401k Plan data: MEDICAL INSURANCE PLAN plan

MEDICAL INSURANCE PLAN 401k Plan overview

Plan Name	MEDICAL INSURANCE PLAN
Plan identification number	501

MEDICAL INSURANCE PLAN Benefits

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

401k Sponsoring company profile

THOMAS & KING, INC. has sponsored the creation of one or more 401k plans.

Company Name: THOMAS & KING, INC.

Employer identification number (EIN): 570863025

NAIC Classification: 722511
NAIC Description: Full-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDICAL INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2012-01-01 WILLIAM R. HILLARD JR.
501 2011-01-01 WILLIAM R. HILLARD JR.
501 2010-01-01 BILL HILLIARD, EVP
501 2009-01-01 BILL HILLIARD, EVP

Plan id#	Filing Submission Date	Name of Administrator
501	2012-01-01	WILLIAM R. HILLARD JR.
501	2011-01-01	WILLIAM R. HILLARD JR.
501	2010-01-01	BILL HILLIARD, EVP
501	2009-01-01	BILL HILLIARD, EVP

Plan Statistics for MEDICAL INSURANCE PLAN

401k plan membership statisitcs for MEDICAL INSURANCE PLAN

Measure Date Value
2012: MEDICAL INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 384
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 380
Total of all active and inactive participants 2012-01-01 380
2011: MEDICAL INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 394
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 384
Total of all active and inactive participants 2011-01-01 384
2010: MEDICAL INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 418
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 394
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 394
2009: MEDICAL INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 460
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 418
Total of all active and inactive participants 2009-01-01 418

Measure	Date	Value
2012: MEDICAL INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	384
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	380
Total of all active and inactive participants	2012-01-01	380
2011: MEDICAL INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	394
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	384
Total of all active and inactive participants	2011-01-01	384
2010: MEDICAL INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	418
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	394
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	394
2009: MEDICAL INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	460
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	418
Total of all active and inactive participants	2009-01-01	418

Form 5500 Responses for MEDICAL INSURANCE PLAN

2012: MEDICAL INSURANCE 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 – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: MEDICAL INSURANCE 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 – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: MEDICAL INSURANCE PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: MEDICAL INSURANCE 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 – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	THOMAS & KING, INC.
Employer identification number (EIN):	570863025
NAIC Classification:	722511
NAIC Description:	Full-Service Restaurants