401k Plan data: ENDICOTT PRECISION MEDICAL PLAN plan

ENDICOTT PRECISION MEDICAL PLAN 401k Plan overview

Plan Name	ENDICOTT PRECISION MEDICAL PLAN
Plan identification number	505

ENDICOTT PRECISION MEDICAL PLAN Benefits

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

401k Sponsoring company profile

ENDICOTT PRECISION INC. has sponsored the creation of one or more 401k plans.

Company Name: ENDICOTT PRECISION INC.

Employer identification number (EIN): 160964323

NAIC Classification: 332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ENDICOTT PRECISION MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2015-04-01 RONALD OLIVERIA
505 2014-04-01 RONALD OLIVERIA
505 2013-04-01 RONALD OLIVERIA
505 2012-04-01 RONALD OLIVEIRA
505 2011-04-01 RONALD OLIVEIRA
505 2010-04-01 RONALD OLIVEIRA
505 2009-04-01 RONALD OLIVEIRA
505 2009-04-01 RONALD OLIVEIRA

Plan id#	Filing Submission Date	Name of Administrator
505	2015-04-01	RONALD OLIVERIA
505	2014-04-01	RONALD OLIVERIA
505	2013-04-01	RONALD OLIVERIA
505	2012-04-01	RONALD OLIVEIRA
505	2011-04-01	RONALD OLIVEIRA
505	2010-04-01	RONALD OLIVEIRA
505	2009-04-01	RONALD OLIVEIRA
505	2009-04-01	RONALD OLIVEIRA

Plan Statistics for ENDICOTT PRECISION MEDICAL PLAN

401k plan membership statisitcs for ENDICOTT PRECISION MEDICAL PLAN

Measure Date Value
2015: ENDICOTT PRECISION MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-04-01 119
Total number of active participants reported on line 7a of the Form 5500 2015-04-01 113
Number of retired or separated participants receiving benefits 2015-04-01 0
Number of other retired or separated participants entitled to future benefits 2015-04-01 0
Total of all active and inactive participants 2015-04-01 113
Total participants 2015-04-01 113
2014: ENDICOTT PRECISION MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-04-01 120
Total number of active participants reported on line 7a of the Form 5500 2014-04-01 110
Number of retired or separated participants receiving benefits 2014-04-01 0
Number of other retired or separated participants entitled to future benefits 2014-04-01 0
Total of all active and inactive participants 2014-04-01 110
Total participants 2014-04-01 110
2013: ENDICOTT PRECISION MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-04-01 118
Total number of active participants reported on line 7a of the Form 5500 2013-04-01 120
Number of retired or separated participants receiving benefits 2013-04-01 0
Number of other retired or separated participants entitled to future benefits 2013-04-01 0
Total of all active and inactive participants 2013-04-01 120
Total participants 2013-04-01 120
2012: ENDICOTT PRECISION MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-04-01 118
Total number of active participants reported on line 7a of the Form 5500 2012-04-01 119
Number of retired or separated participants receiving benefits 2012-04-01 0
Number of other retired or separated participants entitled to future benefits 2012-04-01 0
Total of all active and inactive participants 2012-04-01 119
2011: ENDICOTT PRECISION MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-04-01 122
Total number of active participants reported on line 7a of the Form 5500 2011-04-01 118
Number of retired or separated participants receiving benefits 2011-04-01 0
Number of other retired or separated participants entitled to future benefits 2011-04-01 0
Total of all active and inactive participants 2011-04-01 118
2010: ENDICOTT PRECISION MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year 2010-04-01 123
Total number of active participants reported on line 7a of the Form 5500 2010-04-01 122
Number of retired or separated participants receiving benefits 2010-04-01 0
Number of other retired or separated participants entitled to future benefits 2010-04-01 0
Total of all active and inactive participants 2010-04-01 122
2009: ENDICOTT PRECISION MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-04-01 127
Total number of active participants reported on line 7a of the Form 5500 2009-04-01 112
Number of retired or separated participants receiving benefits 2009-04-01 0
Number of other retired or separated participants entitled to future benefits 2009-04-01 0
Total of all active and inactive participants 2009-04-01 112

Measure	Date	Value
2015: ENDICOTT PRECISION MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-04-01	119
Total number of active participants reported on line 7a of the Form 5500	2015-04-01	113
Number of retired or separated participants receiving benefits	2015-04-01	0
Number of other retired or separated participants entitled to future benefits	2015-04-01	0
Total of all active and inactive participants	2015-04-01	113
Total participants	2015-04-01	113
2014: ENDICOTT PRECISION MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-04-01	120
Total number of active participants reported on line 7a of the Form 5500	2014-04-01	110
Number of retired or separated participants receiving benefits	2014-04-01	0
Number of other retired or separated participants entitled to future benefits	2014-04-01	0
Total of all active and inactive participants	2014-04-01	110
Total participants	2014-04-01	110
2013: ENDICOTT PRECISION MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-04-01	118
Total number of active participants reported on line 7a of the Form 5500	2013-04-01	120
Number of retired or separated participants receiving benefits	2013-04-01	0
Number of other retired or separated participants entitled to future benefits	2013-04-01	0
Total of all active and inactive participants	2013-04-01	120
Total participants	2013-04-01	120
2012: ENDICOTT PRECISION MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-04-01	118
Total number of active participants reported on line 7a of the Form 5500	2012-04-01	119
Number of retired or separated participants receiving benefits	2012-04-01	0
Number of other retired or separated participants entitled to future benefits	2012-04-01	0
Total of all active and inactive participants	2012-04-01	119
2011: ENDICOTT PRECISION MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-04-01	122
Total number of active participants reported on line 7a of the Form 5500	2011-04-01	118
Number of retired or separated participants receiving benefits	2011-04-01	0
Number of other retired or separated participants entitled to future benefits	2011-04-01	0
Total of all active and inactive participants	2011-04-01	118
2010: ENDICOTT PRECISION MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year	2010-04-01	123
Total number of active participants reported on line 7a of the Form 5500	2010-04-01	122
Number of retired or separated participants receiving benefits	2010-04-01	0
Number of other retired or separated participants entitled to future benefits	2010-04-01	0
Total of all active and inactive participants	2010-04-01	122
2009: ENDICOTT PRECISION MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-04-01	127
Total number of active participants reported on line 7a of the Form 5500	2009-04-01	112
Number of retired or separated participants receiving benefits	2009-04-01	0
Number of other retired or separated participants entitled to future benefits	2009-04-01	0
Total of all active and inactive participants	2009-04-01	112

