401k Plan data: EBMC EMPLOYEE BENEFIT PLAN plan

EBMC EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	EBMC EMPLOYEE BENEFIT PLAN
Plan identification number	501

EBMC EMPLOYEE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

EMPLOYEE BENEFIT MANAGEMENT CORP. has sponsored the creation of one or more 401k plans.

Company Name: EMPLOYEE BENEFIT MANAGEMENT CORP.

Employer identification number (EIN): 310747539

NAIC Classification: 541990
NAIC Description: All Other Professional, Scientific, and Technical Services

Additional information about EMPLOYEE BENEFIT MANAGEMENT CORP.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division

Incorporation Date: 1968-10-22

Company Identification Number: 376829

Legal Registered Office Address: 4789 RINGS ROAD
-
DUBLIN
United States of America (USA)
43017

More information about EMPLOYEE BENEFIT MANAGEMENT CORP.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EBMC EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2014-10-01 DANIEL J. BROWN, EXEC. VP
501 2013-10-01 JAMES ARMSTRONG, CFO
501 2012-10-01 KENNETH PATRICK, PRESIDENT
501 2011-10-01 KENNETH PATRICK, PRESIDENT
501 2010-10-01 KENNETH PATRICK, PRESIDENT
501 2009-10-01 KENNETH PATRICK, PRESIDENT
501 2008-10-01

Plan Statistics for EBMC EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for EBMC EMPLOYEE BENEFIT PLAN

Measure Date Value
2014: EBMC EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 46
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 0
Number of retired or separated participants receiving benefits 2014-10-01 0
Number of other retired or separated participants entitled to future benefits 2014-10-01 0
Total of all active and inactive participants 2014-10-01 0
2013: EBMC EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 47
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 46
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 0
Total of all active and inactive participants 2013-10-01 46
2012: EBMC EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 55
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 43
Number of retired or separated participants receiving benefits 2012-10-01 11
Number of other retired or separated participants entitled to future benefits 2012-10-01 0
Total of all active and inactive participants 2012-10-01 54
2011: EBMC EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 76
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 55
Number of retired or separated participants receiving benefits 2011-10-01 11
Number of other retired or separated participants entitled to future benefits 2011-10-01 0
Total of all active and inactive participants 2011-10-01 66
2010: EBMC EMPLOYEE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-10-01 98
Total number of active participants reported on line 7a of the Form 5500 2010-10-01 72
Number of retired or separated participants receiving benefits 2010-10-01 21
Number of other retired or separated participants entitled to future benefits 2010-10-01 0
Total of all active and inactive participants 2010-10-01 93
2009: EBMC EMPLOYEE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 96
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 80
Number of retired or separated participants receiving benefits 2009-10-01 18
Number of other retired or separated participants entitled to future benefits 2009-10-01 0
Total of all active and inactive participants 2009-10-01 98

Measure	Date	Value
2014: EBMC EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	46
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	0
Number of retired or separated participants receiving benefits	2014-10-01	0
Number of other retired or separated participants entitled to future benefits	2014-10-01	0
Total of all active and inactive participants	2014-10-01	0
2013: EBMC EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	47
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	46
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	0
Total of all active and inactive participants	2013-10-01	46
2012: EBMC EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	55
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	43
Number of retired or separated participants receiving benefits	2012-10-01	11
Number of other retired or separated participants entitled to future benefits	2012-10-01	0
Total of all active and inactive participants	2012-10-01	54
2011: EBMC EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	76
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	55
Number of retired or separated participants receiving benefits	2011-10-01	11
Number of other retired or separated participants entitled to future benefits	2011-10-01	0
Total of all active and inactive participants	2011-10-01	66
2010: EBMC EMPLOYEE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-10-01	98
Total number of active participants reported on line 7a of the Form 5500	2010-10-01	72
Number of retired or separated participants receiving benefits	2010-10-01	21
Number of other retired or separated participants entitled to future benefits	2010-10-01	0
Total of all active and inactive participants	2010-10-01	93
2009: EBMC EMPLOYEE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	96
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	80
Number of retired or separated participants receiving benefits	2009-10-01	18
Number of other retired or separated participants entitled to future benefits	2009-10-01	0
Total of all active and inactive participants	2009-10-01	98

