401k Plan data: DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN plan

DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN 401k Plan overview

Plan Name	DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN
Plan identification number	502

DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

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

Company Name: DYNABRADE, INC.

Employer identification number (EIN): 160950182

NAIC Classification: 332210

Additional information about DYNABRADE, INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date: 2006-09-01

Company Identification Number: 4207874

Legal Registered Office Address: Corporation Trust Center
1209 Orange St
Wilmington
United States of America (USA)
19801

More information about DYNABRADE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2016-01-01 MICHAEL C BUFFAMONTI MICHAEL C BUFFAMONTI 2016-12-15
502 2015-01-01 MICHAEL C BUFFAMONTI MICHAEL C BUFFAMONTI 2016-07-20
502 2014-01-01 MICHAEL C BUFFAMONTI MICHAEL C BUFFAMONTI 2015-07-21
502 2013-01-01 MICHAEL C BUFFAMONTI MICHAEL C BUFFAMONTI 2014-07-17
502 2012-01-01 MICHAEL C BUFFAMONTI MICHAEL C BUFFAMONTI 2013-06-07
502 2011-01-01 MICHAEL C BUFFAMONTI MICHAEL C BUFFAMONTI 2012-06-26
502 2010-01-01 MICHAEL C BUFFAMONTI MICHAEL C BUFFAMONTI 2011-06-06
502 2009-06-01 MICHAEL C BUFFAMONTI MICHAEL C BUFFAMONTI 2011-03-10
502 2009-01-01 MICHAEL BUFFAMONTI MICHAEL BUFFAMONTI 2010-07-29

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
502	2016-01-01	MICHAEL C BUFFAMONTI	MICHAEL C BUFFAMONTI	2016-12-15
502	2015-01-01	MICHAEL C BUFFAMONTI	MICHAEL C BUFFAMONTI	2016-07-20
502	2014-01-01	MICHAEL C BUFFAMONTI	MICHAEL C BUFFAMONTI	2015-07-21
502	2013-01-01	MICHAEL C BUFFAMONTI	MICHAEL C BUFFAMONTI	2014-07-17
502	2012-01-01	MICHAEL C BUFFAMONTI	MICHAEL C BUFFAMONTI	2013-06-07
502	2011-01-01	MICHAEL C BUFFAMONTI	MICHAEL C BUFFAMONTI	2012-06-26
502	2010-01-01	MICHAEL C BUFFAMONTI	MICHAEL C BUFFAMONTI	2011-06-06
502	2009-06-01	MICHAEL C BUFFAMONTI	MICHAEL C BUFFAMONTI	2011-03-10
502	2009-01-01	MICHAEL BUFFAMONTI	MICHAEL BUFFAMONTI	2010-07-29

Plan Statistics for DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN

401k plan membership statisitcs for DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN

Measure Date Value
2016: DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 168
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
2015: DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 163
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 168
Total of all active and inactive participants 2015-01-01 168
2014: DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 161
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 163
Total of all active and inactive participants 2014-01-01 163
2013: DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 154
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 161
Total of all active and inactive participants 2013-01-01 161
2012: DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 145
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 154
Total of all active and inactive participants 2012-01-01 154
2011: DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 129
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 145
Total of all active and inactive participants 2011-01-01 145
2010: DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 157
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 129
Total of all active and inactive participants 2010-01-01 129
2009: DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN 2009 401k membership
Total participants, beginning-of-year 2009-06-01 67
Total number of active participants reported on line 7a of the Form 5500 2009-06-01 0
Total of all active and inactive participants 2009-06-01 0
Total participants, beginning-of-year 2009-01-01 191
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 157
Total of all active and inactive participants 2009-01-01 157

Measure	Date	Value
2016: DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	168
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
2015: DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	163
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	168
Total of all active and inactive participants	2015-01-01	168
2014: DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	161
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	163
Total of all active and inactive participants	2014-01-01	163
2013: DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	154
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	161
Total of all active and inactive participants	2013-01-01	161
2012: DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	145
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	154
Total of all active and inactive participants	2012-01-01	154
2011: DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	129
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	145
Total of all active and inactive participants	2011-01-01	145
2010: DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	157
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	129
Total of all active and inactive participants	2010-01-01	129
2009: DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN 2009 401k membership
Total participants, beginning-of-year	2009-06-01	67
Total number of active participants reported on line 7a of the Form 5500	2009-06-01	0
Total of all active and inactive participants	2009-06-01	0
Total participants, beginning-of-year	2009-01-01	191
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	157
Total of all active and inactive participants	2009-01-01	157

Form 5500 Responses for DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN

2016: DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
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)	Yes
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: DYNABRADE, INC. LONG TERM DISABILITY INCOME PLAN 2009 form 5500 responses
2009-06-01	Type of plan entity	Single employer plan
2009-06-01	This submission is the final filing	Yes
2009-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	699903G
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	699903G
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	699903G
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	699903G
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	699903G
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	699903G
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	699903G
Policy instance	1

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Company Name:	DYNABRADE, INC.
Employer identification number (EIN):	160950182
NAIC Classification:	332210

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:	2006-09-01
Company Identification Number:	4207874
Legal Registered Office Address:	Corporation Trust Center 1209 Orange St Wilmington United States of America (USA) 19801