401k Plan data: ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT DIRECT REIMBURSEMENT DENTAL AND VISION PLAN plan

ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT DIRECT REIMBURSEMENT DENTAL AND VISION PLAN 401k Plan overview

Plan Name	ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT DIRECT REIMBURSEMENT DENTAL AND VISION PLAN
Plan identification number	503

ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT DIRECT REIMBURSEMENT DENTAL AND VISION PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental Vision

401k Sponsoring company profile

ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT OF SANTA CLARA COUNTY, has sponsored the creation of one or more 401k plans.

Company Name: ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT OF SANTA CLARA COUNTY,

Employer identification number (EIN): 942292491

NAIC Classification: 624200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT DIRECT REIMBURSEMENT DENTAL AND VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2016-01-01
503 2015-01-01
503 2014-01-01 JOY RAMOS
503 2013-01-01 ROLAND ACUPIDO
503 2012-01-01 ROLAND ACUPIDO

Plan Statistics for ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT DIRECT REIMBURSEMENT DENTAL AND VISION PLAN

401k plan membership statisitcs for ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT DIRECT REIMBURSEMENT DENTAL AND VISION PLAN

Measure Date Value
2016: ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT DIRECT REIMBURSEMENT DENTAL AND VISION PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 118
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT DIRECT REIMBURSEMENT DENTAL AND VISION PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 143
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 118
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 2015-01-01 118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 118
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT DIRECT REIMBURSEMENT DENTAL AND VISION PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 120
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 140
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 2014-01-01 140
2013: ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT DIRECT REIMBURSEMENT DENTAL AND VISION PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 112
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 128
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 2013-01-01 128
2012: ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT DIRECT REIMBURSEMENT DENTAL AND VISION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 107
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 101
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 2012-01-01 101

Measure	Date	Value
2016: ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT DIRECT REIMBURSEMENT DENTAL AND VISION PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	118
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT DIRECT REIMBURSEMENT DENTAL AND VISION PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	143
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	118
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	118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	118
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT DIRECT REIMBURSEMENT DENTAL AND VISION PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	120
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	140
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	140
2013: ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT DIRECT REIMBURSEMENT DENTAL AND VISION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	112
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	128
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	128
2012: ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT DIRECT REIMBURSEMENT DENTAL AND VISION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	107
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	101
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	101

Form 5500 Responses for ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT DIRECT REIMBURSEMENT DENTAL AND VISION PLAN

2016: ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT DIRECT REIMBURSEMENT DENTAL AND VISION PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT DIRECT REIMBURSEMENT DENTAL AND VISION PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT DIRECT REIMBURSEMENT DENTAL AND VISION PLAN 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 – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT DIRECT REIMBURSEMENT DENTAL AND VISION PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT DIRECT REIMBURSEMENT DENTAL AND VISION PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	First time form 5500 has been submitted	Yes
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT OF SANTA CLARA COUNTY,
Employer identification number (EIN):	942292491
NAIC Classification:	624200