401k Plan data: GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN plan

GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN 401k Plan overview

Plan Name	GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN
Plan identification number	506

GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Other welfare benefit cover

401k Sponsoring company profile

GOODWILL OF WESTERN MISSOURI & EASTERN KANSAS has sponsored the creation of one or more 401k plans.

Company Name: GOODWILL OF WESTERN MISSOURI & EASTERN KANSAS

Employer identification number (EIN): 431125281

NAIC Classification: 813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
506 2017-01-01 KEVIN BENTLEY
506 2016-01-01 STEFANY WILLIAMS
506 2015-01-01 KEVIN BENTLEY
506 2014-01-01 KEVIN BENTLEY
506 2013-01-01 KEVIN BENTLEY
506 2012-01-01 STEFANY WILLIAMS STEFANY WILLIAMS 2013-10-11

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
506	2017-01-01	KEVIN BENTLEY
506	2016-01-01	STEFANY WILLIAMS
506	2015-01-01	KEVIN BENTLEY
506	2014-01-01	KEVIN BENTLEY
506	2013-01-01	KEVIN BENTLEY
506	2012-01-01	STEFANY WILLIAMS	STEFANY WILLIAMS	2013-10-11

Plan Statistics for GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN

401k plan membership statisitcs for GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN

Measure Date Value
2017: GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 586
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
2016: GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 643
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 586
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 586
2015: GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 606
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 643
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 643
2014: GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 681
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 606
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 2014-01-01 606
2013: GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 500
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 681
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 681
2012: GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 490
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 500
Total of all active and inactive participants 2012-01-01 500

Measure	Date	Value
2017: GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	586
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
2016: GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	643
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	586
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	586
2015: GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	606
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	643
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	643
2014: GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	681
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	606
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	606
2013: GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	500
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	681
Number of retired or separated participants receiving benefits	2013-01-01	0
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	681
2012: GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	490
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	500
Total of all active and inactive participants	2012-01-01	500

Form 5500 Responses for GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN

2017: GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN 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	No
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	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN 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	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS EAP PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	First time form 5500 has been submitted	Yes
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	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

NEW DIRECTIONS BEHAVORIAL HEALTH (National Association of Insurance Commissioners NAIC id number: 00369 )

Policy contract number

14740

Policy instance

Insurance contract or identification number	14740
Number of Individuals Covered	586
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $9,432
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	GOODWILL OF WESTERN MISSOURI & EASTERN KANSAS
Employer identification number (EIN):	431125281
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations