401k Plan data: DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE PLAN plan

DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE PLAN 401k Plan overview

Plan Name	DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE PLAN
Plan identification number	503

DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision

401k Sponsoring company profile

DUCKS UNLIMITED, INC. has sponsored the creation of one or more 401k plans.

Company Name: DUCKS UNLIMITED, INC.

Employer identification number (EIN): 135643799

NAIC Classification: 813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Additional information about DUCKS UNLIMITED, INC.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1986-12-09

Company Identification Number: 0007116807

Legal Registered Office Address: 1 WATERFOWL WAY C/O BETSY BOLFING

MEMPHIS
United States of America (USA)
38120

More information about DUCKS UNLIMITED, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2014-01-01 WAYNE DIERKS
503 2014-01-01
503 2013-01-01 WAYNE DIERKS
503 2012-01-01 WAYNE DIERKS
503 2011-01-01 WAYNE DIERKS
503 2010-01-01 WAYNE DIERKS
503 2009-01-01 WAYNE DIERKS

Plan Statistics for DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE PLAN

401k plan membership statisitcs for DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE PLAN

Measure Date Value
2014: DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 473
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 448
Number of retired or separated participants receiving benefits 2014-01-01 28
Total of all active and inactive participants 2014-01-01 476
Total participants 2014-01-01 476
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
2013: DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 450
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 430
Number of retired or separated participants receiving benefits 2013-01-01 35
Total of all active and inactive participants 2013-01-01 465
Total participants 2013-01-01 465
2012: DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 467
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 446
Number of retired or separated participants receiving benefits 2012-01-01 33
Total of all active and inactive participants 2012-01-01 479
Total participants 2012-01-01 479
2011: DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 479
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 431
Number of retired or separated participants receiving benefits 2011-01-01 42
Total of all active and inactive participants 2011-01-01 473
Total participants 2011-01-01 473
2010: DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 491
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 429
Number of retired or separated participants receiving benefits 2010-01-01 45
Total of all active and inactive participants 2010-01-01 474
Total participants 2010-01-01 474
2009: DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 504
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 423
Number of retired or separated participants receiving benefits 2009-01-01 65
Total of all active and inactive participants 2009-01-01 488
Total participants 2009-01-01 488

Measure	Date	Value
2014: DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	473
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	448
Number of retired or separated participants receiving benefits	2014-01-01	28
Total of all active and inactive participants	2014-01-01	476
Total participants	2014-01-01	476
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
2013: DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	450
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	430
Number of retired or separated participants receiving benefits	2013-01-01	35
Total of all active and inactive participants	2013-01-01	465
Total participants	2013-01-01	465
2012: DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	467
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	446
Number of retired or separated participants receiving benefits	2012-01-01	33
Total of all active and inactive participants	2012-01-01	479
Total participants	2012-01-01	479
2011: DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	479
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	431
Number of retired or separated participants receiving benefits	2011-01-01	42
Total of all active and inactive participants	2011-01-01	473
Total participants	2011-01-01	473
2010: DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	491
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	429
Number of retired or separated participants receiving benefits	2010-01-01	45
Total of all active and inactive participants	2010-01-01	474
Total participants	2010-01-01	474
2009: DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	504
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	423
Number of retired or separated participants receiving benefits	2009-01-01	65
Total of all active and inactive participants	2009-01-01	488
Total participants	2009-01-01	488

Form 5500 Responses for DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE PLAN

2014: DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE 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 – Insurance	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE 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 – Insurance	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
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 – Insurance	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: DUCKS UNLIMITED, INC. EMPLOYEE GROUP HEALTHCARE PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )

Policy contract number

115594

Policy instance

Insurance contract or identification number	115594
Number of Individuals Covered	1248
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with allocated funds for individual policies?	0
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	Yes
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
Welfare Benefit Premiums Paid to Carrier	USD $301,748
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	DUCKS UNLIMITED, INC.
Employer identification number (EIN):	135643799
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1986-12-09
Company Identification Number:	0007116807
Legal Registered Office Address:	1 WATERFOWL WAY C/O BETSY BOLFING MEMPHIS United States of America (USA) 38120

Plan id#	Filing Submission Date	Name of Administrator
503	2014-01-01	WAYNE DIERKS
503	2014-01-01
503	2013-01-01	WAYNE DIERKS
503	2012-01-01	WAYNE DIERKS
503	2011-01-01	WAYNE DIERKS
503	2010-01-01	WAYNE DIERKS
503	2009-01-01	WAYNE DIERKS