401k Plan data: ECLIPSE, INC. HEALTH REIMBURSEMENT ARRANGEMENT plan

ECLIPSE, INC. HEALTH REIMBURSEMENT ARRANGEMENT 401k Plan overview

Plan Name	ECLIPSE, INC. HEALTH REIMBURSEMENT ARRANGEMENT
Plan identification number	502

ECLIPSE, INC. HEALTH REIMBURSEMENT ARRANGEMENT Benefits

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

401k Sponsoring company profile

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

Company Name: ECLIPSE, INC.

Employer identification number (EIN): 361022250

NAIC Classification: 332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ECLIPSE, INC. HEALTH REIMBURSEMENT ARRANGEMENT

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2015-01-01 HEATHER QUEBBEMAN
502 2014-01-01 CHRISTY WILLIS
502 2013-01-01 CHRISTY WILLIS
502 2012-01-01 CHRISTY WILLIS

Plan id#	Filing Submission Date	Name of Administrator
502	2015-01-01	HEATHER QUEBBEMAN
502	2014-01-01	CHRISTY WILLIS
502	2013-01-01	CHRISTY WILLIS
502	2012-01-01	CHRISTY WILLIS

Plan Statistics for ECLIPSE, INC. HEALTH REIMBURSEMENT ARRANGEMENT

401k plan membership statisitcs for ECLIPSE, INC. HEALTH REIMBURSEMENT ARRANGEMENT

Measure Date Value
2015: ECLIPSE, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2015 401k membership
Total participants, beginning-of-year 2015-01-01 129
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
2014: ECLIPSE, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2014 401k membership
Total participants, beginning-of-year 2014-01-01 152
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 107
Number of retired or separated participants receiving benefits 2014-01-01 22
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 129
2013: ECLIPSE, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2013 401k membership
Total participants, beginning-of-year 2013-01-01 146
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 152
Total of all active and inactive participants 2013-01-01 152
2012: ECLIPSE, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2012 401k membership
Total participants, beginning-of-year 2012-01-01 144
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 146
Total of all active and inactive participants 2012-01-01 146

Measure	Date	Value
2015: ECLIPSE, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2015 401k membership
Total participants, beginning-of-year	2015-01-01	129
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
2014: ECLIPSE, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2014 401k membership
Total participants, beginning-of-year	2014-01-01	152
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	107
Number of retired or separated participants receiving benefits	2014-01-01	22
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	129
2013: ECLIPSE, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2013 401k membership
Total participants, beginning-of-year	2013-01-01	146
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	152
Total of all active and inactive participants	2013-01-01	152
2012: ECLIPSE, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2012 401k membership
Total participants, beginning-of-year	2012-01-01	144
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	146
Total of all active and inactive participants	2012-01-01	146

Form 5500 Responses for ECLIPSE, INC. HEALTH REIMBURSEMENT ARRANGEMENT

2015: ECLIPSE, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	Yes
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: ECLIPSE, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: ECLIPSE, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: ECLIPSE, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Potentially related plans

ECLIPSE, INC. RETIREE-ONLY HEALTH PLAN AND TRUST [EIN = 264714699]

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Company Name:	ECLIPSE, INC.
Employer identification number (EIN):	361022250
NAIC Classification:	332900