401k Plan data: ACCURATE SURGICAL & ACCURATE CHEMICAL 401(K) PLAN plan

ACCURATE SURGICAL & ACCURATE CHEMICAL 401(K) PLAN 401k Plan overview

Plan Name	ACCURATE SURGICAL & ACCURATE CHEMICAL 401(K) PLAN
Plan identification number	001

ACCURATE SURGICAL & ACCURATE CHEMICAL 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

ACCURATE CHEMICAL & SCIENTIFIC CORP. has sponsored the creation of one or more 401k plans.

Company Name: ACCURATE CHEMICAL & SCIENTIFIC CORP.

Employer identification number (EIN): 112345606

NAIC Classification: 424600

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ACCURATE SURGICAL & ACCURATE CHEMICAL 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-01-01 JAYU KULKARNI 2019-05-29
001 2017-01-01 JAYU KULKARNI 2018-05-18
001 2016-01-01 JAYU KULKARNI 2017-07-28
001 2015-01-01 JAYU KULKARNI 2016-09-06
001 2014-01-01 JAYU KULKARNI

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2018-01-01	JAYU KULKARNI	2019-05-29
001	2017-01-01	JAYU KULKARNI	2018-05-18
001	2016-01-01	JAYU KULKARNI	2017-07-28
001	2015-01-01	JAYU KULKARNI	2016-09-06
001	2014-01-01	JAYU KULKARNI

Plan Statistics for ACCURATE SURGICAL & ACCURATE CHEMICAL 401(K) PLAN

401k plan membership statisitcs for ACCURATE SURGICAL & ACCURATE CHEMICAL 401(K) PLAN

Measure Date Value
2014: ACCURATE SURGICAL & ACCURATE CHEMICAL 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 28
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 29
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 1
Total of all active and inactive participants 2014-01-01 30
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 30
Number of participants with account balances 2014-01-01 30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0

Measure	Date	Value
2014: ACCURATE SURGICAL & ACCURATE CHEMICAL 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	28
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	29
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	1
Total of all active and inactive participants	2014-01-01	30
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	30
Number of participants with account balances	2014-01-01	30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0

Financial Data on ACCURATE SURGICAL & ACCURATE CHEMICAL 401(K) PLAN

Measure	Date	Value
2014 : ACCURATE SURGICAL & ACCURATE CHEMICAL 401(K) PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$1,026,117
Expenses. Total of all expenses incurred	2014-12-31	$7,720
Benefits paid (including direct rollovers)	2014-12-31	$6,300
Total plan assets at end of year	2014-12-31	$1,018,397
Total plan assets at beginning of year	2014-12-31	$0
Total contributions received or receivable from participants	2014-12-31	$169,604
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$771,273
Other income received	2014-12-31	$27,211
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$1,018,397
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,018,397
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$0
Assets. Value of participant loans	2014-12-31	$16,207
Total contributions received or receivable from employer(s)	2014-12-31	$58,029
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$1,420
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0

Form 5500 Responses for ACCURATE SURGICAL & ACCURATE CHEMICAL 401(K) PLAN

2014: ACCURATE SURGICAL & ACCURATE CHEMICAL 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	First time form 5500 has been submitted	Yes
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 – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )

Policy contract number

800697

Policy instance

Insurance contract or identification number	800697
Number of Individuals Covered	29
Insurance policy start date	2014-02-04
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $1,658
Total amount of fees paid to insurance company	USD $4,414
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	2700
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker organization code?	5
Commission paid to Insurance Broker	USD $1,658
Insurance broker name	MERRILL LYNCH LIFE AGENCY

Potentially related plans

ACCURATE SURGICAL 401(K) PLAN [EIN = 112497306]

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Company Name:	ACCURATE CHEMICAL & SCIENTIFIC CORP.
Employer identification number (EIN):	112345606
NAIC Classification:	424600