Financial Data on EBMC EMPLOYEE BENEFIT PLAN

Measure	Date	Value
2015 : EBMC EMPLOYEE BENEFIT PLAN 2015 401k financial data
Transfers to/from the plan	2015-09-30	$0
Total plan liabilities at end of year	2015-09-30	$0
Total plan liabilities at beginning of year	2015-09-30	$29
Total income from all sources	2015-09-30	$42,828
Expenses. Total of all expenses incurred	2015-09-30	$42,799
Benefits paid (including direct rollovers)	2015-09-30	$42,767
Total plan assets at end of year	2015-09-30	$0
Total plan assets at beginning of year	2015-09-30	$0
Value of fidelity bond covering the plan	2015-09-30	$2,000,000
Total contributions received or receivable from participants	2015-09-30	$23,070
Expenses. Other expenses not covered elsewhere	2015-09-30	$32
Net income (gross income less expenses)	2015-09-30	$29
Net plan assets at end of year (total assets less liabilities)	2015-09-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-09-30	$-29
Total contributions received or receivable from employer(s)	2015-09-30	$19,758
2014 : EBMC EMPLOYEE BENEFIT PLAN 2014 401k financial data
Transfers to/from the plan	2014-09-30	$0
Total plan liabilities at end of year	2014-09-30	$29
Total plan liabilities at beginning of year	2014-09-30	$29
Total income from all sources	2014-09-30	$76,362
Expenses. Total of all expenses incurred	2014-09-30	$76,362
Benefits paid (including direct rollovers)	2014-09-30	$76,244
Total plan assets at end of year	2014-09-30	$0
Total plan assets at beginning of year	2014-09-30	$0
Value of fidelity bond covering the plan	2014-09-30	$2,000,000
Total contributions received or receivable from participants	2014-09-30	$25,518
Expenses. Other expenses not covered elsewhere	2014-09-30	$118
Other income received	2014-09-30	$3,821
Net income (gross income less expenses)	2014-09-30	$0
Net plan assets at end of year (total assets less liabilities)	2014-09-30	$-29
Net plan assets at beginning of year (total assets less liabilities)	2014-09-30	$-29
Total contributions received or receivable from employer(s)	2014-09-30	$47,023
2013 : EBMC EMPLOYEE BENEFIT PLAN 2013 401k financial data
Transfers to/from the plan	2013-09-30	$0
Total plan liabilities at end of year	2013-09-30	$29
Total plan liabilities at beginning of year	2013-09-30	$29
Total income from all sources	2013-09-30	$747,922
Expenses. Total of all expenses incurred	2013-09-30	$747,922
Benefits paid (including direct rollovers)	2013-09-30	$747,387
Total plan assets at end of year	2013-09-30	$0
Total plan assets at beginning of year	2013-09-30	$0
Value of fidelity bond covering the plan	2013-09-30	$2,000,000
Total contributions received or receivable from participants	2013-09-30	$58,345
Expenses. Other expenses not covered elsewhere	2013-09-30	$535
Contributions received from other sources (not participants or employers)	2013-09-30	$0
Net income (gross income less expenses)	2013-09-30	$0
Net plan assets at end of year (total assets less liabilities)	2013-09-30	$-29
Net plan assets at beginning of year (total assets less liabilities)	2013-09-30	$-29
Total contributions received or receivable from employer(s)	2013-09-30	$689,577
2012 : EBMC EMPLOYEE BENEFIT PLAN 2012 401k financial data
Transfers to/from the plan	2012-09-30	$0
Total plan liabilities at end of year	2012-09-30	$29
Total plan liabilities at beginning of year	2012-09-30	$29
Total income from all sources	2012-09-30	$772,260
Expenses. Total of all expenses incurred	2012-09-30	$772,260
Benefits paid (including direct rollovers)	2012-09-30	$770,166
Total plan assets at end of year	2012-09-30	$0
Total plan assets at beginning of year	2012-09-30	$0
Value of fidelity bond covering the plan	2012-09-30	$2,000,000
Total contributions received or receivable from participants	2012-09-30	$62,375
Expenses. Other expenses not covered elsewhere	2012-09-30	$2,094
Contributions received from other sources (not participants or employers)	2012-09-30	$6,630
Other income received	2012-09-30	$8,886
Net income (gross income less expenses)	2012-09-30	$0
Net plan assets at end of year (total assets less liabilities)	2012-09-30	$-29
Net plan assets at beginning of year (total assets less liabilities)	2012-09-30	$-29
Total contributions received or receivable from employer(s)	2012-09-30	$694,369
2011 : EBMC EMPLOYEE BENEFIT PLAN 2011 401k financial data
Transfers to/from the plan	2011-09-30	$0
Total plan liabilities at end of year	2011-09-30	$29
Total plan liabilities at beginning of year	2011-09-30	$165
Total income from all sources	2011-09-30	$906,485
Expenses. Total of all expenses incurred	2011-09-30	$906,349
Benefits paid (including direct rollovers)	2011-09-30	$894,209
Total plan assets at end of year	2011-09-30	$0
Total plan assets at beginning of year	2011-09-30	$0
Value of fidelity bond covering the plan	2011-09-30	$2,000,000
Total contributions received or receivable from participants	2011-09-30	$63,804
Expenses. Other expenses not covered elsewhere	2011-09-30	$2,736
Contributions received from other sources (not participants or employers)	2011-09-30	$10,946
Other income received	2011-09-30	$10,618
Net income (gross income less expenses)	2011-09-30	$136
Net plan assets at end of year (total assets less liabilities)	2011-09-30	$-29
Net plan assets at beginning of year (total assets less liabilities)	2011-09-30	$-165
Total contributions received or receivable from employer(s)	2011-09-30	$821,117
Expenses. Administrative service providers (salaries,fees and commissions)	2011-09-30	$9,404

