401k Plan data: RAVEN INDUSTRIES HEALTH REIMBURSEMENT PLAN plan

RAVEN INDUSTRIES HEALTH REIMBURSEMENT PLAN 401k Plan overview

Plan Name	RAVEN INDUSTRIES HEALTH REIMBURSEMENT PLAN
Plan identification number	513

RAVEN INDUSTRIES HEALTH REIMBURSEMENT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

RAVEN INDUSTRIES INC & SUBSIDIARIES has sponsored the creation of one or more 401k plans.

Company Name: RAVEN INDUSTRIES INC & SUBSIDIARIES

Employer identification number (EIN): 460246171

NAIC Classification: 334410

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RAVEN INDUSTRIES HEALTH REIMBURSEMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
513 2016-01-01 JOSHUA NEUGEBAUER
513 2015-01-01 TAMMY WIERENGA
513 2014-01-01 TAMMY WIERENGA
513 2013-01-01 THOMAS IACARELLA
513 2012-01-01 JANET MATTHIESEN JANET MATTHIESEN 2013-07-31
513 2011-01-01 THOMAS IACARELLA
513 2009-01-01 THOMAS IACARELLA 2010-07-22
513 2009-01-01 THOMAS IACARELLA

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
513	2016-01-01	JOSHUA NEUGEBAUER
513	2015-01-01	TAMMY WIERENGA
513	2014-01-01	TAMMY WIERENGA
513	2013-01-01	THOMAS IACARELLA
513	2012-01-01	JANET MATTHIESEN	JANET MATTHIESEN	2013-07-31
513	2011-01-01	THOMAS IACARELLA
513	2009-01-01		THOMAS IACARELLA	2010-07-22
513	2009-01-01	THOMAS IACARELLA

Plan Statistics for RAVEN INDUSTRIES HEALTH REIMBURSEMENT PLAN

401k plan membership statisitcs for RAVEN INDUSTRIES HEALTH REIMBURSEMENT PLAN

Measure Date Value
2016: RAVEN INDUSTRIES HEALTH REIMBURSEMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 514
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 505
Total of all active and inactive participants 2016-01-01 505
Total participants 2016-01-01 505
2015: RAVEN INDUSTRIES HEALTH REIMBURSEMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 659
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 692
Total of all active and inactive participants 2015-01-01 692
Total participants 2015-01-01 692
2014: RAVEN INDUSTRIES HEALTH REIMBURSEMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 694
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 659
Total of all active and inactive participants 2014-01-01 659
Total participants 2014-01-01 659
2013: RAVEN INDUSTRIES HEALTH REIMBURSEMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 702
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 694
Total of all active and inactive participants 2013-01-01 694
Total participants 2013-01-01 694
2012: RAVEN INDUSTRIES HEALTH REIMBURSEMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 594
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 702
Total of all active and inactive participants 2012-01-01 702
Total participants 2012-01-01 702
2011: RAVEN INDUSTRIES HEALTH REIMBURSEMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 570
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 594
Total of all active and inactive participants 2011-01-01 594
Total participants 2011-01-01 594
2009: RAVEN INDUSTRIES HEALTH REIMBURSEMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 548
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 616
Total of all active and inactive participants 2009-01-01 616
Total participants 2009-01-01 616

Measure	Date	Value
2016: RAVEN INDUSTRIES HEALTH REIMBURSEMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	514
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	505
Total of all active and inactive participants	2016-01-01	505
Total participants	2016-01-01	505
2015: RAVEN INDUSTRIES HEALTH REIMBURSEMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	659
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	692
Total of all active and inactive participants	2015-01-01	692
Total participants	2015-01-01	692
2014: RAVEN INDUSTRIES HEALTH REIMBURSEMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	694
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	659
Total of all active and inactive participants	2014-01-01	659
Total participants	2014-01-01	659
2013: RAVEN INDUSTRIES HEALTH REIMBURSEMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	702
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	694
Total of all active and inactive participants	2013-01-01	694
Total participants	2013-01-01	694
2012: RAVEN INDUSTRIES HEALTH REIMBURSEMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	594
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	702
Total of all active and inactive participants	2012-01-01	702
Total participants	2012-01-01	702
2011: RAVEN INDUSTRIES HEALTH REIMBURSEMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	570
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	594
Total of all active and inactive participants	2011-01-01	594
Total participants	2011-01-01	594
2009: RAVEN INDUSTRIES HEALTH REIMBURSEMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	548
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	616
Total of all active and inactive participants	2009-01-01	616
Total participants	2009-01-01	616

Form 5500 Responses for RAVEN INDUSTRIES HEALTH REIMBURSEMENT PLAN

2016: RAVEN INDUSTRIES HEALTH REIMBURSEMENT 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 – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: RAVEN INDUSTRIES HEALTH REIMBURSEMENT 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 – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: RAVEN INDUSTRIES HEALTH REIMBURSEMENT 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 – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: RAVEN INDUSTRIES HEALTH REIMBURSEMENT 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 – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: RAVEN INDUSTRIES HEALTH REIMBURSEMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
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 – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: RAVEN INDUSTRIES HEALTH REIMBURSEMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
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 – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: RAVEN INDUSTRIES HEALTH REIMBURSEMENT PLAN 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 – General assets of the sponsor	Yes

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Company Name:	RAVEN INDUSTRIES INC & SUBSIDIARIES
Employer identification number (EIN):	460246171
NAIC Classification:	334410