401k Plan data: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST plan

CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 401k Plan overview

Plan Name	CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST
Plan identification number	501

CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Supplemental unemployment Dental

401k Sponsoring company profile

CAPSONIC GROUP LLC has sponsored the creation of one or more 401k plans.

Company Name: CAPSONIC GROUP LLC

Employer identification number (EIN): 364366067

NAIC Classification: 326100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2019-05-01
501 2016-05-01 THOMAS GILLESPIE THOMAS GILLESPIE 2017-10-27
501 2015-05-01 THOMAS GILLESPIE THOMAS GILLESPIE 2016-11-16
501 2014-05-01 THOMAS GILLESPIE THOMAS GILLESPIE 2015-10-01
501 2013-05-01 THOMAS GILLESPIE THOMAS GILLESPIE 2014-10-15
501 2012-05-01 THOMAS GILLESPIE THOMAS GILLESPIE 2014-01-20
501 2011-05-01 THOMAS GILLESPIE THOMAS GILLESPIE 2014-01-14
501 2010-05-01 THOMAS GILLESPIE THOMAS GILLESPIE 2012-02-03
501 2009-05-01 THOMAS GILLESPIE THOMAS GILLESPIE 2011-02-09

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2019-05-01
501	2016-05-01	THOMAS GILLESPIE	THOMAS GILLESPIE	2017-10-27
501	2015-05-01	THOMAS GILLESPIE	THOMAS GILLESPIE	2016-11-16
501	2014-05-01	THOMAS GILLESPIE	THOMAS GILLESPIE	2015-10-01
501	2013-05-01	THOMAS GILLESPIE	THOMAS GILLESPIE	2014-10-15
501	2012-05-01	THOMAS GILLESPIE	THOMAS GILLESPIE	2014-01-20
501	2011-05-01	THOMAS GILLESPIE	THOMAS GILLESPIE	2014-01-14
501	2010-05-01	THOMAS GILLESPIE	THOMAS GILLESPIE	2012-02-03
501	2009-05-01	THOMAS GILLESPIE	THOMAS GILLESPIE	2011-02-09

Plan Statistics for CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST

401k plan membership statisitcs for CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST

Measure Date Value
2019: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2019 401k membership
Total participants, beginning-of-year 2019-05-01 87
Total number of active participants reported on line 7a of the Form 5500 2019-05-01 72
Number of retired or separated participants receiving benefits 2019-05-01 2
Total of all active and inactive participants 2019-05-01 74
Total participants 2019-05-01 74
2016: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2016 401k membership
Total participants, beginning-of-year 2016-05-01 122
Total number of active participants reported on line 7a of the Form 5500 2016-05-01 133
Number of retired or separated participants receiving benefits 2016-05-01 2
Total of all active and inactive participants 2016-05-01 135
Total participants 2016-05-01 135
2015: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2015 401k membership
Total participants, beginning-of-year 2015-05-01 142
Total number of active participants reported on line 7a of the Form 5500 2015-05-01 122
Total of all active and inactive participants 2015-05-01 122
Total participants 2015-05-01 122
2014: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2014 401k membership
Total participants, beginning-of-year 2014-05-01 135
Total number of active participants reported on line 7a of the Form 5500 2014-05-01 141
Number of retired or separated participants receiving benefits 2014-05-01 1
Total of all active and inactive participants 2014-05-01 142
Total participants 2014-05-01 142
2013: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2013 401k membership
Total participants, beginning-of-year 2013-05-01 123
Total number of active participants reported on line 7a of the Form 5500 2013-05-01 135
Number of retired or separated participants receiving benefits 2013-05-01 1
Total of all active and inactive participants 2013-05-01 136
Total participants 2013-05-01 136
2012: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2012 401k membership
Total participants, beginning-of-year 2012-05-01 114
Total number of active participants reported on line 7a of the Form 5500 2012-05-01 123
Total of all active and inactive participants 2012-05-01 123
Total participants 2012-05-01 123
2011: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2011 401k membership
Total participants, beginning-of-year 2011-05-01 114
Total number of active participants reported on line 7a of the Form 5500 2011-05-01 121
Total of all active and inactive participants 2011-05-01 121
Total participants 2011-05-01 121
2010: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2010 401k membership
Total participants, beginning-of-year 2010-05-01 111
Total number of active participants reported on line 7a of the Form 5500 2010-05-01 114
Total of all active and inactive participants 2010-05-01 114
2009: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2009 401k membership
Total participants, beginning-of-year 2009-05-01 122
Total number of active participants reported on line 7a of the Form 5500 2009-05-01 111
Total of all active and inactive participants 2009-05-01 111

