401k Plan data: NATIONAL SIGN SYSTEMS, INC. EMPLOYEE BENEFITS PLAN plan

NATIONAL SIGN SYSTEMS, INC. EMPLOYEE BENEFITS PLAN 401k Plan overview

Plan Name	NATIONAL SIGN SYSTEMS, INC. EMPLOYEE BENEFITS PLAN
Plan identification number	501

NATIONAL SIGN SYSTEMS, INC. EMPLOYEE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

NATIONAL SIGN SYSTEMS, INC. has sponsored the creation of one or more 401k plans.

Company Name: NATIONAL SIGN SYSTEMS, INC.

Employer identification number (EIN): 311211245

NAIC Classification: 332300

Additional information about NATIONAL SIGN SYSTEMS, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 2011-10-20

Company Identification Number: P11000092153

Legal Registered Office Address: 331 AIRPORT ROAD N

NAPLES

34104

More information about NATIONAL SIGN SYSTEMS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NATIONAL SIGN SYSTEMS, INC. EMPLOYEE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2014-07-01 JAMES E. CULLINAN
501 2013-07-01 PAUL WADE PAUL WADE 2015-01-22

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2014-07-01	JAMES E. CULLINAN
501	2013-07-01	PAUL WADE		PAUL WADE	2015-01-22

Plan Statistics for NATIONAL SIGN SYSTEMS, INC. EMPLOYEE BENEFITS PLAN

401k plan membership statisitcs for NATIONAL SIGN SYSTEMS, INC. EMPLOYEE BENEFITS PLAN

Measure Date Value
2014: NATIONAL SIGN SYSTEMS, INC. EMPLOYEE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 115
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 109
Number of retired or separated participants receiving benefits 2014-07-01 1
Number of other retired or separated participants entitled to future benefits 2014-07-01 1
Total of all active and inactive participants 2014-07-01 111
2013: NATIONAL SIGN SYSTEMS, INC. EMPLOYEE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 117
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 117
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 0
Total of all active and inactive participants 2013-07-01 117

Measure	Date	Value
2014: NATIONAL SIGN SYSTEMS, INC. EMPLOYEE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	115
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	109
Number of retired or separated participants receiving benefits	2014-07-01	1
Number of other retired or separated participants entitled to future benefits	2014-07-01	1
Total of all active and inactive participants	2014-07-01	111
2013: NATIONAL SIGN SYSTEMS, INC. EMPLOYEE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	117
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	117
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	0
Total of all active and inactive participants	2013-07-01	117

Form 5500 Responses for NATIONAL SIGN SYSTEMS, INC. EMPLOYEE BENEFITS PLAN

2014: NATIONAL SIGN SYSTEMS, INC. EMPLOYEE BENEFITS PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2013: NATIONAL SIGN SYSTEMS, INC. EMPLOYEE BENEFITS PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	First time form 5500 has been submitted	Yes
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

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

Policy contract number

G 00611284

Policy instance

Insurance contract or identification number	G 00611284
Number of Individuals Covered	110
Insurance policy start date	2014-07-01
Insurance policy end date	2015-01-31
Total amount of commissions paid to insurance broker	USD $4,639
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	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	AD&D, SUPPLEMENTAL AND DEPENDENT LIFE, SUPPLEMENTAL AND DEPENDENT 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 $42,399
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,639
Insurance broker organization code?	3
Insurance broker name	FRANCE AND ASSOCIATES INC.

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

Policy contract number

G00611284

Policy instance

Insurance contract or identification number	G00611284
Number of Individuals Covered	117
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $7,318
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $70,760
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,318
Insurance broker organization code?	3
Insurance broker name	FRANCE AND ASSOCIATES INC.

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Company Name:	NATIONAL SIGN SYSTEMS, INC.
Employer identification number (EIN):	311211245
NAIC Classification:	332300

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	2011-10-20
Company Identification Number:	P11000092153
Legal Registered Office Address:	331 AIRPORT ROAD N NAPLES 34104