401k Plan data: OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN plan

OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 401k Plan overview

Plan Name	OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN
Plan identification number	501

OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN Benefits

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

401k Sponsoring company profile

OVERHEAD DOOR CO OF CASPER, INC. has sponsored the creation of one or more 401k plans.

Company Name: OVERHEAD DOOR CO OF CASPER, INC.

Employer identification number (EIN): 830212200

NAIC Classification: 238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2015-01-01 JOANN PARMELY
501 2014-01-01 RON PARMELY
501 2013-01-01 RON PARMELY
501 2012-01-01 RON PARMELY
501 2011-01-01 RON PARMELY
501 2010-04-01 RON PARMELY
501 2009-04-01 RON PARMELY

Plan id#	Filing Submission Date	Name of Administrator
501	2015-01-01	JOANN PARMELY
501	2014-01-01	RON PARMELY
501	2013-01-01	RON PARMELY
501	2012-01-01	RON PARMELY
501	2011-01-01	RON PARMELY
501	2010-04-01	RON PARMELY
501	2009-04-01	RON PARMELY

Plan Statistics for OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

401k plan membership statisitcs for OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure Date Value
2015: OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
2014: OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 15
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 15
2013: OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 13
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 13
2012: OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 13
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 13
2011: OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 13
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 13
2010: OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-04-01 15
Total number of active participants reported on line 7a of the Form 5500 2010-04-01 0
Number of retired or separated participants receiving benefits 2010-04-01 0
Number of other retired or separated participants entitled to future benefits 2010-04-01 0
Total of all active and inactive participants 2010-04-01 0
2009: OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-04-01 14
Total number of active participants reported on line 7a of the Form 5500 2009-04-01 15
Number of retired or separated participants receiving benefits 2009-04-01 0
Number of other retired or separated participants entitled to future benefits 2009-04-01 0
Total of all active and inactive participants 2009-04-01 15

Measure	Date	Value
2015: OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
2014: OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	15
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	15
2013: OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	13
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	13
2012: OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	13
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	13
2011: OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	13
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	13
2010: OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-04-01	15
Total number of active participants reported on line 7a of the Form 5500	2010-04-01	0
Number of retired or separated participants receiving benefits	2010-04-01	0
Number of other retired or separated participants entitled to future benefits	2010-04-01	0
Total of all active and inactive participants	2010-04-01	0
2009: OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-04-01	14
Total number of active participants reported on line 7a of the Form 5500	2009-04-01	15
Number of retired or separated participants receiving benefits	2009-04-01	0
Number of other retired or separated participants entitled to future benefits	2009-04-01	0
Total of all active and inactive participants	2009-04-01	15

Financial Data on OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure	Date	Value
2015 : OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$98,220
Expenses. Total of all expenses incurred	2015-12-31	$101,907
Benefits paid (including direct rollovers)	2015-12-31	$101,399
Total plan assets at end of year	2015-12-31	$0
Total plan assets at beginning of year	2015-12-31	$3,687
Other income received	2015-12-31	$1
Net income (gross income less expenses)	2015-12-31	$-3,687
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$3,687
Total contributions received or receivable from employer(s)	2015-12-31	$98,219
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$508
2014 : OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$172,412
Expenses. Total of all expenses incurred	2014-12-31	$171,540
Benefits paid (including direct rollovers)	2014-12-31	$160,553
Total plan assets at end of year	2014-12-31	$3,687
Total plan assets at beginning of year	2014-12-31	$2,815
Other income received	2014-12-31	$6
Net income (gross income less expenses)	2014-12-31	$872
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$3,687
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$2,815
Total contributions received or receivable from employer(s)	2014-12-31	$172,406
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$10,987
2013 : OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2013 401k financial data
Total plan liabilities at beginning of year	2013-12-31	$3,323
Total income from all sources	2013-12-31	$138,730
Expenses. Total of all expenses incurred	2013-12-31	$138,547
Benefits paid (including direct rollovers)	2013-12-31	$129,959
Total plan assets at end of year	2013-12-31	$2,815
Total plan assets at beginning of year	2013-12-31	$5,955
Other income received	2013-12-31	$4
Net income (gross income less expenses)	2013-12-31	$183
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$2,815
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$2,632
Total contributions received or receivable from employer(s)	2013-12-31	$138,726
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$8,588
2012 : OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$3,323
Total plan liabilities at beginning of year	2012-12-31	$103
Total income from all sources	2012-12-31	$51,469
Expenses. Total of all expenses incurred	2012-12-31	$52,281
Benefits paid (including direct rollovers)	2012-12-31	$45,277
Total plan assets at end of year	2012-12-31	$5,955
Total plan assets at beginning of year	2012-12-31	$3,547
Other income received	2012-12-31	$1
Net income (gross income less expenses)	2012-12-31	$-812
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$2,632
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$3,444
Total contributions received or receivable from employer(s)	2012-12-31	$51,468
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$7,004
2011 : OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$103
Total income from all sources	2011-12-31	$121,451
Expenses. Total of all expenses incurred	2011-12-31	$118,007
Benefits paid (including direct rollovers)	2011-12-31	$110,286
Total plan assets at end of year	2011-12-31	$3,547
Total plan assets at beginning of year	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$3,444
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$3,444
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$0
Total contributions received or receivable from employer(s)	2011-12-31	$121,451
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$7,721
Total plan liabilities at beginning of year	2011-03-31	$40,066
Total income from all sources	2011-03-31	$100,598
Expenses. Total of all expenses incurred	2011-03-31	$100,692
Benefits paid (including direct rollovers)	2011-03-31	$91,339
Total plan assets at end of year	2011-03-31	$0
Total plan assets at beginning of year	2011-03-31	$40,160
Other income received	2011-03-31	$521
Net income (gross income less expenses)	2011-03-31	$-94
Net plan assets at end of year (total assets less liabilities)	2011-03-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2011-03-31	$94
Total contributions received or receivable from employer(s)	2011-03-31	$100,077
Expenses. Administrative service providers (salaries,fees and commissions)	2011-03-31	$9,353

Form 5500 Responses for OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

2015: OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	This submission is the final filing	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	First time form 5500 has been submitted	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2010 form 5500 responses
2010-04-01	Type of plan entity	Single employer plan
2010-04-01	Submission has been amended	Yes
2010-04-01	This submission is the final filing	Yes
2010-04-01	Plan funding arrangement – Trust	Yes
2010-04-01	Plan benefit arrangement - Trust	Yes
2009: OVERHEAD DOOR CO OF CASPER, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2009 form 5500 responses
2009-04-01	Type of plan entity	Single employer plan
2009-04-01	Plan funding arrangement – Trust	Yes
2009-04-01	Plan benefit arrangement - Trust	Yes

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Company Name:	OVERHEAD DOOR CO OF CASPER, INC.
Employer identification number (EIN):	830212200
NAIC Classification:	238900