401k Plan data: SIOUX FALLS PCS, LLC PENSION PLAN plan

SIOUX FALLS PCS, LLC PENSION PLAN 401k Plan overview

Plan Name	SIOUX FALLS PCS, LLC PENSION PLAN
Plan identification number	001

SIOUX FALLS PCS, LLC PENSION PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
Plan covered by PBGC that was terminated and closed out for PBGC purposes - Before the end of the plan year (or a prior plan year), (1) the plan terminated in a standard (or distress) termination and completed the distribution of plan assets in satisfaction of all benefit liabilities (or all ERISA Title IV benefits for distress termination); or (2) a trustee was appointed for a terminated plan pursuant to ERISA section 4042.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

SIOUX FALLS PCS, LLC has sponsored the creation of one or more 401k plans.

Company Name: SIOUX FALLS PCS, LLC

Employer identification number (EIN): 275438796

NAIC Classification: 517000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SIOUX FALLS PCS, LLC PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-12-27 STEVE CHAMBERS
001 2011-12-27 STEVE CHAMBERS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2012-12-27	STEVE CHAMBERS
001	2011-12-27	STEVE CHAMBERS

Plan Statistics for SIOUX FALLS PCS, LLC PENSION PLAN

401k plan membership statisitcs for SIOUX FALLS PCS, LLC PENSION PLAN

Measure Date Value
2012: SIOUX FALLS PCS, LLC PENSION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-12-27 2
Total number of active participants reported on line 7a of the Form 5500 2012-12-27 0
Number of retired or separated participants receiving benefits 2012-12-27 0
Number of other retired or separated participants entitled to future benefits 2012-12-27 0
Total of all active and inactive participants 2012-12-27 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-12-27 0
Total participants 2012-12-27 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-12-27 0
2011: SIOUX FALLS PCS, LLC PENSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-12-27 4
Total number of active participants reported on line 7a of the Form 5500 2011-12-27 0
Number of retired or separated participants receiving benefits 2011-12-27 0
Number of other retired or separated participants entitled to future benefits 2011-12-27 2
Total of all active and inactive participants 2011-12-27 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-12-27 0
Total participants 2011-12-27 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-12-27 0

Measure	Date	Value
2012: SIOUX FALLS PCS, LLC PENSION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-12-27	2
Total number of active participants reported on line 7a of the Form 5500	2012-12-27	0
Number of retired or separated participants receiving benefits	2012-12-27	0
Number of other retired or separated participants entitled to future benefits	2012-12-27	0
Total of all active and inactive participants	2012-12-27	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-12-27	0
Total participants	2012-12-27	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-12-27	0
2011: SIOUX FALLS PCS, LLC PENSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-12-27	4
Total number of active participants reported on line 7a of the Form 5500	2011-12-27	0
Number of retired or separated participants receiving benefits	2011-12-27	0
Number of other retired or separated participants entitled to future benefits	2011-12-27	2
Total of all active and inactive participants	2011-12-27	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-12-27	0
Total participants	2011-12-27	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-12-27	0

Financial Data on SIOUX FALLS PCS, LLC PENSION PLAN

Measure	Date	Value
2013 : SIOUX FALLS PCS, LLC PENSION PLAN 2013 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-05-17	$0
2012 : SIOUX FALLS PCS, LLC PENSION PLAN 2012 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-26	$0

Form 5500 Responses for SIOUX FALLS PCS, LLC PENSION PLAN

2012: SIOUX FALLS PCS, LLC PENSION PLAN 2012 form 5500 responses
2012-12-27	Type of plan entity	Single employer plan
2012-12-27	Submission has been amended	No
2012-12-27	This submission is the final filing	Yes
2012-12-27	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-12-27	Plan is a collectively bargained plan	No
2012-12-27	Plan funding arrangement – Section 412(e)(3) insurance Contracts	Yes
2012-12-27	Plan benefit arrangement – Section 412(e)(3) insurance Contracts	Yes
2011: SIOUX FALLS PCS, LLC PENSION PLAN 2011 form 5500 responses
2011-12-27	Type of plan entity	Single employer plan
2011-12-27	Submission has been amended	No
2011-12-27	This submission is the final filing	No
2011-12-27	This return/report is a short plan year return/report (less than 12 months)	No
2011-12-27	Plan is a collectively bargained plan	No
2011-12-27	Plan funding arrangement – Section 412(e)(3) insurance Contracts	Yes
2011-12-27	Plan benefit arrangement – Section 412(e)(3) insurance Contracts	Yes

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Company Name:	SIOUX FALLS PCS, LLC
Employer identification number (EIN):	275438796
NAIC Classification:	517000