401k Plan data: MPG HEALTH AND WELFARE PLAN plan

MPG HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	MPG HEALTH AND WELFARE PLAN
Plan identification number	501

MPG HEALTH AND WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Prepaid legal Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

MIDWEST PRODUCTS GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name: MIDWEST PRODUCTS GROUP, INC.

Employer identification number (EIN): 431928196

NAIC Classification: 327400

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MPG HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2017-08-01 SANDY BUSCHER
501 2016-08-01 SANDY BUSCHER
501 2015-08-01 SANDY BUSCHER
501 2014-08-01 SANDY BUSCHER
501 2013-08-01 SANDY BUSCHER
501 2012-08-01 SANDRA BUSCHER SANDRA BUSCHER 2013-12-20
501 2011-08-01 SANDRA BUSCHER SANDRA BUSCHER 2013-02-22
501 2009-08-01 SANDRA BUSCHER SANDRA BUSCHER 2011-01-26

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2017-08-01	SANDY BUSCHER
501	2016-08-01	SANDY BUSCHER
501	2015-08-01	SANDY BUSCHER
501	2014-08-01	SANDY BUSCHER
501	2013-08-01	SANDY BUSCHER
501	2012-08-01	SANDRA BUSCHER	SANDRA BUSCHER	2013-12-20
501	2011-08-01	SANDRA BUSCHER	SANDRA BUSCHER	2013-02-22
501	2009-08-01	SANDRA BUSCHER	SANDRA BUSCHER	2011-01-26

Plan Statistics for MPG HEALTH AND WELFARE PLAN

401k plan membership statisitcs for MPG HEALTH AND WELFARE PLAN

Measure Date Value
2017: MPG HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-08-01 314
Total number of active participants reported on line 7a of the Form 5500 2017-08-01 311
Number of retired or separated participants receiving benefits 2017-08-01 3
Number of other retired or separated participants entitled to future benefits 2017-08-01 0
Total of all active and inactive participants 2017-08-01 314
2016: MPG HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-08-01 311
Total number of active participants reported on line 7a of the Form 5500 2016-08-01 314
Number of retired or separated participants receiving benefits 2016-08-01 0
Number of other retired or separated participants entitled to future benefits 2016-08-01 0
Total of all active and inactive participants 2016-08-01 314
2015: MPG HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-08-01 304
Total number of active participants reported on line 7a of the Form 5500 2015-08-01 316
Number of retired or separated participants receiving benefits 2015-08-01 0
Number of other retired or separated participants entitled to future benefits 2015-08-01 0
Total of all active and inactive participants 2015-08-01 316
2014: MPG HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-08-01 245
Total number of active participants reported on line 7a of the Form 5500 2014-08-01 240
Number of retired or separated participants receiving benefits 2014-08-01 2
Number of other retired or separated participants entitled to future benefits 2014-08-01 0
Total of all active and inactive participants 2014-08-01 242
2013: MPG HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-08-01 219
Total number of active participants reported on line 7a of the Form 5500 2013-08-01 227
Number of retired or separated participants receiving benefits 2013-08-01 4
Number of other retired or separated participants entitled to future benefits 2013-08-01 0
Total of all active and inactive participants 2013-08-01 231
2012: MPG HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-08-01 230
Total number of active participants reported on line 7a of the Form 5500 2012-08-01 218
Number of retired or separated participants receiving benefits 2012-08-01 2
Total of all active and inactive participants 2012-08-01 220
Total participants 2012-08-01 220
2011: MPG HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-08-01 225
Total number of active participants reported on line 7a of the Form 5500 2011-08-01 220
Number of retired or separated participants receiving benefits 2011-08-01 6
Total of all active and inactive participants 2011-08-01 226
Total participants 2011-08-01 226
2009: MPG HEALTH AND WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-08-01 249
Total number of active participants reported on line 7a of the Form 5500 2009-08-01 241
Number of retired or separated participants receiving benefits 2009-08-01 7
Total of all active and inactive participants 2009-08-01 248
Total participants 2009-08-01 248

