401k Plan data: CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN plan

CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN 401k Plan overview

Plan Name	CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN
Plan identification number	503

CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Vision Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

CENTRAL WOODWORK, INC. has sponsored the creation of one or more 401k plans.

Company Name: CENTRAL WOODWORK, INC.

Employer identification number (EIN): 620426649

NAIC Classification: 321900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2015-07-01 AMY GORDON
503 2015-03-01 AMY FARRIS AMY FARRIS 2017-04-27
503 2015-01-01
503 2014-03-01 AMY FARRIS AMY FARRIS 2017-04-27
503 2014-01-01
503 2013-03-01 AMY GORDON AMY GORDON 2017-04-27
503 2013-01-01
503 2012-01-01 PATRICK SCHAEFER
503 2011-01-01 PATRICK SCHAEFER
503 2010-01-01 PATRICK SCHAEFER
503 2009-01-01 AMY GORDON

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
503	2015-07-01	AMY GORDON
503	2015-03-01	AMY FARRIS	AMY FARRIS	2017-04-27
503	2015-01-01
503	2014-03-01	AMY FARRIS	AMY FARRIS	2017-04-27
503	2014-01-01
503	2013-03-01	AMY GORDON	AMY GORDON	2017-04-27
503	2013-01-01
503	2012-01-01	PATRICK SCHAEFER
503	2011-01-01	PATRICK SCHAEFER
503	2010-01-01	PATRICK SCHAEFER
503	2009-01-01	AMY GORDON

Plan Statistics for CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN

401k plan membership statisitcs for CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN

Measure Date Value
2015: CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 211
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 0
Total of all active and inactive participants 2015-07-01 0
Total participants, beginning-of-year 2015-03-01 177
Total number of active participants reported on line 7a of the Form 5500 2015-03-01 172
Total of all active and inactive participants 2015-03-01 172
Total participants, beginning-of-year 2015-01-01 177
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 172
Total of all active and inactive participants 2015-01-01 172
2014: CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-03-01 174
Total number of active participants reported on line 7a of the Form 5500 2014-03-01 177
Total of all active and inactive participants 2014-03-01 177
Total participants, beginning-of-year 2014-01-01 174
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 177
Total of all active and inactive participants 2014-01-01 177
2013: CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-03-01 169
Total number of active participants reported on line 7a of the Form 5500 2013-03-01 174
Total of all active and inactive participants 2013-03-01 174
Total participants 2013-03-01 174
Total participants, beginning-of-year 2013-01-01 169
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 174
Total of all active and inactive participants 2013-01-01 174
2012: CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 172
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 169
Total of all active and inactive participants 2012-01-01 169
2011: CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 170
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 172
Total of all active and inactive participants 2011-01-01 172
2010: CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 182
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 170
Total of all active and inactive participants 2010-01-01 170
2009: CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 259
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 182
Total of all active and inactive participants 2009-01-01 182

Measure	Date	Value
2015: CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	211
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	0
Total of all active and inactive participants	2015-07-01	0
Total participants, beginning-of-year	2015-03-01	177
Total number of active participants reported on line 7a of the Form 5500	2015-03-01	172
Total of all active and inactive participants	2015-03-01	172
Total participants, beginning-of-year	2015-01-01	177
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	172
Total of all active and inactive participants	2015-01-01	172
2014: CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-03-01	174
Total number of active participants reported on line 7a of the Form 5500	2014-03-01	177
Total of all active and inactive participants	2014-03-01	177
Total participants, beginning-of-year	2014-01-01	174
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	177
Total of all active and inactive participants	2014-01-01	177
2013: CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-03-01	169
Total number of active participants reported on line 7a of the Form 5500	2013-03-01	174
Total of all active and inactive participants	2013-03-01	174
Total participants	2013-03-01	174
Total participants, beginning-of-year	2013-01-01	169
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	174
Total of all active and inactive participants	2013-01-01	174
2012: CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	172
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	169
Total of all active and inactive participants	2012-01-01	169
2011: CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	170
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	172
Total of all active and inactive participants	2011-01-01	172
2010: CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	182
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	170
Total of all active and inactive participants	2010-01-01	170
2009: CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	259
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	182
Total of all active and inactive participants	2009-01-01	182

Form 5500 Responses for CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN

2015: CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	Yes
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2015-03-01	Type of plan entity	Single employer plan
2015-03-01	Submission has been amended	Yes
2015-03-01	This submission is the final filing	No
2015-03-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-03-01	Plan is a collectively bargained plan	No
2015-03-01	Plan funding arrangement – Insurance	Yes
2015-03-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN 2014 form 5500 responses
2014-03-01	Type of plan entity	Single employer plan
2014-03-01	Submission has been amended	Yes
2014-03-01	This submission is the final filing	No
2014-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-03-01	Plan is a collectively bargained plan	No
2014-03-01	Plan funding arrangement – Insurance	Yes
2014-03-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN 2013 form 5500 responses
2013-03-01	Type of plan entity	Single employer plan
2013-03-01	Submission has been amended	Yes
2013-03-01	This submission is the final filing	No
2013-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-03-01	Plan is a collectively bargained plan	No
2013-03-01	Plan funding arrangement – Insurance	Yes
2013-03-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: CENTRAL WOODWORK, INC. EMPLOYEES GROUP INS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	000513616
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLTD0AL2K
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GVTLOAL2K
Policy instance	3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUGOAL2K
Policy instance	2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLTD0AL2K
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLTD0AL2K
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GVTLOAL2K
Policy instance	3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLTD0AL2K
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUGOAL2K
Policy instance	2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLTD0AL2K
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000AL2K
Policy instance	1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	864696G
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000AL2K
Policy instance	2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	864696G
Policy instance	1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	864696G
Policy instance	1

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Company Name:	CENTRAL WOODWORK, INC.
Employer identification number (EIN):	620426649
NAIC Classification:	321900