401k Plan data: PUGH OIL COMPANY HEALTH INSURANCE PLAN plan

PUGH OIL COMPANY HEALTH INSURANCE PLAN 401k Plan overview

Plan Name	PUGH OIL COMPANY HEALTH INSURANCE PLAN
Plan identification number	501

PUGH OIL COMPANY HEALTH INSURANCE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Long-term disability cover Other welfare benefit cover Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

PUGH OIL COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name: PUGH OIL COMPANY, INC.

Employer identification number (EIN): 560799974

NAIC Classification: 811110
NAIC Description: Automotive Mechanical and Electrical Repair and Maintenance

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PUGH OIL COMPANY HEALTH INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2016-04-01 DOUG PUGH
501 2015-04-01 DOUG PUGH
501 2014-04-01 DOUG PUGH
501 2013-04-01 DOUG PUGH
501 2012-04-01 DOUG PUGH
501 2011-04-01 DOUG PUGH
501 2010-04-01 DOUG PUGH
501 2009-04-01 DOUG PUGH DOUG PUGH 2010-10-28
501 2009-04-01 DOUG PUGH 2010-10-28

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2016-04-01	DOUG PUGH
501	2015-04-01	DOUG PUGH
501	2014-04-01	DOUG PUGH
501	2013-04-01	DOUG PUGH
501	2012-04-01	DOUG PUGH
501	2011-04-01	DOUG PUGH
501	2010-04-01	DOUG PUGH
501	2009-04-01	DOUG PUGH	DOUG PUGH	2010-10-28
501	2009-04-01		DOUG PUGH	2010-10-28

Plan Statistics for PUGH OIL COMPANY HEALTH INSURANCE PLAN

401k plan membership statisitcs for PUGH OIL COMPANY HEALTH INSURANCE PLAN

Measure Date Value
2016: PUGH OIL COMPANY HEALTH INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-04-01 149
Total number of active participants reported on line 7a of the Form 5500 2016-04-01 71
Number of retired or separated participants receiving benefits 2016-04-01 0
Number of other retired or separated participants entitled to future benefits 2016-04-01 0
Total of all active and inactive participants 2016-04-01 71
2015: PUGH OIL COMPANY HEALTH INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-04-01 139
Total number of active participants reported on line 7a of the Form 5500 2015-04-01 148
Number of retired or separated participants receiving benefits 2015-04-01 2
Number of other retired or separated participants entitled to future benefits 2015-04-01 0
Total of all active and inactive participants 2015-04-01 150
2014: PUGH OIL COMPANY HEALTH INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-04-01 117
Total number of active participants reported on line 7a of the Form 5500 2014-04-01 109
Number of retired or separated participants receiving benefits 2014-04-01 0
Number of other retired or separated participants entitled to future benefits 2014-04-01 0
Total of all active and inactive participants 2014-04-01 109
2013: PUGH OIL COMPANY HEALTH INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-04-01 114
Total number of active participants reported on line 7a of the Form 5500 2013-04-01 117
Number of retired or separated participants receiving benefits 2013-04-01 0
Number of other retired or separated participants entitled to future benefits 2013-04-01 0
Total of all active and inactive participants 2013-04-01 117
2012: PUGH OIL COMPANY HEALTH INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-04-01 114
Total number of active participants reported on line 7a of the Form 5500 2012-04-01 113
Number of retired or separated participants receiving benefits 2012-04-01 1
Number of other retired or separated participants entitled to future benefits 2012-04-01 0
Total of all active and inactive participants 2012-04-01 114
2011: PUGH OIL COMPANY HEALTH INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-04-01 122
Total number of active participants reported on line 7a of the Form 5500 2011-04-01 121
Number of retired or separated participants receiving benefits 2011-04-01 0
Number of other retired or separated participants entitled to future benefits 2011-04-01 0
Total of all active and inactive participants 2011-04-01 121
2010: PUGH OIL COMPANY HEALTH INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-04-01 132
Total number of active participants reported on line 7a of the Form 5500 2010-04-01 120
Number of retired or separated participants receiving benefits 2010-04-01 2
Total of all active and inactive participants 2010-04-01 122
2009: PUGH OIL COMPANY HEALTH INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-04-01 150
Total number of active participants reported on line 7a of the Form 5500 2009-04-01 142
Number of retired or separated participants receiving benefits 2009-04-01 3
Total of all active and inactive participants 2009-04-01 145

