401k Plan data: BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY plan

BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY 401k Plan overview

Plan Name	BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY
Plan identification number	511

BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY Benefits

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

401k Sponsoring company profile

PITTSBURGH CORNING CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: PITTSBURGH CORNING CORPORATION

Employer identification number (EIN): 250729265

NAIC Classification: 327210

Additional information about PITTSBURGH CORNING CORPORATION

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1962-07-03

Company Identification Number: 0002223206

Legal Registered Office Address: 1 OWENS CORNING PKWY

TOLEDO
United States of America (USA)
43659

More information about PITTSBURGH CORNING CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
511 2014-01-01 JOHN CAVERNO
511 2013-01-01 JOHN CAVERNO
511 2012-01-01 JOHN CAVERNO JOHN CAVERNO 2013-10-14
511 2011-01-01 MATTHEW DOBRANSKY MATTHEW DOBRANSKY 2012-10-12
511 2010-01-01 MATTHEW DOBRANSKY
511 2009-01-01 MATTHEW DOBRANSKY MATTHEW DOBRANSKY 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
511	2014-01-01	JOHN CAVERNO
511	2013-01-01	JOHN CAVERNO
511	2012-01-01	JOHN CAVERNO	JOHN CAVERNO	2013-10-14
511	2011-01-01	MATTHEW DOBRANSKY	MATTHEW DOBRANSKY	2012-10-12
511	2010-01-01	MATTHEW DOBRANSKY
511	2009-01-01	MATTHEW DOBRANSKY	MATTHEW DOBRANSKY	2010-10-15

Plan Statistics for BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY

401k plan membership statisitcs for BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY

Measure Date Value
2014: BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY 2014 401k membership
Total participants, beginning-of-year 2014-01-01 73
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
2013: BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY 2013 401k membership
Total participants, beginning-of-year 2013-01-01 113
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 73
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 73
2012: BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY 2012 401k membership
Total participants, beginning-of-year 2012-01-01 114
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 2012-01-01 113
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 113
2011: BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY 2011 401k membership
Total participants, beginning-of-year 2011-01-01 117
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
Number of retired or separated participants receiving benefits 2011-01-01 114
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 114
2010: BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY 2010 401k membership
Total participants, beginning-of-year 2010-01-01 112
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 0
Number of retired or separated participants receiving benefits 2010-01-01 117
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 117
2009: BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY 2009 401k membership
Total participants, beginning-of-year 2009-01-01 112
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 112
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 112

Measure	Date	Value
2014: BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY 2014 401k membership
Total participants, beginning-of-year	2014-01-01	73
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
2013: BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY 2013 401k membership
Total participants, beginning-of-year	2013-01-01	113
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	73
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	73
2012: BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY 2012 401k membership
Total participants, beginning-of-year	2012-01-01	114
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	113
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	113
2011: BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY 2011 401k membership
Total participants, beginning-of-year	2011-01-01	117
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
Number of retired or separated participants receiving benefits	2011-01-01	114
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	114
2010: BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY 2010 401k membership
Total participants, beginning-of-year	2010-01-01	112
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	0
Number of retired or separated participants receiving benefits	2010-01-01	117
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	117
2009: BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY 2009 401k membership
Total participants, beginning-of-year	2009-01-01	112
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	112
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	112

Form 5500 Responses for BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY

2014: BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	Yes
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	Yes
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY 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	No
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	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY 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	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	Yes
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: BLUE CROSS OF WESTERN PA MEDICARE SUPPLEMENT OVER 65 SPECIAL SEDALIA HOURLY 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	Yes
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	PITTSBURGH CORNING CORPORATION
Employer identification number (EIN):	250729265
NAIC Classification:	327210

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1962-07-03
Company Identification Number:	0002223206
Legal Registered Office Address:	1 OWENS CORNING PKWY TOLEDO United States of America (USA) 43659