401k Plan data: EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN plan

EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN 401k Plan overview

Plan Name	EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN
Plan identification number	501

EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

EASTERN WHOLESALE FENCE COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name: EASTERN WHOLESALE FENCE COMPANY, INC.

Employer identification number (EIN): 112660625

NAIC Classification: 424990
NAIC Description: Other Miscellaneous Nondurable Goods Merchant Wholesalers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2015-12-01 PETER E WILLIAMS JR
501 2014-12-01 BILL ROGERS
501 2013-12-01 BILL ROGERS
501 2012-12-01 VICTORIA MOHAN
501 2011-12-01 VICTORIA MOHAN
501 2009-12-01 VICTORIA MOHAN

Plan id#	Filing Submission Date	Name of Administrator
501	2015-12-01	PETER E WILLIAMS JR
501	2014-12-01	BILL ROGERS
501	2013-12-01	BILL ROGERS
501	2012-12-01	VICTORIA MOHAN
501	2011-12-01	VICTORIA MOHAN
501	2009-12-01	VICTORIA MOHAN

Plan Statistics for EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN

401k plan membership statisitcs for EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN

Measure Date Value
2015: EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-12-01 135
Total number of active participants reported on line 7a of the Form 5500 2015-12-01 135
Number of retired or separated participants receiving benefits 2015-12-01 0
Number of other retired or separated participants entitled to future benefits 2015-12-01 0
Total of all active and inactive participants 2015-12-01 135
2014: EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-12-01 135
Total number of active participants reported on line 7a of the Form 5500 2014-12-01 135
Number of retired or separated participants receiving benefits 2014-12-01 0
Number of other retired or separated participants entitled to future benefits 2014-12-01 0
Total of all active and inactive participants 2014-12-01 135
2013: EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-12-01 135
Total number of active participants reported on line 7a of the Form 5500 2013-12-01 135
Number of retired or separated participants receiving benefits 2013-12-01 0
Number of other retired or separated participants entitled to future benefits 2013-12-01 0
Total of all active and inactive participants 2013-12-01 135
2012: EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-12-01 135
Total number of active participants reported on line 7a of the Form 5500 2012-12-01 120
Total of all active and inactive participants 2012-12-01 120
Total participants 2012-12-01 120
2011: EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-12-01 142
Total number of active participants reported on line 7a of the Form 5500 2011-12-01 135
Total of all active and inactive participants 2011-12-01 135
Total participants 2011-12-01 135
2009: EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-12-01 139
Total number of active participants reported on line 7a of the Form 5500 2009-12-01 142
Number of retired or separated participants receiving benefits 2009-12-01 0
Number of other retired or separated participants entitled to future benefits 2009-12-01 0
Total of all active and inactive participants 2009-12-01 142

Measure	Date	Value
2015: EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-12-01	135
Total number of active participants reported on line 7a of the Form 5500	2015-12-01	135
Number of retired or separated participants receiving benefits	2015-12-01	0
Number of other retired or separated participants entitled to future benefits	2015-12-01	0
Total of all active and inactive participants	2015-12-01	135
2014: EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-12-01	135
Total number of active participants reported on line 7a of the Form 5500	2014-12-01	135
Number of retired or separated participants receiving benefits	2014-12-01	0
Number of other retired or separated participants entitled to future benefits	2014-12-01	0
Total of all active and inactive participants	2014-12-01	135
2013: EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-12-01	135
Total number of active participants reported on line 7a of the Form 5500	2013-12-01	135
Number of retired or separated participants receiving benefits	2013-12-01	0
Number of other retired or separated participants entitled to future benefits	2013-12-01	0
Total of all active and inactive participants	2013-12-01	135
2012: EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-12-01	135
Total number of active participants reported on line 7a of the Form 5500	2012-12-01	120
Total of all active and inactive participants	2012-12-01	120
Total participants	2012-12-01	120
2011: EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-12-01	142
Total number of active participants reported on line 7a of the Form 5500	2011-12-01	135
Total of all active and inactive participants	2011-12-01	135
Total participants	2011-12-01	135
2009: EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-12-01	139
Total number of active participants reported on line 7a of the Form 5500	2009-12-01	142
Number of retired or separated participants receiving benefits	2009-12-01	0
Number of other retired or separated participants entitled to future benefits	2009-12-01	0
Total of all active and inactive participants	2009-12-01	142

Form 5500 Responses for EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN

2015: EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN 2015 form 5500 responses
2015-12-01	Type of plan entity	Single employer plan
2015-12-01	Submission has been amended	No
2015-12-01	This submission is the final filing	No
2015-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-12-01	Plan is a collectively bargained plan	No
2015-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN 2014 form 5500 responses
2014-12-01	Type of plan entity	Single employer plan
2014-12-01	Submission has been amended	No
2014-12-01	This submission is the final filing	No
2014-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-12-01	Plan is a collectively bargained plan	No
2014-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN 2013 form 5500 responses
2013-12-01	Type of plan entity	Single employer plan
2013-12-01	Submission has been amended	No
2013-12-01	This submission is the final filing	No
2013-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-12-01	Plan is a collectively bargained plan	No
2013-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN 2012 form 5500 responses
2012-12-01	Type of plan entity	Single employer plan
2012-12-01	Plan funding arrangement – Insurance	Yes
2012-12-01	Plan benefit arrangement – Insurance	Yes
2011: EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN 2011 form 5500 responses
2011-12-01	Type of plan entity	Single employer plan
2011-12-01	Plan funding arrangement – Insurance	Yes
2011-12-01	Plan benefit arrangement – Insurance	Yes
2009: EASTERN WHOLESALE FENCE GROUP MEDICAL PLAN 2009 form 5500 responses
2009-12-01	Type of plan entity	Single employer plan
2009-12-01	Submission has been amended	No
2009-12-01	This submission is the final filing	No
2009-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-12-01	Plan is a collectively bargained plan	No
2009-12-01	Plan funding arrangement – Insurance	Yes
2009-12-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

EW4882

Policy instance

Insurance contract or identification number	EW4882
Number of Individuals Covered	142
Insurance policy start date	2010-12-01
Insurance policy end date	2011-11-30
Total amount of commissions paid to insurance broker	USD $40,838
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,256,938
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	EASTERN WHOLESALE FENCE COMPANY, INC.
Employer identification number (EIN):	112660625
NAIC Classification:	424990
NAIC Description:	Other Miscellaneous Nondurable Goods Merchant Wholesalers