JOHN S. CLARK COMPANY, LLC LIFE INSURANCE PLAN 401k Plan overview

JOHN S. CLARK COMPANY, LLC LIFE INSURANCE PLAN Benefits

401k Sponsoring company profile

Company Name:	JOHN S. CLARK COMPANY, LLC
Employer identification number (EIN):	561751248
NAIC Classification:	236200

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
505	2012-01-01	KEISUKE MIZUTANI
505	2011-01-01	JULIE PERKINS
505	2010-01-01	JULIE PERKINS
505	2009-01-01	KEN KLAMFOTH

Plan Statistics for JOHN S. CLARK COMPANY, LLC LIFE INSURANCE PLAN

Measure	Date	Value
2012: JOHN S. CLARK COMPANY, LLC LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	182
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Total of all active and inactive participants	2012-01-01	0
2011: JOHN S. CLARK COMPANY, LLC LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	196
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	182
Total of all active and inactive participants	2011-01-01	182
2010: JOHN S. CLARK COMPANY, LLC LIFE INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	201
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	196
Total of all active and inactive participants	2010-01-01	196
2009: JOHN S. CLARK COMPANY, LLC LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	257
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	201
Total of all active and inactive participants	2009-01-01	201

Form 5500 Responses for JOHN S. CLARK COMPANY, LLC LIFE INSURANCE PLAN

Insurance Providers Used on plan

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