401k Plan data: LIFE, ADD AND LTD PLAN plan

LIFE, ADD AND LTD PLAN 401k Plan overview

Plan Name	LIFE, ADD AND LTD PLAN
Plan identification number	501

LIFE, ADD AND LTD PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Long-term disability cover Death benefits (include travel accident but not life insurance) Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

ERIC A. SHORE P.C. has sponsored the creation of one or more 401k plans.

Company Name: ERIC A. SHORE P.C.

Employer identification number (EIN): 232983232

NAIC Classification: 541110
NAIC Description: Offices of Lawyers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIFE, ADD AND LTD PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2015-09-01 ERIC SHORE ERIC SHORE 2016-03-17
501 2014-09-01 ERIC SHORE ERIC SHORE 2016-03-11
501 2013-09-01 ERIC A SHORE
501 2012-09-01 ERIC A SHORE
501 2011-09-01 ERIC A SHORE

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2015-09-01	ERIC SHORE	ERIC SHORE	2016-03-17
501	2014-09-01	ERIC SHORE	ERIC SHORE	2016-03-11
501	2013-09-01	ERIC A SHORE
501	2012-09-01	ERIC A SHORE
501	2011-09-01	ERIC A SHORE

Plan Statistics for LIFE, ADD AND LTD PLAN

401k plan membership statisitcs for LIFE, ADD AND LTD PLAN

Measure Date Value
2015: LIFE, ADD AND LTD PLAN 2015 401k membership
Total participants, beginning-of-year 2015-09-01 95
Total number of active participants reported on line 7a of the Form 5500 2015-09-01 88
Number of retired or separated participants receiving benefits 2015-09-01 0
Number of other retired or separated participants entitled to future benefits 2015-09-01 0
Total of all active and inactive participants 2015-09-01 88
Total participants 2015-09-01 88
2014: LIFE, ADD AND LTD PLAN 2014 401k membership
Total participants, beginning-of-year 2014-09-01 90
Total number of active participants reported on line 7a of the Form 5500 2014-09-01 95
Number of retired or separated participants receiving benefits 2014-09-01 0
Number of other retired or separated participants entitled to future benefits 2014-09-01 0
Total of all active and inactive participants 2014-09-01 95
Total participants 2014-09-01 95
2013: LIFE, ADD AND LTD PLAN 2013 401k membership
Total participants, beginning-of-year 2013-09-01 128
Total number of active participants reported on line 7a of the Form 5500 2013-09-01 90
Number of retired or separated participants receiving benefits 2013-09-01 0
Number of other retired or separated participants entitled to future benefits 2013-09-01 0
Total of all active and inactive participants 2013-09-01 90
2012: LIFE, ADD AND LTD PLAN 2012 401k membership
Total participants, beginning-of-year 2012-09-01 100
Total number of active participants reported on line 7a of the Form 5500 2012-09-01 128
Number of retired or separated participants receiving benefits 2012-09-01 0
Number of other retired or separated participants entitled to future benefits 2012-09-01 0
Total of all active and inactive participants 2012-09-01 128
2011: LIFE, ADD AND LTD PLAN 2011 401k membership
Total participants, beginning-of-year 2011-09-01 104
Total number of active participants reported on line 7a of the Form 5500 2011-09-01 100
Number of retired or separated participants receiving benefits 2011-09-01 0
Number of other retired or separated participants entitled to future benefits 2011-09-01 0
Total of all active and inactive participants 2011-09-01 100

