401k Plan data: HAINES & CO INC EMPLOYEE BENEFIT PLAN plan

HAINES & CO INC EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	HAINES & CO INC EMPLOYEE BENEFIT PLAN
Plan identification number	502

HAINES & CO INC EMPLOYEE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

HAINES & CO INC has sponsored the creation of one or more 401k plans.

Company Name: HAINES & CO INC

Employer identification number (EIN): 340821287

NAIC Classification: 511140
NAIC Description: Directory and Mailing List Publishers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HAINES & CO INC EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2017-07-01 JEAN BUSH JEAN BUSH 2019-02-27
502 2016-07-01 ASHLEY WILLIAMS ASHLEY WILLIAMS 2018-03-05
502 2015-07-01 ASHLEY WILLIAMS ASHLEY WILLIAMS 2017-02-09
502 2014-07-01 WILLIAM K. HAINES, JR. WILLIAM K. HAINES, JR. 2016-02-16
502 2013-07-01 WILLIAM HAINES WILLIAM HAINES 2015-04-13
502 2012-07-01 WILLIAM HAINES WILLIAM HAINES 2014-04-01
502 2011-07-01 WILLIAM K. HAINES WILLIAM K. HAINES 2013-04-09
502 2010-07-01 WILLIAM HAINES WILLIAM HAINES 2012-04-05
502 2009-07-01 WILLIAM HAINES WILLIAM HAINES 2011-03-28

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
502	2017-07-01	JEAN BUSH	JEAN BUSH	2019-02-27
502	2016-07-01	ASHLEY WILLIAMS	ASHLEY WILLIAMS	2018-03-05
502	2015-07-01	ASHLEY WILLIAMS	ASHLEY WILLIAMS	2017-02-09
502	2014-07-01	WILLIAM K. HAINES, JR.	WILLIAM K. HAINES, JR.	2016-02-16
502	2013-07-01	WILLIAM HAINES	WILLIAM HAINES	2015-04-13
502	2012-07-01	WILLIAM HAINES	WILLIAM HAINES	2014-04-01
502	2011-07-01	WILLIAM K. HAINES	WILLIAM K. HAINES	2013-04-09
502	2010-07-01	WILLIAM HAINES	WILLIAM HAINES	2012-04-05
502	2009-07-01	WILLIAM HAINES	WILLIAM HAINES	2011-03-28

Plan Statistics for HAINES & CO INC EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for HAINES & CO INC EMPLOYEE BENEFIT PLAN

Measure Date Value
2017: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 122
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 68
Number of retired or separated participants receiving benefits 2017-07-01 3
Total of all active and inactive participants 2017-07-01 71
2016: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 99
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 117
Number of retired or separated participants receiving benefits 2016-07-01 5
Number of other retired or separated participants entitled to future benefits 2016-07-01 0
Total of all active and inactive participants 2016-07-01 122
2015: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 204
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 97
Number of retired or separated participants receiving benefits 2015-07-01 2
Number of other retired or separated participants entitled to future benefits 2015-07-01 0
Total of all active and inactive participants 2015-07-01 99
2014: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 132
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 203
Number of retired or separated participants receiving benefits 2014-07-01 1
Number of other retired or separated participants entitled to future benefits 2014-07-01 0
Total of all active and inactive participants 2014-07-01 204
2013: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 115
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 129
Number of retired or separated participants receiving benefits 2013-07-01 3
Number of other retired or separated participants entitled to future benefits 2013-07-01 0
Total of all active and inactive participants 2013-07-01 132
2012: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 160
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 110
Number of retired or separated participants receiving benefits 2012-07-01 5
Number of other retired or separated participants entitled to future benefits 2012-07-01 0
Total of all active and inactive participants 2012-07-01 115
2011: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 207
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 157
Number of retired or separated participants receiving benefits 2011-07-01 3
Number of other retired or separated participants entitled to future benefits 2011-07-01 0
Total of all active and inactive participants 2011-07-01 160
2010: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 171
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 205
Number of retired or separated participants receiving benefits 2010-07-01 2
Total of all active and inactive participants 2010-07-01 207
2009: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 212
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 154
Number of retired or separated participants receiving benefits 2009-07-01 17
Number of other retired or separated participants entitled to future benefits 2009-07-01 0
Total of all active and inactive participants 2009-07-01 171
Total participants 2009-07-01 0

Measure	Date	Value
2017: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	122
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	68
Number of retired or separated participants receiving benefits	2017-07-01	3
Total of all active and inactive participants	2017-07-01	71
2016: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	99
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	117
Number of retired or separated participants receiving benefits	2016-07-01	5
Number of other retired or separated participants entitled to future benefits	2016-07-01	0
Total of all active and inactive participants	2016-07-01	122
2015: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	204
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	97
Number of retired or separated participants receiving benefits	2015-07-01	2
Number of other retired or separated participants entitled to future benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	99
2014: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	132
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	203
Number of retired or separated participants receiving benefits	2014-07-01	1
Number of other retired or separated participants entitled to future benefits	2014-07-01	0
Total of all active and inactive participants	2014-07-01	204
2013: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	115
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	129
Number of retired or separated participants receiving benefits	2013-07-01	3
Number of other retired or separated participants entitled to future benefits	2013-07-01	0
Total of all active and inactive participants	2013-07-01	132
2012: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	160
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	110
Number of retired or separated participants receiving benefits	2012-07-01	5
Number of other retired or separated participants entitled to future benefits	2012-07-01	0
Total of all active and inactive participants	2012-07-01	115
2011: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	207
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	157
Number of retired or separated participants receiving benefits	2011-07-01	3
Number of other retired or separated participants entitled to future benefits	2011-07-01	0
Total of all active and inactive participants	2011-07-01	160
2010: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	171
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	205
Number of retired or separated participants receiving benefits	2010-07-01	2
Total of all active and inactive participants	2010-07-01	207
2009: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	212
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	154
Number of retired or separated participants receiving benefits	2009-07-01	17
Number of other retired or separated participants entitled to future benefits	2009-07-01	0
Total of all active and inactive participants	2009-07-01	171
Total participants	2009-07-01	0

Form 5500 Responses for HAINES & CO INC EMPLOYEE BENEFIT PLAN

2017: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Submission has been amended	No
2017-07-01	This submission is the final filing	No
2017-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-07-01	Plan is a collectively bargained plan	No
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: HAINES & CO INC EMPLOYEE BENEFIT PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

901768

Policy instance

Insurance contract or identification number	901768
Number of Individuals Covered	117
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $884
Total amount of fees paid to insurance company	USD $26,976
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $655,774
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1040389

Policy instance

Insurance contract or identification number	1040389
Number of Individuals Covered	0
Insurance policy start date	2017-07-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $2,982
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $39,082
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00544954

Policy instance

Insurance contract or identification number	00544954
Number of Individuals Covered	76
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $4,173
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $38,947
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	HAINES & CO INC
Employer identification number (EIN):	340821287
NAIC Classification:	511140
NAIC Description:	Directory and Mailing List Publishers