401k Plan data: UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS PLAN plan

UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS PLAN 401k Plan overview

Plan Name	UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS PLAN
Plan identification number	506

UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

UNI-SELECT USA, INC. has sponsored the creation of one or more 401k plans.

Company Name: UNI-SELECT USA, INC.

Employer identification number (EIN): 200769630

NAIC Classification: 441300
NAIC Description: Automotive Parts, Accessories, and Tire Stores

Additional information about UNI-SELECT USA, INC.

Jurisdiction of Incorporation: Vermont Secretary of State Corporations Division

Incorporation Date: 2007-12-10

Company Identification Number: 84475

Legal Registered Office Address: 400 CORNERSTONE DR #240

WILLISTON
United States of America (USA)
05495

More information about UNI-SELECT USA, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
506 2014-01-01 LYNN BORYK
506 2013-01-01 LYNN BORYK
506 2012-01-01 LYNN BORYK
506 2011-01-01 LYNN BORYK
506 2009-01-01 AMBER HARTMAN
506 2008-01-01 AMBER HARTMAN

Plan id#	Filing Submission Date	Name of Administrator
506	2014-01-01	LYNN BORYK
506	2013-01-01	LYNN BORYK
506	2012-01-01	LYNN BORYK
506	2011-01-01	LYNN BORYK
506	2009-01-01	AMBER HARTMAN
506	2008-01-01	AMBER HARTMAN

Plan Statistics for UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS PLAN

401k plan membership statisitcs for UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS PLAN

Measure Date Value
2014: UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 3,702
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2,377
Number of retired or separated participants receiving benefits 2014-01-01 31
Number of other retired or separated participants entitled to future benefits 2014-01-01 47
Total of all active and inactive participants 2014-01-01 2,455
2013: UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 4,226
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 3,578
Number of retired or separated participants receiving benefits 2013-01-01 47
Number of other retired or separated participants entitled to future benefits 2013-01-01 77
Total of all active and inactive participants 2013-01-01 3,702
2012: UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2,453
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 4,107
Number of retired or separated participants receiving benefits 2012-01-01 46
Number of other retired or separated participants entitled to future benefits 2012-01-01 73
Total of all active and inactive participants 2012-01-01 4,226
2011: UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2,741
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2,453
Number of retired or separated participants receiving benefits 2011-01-01 19
Number of other retired or separated participants entitled to future benefits 2011-01-01 19
Total of all active and inactive participants 2011-01-01 2,491
2009: UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2,372
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2,701
Number of retired or separated participants receiving benefits 2009-01-01 39
Number of other retired or separated participants entitled to future benefits 2009-01-01 51
Total of all active and inactive participants 2009-01-01 2,791
2008: UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 2,363
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 2,362
Number of retired or separated participants receiving benefits 2008-01-01 10
Number of other retired or separated participants entitled to future benefits 2008-01-01 43
Total of all active and inactive participants 2008-01-01 2,415

Measure	Date	Value
2014: UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	3,702
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2,377
Number of retired or separated participants receiving benefits	2014-01-01	31
Number of other retired or separated participants entitled to future benefits	2014-01-01	47
Total of all active and inactive participants	2014-01-01	2,455
2013: UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	4,226
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	3,578
Number of retired or separated participants receiving benefits	2013-01-01	47
Number of other retired or separated participants entitled to future benefits	2013-01-01	77
Total of all active and inactive participants	2013-01-01	3,702
2012: UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2,453
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	4,107
Number of retired or separated participants receiving benefits	2012-01-01	46
Number of other retired or separated participants entitled to future benefits	2012-01-01	73
Total of all active and inactive participants	2012-01-01	4,226
2011: UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2,741
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2,453
Number of retired or separated participants receiving benefits	2011-01-01	19
Number of other retired or separated participants entitled to future benefits	2011-01-01	19
Total of all active and inactive participants	2011-01-01	2,491
2009: UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2,372
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2,701
Number of retired or separated participants receiving benefits	2009-01-01	39
Number of other retired or separated participants entitled to future benefits	2009-01-01	51
Total of all active and inactive participants	2009-01-01	2,791
2008: UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	2,363
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	2,362
Number of retired or separated participants receiving benefits	2008-01-01	10
Number of other retired or separated participants entitled to future benefits	2008-01-01	43
Total of all active and inactive participants	2008-01-01	2,415

Form 5500 Responses for UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS PLAN

2014: UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS 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: UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
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: UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS 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: UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS 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
2009: UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS 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
2008: UNI-SELECT USA COMPREHENSIVE HEALTH & WELFARE BENEFITS PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	Yes
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – Insurance	Yes
2008-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2008-01-01	Plan benefit arrangement – Insurance	Yes
2008-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	UNI-SELECT USA, INC.
Employer identification number (EIN):	200769630
NAIC Classification:	441300
NAIC Description:	Automotive Parts, Accessories, and Tire Stores

Jurisdiction of Incorporation:	Vermont Secretary of State Corporations Division
Incorporation Date:	2007-12-10
Company Identification Number:	84475
Legal Registered Office Address:	400 CORNERSTONE DR #240 WILLISTON United States of America (USA) 05495