Measure	Date	Value
2015: LIFE, ADD AND LTD PLAN 2015 401k membership
Total participants, beginning-of-year	2015-09-01	95
Total number of active participants reported on line 7a of the Form 5500	2015-09-01	88
Number of retired or separated participants receiving benefits	2015-09-01	0
Number of other retired or separated participants entitled to future benefits	2015-09-01	0
Total of all active and inactive participants	2015-09-01	88
Total participants	2015-09-01	88
2014: LIFE, ADD AND LTD PLAN 2014 401k membership
Total participants, beginning-of-year	2014-09-01	90
Total number of active participants reported on line 7a of the Form 5500	2014-09-01	95
Number of retired or separated participants receiving benefits	2014-09-01	0
Number of other retired or separated participants entitled to future benefits	2014-09-01	0
Total of all active and inactive participants	2014-09-01	95
Total participants	2014-09-01	95
2013: LIFE, ADD AND LTD PLAN 2013 401k membership
Total participants, beginning-of-year	2013-09-01	128
Total number of active participants reported on line 7a of the Form 5500	2013-09-01	90
Number of retired or separated participants receiving benefits	2013-09-01	0
Number of other retired or separated participants entitled to future benefits	2013-09-01	0
Total of all active and inactive participants	2013-09-01	90
2012: LIFE, ADD AND LTD PLAN 2012 401k membership
Total participants, beginning-of-year	2012-09-01	100
Total number of active participants reported on line 7a of the Form 5500	2012-09-01	128
Number of retired or separated participants receiving benefits	2012-09-01	0
Number of other retired or separated participants entitled to future benefits	2012-09-01	0
Total of all active and inactive participants	2012-09-01	128
2011: LIFE, ADD AND LTD PLAN 2011 401k membership
Total participants, beginning-of-year	2011-09-01	104
Total number of active participants reported on line 7a of the Form 5500	2011-09-01	100
Number of retired or separated participants receiving benefits	2011-09-01	0
Number of other retired or separated participants entitled to future benefits	2011-09-01	0
Total of all active and inactive participants	2011-09-01	100

Form 5500 Responses for LIFE, ADD AND LTD PLAN

2015: LIFE, ADD AND LTD PLAN 2015 form 5500 responses
2015-09-01	Type of plan entity	Single employer plan
2015-09-01	Submission has been amended	No
2015-09-01	This submission is the final filing	No
2015-09-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-09-01	Plan is a collectively bargained plan	No
2015-09-01	Plan funding arrangement – Insurance	Yes
2015-09-01	Plan benefit arrangement – Insurance	Yes
2014: LIFE, ADD AND LTD PLAN 2014 form 5500 responses
2014-09-01	Type of plan entity	Single employer plan
2014-09-01	Submission has been amended	No
2014-09-01	This submission is the final filing	No
2014-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-09-01	Plan is a collectively bargained plan	No
2014-09-01	Plan funding arrangement – Insurance	Yes
2014-09-01	Plan benefit arrangement – Insurance	Yes
2013: LIFE, ADD AND LTD PLAN 2013 form 5500 responses
2013-09-01	Type of plan entity	Single employer plan
2013-09-01	Submission has been amended	No
2013-09-01	This submission is the final filing	No
2013-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-09-01	Plan is a collectively bargained plan	No
2013-09-01	Plan funding arrangement – Insurance	Yes
2013-09-01	Plan benefit arrangement – Insurance	Yes
2012: LIFE, ADD AND LTD PLAN 2012 form 5500 responses
2012-09-01	Type of plan entity	Single employer plan
2012-09-01	Submission has been amended	No
2012-09-01	This submission is the final filing	No
2012-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-09-01	Plan is a collectively bargained plan	No
2012-09-01	Plan funding arrangement – Insurance	Yes
2012-09-01	Plan benefit arrangement – Insurance	Yes
2011: LIFE, ADD AND LTD PLAN 2011 form 5500 responses
2011-09-01	Type of plan entity	Single employer plan
2011-09-01	First time form 5500 has been submitted	Yes
2011-09-01	Submission has been amended	No
2011-09-01	This submission is the final filing	No
2011-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-09-01	Plan is a collectively bargained plan	No
2011-09-01	Plan funding arrangement – Insurance	Yes
2011-09-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	ERIC A. SHORE P.C.
Employer identification number (EIN):	232983232
NAIC Classification:	541110
NAIC Description:	Offices of Lawyers