Measure	Date	Value
2019: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2019 401k membership
Total participants, beginning-of-year	2019-05-01	87
Total number of active participants reported on line 7a of the Form 5500	2019-05-01	72
Number of retired or separated participants receiving benefits	2019-05-01	2
Total of all active and inactive participants	2019-05-01	74
Total participants	2019-05-01	74
2016: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2016 401k membership
Total participants, beginning-of-year	2016-05-01	122
Total number of active participants reported on line 7a of the Form 5500	2016-05-01	133
Number of retired or separated participants receiving benefits	2016-05-01	2
Total of all active and inactive participants	2016-05-01	135
Total participants	2016-05-01	135
2015: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2015 401k membership
Total participants, beginning-of-year	2015-05-01	142
Total number of active participants reported on line 7a of the Form 5500	2015-05-01	122
Total of all active and inactive participants	2015-05-01	122
Total participants	2015-05-01	122
2014: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2014 401k membership
Total participants, beginning-of-year	2014-05-01	135
Total number of active participants reported on line 7a of the Form 5500	2014-05-01	141
Number of retired or separated participants receiving benefits	2014-05-01	1
Total of all active and inactive participants	2014-05-01	142
Total participants	2014-05-01	142
2013: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2013 401k membership
Total participants, beginning-of-year	2013-05-01	123
Total number of active participants reported on line 7a of the Form 5500	2013-05-01	135
Number of retired or separated participants receiving benefits	2013-05-01	1
Total of all active and inactive participants	2013-05-01	136
Total participants	2013-05-01	136
2012: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2012 401k membership
Total participants, beginning-of-year	2012-05-01	114
Total number of active participants reported on line 7a of the Form 5500	2012-05-01	123
Total of all active and inactive participants	2012-05-01	123
Total participants	2012-05-01	123
2011: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2011 401k membership
Total participants, beginning-of-year	2011-05-01	114
Total number of active participants reported on line 7a of the Form 5500	2011-05-01	121
Total of all active and inactive participants	2011-05-01	121
Total participants	2011-05-01	121
2010: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2010 401k membership
Total participants, beginning-of-year	2010-05-01	111
Total number of active participants reported on line 7a of the Form 5500	2010-05-01	114
Total of all active and inactive participants	2010-05-01	114
2009: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2009 401k membership
Total participants, beginning-of-year	2009-05-01	122
Total number of active participants reported on line 7a of the Form 5500	2009-05-01	111
Total of all active and inactive participants	2009-05-01	111

Form 5500 Responses for CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST

2019: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2019 form 5500 responses
2019-05-01	Type of plan entity	Single employer plan
2019-05-01	Submission has been amended	No
2019-05-01	This submission is the final filing	No
2019-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-05-01	Plan is a collectively bargained plan	No
2019-05-01	Plan funding arrangement – Insurance	Yes
2019-05-01	Plan benefit arrangement – Insurance	Yes
2016: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2016 form 5500 responses
2016-05-01	Type of plan entity	Single employer plan
2016-05-01	Submission has been amended	No
2016-05-01	This submission is the final filing	No
2016-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-05-01	Plan is a collectively bargained plan	No
2016-05-01	Plan funding arrangement – Insurance	Yes
2016-05-01	Plan benefit arrangement – Insurance	Yes
2015: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2015 form 5500 responses
2015-05-01	Type of plan entity	Single employer plan
2015-05-01	Submission has been amended	No
2015-05-01	This submission is the final filing	No
2015-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-05-01	Plan is a collectively bargained plan	No
2015-05-01	Plan funding arrangement – Insurance	Yes
2015-05-01	Plan benefit arrangement – Insurance	Yes
2014: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2014 form 5500 responses
2014-05-01	Type of plan entity	Single employer plan
2014-05-01	Submission has been amended	No
2014-05-01	This submission is the final filing	No
2014-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-05-01	Plan is a collectively bargained plan	No
2014-05-01	Plan funding arrangement – Insurance	Yes
2014-05-01	Plan benefit arrangement – Insurance	Yes
2013: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2013 form 5500 responses
2013-05-01	Type of plan entity	Single employer plan
2013-05-01	Submission has been amended	No
2013-05-01	This submission is the final filing	No
2013-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-05-01	Plan is a collectively bargained plan	No
2013-05-01	Plan funding arrangement – Insurance	Yes
2013-05-01	Plan benefit arrangement – Insurance	Yes
2012: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2012 form 5500 responses
2012-05-01	Type of plan entity	Single employer plan
2012-05-01	Submission has been amended	No
2012-05-01	This submission is the final filing	No
2012-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-05-01	Plan is a collectively bargained plan	No
2012-05-01	Plan funding arrangement – Insurance	Yes
2012-05-01	Plan benefit arrangement – Insurance	Yes
2011: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2011 form 5500 responses
2011-05-01	Type of plan entity	Single employer plan
2011-05-01	Submission has been amended	Yes
2011-05-01	This submission is the final filing	No
2011-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-05-01	Plan is a collectively bargained plan	No
2011-05-01	Plan funding arrangement – Insurance	Yes
2011-05-01	Plan benefit arrangement – Insurance	Yes
2010: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2010 form 5500 responses
2010-05-01	Type of plan entity	Single employer plan
2010-05-01	Plan funding arrangement – Insurance	Yes
2010-05-01	Plan benefit arrangement – Insurance	Yes
2009: CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST 2009 form 5500 responses
2009-05-01	Type of plan entity	Single employer plan
2009-05-01	Plan funding arrangement – Insurance	Yes
2009-05-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00348905
Policy instance	2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	P07047
Policy instance	1
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	P07047
Policy instance	2
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00348905
Policy instance	1
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	PO7047
Policy instance	1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00348905
Policy instance	2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	PO 7047
Policy instance	2
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00348905
Policy instance	1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00348905
Policy instance	2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	PO 7047
Policy instance	1
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	P07047
Policy instance	1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00348905
Policy instance	2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	PO 7047
Policy instance	1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00348905
Policy instance	2

Potentially related plans

CAPSONIC GROUP LLC EMPLOYEE BENEFIT TRUST [EIN = 434366067]

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Company Name:	CAPSONIC GROUP LLC
Employer identification number (EIN):	364366067
NAIC Classification:	326100