401k Plan data: IAG LIFE ADD AND WEEKLY INDEMNITY plan

IAG LIFE ADD AND WEEKLY INDEMNITY 401k Plan overview

Plan Name	IAG LIFE ADD AND WEEKLY INDEMNITY
Plan identification number	501

IAG LIFE ADD AND WEEKLY INDEMNITY Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Temporary disability (accident and sickness)

401k Sponsoring company profile

INTEGRITY AEROSPACE GROUP INC. has sponsored the creation of one or more 401k plans.

Company Name: INTEGRITY AEROSPACE GROUP INC.

Employer identification number (EIN): 454055228

NAIC Classification: 541380
NAIC Description: Testing Laboratories

Form 5500 Filing Information

Submission information for form 5500 for 401k plan IAG LIFE ADD AND WEEKLY INDEMNITY

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2015-05-01 RALPH KROLIKOWSKI RALPH KROLIKOWSKI 2017-02-15
501 2014-05-01 RALPH KROLIKOWSKI RALPH KROLIKOWSKI 2016-02-13
501 2013-01-01 RALPH KROLIKOWSKI RALPH KROLIKOWSKI 2014-09-18
501 2012-05-01 RALPH KROLIKOWSKI RALPH KROLIKOWSKI 2014-02-17

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2015-05-01	RALPH KROLIKOWSKI	RALPH KROLIKOWSKI	2017-02-15
501	2014-05-01	RALPH KROLIKOWSKI	RALPH KROLIKOWSKI	2016-02-13
501	2013-01-01	RALPH KROLIKOWSKI	RALPH KROLIKOWSKI	2014-09-18
501	2012-05-01	RALPH KROLIKOWSKI	RALPH KROLIKOWSKI	2014-02-17

Plan Statistics for IAG LIFE ADD AND WEEKLY INDEMNITY

401k plan membership statisitcs for IAG LIFE ADD AND WEEKLY INDEMNITY

Measure Date Value
2015: IAG LIFE ADD AND WEEKLY INDEMNITY 2015 401k membership
Total participants, beginning-of-year 2015-05-01 143
Total number of active participants reported on line 7a of the Form 5500 2015-05-01 81
Total of all active and inactive participants 2015-05-01 81
Total participants 2015-05-01 81
2014: IAG LIFE ADD AND WEEKLY INDEMNITY 2014 401k membership
Total participants, beginning-of-year 2014-05-01 252
Total number of active participants reported on line 7a of the Form 5500 2014-05-01 143
Total of all active and inactive participants 2014-05-01 143
Total participants 2014-05-01 143
2013: IAG LIFE ADD AND WEEKLY INDEMNITY 2013 401k membership
Total participants, beginning-of-year 2013-01-01 280
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 252
Total of all active and inactive participants 2013-01-01 252
Total participants 2013-01-01 252
2012: IAG LIFE ADD AND WEEKLY INDEMNITY 2012 401k membership
Total participants, beginning-of-year 2012-05-01 265
Total number of active participants reported on line 7a of the Form 5500 2012-05-01 280
Total of all active and inactive participants 2012-05-01 280
Total participants 2012-05-01 280

Measure	Date	Value
2015: IAG LIFE ADD AND WEEKLY INDEMNITY 2015 401k membership
Total participants, beginning-of-year	2015-05-01	143
Total number of active participants reported on line 7a of the Form 5500	2015-05-01	81
Total of all active and inactive participants	2015-05-01	81
Total participants	2015-05-01	81
2014: IAG LIFE ADD AND WEEKLY INDEMNITY 2014 401k membership
Total participants, beginning-of-year	2014-05-01	252
Total number of active participants reported on line 7a of the Form 5500	2014-05-01	143
Total of all active and inactive participants	2014-05-01	143
Total participants	2014-05-01	143
2013: IAG LIFE ADD AND WEEKLY INDEMNITY 2013 401k membership
Total participants, beginning-of-year	2013-01-01	280
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	252
Total of all active and inactive participants	2013-01-01	252
Total participants	2013-01-01	252
2012: IAG LIFE ADD AND WEEKLY INDEMNITY 2012 401k membership
Total participants, beginning-of-year	2012-05-01	265
Total number of active participants reported on line 7a of the Form 5500	2012-05-01	280
Total of all active and inactive participants	2012-05-01	280
Total participants	2012-05-01	280

Form 5500 Responses for IAG LIFE ADD AND WEEKLY INDEMNITY

2015: IAG LIFE ADD AND WEEKLY INDEMNITY 2015 form 5500 responses
2015-05-01	Type of plan entity	Single employer plan
2015-05-01	Submission has been amended	No
2015-05-01	This submission is the final filing	No
2015-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-05-01	Plan is a collectively bargained plan	No
2015-05-01	Plan funding arrangement – Insurance	Yes
2015-05-01	Plan benefit arrangement – Insurance	Yes
2014: IAG LIFE ADD AND WEEKLY INDEMNITY 2014 form 5500 responses
2014-05-01	Type of plan entity	Single employer plan
2014-05-01	Submission has been amended	No
2014-05-01	This submission is the final filing	No
2014-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-05-01	Plan is a collectively bargained plan	No
2014-05-01	Plan funding arrangement – Insurance	Yes
2014-05-01	Plan benefit arrangement – Insurance	Yes
2013: IAG LIFE ADD AND WEEKLY INDEMNITY 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 – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: IAG LIFE ADD AND WEEKLY INDEMNITY 2012 form 5500 responses
2012-05-01	Type of plan entity	Single employer plan
2012-05-01	First time form 5500 has been submitted	Yes
2012-05-01	Submission has been amended	No
2012-05-01	This submission is the final filing	No
2012-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-05-01	Plan is a collectively bargained plan	No
2012-05-01	Plan funding arrangement – Insurance	Yes
2012-05-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	INTEGRITY AEROSPACE GROUP INC.
Employer identification number (EIN):	454055228
NAIC Classification:	541380
NAIC Description:	Testing Laboratories