401k Plan data: NOVELTY, INC. EMPLOYEE BENEFIT PLAN plan

NOVELTY, INC. EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	NOVELTY, INC. EMPLOYEE BENEFIT PLAN
Plan identification number	502

NOVELTY, INC. EMPLOYEE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

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

Company Name: NOVELTY, INC.

Employer identification number (EIN): 351654788

NAIC Classification: 423990
NAIC Description: Other Miscellaneous Durable Goods Merchant Wholesalers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NOVELTY, INC. EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2017-01-01 CHERYL PATTERSON
502 2011-04-01 KATHRYN MCMANUS
502 2010-04-01 KATHRYN MCMANUS
502 2009-04-01 KATHRYN MCMANUS

Plan id#	Filing Submission Date	Name of Administrator
502	2017-01-01	CHERYL PATTERSON
502	2011-04-01	KATHRYN MCMANUS
502	2010-04-01	KATHRYN MCMANUS
502	2009-04-01	KATHRYN MCMANUS

Plan Statistics for NOVELTY, INC. EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for NOVELTY, INC. EMPLOYEE BENEFIT PLAN

Measure Date Value
2017: NOVELTY, INC. EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 138
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 119
Total of all active and inactive participants 2017-01-01 119
Total participants 2017-01-01 119
2011: NOVELTY, INC. EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-04-01 119
Total number of active participants reported on line 7a of the Form 5500 2011-04-01 78
Number of retired or separated participants receiving benefits 2011-04-01 2
Total of all active and inactive participants 2011-04-01 80
Total participants 2011-04-01 80
2010: NOVELTY, INC. EMPLOYEE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-04-01 177
Total number of active participants reported on line 7a of the Form 5500 2010-04-01 111
Number of retired or separated participants receiving benefits 2010-04-01 8
Total of all active and inactive participants 2010-04-01 119
Total participants 2010-04-01 119
2009: NOVELTY, INC. EMPLOYEE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-04-01 167
Total number of active participants reported on line 7a of the Form 5500 2009-04-01 167
Number of retired or separated participants receiving benefits 2009-04-01 10
Total of all active and inactive participants 2009-04-01 177
Total participants 2009-04-01 177

Measure	Date	Value
2017: NOVELTY, INC. EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	138
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	119
Total of all active and inactive participants	2017-01-01	119
Total participants	2017-01-01	119
2011: NOVELTY, INC. EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-04-01	119
Total number of active participants reported on line 7a of the Form 5500	2011-04-01	78
Number of retired or separated participants receiving benefits	2011-04-01	2
Total of all active and inactive participants	2011-04-01	80
Total participants	2011-04-01	80
2010: NOVELTY, INC. EMPLOYEE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-04-01	177
Total number of active participants reported on line 7a of the Form 5500	2010-04-01	111
Number of retired or separated participants receiving benefits	2010-04-01	8
Total of all active and inactive participants	2010-04-01	119
Total participants	2010-04-01	119
2009: NOVELTY, INC. EMPLOYEE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-04-01	167
Total number of active participants reported on line 7a of the Form 5500	2009-04-01	167
Number of retired or separated participants receiving benefits	2009-04-01	10
Total of all active and inactive participants	2009-04-01	177
Total participants	2009-04-01	177

Form 5500 Responses for NOVELTY, INC. EMPLOYEE BENEFIT PLAN

2017: NOVELTY, INC. EMPLOYEE BENEFIT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2011: NOVELTY, INC. EMPLOYEE BENEFIT PLAN 2011 form 5500 responses
2011-04-01	Type of plan entity	Single employer plan
2011-04-01	Plan funding arrangement – Insurance	Yes
2011-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-04-01	Plan benefit arrangement – Insurance	Yes
2011-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: NOVELTY, INC. EMPLOYEE BENEFIT PLAN 2010 form 5500 responses
2010-04-01	Type of plan entity	Single employer plan
2010-04-01	Submission has been amended	Yes
2010-04-01	Plan funding arrangement – Insurance	Yes
2010-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-04-01	Plan benefit arrangement – Insurance	Yes
2010-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: NOVELTY, INC. EMPLOYEE BENEFIT PLAN 2009 form 5500 responses
2009-04-01	Type of plan entity	Single employer plan
2009-04-01	Plan funding arrangement – Insurance	Yes
2009-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-04-01	Plan benefit arrangement – Insurance	Yes
2009-04-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )

Policy contract number

01-016748-00

Policy instance

Insurance contract or identification number	01-016748-00
Number of Individuals Covered	138
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $768
Total amount of fees paid to insurance company	USD $134
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	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 $5,121
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $768
Insurance broker organization code?	3
Amount paid for insurance broker fees	134
Additional information about fees paid to insurance broker	GROUP VOLUME BONUS
Insurance broker name	MJ INSURANCE INC

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Company Name:	NOVELTY, INC.
Employer identification number (EIN):	351654788
NAIC Classification:	423990
NAIC Description:	Other Miscellaneous Durable Goods Merchant Wholesalers