401k Plan data: CONEXANT SYSTEMS, INC. EMPLOYEE HEALTH PLAN plan

CONEXANT SYSTEMS, INC. EMPLOYEE HEALTH PLAN 401k Plan overview

Plan Name	CONEXANT SYSTEMS, INC. EMPLOYEE HEALTH PLAN
Plan identification number	800

CONEXANT SYSTEMS, INC. EMPLOYEE HEALTH PLAN Benefits

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

401k Sponsoring company profile

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

Company Name: CONEXANT SYSTEMS, INC.

Employer identification number (EIN): 462955848

NAIC Classification: 335900

Additional information about CONEXANT SYSTEMS, INC.

Jurisdiction of Incorporation: Nevada Department of State

Incorporation Date: 1996-10-28

Company Identification Number: 19961215523

Legal Registered Office Address: 701 S CARSON ST STE 200

CARSON CITY
United States of America (USA)
89701

More information about CONEXANT SYSTEMS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CONEXANT SYSTEMS, INC. EMPLOYEE HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
800 2016-01-01 HEATHER DILLEY
800 2015-01-01 COURTNEY SIMMONS
800 2014-01-01 MICHAEL COOK
800 2013-01-01 FILED WITH AUTHORIZED SIGNATURE

Plan id#	Filing Submission Date	Name of Administrator
800	2016-01-01	HEATHER DILLEY
800	2015-01-01	COURTNEY SIMMONS
800	2014-01-01	MICHAEL COOK
800	2013-01-01	FILED WITH AUTHORIZED SIGNATURE

Plan Statistics for CONEXANT SYSTEMS, INC. EMPLOYEE HEALTH PLAN

401k plan membership statisitcs for CONEXANT SYSTEMS, INC. EMPLOYEE HEALTH PLAN

Measure Date Value
2016: CONEXANT SYSTEMS, INC. EMPLOYEE HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 134
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
2015: CONEXANT SYSTEMS, INC. EMPLOYEE HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 142
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 123
Number of retired or separated participants receiving benefits 2015-01-01 11
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 134
2014: CONEXANT SYSTEMS, INC. EMPLOYEE HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 233
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 133
Number of retired or separated participants receiving benefits 2014-01-01 12
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 145
2013: CONEXANT SYSTEMS, INC. EMPLOYEE HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 235
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 214
Number of retired or separated participants receiving benefits 2013-01-01 19
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 233

Measure	Date	Value
2016: CONEXANT SYSTEMS, INC. EMPLOYEE HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	134
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
2015: CONEXANT SYSTEMS, INC. EMPLOYEE HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	142
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	123
Number of retired or separated participants receiving benefits	2015-01-01	11
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	134
2014: CONEXANT SYSTEMS, INC. EMPLOYEE HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	233
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	133
Number of retired or separated participants receiving benefits	2014-01-01	12
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	145
2013: CONEXANT SYSTEMS, INC. EMPLOYEE HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	235
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	214
Number of retired or separated participants receiving benefits	2013-01-01	19
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	233

Form 5500 Responses for CONEXANT SYSTEMS, INC. EMPLOYEE HEALTH PLAN

2016: CONEXANT SYSTEMS, INC. EMPLOYEE HEALTH PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: CONEXANT SYSTEMS, INC. EMPLOYEE HEALTH PLAN 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	No
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: CONEXANT SYSTEMS, INC. EMPLOYEE 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: CONEXANT SYSTEMS, INC. EMPLOYEE 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

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Company Name:	CONEXANT SYSTEMS, INC.
Employer identification number (EIN):	462955848
NAIC Classification:	335900

Jurisdiction of Incorporation:	Nevada Department of State
Incorporation Date:	1996-10-28
Company Identification Number:	19961215523
Legal Registered Office Address:	701 S CARSON ST STE 200 CARSON CITY United States of America (USA) 89701