Form 5500 Responses for EBMC EMPLOYEE BENEFIT PLAN

2014: EBMC EMPLOYEE BENEFIT PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	No
2014-10-01	This submission is the final filing	Yes
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	No
2014-10-01	Plan funding arrangement – Trust	Yes
2014-10-01	Plan benefit arrangement - Trust	Yes
2013: EBMC EMPLOYEE BENEFIT PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Trust	Yes
2013-10-01	Plan benefit arrangement - Trust	Yes
2012: EBMC EMPLOYEE BENEFIT PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	No
2012-10-01	Plan funding arrangement – Trust	Yes
2012-10-01	Plan benefit arrangement - Trust	Yes
2011: EBMC EMPLOYEE BENEFIT PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Submission has been amended	No
2011-10-01	This submission is the final filing	No
2011-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-10-01	Plan is a collectively bargained plan	No
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan funding arrangement – Trust	Yes
2011-10-01	Plan benefit arrangement – Insurance	Yes
2011-10-01	Plan benefit arrangement - Trust	Yes
2010: EBMC EMPLOYEE BENEFIT PLAN 2010 form 5500 responses
2010-10-01	Type of plan entity	Single employer plan
2010-10-01	Submission has been amended	No
2010-10-01	This submission is the final filing	No
2010-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-10-01	Plan is a collectively bargained plan	No
2010-10-01	Plan funding arrangement – Insurance	Yes
2010-10-01	Plan funding arrangement – Trust	Yes
2010-10-01	Plan benefit arrangement – Insurance	Yes
2010-10-01	Plan benefit arrangement - Trust	Yes
2009: EBMC EMPLOYEE BENEFIT PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Submission has been amended	No
2009-10-01	This submission is the final filing	No
2009-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-10-01	Plan is a collectively bargained plan	No
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan funding arrangement – Trust	Yes
2009-10-01	Plan benefit arrangement – Insurance	Yes
2009-10-01	Plan benefit arrangement - Trust	Yes
2008: EBMC EMPLOYEE BENEFIT PLAN 2008 form 5500 responses
2008-10-01	Type of plan entity	Single employer plan
2008-10-01	Submission has been amended	No
2008-10-01	This submission is the final filing	No
2008-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-10-01	Plan is a collectively bargained plan	No

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G7663

Policy instance

Insurance contract or identification number	G7663
Number of Individuals Covered	55
Insurance policy start date	2011-10-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
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	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
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 $7,700
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

LINCOLN NATIONAL LIFE (National Association of Insurance Commissioners NAIC id number: 38830 )

Policy contract number

GL10154557

Policy instance

Insurance contract or identification number	GL10154557
Number of Individuals Covered	55
Insurance policy start date	2012-01-01
Insurance policy end date	2012-09-30
Total amount of commissions paid to insurance broker	USD $0
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	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	AD&D
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 $20,154
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G7663

Policy instance

Insurance contract or identification number	G7663
Number of Individuals Covered	93
Insurance policy start date	2010-10-01
Insurance policy end date	2011-09-30
Total amount of commissions paid to insurance broker	USD $0
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	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
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 $32,999
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	EMPLOYEE BENEFIT MANAGEMENT CORP.
Employer identification number (EIN):	310747539
NAIC Classification:	541990
NAIC Description:	All Other Professional, Scientific, and Technical Services

Jurisdiction of Incorporation:	Ohio Secretary of State Business Services Division
Incorporation Date:	1968-10-22
Company Identification Number:	376829
Legal Registered Office Address:	4789 RINGS ROAD - DUBLIN United States of America (USA) 43017

Plan id#	Filing Submission Date	Name of Administrator
501	2014-10-01	DANIEL J. BROWN, EXEC. VP
501	2013-10-01	JAMES ARMSTRONG, CFO
501	2012-10-01	KENNETH PATRICK, PRESIDENT
501	2011-10-01	KENNETH PATRICK, PRESIDENT
501	2010-10-01	KENNETH PATRICK, PRESIDENT
501	2009-10-01	KENNETH PATRICK, PRESIDENT
501	2008-10-01