SELECT STAFFING ASSOCIATE'S WELFARE BENEFIT PLAN 401k Plan overview

SELECT STAFFING ASSOCIATE'S WELFARE BENEFIT PLAN Benefits

401k Sponsoring company profile

Company Name:	KOOSHAREM LLC DBA SELECT STAFFING, INC.
Employer identification number (EIN):	930994537
NAIC Classification:	561490

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
508	2015-01-01	TOM MEADE
508	2014-01-01	DAVID TRENT
508	2013-01-01	DAVID TRENT
508	2012-01-01	DAVID TRENT
508	2011-01-01	DAVID TRENT
508	2009-04-01	DAVID TRENT

Plan Statistics for SELECT STAFFING ASSOCIATE'S WELFARE BENEFIT PLAN

Measure	Date	Value
2015: SELECT STAFFING ASSOCIATE'S WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	11,239
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: SELECT STAFFING ASSOCIATE'S WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	11,110
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	12,296
Number of retired or separated participants receiving benefits	2014-01-01	45
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	12,341
2013: SELECT STAFFING ASSOCIATE'S WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	3,608
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	5,639
Number of retired or separated participants receiving benefits	2013-01-01	52
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	5,691
2012: SELECT STAFFING ASSOCIATE'S WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,013
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	5,679
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	5,679
2011: SELECT STAFFING ASSOCIATE'S WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,368
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	929
Number of retired or separated participants receiving benefits	2011-01-01	17
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	946
2009: SELECT STAFFING ASSOCIATE'S WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-04-01	1,855
Total number of active participants reported on line 7a of the Form 5500	2009-04-01	1,468
Number of retired or separated participants receiving benefits	2009-04-01	70
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	1,538

Form 5500 Responses for SELECT STAFFING ASSOCIATE'S WELFARE BENEFIT PLAN

Insurance Providers Used on plan

Potentially related plans

• SELECT STAFFING SECTION 125 CAFETERIA PLAN [EIN = 363340592]
• SELECT STAFFING 401(K) PLAN [EIN = 770267851]

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