401k Plan data: BROADBAND SOLUTIONS, INC. MEDICAL PLAN plan

BROADBAND SOLUTIONS, INC. MEDICAL PLAN 401k Plan overview

Plan Name	BROADBAND SOLUTIONS, INC. MEDICAL PLAN
Plan identification number	502

BROADBAND SOLUTIONS, INC. MEDICAL PLAN Benefits

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

401k Sponsoring company profile

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

Company Name: BROADBAND SOLUTIONS, INC.

Employer identification number (EIN): 391910381

NAIC Classification: 811210
NAIC Description: Electronic and Precision Equipment Repair and Maintenance

Additional information about BROADBAND SOLUTIONS, INC.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2014-07-29

Company Identification Number: 0802035771

Legal Registered Office Address: 13800 FLAT TOP RANCH RD. AUSTIN

United States of America (USA)
78732

More information about BROADBAND SOLUTIONS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BROADBAND SOLUTIONS, INC. MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2014-07-01 STEPHANIE RINKE
502 2013-07-01 STEPHANIE RINKE
502 2012-07-01 STEPHANIE RINKE
502 2011-07-01 STEPHANIE RINKE
502 2010-07-01 STEPHANIE RINKE
502 2009-07-01 STEPHANIE RINKE

Plan id#	Filing Submission Date	Name of Administrator
502	2014-07-01	STEPHANIE RINKE
502	2013-07-01	STEPHANIE RINKE
502	2012-07-01	STEPHANIE RINKE
502	2011-07-01	STEPHANIE RINKE
502	2010-07-01	STEPHANIE RINKE
502	2009-07-01	STEPHANIE RINKE

Plan Statistics for BROADBAND SOLUTIONS, INC. MEDICAL PLAN

401k plan membership statisitcs for BROADBAND SOLUTIONS, INC. MEDICAL PLAN

Measure Date Value
2014: BROADBAND SOLUTIONS, INC. MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 171
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 118
Number of retired or separated participants receiving benefits 2014-07-01 3
Number of other retired or separated participants entitled to future benefits 2014-07-01 0
Total of all active and inactive participants 2014-07-01 121
2013: BROADBAND SOLUTIONS, INC. MEDICAL PLAN 2013 401k membership
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 129
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 0
Total of all active and inactive participants 2013-07-01 129
2012: BROADBAND SOLUTIONS, INC. MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 96
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 109
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 2012-07-01 109
2011: BROADBAND SOLUTIONS, INC. MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 122
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 96
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 0
Total of all active and inactive participants 2011-07-01 96
2010: BROADBAND SOLUTIONS, INC. MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 112
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 122
Number of retired or separated participants receiving benefits 2010-07-01 0
Number of other retired or separated participants entitled to future benefits 2010-07-01 0
Total of all active and inactive participants 2010-07-01 122
2009: BROADBAND SOLUTIONS, INC. MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 112
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 112
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 0
Total of all active and inactive participants 2009-07-01 112

Measure	Date	Value
2014: BROADBAND SOLUTIONS, INC. MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	171
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	118
Number of retired or separated participants receiving benefits	2014-07-01	3
Number of other retired or separated participants entitled to future benefits	2014-07-01	0
Total of all active and inactive participants	2014-07-01	121
2013: BROADBAND SOLUTIONS, INC. MEDICAL PLAN 2013 401k membership
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	129
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	0
Total of all active and inactive participants	2013-07-01	129
2012: BROADBAND SOLUTIONS, INC. MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	96
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	109
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	109
2011: BROADBAND SOLUTIONS, INC. MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	122
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	96
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	0
Total of all active and inactive participants	2011-07-01	96
2010: BROADBAND SOLUTIONS, INC. MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	112
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	122
Number of retired or separated participants receiving benefits	2010-07-01	0
Number of other retired or separated participants entitled to future benefits	2010-07-01	0
Total of all active and inactive participants	2010-07-01	122
2009: BROADBAND SOLUTIONS, INC. MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	112
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	112
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	0
Total of all active and inactive participants	2009-07-01	112

Form 5500 Responses for BROADBAND SOLUTIONS, INC. MEDICAL PLAN

2014: BROADBAND SOLUTIONS, INC. MEDICAL PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2013: BROADBAND SOLUTIONS, INC. MEDICAL PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	First time form 5500 has been submitted	Yes
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2012: BROADBAND SOLUTIONS, INC. MEDICAL PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
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
2011: BROADBAND SOLUTIONS, INC. MEDICAL PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2010: BROADBAND SOLUTIONS, INC. MEDICAL PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2009: BROADBAND SOLUTIONS, INC. MEDICAL PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	First time form 5500 has been submitted	Yes
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	BROADBAND SOLUTIONS, INC.
Employer identification number (EIN):	391910381
NAIC Classification:	811210
NAIC Description:	Electronic and Precision Equipment Repair and Maintenance

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2014-07-29
Company Identification Number:	0802035771
Legal Registered Office Address:	13800 FLAT TOP RANCH RD. AUSTIN United States of America (USA) 78732