401k Plan data: UNITED COOPERATIVE WELFARE BENEFITS HEALTH PLAN plan

UNITED COOPERATIVE WELFARE BENEFITS HEALTH PLAN 401k Plan overview

Plan Name	UNITED COOPERATIVE WELFARE BENEFITS HEALTH PLAN
Plan identification number	501

UNITED COOPERATIVE WELFARE BENEFITS HEALTH PLAN Benefits

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

401k Sponsoring company profile

UNITED COOPERATIVE has sponsored the creation of one or more 401k plans.

Company Name: UNITED COOPERATIVE

Employer identification number (EIN): 390191260

NAIC Classification: 115110

Additional information about UNITED COOPERATIVE

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 1996-03-13

Company Identification Number: 601697448

Legal Registered Office Address: 11621 DES MOINES MEMORIAL DR S

SEATTLE
United States of America (USA)
981680815

More information about UNITED COOPERATIVE

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNITED COOPERATIVE WELFARE BENEFITS HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2014-01-01 DAVID CRAMER DAVID CRAMER 2015-06-04
501 2013-01-01 DAVID CRAMER
501 2012-01-01 DAVID CRAMER DAVID CRAMER 2013-10-15
501 2011-01-01 DAVID CRAMER DAVID CRAMER 2013-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2014-01-01	DAVID CRAMER	DAVID CRAMER	2015-06-04
501	2013-01-01	DAVID CRAMER
501	2012-01-01	DAVID CRAMER	DAVID CRAMER	2013-10-15
501	2011-01-01	DAVID CRAMER	DAVID CRAMER	2013-10-15

Plan Statistics for UNITED COOPERATIVE WELFARE BENEFITS HEALTH PLAN

401k plan membership statisitcs for UNITED COOPERATIVE WELFARE BENEFITS HEALTH PLAN

Measure Date Value
2014: UNITED COOPERATIVE WELFARE BENEFITS HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 314
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 289
Number of retired or separated participants receiving benefits 2014-01-01 5
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 294
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 294
2013: UNITED COOPERATIVE WELFARE BENEFITS HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 272
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 293
Number of retired or separated participants receiving benefits 2013-01-01 11
Total of all active and inactive participants 2013-01-01 304
Total participants 2013-01-01 304
2012: UNITED COOPERATIVE WELFARE BENEFITS HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 202
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 262
Number of retired or separated participants receiving benefits 2012-01-01 7
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 269
Total participants 2012-01-01 269
2011: UNITED COOPERATIVE WELFARE BENEFITS HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 199
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 199
Number of retired or separated participants receiving benefits 2011-01-01 3
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 202
Total participants 2011-01-01 202

Measure	Date	Value
2014: UNITED COOPERATIVE WELFARE BENEFITS HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	314
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	289
Number of retired or separated participants receiving benefits	2014-01-01	5
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	294
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	294
2013: UNITED COOPERATIVE WELFARE BENEFITS HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	272
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	293
Number of retired or separated participants receiving benefits	2013-01-01	11
Total of all active and inactive participants	2013-01-01	304
Total participants	2013-01-01	304
2012: UNITED COOPERATIVE WELFARE BENEFITS HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	202
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	262
Number of retired or separated participants receiving benefits	2012-01-01	7
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	269
Total participants	2012-01-01	269
2011: UNITED COOPERATIVE WELFARE BENEFITS HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	199
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	199
Number of retired or separated participants receiving benefits	2011-01-01	3
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	202
Total participants	2011-01-01	202

Form 5500 Responses for UNITED COOPERATIVE WELFARE BENEFITS HEALTH PLAN

2014: UNITED COOPERATIVE WELFARE BENEFITS HEALTH PLAN 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: UNITED COOPERATIVE WELFARE BENEFITS HEALTH PLAN 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: UNITED COOPERATIVE WELFARE BENEFITS HEALTH PLAN 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
2011: UNITED COOPERATIVE WELFARE BENEFITS HEALTH PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Potentially related plans

UNITED COOPERATIVES, INC. MCF BENEFIT PLAN [EIN = 440470343]

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Company Name:	UNITED COOPERATIVE
Employer identification number (EIN):	390191260
NAIC Classification:	115110

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	1996-03-13
Company Identification Number:	601697448
Legal Registered Office Address:	11621 DES MOINES MEMORIAL DR S SEATTLE United States of America (USA) 981680815