11-K 1 d402022d11k.htm FORM 11-K Form 11-K
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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

 

FORM 11-K

 

 

(Mark One):

 

 

ANNUAL REPORT PURSUANT TO SECTION 15(d) OF THE

SECURITIES EXCHANGE ACT OF 1934

For the fiscal year ended December 31, 2016

 
  or  
 

TRANSITION REPORT PURSUANT TO SECTION 15(d) OF THE

SECURITIES EXCHANGE ACT OF 1934

For the transition period from _________ to _________

 

Commission File Number 333-189581

 

  A. Full title of the plan and the address of the plan, if different from that of the issuer named below:

DOMINION KEWAUNEE UNION SAVINGS PLAN

 

  B. Name of issuer of the securities held pursuant to the plan and the address of its principal executive office:

DOMINION ENERGY, INC.

120 Tredegar Street

Richmond, VA 23219


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DOMINION KEWAUNEE UNION SAVINGS PLAN

 

                                                   
TABLE OF CONTENTS          Page

FINANCIAL STATEMENTS:

  

Plan Assets and Liabilities as of December 31, 2016 and December 31, 2015

       1  

Income, Expenses and Transfers for the Year Ended December 31, 2016

       2  

Specific Assets Held as of December 31, 2016

       3  

 

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DOMINION KEWAUNEE UNION SAVINGS PLAN

SMALL PLAN FINANCIAL INFORMATION

(UNAUDITED)

 

                                                   
     

December 31,

2016

  

December 31,

2015

PLAN ASSETS AND LIABILITIES

     

Total Plan Assets

   $ 12,077,676      $ 11,500,929  
  

 

 

 

  

 

 

 

Net Assets Available for Benefits

   $ 12,077,676      $ 11,500,929  
Note: The above Employee Retirement Income Security Act of 1974 (ERISA) plan information is presented in accordance with the Department of Labor (DOL) Form 5500, Schedule I.

 

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DOMINION KEWAUNEE UNION SAVINGS PLAN

SMALL PLAN FINANCIAL INFORMATION

(UNAUDITED)

 

                         
     

Year Ended

December 31, 2016

INCOME, EXPENSES AND TRANSFERS

  

ADDITIONS:

  

Contributions:

  

Participant contributions

   $ 259,478  

Employer contributions

     90,020  
  

 

 

 

Total contributions

     349,498  
  

 

 

 

Investment Income:

  

Interest

     88  

Dividends

     160,199  

Net appreciation in fair value of investments

     584,926  

Income from Master Trust

     472,768  
  

 

 

 

Total investment income

     1,217,981  
  

 

 

 

Interest income on notes receivable from participants

     3,596  
  

 

 

 

Total additions

     1,571,075  
  

 

 

 

DEDUCTIONS:

  

Benefits paid to participants

     992,894  

Administrative expenses

     1,434  
  

 

 

 

Total deductions

     994,328  
  

 

 

 

NET INCREASE IN NET ASSETS

     576,747  

NET ASSETS AVAILABLE FOR BENEFITS:

  

Beginning of year

     11,500,929  
  

 

 

 

End of year

   $ 12,077,676  
Note: The above ERISA plan information is presented in accordance with DOL Form 5500, Schedule I.

 

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DOMINION KEWAUNEE UNION SAVINGS PLAN

SMALL PLAN FINANCIAL INFORMATION

(UNAUDITED)

 

                         
     

December 31,

2016

SPECIFIC ASSETS

  

Employer Securities

   $ 3,623,626  

Participant Loans

   $ 57,804  
Note: The above ERISA plan information is presented in accordance with DOL Form 5500, Schedule I.

 

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SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the Dominion Energy Services, Inc. Administrative Benefits Committee has duly caused this annual report to be signed on its behalf by the undersigned hereunto duly authorized.

 

    DOMINION KEWAUNEE UNION SAVINGS PLAN
      (name of plan)
Date: June 22, 2017       /s/ Wendy Wellener
          Wendy Wellener
     

Vice President, Dominion Energy Services, Inc.

Human Resources

 

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