401k Plan data: LIFE INSURANCE, ACCIDENTAL DEATH & DISMEMBERMENT LONG-TERM DISABILITY INSURANCE plan

LIFE INSURANCE, ACCIDENTAL DEATH & DISMEMBERMENT LONG-TERM DISABILITY INSURANCE 401k Plan overview

Plan Name	LIFE INSURANCE, ACCIDENTAL DEATH & DISMEMBERMENT LONG-TERM DISABILITY INSURANCE
Plan identification number	504

LIFE INSURANCE, ACCIDENTAL DEATH & DISMEMBERMENT LONG-TERM DISABILITY INSURANCE Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

WHITWORTH UNIVERSITY has sponsored the creation of one or more 401k plans.

Company Name: WHITWORTH UNIVERSITY

Employer identification number (EIN): 910473310

NAIC Classification: 611000

Additional information about WHITWORTH UNIVERSITY

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 1890-03-08

Company Identification Number: 328005321

Legal Registered Office Address: 300 W HAWTHORNE RD

SPOKANE
United States of America (USA)
992512515

More information about WHITWORTH UNIVERSITY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIFE INSURANCE, ACCIDENTAL DEATH & DISMEMBERMENT LONG-TERM DISABILITY INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2014-06-01 RICHARD SCOTT
504 2014-06-01 RICHARD SCOTT
504 2013-06-01 RICHARD SCOTT RICHARD SCOTT 2015-02-13
504 2012-06-01 RICHARD SCOTT RICHARD SCOTT 2014-03-06
504 2011-06-01 RICHARD SCOTT
504 2009-06-01 RICHARD L. SCOTT

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
504	2014-06-01	RICHARD SCOTT
504	2014-06-01	RICHARD SCOTT
504	2013-06-01	RICHARD SCOTT	RICHARD SCOTT	2015-02-13
504	2012-06-01	RICHARD SCOTT	RICHARD SCOTT	2014-03-06
504	2011-06-01	RICHARD SCOTT
504	2009-06-01	RICHARD L. SCOTT

Plan Statistics for LIFE INSURANCE, ACCIDENTAL DEATH & DISMEMBERMENT LONG-TERM DISABILITY INSURANCE

401k plan membership statisitcs for LIFE INSURANCE, ACCIDENTAL DEATH & DISMEMBERMENT LONG-TERM DISABILITY INSURANCE

Measure Date Value
2014: LIFE INSURANCE, ACCIDENTAL DEATH & DISMEMBERMENT LONG-TERM DISABILITY INSURANCE 2014 401k membership
Total participants, beginning-of-year 2014-06-01 510
Total number of active participants reported on line 7a of the Form 5500 2014-06-01 0
Number of retired or separated participants receiving benefits 2014-06-01 0
Number of other retired or separated participants entitled to future benefits 2014-06-01 0
Total of all active and inactive participants 2014-06-01 0
2013: LIFE INSURANCE, ACCIDENTAL DEATH & DISMEMBERMENT LONG-TERM DISABILITY INSURANCE 2013 401k membership
Total participants, beginning-of-year 2013-06-01 505
Total number of active participants reported on line 7a of the Form 5500 2013-06-01 510
Number of retired or separated participants receiving benefits 2013-06-01 0
Number of other retired or separated participants entitled to future benefits 2013-06-01 0
Total of all active and inactive participants 2013-06-01 510
2012: LIFE INSURANCE, ACCIDENTAL DEATH & DISMEMBERMENT LONG-TERM DISABILITY INSURANCE 2012 401k membership
Total participants, beginning-of-year 2012-06-01 496
Total number of active participants reported on line 7a of the Form 5500 2012-06-01 505
Number of retired or separated participants receiving benefits 2012-06-01 0
Number of other retired or separated participants entitled to future benefits 2012-06-01 0
Total of all active and inactive participants 2012-06-01 505
2011: LIFE INSURANCE, ACCIDENTAL DEATH & DISMEMBERMENT LONG-TERM DISABILITY INSURANCE 2011 401k membership
Total participants, beginning-of-year 2011-06-01 471
Total number of active participants reported on line 7a of the Form 5500 2011-06-01 496
Number of retired or separated participants receiving benefits 2011-06-01 0
Number of other retired or separated participants entitled to future benefits 2011-06-01 0
Total of all active and inactive participants 2011-06-01 496
2009: LIFE INSURANCE, ACCIDENTAL DEATH & DISMEMBERMENT LONG-TERM DISABILITY INSURANCE 2009 401k membership
Total participants, beginning-of-year 2009-06-01 458
Total number of active participants reported on line 7a of the Form 5500 2009-06-01 461
Number of retired or separated participants receiving benefits 2009-06-01 0
Number of other retired or separated participants entitled to future benefits 2009-06-01 0
Total of all active and inactive participants 2009-06-01 461

