401k Plan data: HOMER SKELTON ENTERPRISES HEALTH AND WELFARE PLAN plan

HOMER SKELTON ENTERPRISES HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	HOMER SKELTON ENTERPRISES HEALTH AND WELFARE PLAN
Plan identification number	501

HOMER SKELTON ENTERPRISES HEALTH AND WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

HOMER SKELTON ENTERPRISES has sponsored the creation of one or more 401k plans.

Company Name: HOMER SKELTON ENTERPRISES

Employer identification number (EIN): 800235722

NAIC Classification: 441110
NAIC Description: New Car Dealers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOMER SKELTON ENTERPRISES HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2013-08-01 RODNEY MCGUIRE
501 2012-08-01 CANDI BOMPREZZI

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2013-08-01	RODNEY MCGUIRE
501	2012-08-01	CANDI BOMPREZZI

Plan Statistics for HOMER SKELTON ENTERPRISES HEALTH AND WELFARE PLAN

401k plan membership statisitcs for HOMER SKELTON ENTERPRISES HEALTH AND WELFARE PLAN

Measure Date Value
2013: HOMER SKELTON ENTERPRISES HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-08-01 143
Total number of active participants reported on line 7a of the Form 5500 2013-08-01 128
Number of retired or separated participants receiving benefits 2013-08-01 4
Number of other retired or separated participants entitled to future benefits 2013-08-01 1
Total of all active and inactive participants 2013-08-01 133
2012: HOMER SKELTON ENTERPRISES HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-08-01 134
Total number of active participants reported on line 7a of the Form 5500 2012-08-01 139
Number of retired or separated participants receiving benefits 2012-08-01 2
Number of other retired or separated participants entitled to future benefits 2012-08-01 2
Total of all active and inactive participants 2012-08-01 143

Measure	Date	Value
2013: HOMER SKELTON ENTERPRISES HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-08-01	143
Total number of active participants reported on line 7a of the Form 5500	2013-08-01	128
Number of retired or separated participants receiving benefits	2013-08-01	4
Number of other retired or separated participants entitled to future benefits	2013-08-01	1
Total of all active and inactive participants	2013-08-01	133
2012: HOMER SKELTON ENTERPRISES HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-08-01	134
Total number of active participants reported on line 7a of the Form 5500	2012-08-01	139
Number of retired or separated participants receiving benefits	2012-08-01	2
Number of other retired or separated participants entitled to future benefits	2012-08-01	2
Total of all active and inactive participants	2012-08-01	143

Form 5500 Responses for HOMER SKELTON ENTERPRISES HEALTH AND WELFARE PLAN

2013: HOMER SKELTON ENTERPRISES HEALTH AND WELFARE PLAN 2013 form 5500 responses
2013-08-01	Type of plan entity	Single employer plan
2013-08-01	Submission has been amended	No
2013-08-01	This submission is the final filing	No
2013-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-08-01	Plan is a collectively bargained plan	No
2013-08-01	Plan funding arrangement – Insurance	Yes
2013-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-08-01	Plan benefit arrangement – Insurance	Yes
2013-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: HOMER SKELTON ENTERPRISES HEALTH AND WELFARE PLAN 2012 form 5500 responses
2012-08-01	Type of plan entity	Single employer plan
2012-08-01	Submission has been amended	No
2012-08-01	This submission is the final filing	No
2012-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-08-01	Plan is a collectively bargained plan	No
2012-08-01	Plan funding arrangement – Insurance	Yes
2012-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-08-01	Plan benefit arrangement – Insurance	Yes
2012-08-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	HOMER SKELTON ENTERPRISES
Employer identification number (EIN):	800235722
NAIC Classification:	441110
NAIC Description:	New Car Dealers