Measure	Date	Value
2017: MPG HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-08-01	314
Total number of active participants reported on line 7a of the Form 5500	2017-08-01	311
Number of retired or separated participants receiving benefits	2017-08-01	3
Number of other retired or separated participants entitled to future benefits	2017-08-01	0
Total of all active and inactive participants	2017-08-01	314
2016: MPG HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-08-01	311
Total number of active participants reported on line 7a of the Form 5500	2016-08-01	314
Number of retired or separated participants receiving benefits	2016-08-01	0
Number of other retired or separated participants entitled to future benefits	2016-08-01	0
Total of all active and inactive participants	2016-08-01	314
2015: MPG HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-08-01	304
Total number of active participants reported on line 7a of the Form 5500	2015-08-01	316
Number of retired or separated participants receiving benefits	2015-08-01	0
Number of other retired or separated participants entitled to future benefits	2015-08-01	0
Total of all active and inactive participants	2015-08-01	316
2014: MPG HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-08-01	245
Total number of active participants reported on line 7a of the Form 5500	2014-08-01	240
Number of retired or separated participants receiving benefits	2014-08-01	2
Number of other retired or separated participants entitled to future benefits	2014-08-01	0
Total of all active and inactive participants	2014-08-01	242
2013: MPG HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-08-01	219
Total number of active participants reported on line 7a of the Form 5500	2013-08-01	227
Number of retired or separated participants receiving benefits	2013-08-01	4
Number of other retired or separated participants entitled to future benefits	2013-08-01	0
Total of all active and inactive participants	2013-08-01	231
2012: MPG HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-08-01	230
Total number of active participants reported on line 7a of the Form 5500	2012-08-01	218
Number of retired or separated participants receiving benefits	2012-08-01	2
Total of all active and inactive participants	2012-08-01	220
Total participants	2012-08-01	220
2011: MPG HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-08-01	225
Total number of active participants reported on line 7a of the Form 5500	2011-08-01	220
Number of retired or separated participants receiving benefits	2011-08-01	6
Total of all active and inactive participants	2011-08-01	226
Total participants	2011-08-01	226
2009: MPG HEALTH AND WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-08-01	249
Total number of active participants reported on line 7a of the Form 5500	2009-08-01	241
Number of retired or separated participants receiving benefits	2009-08-01	7
Total of all active and inactive participants	2009-08-01	248
Total participants	2009-08-01	248

Form 5500 Responses for MPG HEALTH AND WELFARE PLAN

2017: MPG HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-08-01	Type of plan entity	Single employer plan
2017-08-01	Submission has been amended	No
2017-08-01	This submission is the final filing	No
2017-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-08-01	Plan is a collectively bargained plan	Yes
2017-08-01	Plan funding arrangement – Insurance	Yes
2017-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-08-01	Plan benefit arrangement – Insurance	Yes
2017-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: MPG HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-08-01	Type of plan entity	Single employer plan
2016-08-01	Submission has been amended	No
2016-08-01	This submission is the final filing	No
2016-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-08-01	Plan is a collectively bargained plan	Yes
2016-08-01	Plan funding arrangement – Insurance	Yes
2016-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-08-01	Plan benefit arrangement – Insurance	Yes
2016-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: MPG HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-08-01	Type of plan entity	Single employer plan
2015-08-01	Submission has been amended	No
2015-08-01	This submission is the final filing	No
2015-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-08-01	Plan is a collectively bargained plan	No
2015-08-01	Plan funding arrangement – Insurance	Yes
2015-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-08-01	Plan benefit arrangement – Insurance	Yes
2015-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: MPG HEALTH AND WELFARE PLAN 2014 form 5500 responses
2014-08-01	Type of plan entity	Single employer plan
2014-08-01	Submission has been amended	No
2014-08-01	This submission is the final filing	No
2014-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-08-01	Plan is a collectively bargained plan	No
2014-08-01	Plan funding arrangement – Insurance	Yes
2014-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-08-01	Plan benefit arrangement – Insurance	Yes
2014-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: MPG HEALTH AND WELFARE PLAN 2013 form 5500 responses
2013-08-01	Type of plan entity	Single employer plan
2013-08-01	Submission has been amended	No
2013-08-01	This submission is the final filing	No
2013-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-08-01	Plan is a collectively bargained plan	Yes
2013-08-01	Plan funding arrangement – Insurance	Yes
2013-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-08-01	Plan benefit arrangement – Insurance	Yes
2013-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: MPG HEALTH AND WELFARE PLAN 2012 form 5500 responses
2012-08-01	Type of plan entity	Single employer plan
2012-08-01	Submission has been amended	No
2012-08-01	This submission is the final filing	No
2012-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-08-01	Plan is a collectively bargained plan	Yes
2012-08-01	Plan funding arrangement – Insurance	Yes
2012-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-08-01	Plan benefit arrangement – Insurance	Yes
2012-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: MPG HEALTH AND WELFARE PLAN 2011 form 5500 responses
2011-08-01	Type of plan entity	Single employer plan
2011-08-01	Submission has been amended	No
2011-08-01	This submission is the final filing	No
2011-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-08-01	Plan is a collectively bargained plan	Yes
2011-08-01	Plan funding arrangement – Insurance	Yes
2011-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-08-01	Plan benefit arrangement – Insurance	Yes
2011-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: MPG HEALTH AND WELFARE PLAN 2009 form 5500 responses
2009-08-01	Type of plan entity	Single employer plan
2009-08-01	Submission has been amended	No
2009-08-01	This submission is the final filing	No
2009-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-08-01	Plan is a collectively bargained plan	Yes
2009-08-01	Plan funding arrangement – Insurance	Yes
2009-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-08-01	Plan benefit arrangement – Insurance	Yes
2009-08-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	9907-03-37
Policy instance	1
PRE-PAID LEGAL SERVICES DBA LEGAL SHIELD (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	126417
Policy instance	2
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number	5471851
Policy instance	3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	244969
Policy instance	4

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Company Name:	MIDWEST PRODUCTS GROUP, INC.
Employer identification number (EIN):	431928196
NAIC Classification:	327400