Form 5500 Responses for ENDICOTT PRECISION MEDICAL PLAN

2015: ENDICOTT PRECISION MEDICAL PLAN 2015 form 5500 responses
2015-04-01	Type of plan entity	Single employer plan
2015-04-01	Plan funding arrangement – Insurance	Yes
2015-04-01	Plan benefit arrangement – Insurance	Yes
2014: ENDICOTT PRECISION MEDICAL PLAN 2014 form 5500 responses
2014-04-01	Type of plan entity	Single employer plan
2014-04-01	Plan funding arrangement – Insurance	Yes
2014-04-01	Plan benefit arrangement – Insurance	Yes
2013: ENDICOTT PRECISION MEDICAL PLAN 2013 form 5500 responses
2013-04-01	Type of plan entity	Single employer plan
2013-04-01	Plan funding arrangement – Insurance	Yes
2013-04-01	Plan benefit arrangement – Insurance	Yes
2012: ENDICOTT PRECISION MEDICAL PLAN 2012 form 5500 responses
2012-04-01	Type of plan entity	Single employer plan
2012-04-01	Submission has been amended	No
2012-04-01	This submission is the final filing	No
2012-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-04-01	Plan is a collectively bargained plan	No
2012-04-01	Plan funding arrangement – Insurance	Yes
2012-04-01	Plan benefit arrangement – Insurance	Yes
2011: ENDICOTT PRECISION MEDICAL PLAN 2011 form 5500 responses
2011-04-01	Type of plan entity	Single employer plan
2011-04-01	Submission has been amended	No
2011-04-01	This submission is the final filing	No
2011-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-04-01	Plan is a collectively bargained plan	No
2011-04-01	Plan funding arrangement – Insurance	Yes
2011-04-01	Plan benefit arrangement – Insurance	Yes
2010: ENDICOTT PRECISION MEDICAL PLAN 2010 form 5500 responses
2010-04-01	Type of plan entity	Single employer plan
2010-04-01	Submission has been amended	No
2010-04-01	This submission is the final filing	No
2010-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-04-01	Plan is a collectively bargained plan	No
2010-04-01	Plan funding arrangement – Insurance	Yes
2010-04-01	Plan benefit arrangement – Insurance	Yes
2009: ENDICOTT PRECISION MEDICAL PLAN 2009 form 5500 responses
2009-04-01	Type of plan entity	Single employer plan
2009-04-01	Submission has been amended	Yes
2009-04-01	This submission is the final filing	No
2009-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-04-01	Plan is a collectively bargained plan	No
2009-04-01	Plan funding arrangement – Insurance	Yes
2009-04-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

112467

Policy instance

Insurance contract or identification number	112467
Number of Individuals Covered	113
Insurance policy start date	2015-06-01
Insurance policy end date	2016-05-31
Total amount of commissions paid to insurance broker	USD $68,992
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $68,992
Insurance broker organization code?	3
Insurance broker name	NBT MANG INSURANCE AGENCY

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

12805

Policy instance

Insurance contract or identification number	12805
Number of Individuals Covered	119
Insurance policy start date	2014-04-01
Insurance policy end date	2015-03-31
Total amount of commissions paid to insurance broker	USD $72,957
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $72,957
Insurance broker organization code?	3
Insurance broker name	NFP CORPORATE SERVICES NY

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

12805

Policy instance

Insurance contract or identification number	12805
Number of Individuals Covered	118
Insurance policy start date	2013-04-01
Insurance policy end date	2014-03-31
Total amount of commissions paid to insurance broker	USD $51,719
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $51,719
Insurance broker organization code?	3
Insurance broker name	UNITED ADVISORS, LLC

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

12805

Policy instance

Insurance contract or identification number	12805
Number of Individuals Covered	119
Insurance policy start date	2012-04-01
Insurance policy end date	2013-03-31
Total amount of commissions paid to insurance broker	USD $60,320
Total amount of fees paid to insurance company	USD $0
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	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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $60,320
Insurance broker organization code?	3
Insurance broker name	UNITED ADVISORS, LLC

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

12805

Policy instance

Insurance contract or identification number	12805
Number of Individuals Covered	118
Insurance policy start date	2011-04-01
Insurance policy end date	2012-03-31
Total amount of commissions paid to insurance broker	USD $45,905
Total amount of fees paid to insurance company	USD $0
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	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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

12805

Policy instance

Insurance contract or identification number	12805
Number of Individuals Covered	122
Insurance policy start date	2010-04-01
Insurance policy end date	2011-03-31
Total amount of commissions paid to insurance broker	USD $54,933
Total amount of fees paid to insurance company	USD $0
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	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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	ENDICOTT PRECISION INC.
Employer identification number (EIN):	160964323
NAIC Classification:	332900