401k Plan data: EMPRESAS BERRIOS GROUP PRODUCT BENEFIT PLAN (LIFE) plan

EMPRESAS BERRIOS GROUP PRODUCT BENEFIT PLAN (LIFE) 401k Plan overview

Plan Name	EMPRESAS BERRIOS GROUP PRODUCT BENEFIT PLAN (LIFE)
Plan identification number	503

EMPRESAS BERRIOS GROUP PRODUCT BENEFIT PLAN (LIFE) Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance

401k Sponsoring company profile

EMPRESAS BERRIOS has sponsored the creation of one or more 401k plans.

Company Name: EMPRESAS BERRIOS

Employer identification number (EIN): 660580514

NAIC Classification: 337000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPRESAS BERRIOS GROUP PRODUCT BENEFIT PLAN (LIFE)

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2014-01-01 NELLY VELEZ
503 2013-02-01 NELLY VELEZ
503 2011-01-01 NELLY VELEZ
503 2009-01-01 NELLY VELEZ

Plan id#	Filing Submission Date	Name of Administrator
503	2014-01-01	NELLY VELEZ
503	2013-02-01	NELLY VELEZ
503	2011-01-01	NELLY VELEZ
503	2009-01-01	NELLY VELEZ

Plan Statistics for EMPRESAS BERRIOS GROUP PRODUCT BENEFIT PLAN (LIFE)

401k plan membership statisitcs for EMPRESAS BERRIOS GROUP PRODUCT BENEFIT PLAN (LIFE)

Measure Date Value
2014: EMPRESAS BERRIOS GROUP PRODUCT BENEFIT PLAN (LIFE) 2014 401k membership
Total participants, beginning-of-year 2014-01-01 496
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 496
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 496
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 1
Total participants 2014-01-01 497
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
Number of employers contributing to the scheme 2014-01-01 0
2013: EMPRESAS BERRIOS GROUP PRODUCT BENEFIT PLAN (LIFE) 2013 401k membership
Total participants, beginning-of-year 2013-02-01 507
Total number of active participants reported on line 7a of the Form 5500 2013-02-01 496
Number of retired or separated participants receiving benefits 2013-02-01 0
Number of other retired or separated participants entitled to future benefits 2013-02-01 0
Total of all active and inactive participants 2013-02-01 496
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-02-01 0
Total participants 2013-02-01 496
Number of participants with account balances 2013-02-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-02-01 0
Number of employers contributing to the scheme 2013-02-01 0
2011: EMPRESAS BERRIOS GROUP PRODUCT BENEFIT PLAN (LIFE) 2011 401k membership
Total participants, beginning-of-year 2011-01-01 553
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 534
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 534
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 534
Number of participants with account balances 2011-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
Number of employers contributing to the scheme 2011-01-01 0
2009: EMPRESAS BERRIOS GROUP PRODUCT BENEFIT PLAN (LIFE) 2009 401k membership
Total participants, beginning-of-year 2009-01-01 540
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 544
Number of retired or separated participants receiving benefits 2009-01-01 18
Number of other retired or separated participants entitled to future benefits 2009-01-01 84
Total of all active and inactive participants 2009-01-01 646
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 646

Measure	Date	Value
2014: EMPRESAS BERRIOS GROUP PRODUCT BENEFIT PLAN (LIFE) 2014 401k membership
Total participants, beginning-of-year	2014-01-01	496
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	496
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	496
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	1
Total participants	2014-01-01	497
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
Number of employers contributing to the scheme	2014-01-01	0
2013: EMPRESAS BERRIOS GROUP PRODUCT BENEFIT PLAN (LIFE) 2013 401k membership
Total participants, beginning-of-year	2013-02-01	507
Total number of active participants reported on line 7a of the Form 5500	2013-02-01	496
Number of retired or separated participants receiving benefits	2013-02-01	0
Number of other retired or separated participants entitled to future benefits	2013-02-01	0
Total of all active and inactive participants	2013-02-01	496
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-02-01	0
Total participants	2013-02-01	496
Number of participants with account balances	2013-02-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-02-01	0
Number of employers contributing to the scheme	2013-02-01	0
2011: EMPRESAS BERRIOS GROUP PRODUCT BENEFIT PLAN (LIFE) 2011 401k membership
Total participants, beginning-of-year	2011-01-01	553
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	534
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	534
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	534
Number of participants with account balances	2011-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
Number of employers contributing to the scheme	2011-01-01	0
2009: EMPRESAS BERRIOS GROUP PRODUCT BENEFIT PLAN (LIFE) 2009 401k membership
Total participants, beginning-of-year	2009-01-01	540
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	544
Number of retired or separated participants receiving benefits	2009-01-01	18
Number of other retired or separated participants entitled to future benefits	2009-01-01	84
Total of all active and inactive participants	2009-01-01	646
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	646

Form 5500 Responses for EMPRESAS BERRIOS GROUP PRODUCT BENEFIT PLAN (LIFE)

2014: EMPRESAS BERRIOS GROUP PRODUCT BENEFIT PLAN (LIFE) 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: EMPRESAS BERRIOS GROUP PRODUCT BENEFIT PLAN (LIFE) 2013 form 5500 responses
2013-02-01	Type of plan entity	Single employer plan
2013-02-01	Submission has been amended	No
2013-02-01	This submission is the final filing	No
2013-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-02-01	Plan is a collectively bargained plan	No
2013-02-01	Plan funding arrangement – Insurance	Yes
2013-02-01	Plan benefit arrangement – Insurance	Yes
2011: EMPRESAS BERRIOS GROUP PRODUCT BENEFIT PLAN (LIFE) 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
2009: EMPRESAS BERRIOS GROUP PRODUCT BENEFIT PLAN (LIFE) 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

Insurance Providers Used on plan

TRIPLE-S, VIDA, INC. (National Association of Insurance Commissioners NAIC id number: 73814 )
Policy contract number	GLIF-1002001
Policy instance	1
TRIPLE-S, VIDA, INC. (National Association of Insurance Commissioners NAIC id number: 73814 )
Policy contract number	GLIF 1002001
Policy instance	1
TRIPLE-S, VIDA, INC. (National Association of Insurance Commissioners NAIC id number: 73814 )
Policy contract number	GLIF1002001
Policy instance	1
TRIPLE-S, VIDA, INC. (National Association of Insurance Commissioners NAIC id number: 73814 )
Policy contract number	GLIF 1002001
Policy instance	1
TRIPLE-S, VIDA, INC. (National Association of Insurance Commissioners NAIC id number: 73814 )
Policy contract number	1002001
Policy instance	1

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Company Name:	EMPRESAS BERRIOS
Employer identification number (EIN):	660580514
NAIC Classification:	337000