401k Plan data: ASSOCIATES OF CAPE COD, INC. LIFE AND DISABILITY PLAN plan

ASSOCIATES OF CAPE COD, INC. LIFE AND DISABILITY PLAN 401k Plan overview

Plan Name	ASSOCIATES OF CAPE COD, INC. LIFE AND DISABILITY PLAN
Plan identification number	503

ASSOCIATES OF CAPE COD, INC. LIFE AND DISABILITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

ASSOCIATES OF CAPE COD, INC. has sponsored the creation of one or more 401k plans.

Company Name: ASSOCIATES OF CAPE COD, INC.

Employer identification number (EIN): 042541505

NAIC Classification: 325410

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ASSOCIATES OF CAPE COD, INC. LIFE AND DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2012-01-01 SCOTT A JOHNSON
503 2011-01-01 SCOTT A JOHNSON
503 2009-02-01 FRANK KELLER

Plan id#	Filing Submission Date	Name of Administrator
503	2012-01-01	SCOTT A JOHNSON
503	2011-01-01	SCOTT A JOHNSON
503	2009-02-01	FRANK KELLER

Plan Statistics for ASSOCIATES OF CAPE COD, INC. LIFE AND DISABILITY PLAN

401k plan membership statisitcs for ASSOCIATES OF CAPE COD, INC. LIFE AND DISABILITY PLAN

Measure Date Value
2012: ASSOCIATES OF CAPE COD, INC. LIFE AND DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 122
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 0
2011: ASSOCIATES OF CAPE COD, INC. LIFE AND DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 120
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 122
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 122
2009: ASSOCIATES OF CAPE COD, INC. LIFE AND DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-02-01 90
Total number of active participants reported on line 7a of the Form 5500 2009-02-01 117
Number of retired or separated participants receiving benefits 2009-02-01 0
Number of other retired or separated participants entitled to future benefits 2009-02-01 0
Total of all active and inactive participants 2009-02-01 117
Total participants 2009-02-01 117

Measure	Date	Value
2012: ASSOCIATES OF CAPE COD, INC. LIFE AND DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	122
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	0
2011: ASSOCIATES OF CAPE COD, INC. LIFE AND DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	120
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	122
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	122
2009: ASSOCIATES OF CAPE COD, INC. LIFE AND DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-02-01	90
Total number of active participants reported on line 7a of the Form 5500	2009-02-01	117
Number of retired or separated participants receiving benefits	2009-02-01	0
Number of other retired or separated participants entitled to future benefits	2009-02-01	0
Total of all active and inactive participants	2009-02-01	117
Total participants	2009-02-01	117

Form 5500 Responses for ASSOCIATES OF CAPE COD, INC. LIFE AND DISABILITY PLAN

2012: ASSOCIATES OF CAPE COD, INC. LIFE AND DISABILITY PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	Yes
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: ASSOCIATES OF CAPE COD, INC. LIFE AND DISABILITY PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: ASSOCIATES OF CAPE COD, INC. LIFE AND DISABILITY PLAN 2009 form 5500 responses
2009-02-01	Type of plan entity	Single employer plan
2009-02-01	First time form 5500 has been submitted	Yes
2009-02-01	Submission has been amended	No
2009-02-01	This submission is the final filing	No
2009-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-02-01	Plan is a collectively bargained plan	No
2009-02-01	Plan funding arrangement – Section 412(e)(3) insurance Contracts	Yes
2009-02-01	Plan benefit arrangement – Section 412(e)(3) insurance Contracts	Yes

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Company Name:	ASSOCIATES OF CAPE COD, INC.
Employer identification number (EIN):	042541505
NAIC Classification:	325410