401k Plan data: JONES OBENCHAIN, LLP SELF FUNDED MEDICAL REIMBURSEMENT PLAN plan

JONES OBENCHAIN, LLP SELF FUNDED MEDICAL REIMBURSEMENT PLAN 401k Plan overview

Plan Name	JONES OBENCHAIN, LLP SELF FUNDED MEDICAL REIMBURSEMENT PLAN
Plan identification number	501

JONES OBENCHAIN, LLP SELF FUNDED MEDICAL REIMBURSEMENT PLAN Benefits

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

401k Sponsoring company profile

JONES OBENCHAIN, LLP has sponsored the creation of one or more 401k plans.

Company Name: JONES OBENCHAIN, LLP

Employer identification number (EIN): 350912826

NAIC Classification: 541110
NAIC Description: Offices of Lawyers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JONES OBENCHAIN, LLP SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2011-04-01 TIMOTHY W. WOODS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2011-04-01	TIMOTHY W. WOODS

Plan Statistics for JONES OBENCHAIN, LLP SELF FUNDED MEDICAL REIMBURSEMENT PLAN

401k plan membership statisitcs for JONES OBENCHAIN, LLP SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure Date Value
2011: JONES OBENCHAIN, LLP SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-04-01 0
Total number of active participants reported on line 7a of the Form 5500 2011-04-01 0
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 0

Measure	Date	Value
2011: JONES OBENCHAIN, LLP SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-04-01	0
Total number of active participants reported on line 7a of the Form 5500	2011-04-01	0
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	0

Financial Data on JONES OBENCHAIN, LLP SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure	Date	Value
2012 : JONES OBENCHAIN, LLP SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 401k financial data
Transfers to/from the plan	2012-03-31	$-16,930
Total income from all sources	2012-03-31	$388
Expenses. Total of all expenses incurred	2012-03-31	$1,161
Benefits paid (including direct rollovers)	2012-03-31	$850
Total plan assets at end of year	2012-03-31	$0
Total plan assets at beginning of year	2012-03-31	$17,703
Value of fidelity bond covering the plan	2012-03-31	$500,000
Other income received	2012-03-31	$156
Net income (gross income less expenses)	2012-03-31	$-773
Net plan assets at end of year (total assets less liabilities)	2012-03-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-03-31	$17,703
Total contributions received or receivable from employer(s)	2012-03-31	$232
Expenses. Administrative service providers (salaries,fees and commissions)	2012-03-31	$311
2011 : JONES OBENCHAIN, LLP SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k financial data
Total income from all sources	2011-03-31	$68,161
Expenses. Total of all expenses incurred	2011-03-31	$50,458
Benefits paid (including direct rollovers)	2011-03-31	$40,886
Total plan assets at end of year	2011-03-31	$17,703
Value of fidelity bond covering the plan	2011-03-31	$500,000
Total contributions received or receivable from participants	2011-03-31	$13,380
Other income received	2011-03-31	$211
Net income (gross income less expenses)	2011-03-31	$17,703
Net plan assets at end of year (total assets less liabilities)	2011-03-31	$17,703
Net plan assets at beginning of year (total assets less liabilities)	2011-03-31	$0
Total contributions received or receivable from employer(s)	2011-03-31	$54,570
Expenses. Administrative service providers (salaries,fees and commissions)	2011-03-31	$9,572

Form 5500 Responses for JONES OBENCHAIN, LLP SELF FUNDED MEDICAL REIMBURSEMENT PLAN

2011: JONES OBENCHAIN, LLP SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 form 5500 responses
2011-04-01	Type of plan entity	Single employer plan
2011-04-01	This submission is the final filing	Yes
2011-04-01	Plan funding arrangement – Trust	Yes
2011-04-01	Plan benefit arrangement - Trust	Yes

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Company Name:	JONES OBENCHAIN, LLP
Employer identification number (EIN):	350912826
NAIC Classification:	541110
NAIC Description:	Offices of Lawyers