401k Plan data: MAINSCAPE, INC. WELFARE BENEFIT PLAN plan

MAINSCAPE, INC. WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	MAINSCAPE, INC. WELFARE BENEFIT PLAN
Plan identification number	501

MAINSCAPE, INC. WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental Vision Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

MAINSCAPE, INC. has sponsored the creation of one or more 401k plans.

Company Name: MAINSCAPE, INC.

Employer identification number (EIN): 351633580

NAIC Classification: 541320
NAIC Description: Landscape Architectural Services

Additional information about MAINSCAPE, INC.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2014-02-27

Company Identification Number: 0801942451

Legal Registered Office Address: 13418 BRITTON PARK RD

FISHERS
United States of America (USA)
46038

More information about MAINSCAPE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MAINSCAPE, INC. WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2012-07-01 JILL DOUGHERTY
501 2012-07-01

Plan Statistics for MAINSCAPE, INC. WELFARE BENEFIT PLAN

401k plan membership statisitcs for MAINSCAPE, INC. WELFARE BENEFIT PLAN

Measure Date Value
2012: MAINSCAPE, INC. WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 115
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 138
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 0
Total of all active and inactive participants 2012-07-01 138
Total participants 2012-07-01 0

Measure	Date	Value
2012: MAINSCAPE, INC. WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	115
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	138
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	0
Total of all active and inactive participants	2012-07-01	138
Total participants	2012-07-01	0

Form 5500 Responses for MAINSCAPE, INC. WELFARE BENEFIT PLAN

2012: MAINSCAPE, INC. WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	First time form 5500 has been submitted	Yes
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00453707

Policy instance

Insurance contract or identification number	00453707
Number of Individuals Covered	170
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $18,253
Total amount of fees paid to insurance company	USD $5,424
Are there contracts with allocated funds for individual policies?	0
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	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
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 $196,454
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $18,253
Amount paid for insurance broker fees	5424
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3

Potentially related plans

MAINSCAPE, INC. PROFIT SHARING PLAN AND TRUST [EIN = 953625926]

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Company Name:	MAINSCAPE, INC.
Employer identification number (EIN):	351633580
NAIC Classification:	541320
NAIC Description:	Landscape Architectural Services

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2014-02-27
Company Identification Number:	0801942451
Legal Registered Office Address:	13418 BRITTON PARK RD FISHERS United States of America (USA) 46038