401k Plan data: LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D plan

LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D 401k Plan overview

Plan Name	LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D
Plan identification number	505

LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

BASIN ELECTRIC POWER COOPERATIVE has sponsored the creation of one or more 401k plans.

Company Name: BASIN ELECTRIC POWER COOPERATIVE

Employer identification number (EIN): 450277395

NAIC Classification: 221100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2015-01-01 PAUL M. SUKUT
505 2014-01-01 PAUL SUKUT
505 2013-01-01 PAUL SUKUT
505 2012-01-01 PAUL SUKUT
505 2011-01-01 PAUL SUKUT
505 2009-01-01 PAUL SUKUT

Plan id#	Filing Submission Date	Name of Administrator
505	2015-01-01	PAUL M. SUKUT
505	2014-01-01	PAUL SUKUT
505	2013-01-01	PAUL SUKUT
505	2012-01-01	PAUL SUKUT
505	2011-01-01	PAUL SUKUT
505	2009-01-01	PAUL SUKUT

Plan Statistics for LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D

401k plan membership statisitcs for LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D

Measure Date Value
2015: LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D 2015 401k membership
Total participants, beginning-of-year 2015-01-01 4,703
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
2014: LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2,391
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 4,703
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 4,703
2013: LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D 2013 401k membership
Total participants, beginning-of-year 2013-01-01 2,370
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2,391
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 2,391
2012: LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2,015
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2,370
Number of retired or separated participants receiving benefits 2012-01-01 0
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 2,370
2011: LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2,157
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2,015
Number of retired or separated participants receiving benefits 2011-01-01 0
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 2,015
2009: LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D 2009 401k membership
Total participants, beginning-of-year 2009-01-01 4,018
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 4,084
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 4,084

Measure	Date	Value
2015: LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D 2015 401k membership
Total participants, beginning-of-year	2015-01-01	4,703
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
2014: LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2,391
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	4,703
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	4,703
2013: LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D 2013 401k membership
Total participants, beginning-of-year	2013-01-01	2,370
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2,391
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	2,391
2012: LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2,015
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2,370
Number of retired or separated participants receiving benefits	2012-01-01	0
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	2,370
2011: LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2,157
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2,015
Number of retired or separated participants receiving benefits	2011-01-01	0
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	2,015
2009: LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D 2009 401k membership
Total participants, beginning-of-year	2009-01-01	4,018
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	4,084
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	4,084

Form 5500 Responses for LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D

2015: LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D 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	Yes
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: LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D 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: LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D 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: LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
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
2011: LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	First time form 5500 has been submitted	Yes
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	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: LIFE INSURANCE, AD&D, DEPENDENT LIFE, & DEPENDENT AD&D 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	No
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	BASIN ELECTRIC POWER COOPERATIVE
Employer identification number (EIN):	450277395
NAIC Classification:	221100