap Growth Y WMGYX John Hancock Bond Fund A JHNBX Oakmark International Fund OARIX Pioneer Oak Ridge Small Cap Growth A ORIGX Putnam Capital Opportunities A PCOAX Sentinel Government Securities A SEGSX GM AB Discovery Value A (GMABASX) GM BlackRock Capital Appreciation Inv A (GGMMFMeDdeFrGatXed) Capital Preservation CL SP (GMFCSPT) GM Hartford Equity Income R4 (GMHQISX) GM Invesco Small Cap Discovery A (GMVASCX) GM Ivy Mid Cap Growth Y (GMWMGYX) GM John Hancock Bond Fund A (GMJHNBX) GM Oakmark International Fund (GMOARIX) GM Putnam Capital Opportunities A (GMPCOAX) GM Sentinel Government Securities A (GMSEGSX)
Fund Expenses(1)
1.22% 0.83% 1.09% 1.14% 0.98% 0.95% 1.25% 1.08% 0.80% 1.25% 1.34% 0.95% 1.27% 1.03% 1.34% 1.40% 1.25% 0.85% 1.22% 1.09% 0.95% 1.08% 1.34% 1.27% 1.03% 1.34% 1.25% 0.85%
Fund Balance
$341,740.95 $251,953.73 $290,710.60 $467,917.49
$187.24 $433,382.12 $24,316.17 $194,130.22 $85,855.55 $58,955.99 $91,747.13 $156,588.10 $217,596.25 $139,590.01 $615,724.76 $155,986.82 $578,139.48
$82.74 $48,650.86 $137,229.17 $15,918.65 $160,347.92 $33,449.57 $39,842.92 $85,026.66 $158,849.99 $38,828.24 $58,513.75
Provider %(2)
0.30% 0.25% 0.25% 0.25% 0.25% 0.10% 0.25% 0.25% 0.25% 0.25% 0.25% 0.25% 0.25% 0.30% 0.00% 0.25% 0.25% 0.20% 0.30% 0.25% 0.00% 0.25% 0.25% 0.25% 0.30% 0.00% 0.25% 0.20%
Provider Fees
$1,025.22 $629.88 $726.78 $1,169.79
$0.47 $433.38 $60.79 $485.33 $214.64 $147.39 $229.37 $391.47 $543.99 $418.77
$0.00 $389.97 $1,445.35
$0.17 $145.95 $343.07
$0.00 $400.87 $83.62 $99.61 $255.08
$0.00 $97.07 $117.03
Provider fees paid from investment funds
$9,855.06
Provider fees deducted from participant accounts or paid by employer
$3,775.00
Total Fees
$13,630.06
(1)Fund Expenses include the fund's expense ratio plus any "wrap" fee charged by the provider. The expense ratio is determined through an annual calculation, where a fund's operating expenses are divided by the average dollar value of its assets under management. Fund expenses are taken out of a fund's assets and lower investor returns.
(2)Provider % includes revenue sharing paid to the provider by the investment fund or wrap fees added by the provider. These expenses lower investor returns.
401(k) PLAN FEE DISCLOSURE FORM For Services Provided by Employee Fiduciary
Total Plan Expenses
Role(s) performed by service provider
Custodian/Trustee Investment Professional
Record Keeper Other (Describe):
Third-Party Administrator
Assumptions
Total Plan Assets $4,881,263.08
Eligible Employees 27
Annual Fees
Fund Name
Vanguard Prime Money Market Fund(1) Vanguard Total Bond Market Index Fund(1) Vanguard 500 Index Fund(1) Vanguard Extended Market Index Fund(1) Vanguard Total International Stock Index Fund(1) Vanguard Target Retirement Income Fund(1) Vanguard Short-Term Gov't Bond Index Fund(1) Vanguard Total International Bond Index Fund(1) Vanguard Growth Index Fund(1) Vanguard Value Index Fund(1) Vanguard Target Retirement 2010 Fund(1) Vanguard Target Retirement 2015 Fund(1) Vanguard Target Retirement 2020 Fund(1) Vanguard Target Retirement 2025 Fund(1) Vanguard Target Retirement 2030 Fund(1) Vanguard Target Retirement 2035 Fund(1) Vanguard Target Retirement 2040 Fund(1) Vanguard Target Retirement 2045 Fund(1) Vanguard Target Retirement 2050 Fund(1) Vanguard Target Retirement 2055 Fund(1) Vanguard Target Retirement 2060 Fund(1)
Provider fees paid from investment funds
Fund Expenses(2)
0.17% 0.20% 0.05% 0.14% 0.14% 0.16% 0.12% 0.20% 0.10% 0.10% 0.16% 0.16% 0.16% 0.17% 0.17% 0.18% 0.18% 0.18% 0.18% 0.18% 0.18%
Fund Balance
Balances are
irrelevant. Employee Fiduciary retains no revenue sharing!
Provider %(3)
0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Provider Fees
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00
Provider fees deducted from participant accounts or paid by employer
$5,405.01
Total Fees
$5,405.01
(1)Fund represents an example of the low cost funds available at Employee Fiduciary.
(2)Fund Expenses include the fund's expense ratio plus any "wrap" fee charged by the provider. The expense ratio is determined through an annual calculation, where a fund's operating expenses are divided by the average dollar value of its assets under
management. Fund expenses are taken out of a fund's assets and lower investor returns.
(3)Provider % includes revenue sharing paid to the provider by the investment fund or wrap fees added by the provider. These expenses lower investor returns.
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