401k Plan data: SECOND SKIN LLC PROFIT SHARING PLAN plan

SECOND SKIN LLC PROFIT SHARING PLAN 401k Plan overview

Plan Name	SECOND SKIN LLC PROFIT SHARING PLAN
Plan identification number	003

SECOND SKIN LLC PROFIT SHARING 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.
Plan covering Self-Employed individuals.

401k Sponsoring company profile

SECOND SKIN LLC has sponsored the creation of one or more 401k plans.

Company Name: SECOND SKIN LLC

Employer identification number (EIN): 223800350

NAIC Classification: 424300

Additional information about SECOND SKIN LLC

Jurisdiction of Incorporation: Colorado Department of State

Incorporation Date: 2014-08-25

Company Identification Number: 20141519371

Legal Registered Office Address: 91 Beaver Creek Place
Suite 102
Avon
United States of America (USA)
81620

More information about SECOND SKIN LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SECOND SKIN LLC PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2013-01-01
003 2012-01-01 CHRISTINE DENTE CHRISTINE DENTE 2013-10-09
003 2011-01-01 CHRISTINE DENTE CHRISTINE DENTE 2013-02-26
003 2009-01-01 CHRISTINE A. DENTE CHRISTINE A. DENTE 2010-10-13

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2013-01-01
003	2012-01-01	CHRISTINE DENTE	CHRISTINE DENTE	2013-10-09
003	2011-01-01	CHRISTINE DENTE	CHRISTINE DENTE	2013-02-26
003	2009-01-01	CHRISTINE A. DENTE	CHRISTINE A. DENTE	2010-10-13

Plan Statistics for SECOND SKIN LLC PROFIT SHARING PLAN

401k plan membership statisitcs for SECOND SKIN LLC PROFIT SHARING PLAN

Measure Date Value
2012: SECOND SKIN LLC PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 19
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 1
Number of participants with account balances 2012-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: SECOND SKIN LLC PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 20
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 9
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 10
Total of all active and inactive participants 2011-01-01 19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 19
Number of participants with account balances 2011-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: SECOND SKIN LLC PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 8
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 10
Total of all active and inactive participants 2009-01-01 18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 18
Number of participants with account balances 2009-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2012: SECOND SKIN LLC PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	19
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	1
Number of participants with account balances	2012-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: SECOND SKIN LLC PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	20
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	9
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	10
Total of all active and inactive participants	2011-01-01	19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	19
Number of participants with account balances	2011-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: SECOND SKIN LLC PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	8
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	10
Total of all active and inactive participants	2009-01-01	18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	18
Number of participants with account balances	2009-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on SECOND SKIN LLC PROFIT SHARING PLAN

Measure	Date	Value
2012 : SECOND SKIN LLC PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$2,564
Expenses. Total of all expenses incurred	2012-12-31	$46,445
Benefits paid (including direct rollovers)	2012-12-31	$45,892
Total plan assets at end of year	2012-12-31	$209,716
Total plan assets at beginning of year	2012-12-31	$253,597
Value of fidelity bond covering the plan	2012-12-31	$210,000
Total contributions received or receivable from participants	2012-12-31	$0
Assets. Value of loans (other than to participants)	2012-12-31	$202,537
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$2,564
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$-43,881
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$209,716
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$253,597
Total contributions received or receivable from employer(s)	2012-12-31	$0
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$553
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : SECOND SKIN LLC PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$4,972
Expenses. Total of all expenses incurred	2011-12-31	$361,308
Benefits paid (including direct rollovers)	2011-12-31	$360,107
Total plan assets at end of year	2011-12-31	$253,597
Total plan assets at beginning of year	2011-12-31	$609,933
Value of fidelity bond covering the plan	2011-12-31	$210,000
Total contributions received or receivable from participants	2011-12-31	$0
Assets. Value of loans (other than to participants)	2011-12-31	$193,919
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$4,972
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$-356,336
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$253,597
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$609,933
Total contributions received or receivable from employer(s)	2011-12-31	$0
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$1,201
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : SECOND SKIN LLC PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$52,577
Expenses. Total of all expenses incurred	2010-12-31	$32,290
Benefits paid (including direct rollovers)	2010-12-31	$22,368
Total plan assets at end of year	2010-12-31	$609,933
Total plan assets at beginning of year	2010-12-31	$589,646
Value of fidelity bond covering the plan	2010-12-31	$210,000
Total contributions received or receivable from participants	2010-12-31	$0
Assets. Value of loans (other than to participants)	2010-12-31	$202,537
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$52,577
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$20,287
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$609,933
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$589,646
Assets. Value of participant loans	2010-12-31	$31,181
Total contributions received or receivable from employer(s)	2010-12-31	$0
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$9,922

Form 5500 Responses for SECOND SKIN LLC PROFIT SHARING PLAN

2012: SECOND SKIN LLC PROFIT SHARING 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 – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: SECOND SKIN LLC PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
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 – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: SECOND SKIN LLC PROFIT SHARING 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 – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

AVIVA LIFE & ANNUITY CO. OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 63932 )

Policy contract number

1723576

Policy instance

Insurance contract or identification number	1723576
Number of Individuals Covered	1
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0

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

Policy contract number

80912

Policy instance

Insurance contract or identification number	80912
Number of Individuals Covered	0
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $375
Total amount of fees paid to insurance company	USD $0
Commission paid to Insurance Broker	USD $354
Insurance broker organization code?	3
Insurance broker name	IMPROVED FUNDING TECHNIQUES INC.

AVIVA LIFE & ANNUITY CO. OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 63932 )

Policy contract number

1723576

Policy instance

Insurance contract or identification number	1723576
Number of Individuals Covered	1
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31

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

Policy contract number

80912

Policy instance

Insurance contract or identification number	80912
Number of Individuals Covered	13
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $961
Total amount of fees paid to insurance company	USD $5,396

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Company Name:	SECOND SKIN LLC
Employer identification number (EIN):	223800350
NAIC Classification:	424300

Jurisdiction of Incorporation:	Colorado Department of State
Incorporation Date:	2014-08-25
Company Identification Number:	20141519371
Legal Registered Office Address:	91 Beaver Creek Place Suite 102 Avon United States of America (USA) 81620