Measure	Date	Value
2016: PUGH OIL COMPANY HEALTH INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-04-01	149
Total number of active participants reported on line 7a of the Form 5500	2016-04-01	71
Number of retired or separated participants receiving benefits	2016-04-01	0
Number of other retired or separated participants entitled to future benefits	2016-04-01	0
Total of all active and inactive participants	2016-04-01	71
2015: PUGH OIL COMPANY HEALTH INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-04-01	139
Total number of active participants reported on line 7a of the Form 5500	2015-04-01	148
Number of retired or separated participants receiving benefits	2015-04-01	2
Number of other retired or separated participants entitled to future benefits	2015-04-01	0
Total of all active and inactive participants	2015-04-01	150
2014: PUGH OIL COMPANY HEALTH INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-04-01	117
Total number of active participants reported on line 7a of the Form 5500	2014-04-01	109
Number of retired or separated participants receiving benefits	2014-04-01	0
Number of other retired or separated participants entitled to future benefits	2014-04-01	0
Total of all active and inactive participants	2014-04-01	109
2013: PUGH OIL COMPANY HEALTH INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-04-01	114
Total number of active participants reported on line 7a of the Form 5500	2013-04-01	117
Number of retired or separated participants receiving benefits	2013-04-01	0
Number of other retired or separated participants entitled to future benefits	2013-04-01	0
Total of all active and inactive participants	2013-04-01	117
2012: PUGH OIL COMPANY HEALTH INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-04-01	114
Total number of active participants reported on line 7a of the Form 5500	2012-04-01	113
Number of retired or separated participants receiving benefits	2012-04-01	1
Number of other retired or separated participants entitled to future benefits	2012-04-01	0
Total of all active and inactive participants	2012-04-01	114
2011: PUGH OIL COMPANY HEALTH INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-04-01	122
Total number of active participants reported on line 7a of the Form 5500	2011-04-01	121
Number of retired or separated participants receiving benefits	2011-04-01	0
Number of other retired or separated participants entitled to future benefits	2011-04-01	0
Total of all active and inactive participants	2011-04-01	121
2010: PUGH OIL COMPANY HEALTH INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-04-01	132
Total number of active participants reported on line 7a of the Form 5500	2010-04-01	120
Number of retired or separated participants receiving benefits	2010-04-01	2
Total of all active and inactive participants	2010-04-01	122
2009: PUGH OIL COMPANY HEALTH INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-04-01	150
Total number of active participants reported on line 7a of the Form 5500	2009-04-01	142
Number of retired or separated participants receiving benefits	2009-04-01	3
Total of all active and inactive participants	2009-04-01	145

Form 5500 Responses for PUGH OIL COMPANY HEALTH INSURANCE PLAN

2016: PUGH OIL COMPANY HEALTH INSURANCE PLAN 2016 form 5500 responses
2016-04-01	Type of plan entity	Single employer plan
2016-04-01	Submission has been amended	No
2016-04-01	This submission is the final filing	No
2016-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-04-01	Plan is a collectively bargained plan	No
2016-04-01	Plan funding arrangement – Insurance	Yes
2016-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-04-01	Plan benefit arrangement – Insurance	Yes
2016-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: PUGH OIL COMPANY HEALTH INSURANCE PLAN 2015 form 5500 responses
2015-04-01	Type of plan entity	Single employer plan
2015-04-01	Submission has been amended	No
2015-04-01	This submission is the final filing	No
2015-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-04-01	Plan is a collectively bargained plan	No
2015-04-01	Plan funding arrangement – Insurance	Yes
2015-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-04-01	Plan benefit arrangement – Insurance	Yes
2015-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: PUGH OIL COMPANY HEALTH INSURANCE PLAN 2014 form 5500 responses
2014-04-01	Type of plan entity	Single employer plan
2014-04-01	Submission has been amended	No
2014-04-01	This submission is the final filing	No
2014-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-04-01	Plan is a collectively bargained plan	No
2014-04-01	Plan funding arrangement – Insurance	Yes
2014-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-04-01	Plan benefit arrangement – Insurance	Yes
2014-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: PUGH OIL COMPANY HEALTH INSURANCE PLAN 2013 form 5500 responses
2013-04-01	Type of plan entity	Single employer plan
2013-04-01	Submission has been amended	No
2013-04-01	This submission is the final filing	No
2013-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-04-01	Plan is a collectively bargained plan	No
2013-04-01	Plan funding arrangement – Insurance	Yes
2013-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-04-01	Plan benefit arrangement – Insurance	Yes
2013-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: PUGH OIL COMPANY HEALTH INSURANCE PLAN 2012 form 5500 responses
2012-04-01	Type of plan entity	Single employer plan
2012-04-01	Submission has been amended	No
2012-04-01	This submission is the final filing	No
2012-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-04-01	Plan is a collectively bargained plan	No
2012-04-01	Plan funding arrangement – Insurance	Yes
2012-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-04-01	Plan benefit arrangement – Insurance	Yes
2012-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: PUGH OIL COMPANY HEALTH INSURANCE PLAN 2011 form 5500 responses
2011-04-01	Type of plan entity	Single employer plan
2011-04-01	Submission has been amended	No
2011-04-01	This submission is the final filing	No
2011-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-04-01	Plan is a collectively bargained plan	No
2011-04-01	Plan funding arrangement – Insurance	Yes
2011-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-04-01	Plan benefit arrangement – Insurance	Yes
2011-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: PUGH OIL COMPANY HEALTH INSURANCE PLAN 2010 form 5500 responses
2010-04-01	Type of plan entity	Single employer plan
2010-04-01	Submission has been amended	No
2010-04-01	This submission is the final filing	No
2010-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-04-01	Plan is a collectively bargained plan	No
2010-04-01	Plan funding arrangement – Insurance	Yes
2010-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-04-01	Plan benefit arrangement – Insurance	Yes
2010-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: PUGH OIL COMPANY HEALTH INSURANCE PLAN 2009 form 5500 responses
2009-04-01	Type of plan entity	Single employer plan
2009-04-01	Submission has been amended	Yes
2009-04-01	This submission is the final filing	No
2009-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-04-01	Plan is a collectively bargained plan	No
2009-04-01	Plan funding arrangement – Insurance	Yes
2009-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-04-01	Plan benefit arrangement – Insurance	Yes
2009-04-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	PUGH OIL COMPANY, INC.
Employer identification number (EIN):	560799974
NAIC Classification:	811110
NAIC Description:	Automotive Mechanical and Electrical Repair and Maintenance