Measure	Date	Value
2014: LIFE INSURANCE, ACCIDENTAL DEATH & DISMEMBERMENT LONG-TERM DISABILITY INSURANCE 2014 401k membership
Total participants, beginning-of-year	2014-06-01	510
Total number of active participants reported on line 7a of the Form 5500	2014-06-01	0
Number of retired or separated participants receiving benefits	2014-06-01	0
Number of other retired or separated participants entitled to future benefits	2014-06-01	0
Total of all active and inactive participants	2014-06-01	0
2013: LIFE INSURANCE, ACCIDENTAL DEATH & DISMEMBERMENT LONG-TERM DISABILITY INSURANCE 2013 401k membership
Total participants, beginning-of-year	2013-06-01	505
Total number of active participants reported on line 7a of the Form 5500	2013-06-01	510
Number of retired or separated participants receiving benefits	2013-06-01	0
Number of other retired or separated participants entitled to future benefits	2013-06-01	0
Total of all active and inactive participants	2013-06-01	510
2012: LIFE INSURANCE, ACCIDENTAL DEATH & DISMEMBERMENT LONG-TERM DISABILITY INSURANCE 2012 401k membership
Total participants, beginning-of-year	2012-06-01	496
Total number of active participants reported on line 7a of the Form 5500	2012-06-01	505
Number of retired or separated participants receiving benefits	2012-06-01	0
Number of other retired or separated participants entitled to future benefits	2012-06-01	0
Total of all active and inactive participants	2012-06-01	505
2011: LIFE INSURANCE, ACCIDENTAL DEATH & DISMEMBERMENT LONG-TERM DISABILITY INSURANCE 2011 401k membership
Total participants, beginning-of-year	2011-06-01	471
Total number of active participants reported on line 7a of the Form 5500	2011-06-01	496
Number of retired or separated participants receiving benefits	2011-06-01	0
Number of other retired or separated participants entitled to future benefits	2011-06-01	0
Total of all active and inactive participants	2011-06-01	496
2009: LIFE INSURANCE, ACCIDENTAL DEATH & DISMEMBERMENT LONG-TERM DISABILITY INSURANCE 2009 401k membership
Total participants, beginning-of-year	2009-06-01	458
Total number of active participants reported on line 7a of the Form 5500	2009-06-01	461
Number of retired or separated participants receiving benefits	2009-06-01	0
Number of other retired or separated participants entitled to future benefits	2009-06-01	0
Total of all active and inactive participants	2009-06-01	461

Form 5500 Responses for LIFE INSURANCE, ACCIDENTAL DEATH & DISMEMBERMENT LONG-TERM DISABILITY INSURANCE

2014: LIFE INSURANCE, ACCIDENTAL DEATH & DISMEMBERMENT LONG-TERM DISABILITY INSURANCE 2014 form 5500 responses
2014-06-01	Type of plan entity	Single employer plan
2014-06-01	Submission has been amended	Yes
2014-06-01	This submission is the final filing	Yes
2014-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-06-01	Plan is a collectively bargained plan	No
2014-06-01	Plan funding arrangement – Insurance	Yes
2014-06-01	Plan benefit arrangement – Insurance	Yes
2013: LIFE INSURANCE, ACCIDENTAL DEATH & DISMEMBERMENT LONG-TERM DISABILITY INSURANCE 2013 form 5500 responses
2013-06-01	Type of plan entity	Single employer plan
2013-06-01	Submission has been amended	No
2013-06-01	This submission is the final filing	No
2013-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-06-01	Plan is a collectively bargained plan	No
2013-06-01	Plan funding arrangement – Insurance	Yes
2013-06-01	Plan benefit arrangement – Insurance	Yes
2012: LIFE INSURANCE, ACCIDENTAL DEATH & DISMEMBERMENT LONG-TERM DISABILITY INSURANCE 2012 form 5500 responses
2012-06-01	Type of plan entity	Single employer plan
2012-06-01	Submission has been amended	No
2012-06-01	This submission is the final filing	No
2012-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-06-01	Plan is a collectively bargained plan	No
2012-06-01	Plan funding arrangement – Insurance	Yes
2012-06-01	Plan benefit arrangement – Insurance	Yes
2011: LIFE INSURANCE, ACCIDENTAL DEATH & DISMEMBERMENT LONG-TERM DISABILITY INSURANCE 2011 form 5500 responses
2011-06-01	Type of plan entity	Single employer plan
2011-06-01	Submission has been amended	No
2011-06-01	This submission is the final filing	No
2011-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-06-01	Plan is a collectively bargained plan	No
2011-06-01	Plan funding arrangement – Insurance	Yes
2011-06-01	Plan benefit arrangement – Insurance	Yes
2009: LIFE INSURANCE, ACCIDENTAL DEATH & DISMEMBERMENT LONG-TERM DISABILITY INSURANCE 2009 form 5500 responses
2009-06-01	Type of plan entity	Single employer plan
2009-06-01	Submission has been amended	No
2009-06-01	This submission is the final filing	No
2009-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-06-01	Plan is a collectively bargained plan	No
2009-06-01	Plan funding arrangement – Insurance	Yes
2009-06-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	WHITWORTH UNIVERSITY
Employer identification number (EIN):	910473310
NAIC Classification:	611000

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	1890-03-08
Company Identification Number:	328005321
Legal Registered Office Address:	300 W HAWTHORNE RD SPOKANE United States of America (USA) 992512515