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| Plan Name | PROFESSIONAL BENEFIT TRUST FIFTH AMENDED AND RESTATED WELFARE BENEFIT PLAN AND TRUST |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | PROFESSIONAL BENEFIT TRUST |
| Employer identification number (EIN): | 621541314 |
| NAIC Classification: | 525100 |
| NAIC Description: | Insurance and Employee Benefit Funds |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2010-01-01 | TRACY L SUNDERLAGE | |||
| 501 | 2009-01-01 | TRACY L SUNDERLAGE |
| Measure | Date | Value |
|---|---|---|
| 2010: PROFESSIONAL BENEFIT TRUST FIFTH AMENDED AND RESTATED WELFARE BENEFIT PLAN AND TRUST 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-01-01 | 1 |
| Total of all active and inactive participants | 2010-01-01 | 0 |
| Total participants | 2010-01-01 | 0 |
| 2009: PROFESSIONAL BENEFIT TRUST FIFTH AMENDED AND RESTATED WELFARE BENEFIT PLAN AND TRUST 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 1 |
| Total of all active and inactive participants | 2009-01-01 | 0 |
| Total participants | 2009-01-01 | 0 |
| Measure | Date | Value |
|---|---|---|
| 2010 : PROFESSIONAL BENEFIT TRUST FIFTH AMENDED AND RESTATED WELFARE BENEFIT PLAN AND TRUST 2010 401k financial data | ||
| Transfers to/from the plan | 2010-12-31 | $-5,000 |
| Total plan assets at end of year | 2010-12-31 | $0 |
| Total plan assets at beginning of year | 2010-12-31 | $5,000 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $5,000 |
| 2010: PROFESSIONAL BENEFIT TRUST FIFTH AMENDED AND RESTATED WELFARE BENEFIT PLAN AND TRUST 2010 form 5500 responses | ||
|---|---|---|
| 2010-01-01 | Type of plan entity | Mulitple employer plan |
| 2010-01-01 | This submission is the final filing | Yes |
| 2010-01-01 | Plan funding arrangement – Trust | Yes |
| 2010-01-01 | Plan benefit arrangement - Trust | Yes |
| 2009: PROFESSIONAL BENEFIT TRUST FIFTH AMENDED AND RESTATED WELFARE BENEFIT PLAN AND TRUST 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Mulitple employer plan |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
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