401k Plan data: C. COWLES & COMPANY WELFARE BENEFITS PLAN plan

C. COWLES & COMPANY WELFARE BENEFITS PLAN 401k Plan overview

Plan Name	C. COWLES & COMPANY WELFARE BENEFITS PLAN
Plan identification number	506

C. COWLES & COMPANY WELFARE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance) Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

C. COWLES & COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name: C. COWLES & COMPANY, INC.

Employer identification number (EIN): 060309660

NAIC Classification: 332110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan C. COWLES & COMPANY WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
506 2016-07-01 RUSSELL SPECTOR RUSSELL SPECTOR 2017-11-27
506 2015-07-01 RUSSELL SPECTOR RUSSELL SPECTOR 2016-10-04
506 2014-07-01 RUSSELL SPECTOR
506 2013-07-01 RUSSELL SPECTOR
506 2012-07-01 RUSSELL SPECTOR
506 2011-07-01 RUSSELL SPECTOR
506 2010-07-01 RUSSELL SPECTOR

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
506	2016-07-01	RUSSELL SPECTOR	RUSSELL SPECTOR	2017-11-27
506	2015-07-01	RUSSELL SPECTOR	RUSSELL SPECTOR	2016-10-04
506	2014-07-01	RUSSELL SPECTOR
506	2013-07-01	RUSSELL SPECTOR
506	2012-07-01	RUSSELL SPECTOR
506	2011-07-01	RUSSELL SPECTOR
506	2010-07-01	RUSSELL SPECTOR

Plan Statistics for C. COWLES & COMPANY WELFARE BENEFITS PLAN

401k plan membership statisitcs for C. COWLES & COMPANY WELFARE BENEFITS PLAN

Measure Date Value
2016: C. COWLES & COMPANY WELFARE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 179
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 157
Number of retired or separated participants receiving benefits 2016-07-01 3
Number of other retired or separated participants entitled to future benefits 2016-07-01 3
Total of all active and inactive participants 2016-07-01 163
2015: C. COWLES & COMPANY WELFARE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 163
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 174
Number of retired or separated participants receiving benefits 2015-07-01 4
Number of other retired or separated participants entitled to future benefits 2015-07-01 1
Total of all active and inactive participants 2015-07-01 179
2014: C. COWLES & COMPANY WELFARE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 172
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 166
Number of retired or separated participants receiving benefits 2014-07-01 2
Number of other retired or separated participants entitled to future benefits 2014-07-01 3
Total of all active and inactive participants 2014-07-01 171
2013: C. COWLES & COMPANY WELFARE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 169
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 171
Number of retired or separated participants receiving benefits 2013-07-01 1
Number of other retired or separated participants entitled to future benefits 2013-07-01 0
Total of all active and inactive participants 2013-07-01 172
2012: C. COWLES & COMPANY WELFARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 168
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 168
Number of retired or separated participants receiving benefits 2012-07-01 2
Number of other retired or separated participants entitled to future benefits 2012-07-01 0
Total of all active and inactive participants 2012-07-01 170
2011: C. COWLES & COMPANY WELFARE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 162
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 168
Number of retired or separated participants receiving benefits 2011-07-01 3
Number of other retired or separated participants entitled to future benefits 2011-07-01 0
Total of all active and inactive participants 2011-07-01 171
2010: C. COWLES & COMPANY WELFARE BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 159
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 160
Number of retired or separated participants receiving benefits 2010-07-01 3
Number of other retired or separated participants entitled to future benefits 2010-07-01 0
Total of all active and inactive participants 2010-07-01 163

Measure	Date	Value
2016: C. COWLES & COMPANY WELFARE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	179
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	157
Number of retired or separated participants receiving benefits	2016-07-01	3
Number of other retired or separated participants entitled to future benefits	2016-07-01	3
Total of all active and inactive participants	2016-07-01	163
2015: C. COWLES & COMPANY WELFARE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	163
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	174
Number of retired or separated participants receiving benefits	2015-07-01	4
Number of other retired or separated participants entitled to future benefits	2015-07-01	1
Total of all active and inactive participants	2015-07-01	179
2014: C. COWLES & COMPANY WELFARE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	172
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	166
Number of retired or separated participants receiving benefits	2014-07-01	2
Number of other retired or separated participants entitled to future benefits	2014-07-01	3
Total of all active and inactive participants	2014-07-01	171
2013: C. COWLES & COMPANY WELFARE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	169
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	171
Number of retired or separated participants receiving benefits	2013-07-01	1
Number of other retired or separated participants entitled to future benefits	2013-07-01	0
Total of all active and inactive participants	2013-07-01	172
2012: C. COWLES & COMPANY WELFARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	168
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	168
Number of retired or separated participants receiving benefits	2012-07-01	2
Number of other retired or separated participants entitled to future benefits	2012-07-01	0
Total of all active and inactive participants	2012-07-01	170
2011: C. COWLES & COMPANY WELFARE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	162
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	168
Number of retired or separated participants receiving benefits	2011-07-01	3
Number of other retired or separated participants entitled to future benefits	2011-07-01	0
Total of all active and inactive participants	2011-07-01	171
2010: C. COWLES & COMPANY WELFARE BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	159
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	160
Number of retired or separated participants receiving benefits	2010-07-01	3
Number of other retired or separated participants entitled to future benefits	2010-07-01	0
Total of all active and inactive participants	2010-07-01	163

Form 5500 Responses for C. COWLES & COMPANY WELFARE BENEFITS PLAN

2016: C. COWLES & COMPANY WELFARE BENEFITS PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: C. COWLES & COMPANY WELFARE BENEFITS PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: C. COWLES & COMPANY WELFARE BENEFITS PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2013: C. COWLES & COMPANY WELFARE BENEFITS PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2012: C. COWLES & COMPANY WELFARE BENEFITS PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2011: C. COWLES & COMPANY WELFARE BENEFITS PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2010: C. COWLES & COMPANY WELFARE BENEFITS PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	2252
Policy instance	1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	218272, 241463
Policy instance	2
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	218272
Policy instance	1
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	2252
Policy instance	2
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number	4955965
Policy instance	1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	218272
Policy instance	2
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number	4955965
Policy instance	1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	218272
Policy instance	2
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number	4955965
Policy instance	1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	218272
Policy instance	2
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number	4955965
Policy instance	1
BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
Policy contract number	G52205
Policy instance	2

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Company Name:	C. COWLES & COMPANY, INC.
Employer identification number (EIN):	060309660
NAIC Classification:	332110