401k Plan data: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN plan

CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 401k Plan overview

Plan Name	CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN
Plan identification number	506

CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN Benefits

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

401k Sponsoring company profile

CV INDUSTRIES INC has sponsored the creation of one or more 401k plans.

Company Name: CV INDUSTRIES INC

Employer identification number (EIN): 561043374

NAIC Classification: 313000
NAIC Description: Textile Mills

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
506 2013-01-01 RICHARD REESE RICHARD REESE 2014-07-29
506 2012-01-01 RICHARD REESE RICHARD REESE 2013-12-06
506 2011-01-01 RICHARD REESE RICHARD REESE 2013-12-06
506 2009-01-01 RICHARD REESE RICHARD REESE 2013-12-12
506 2008-01-01 RICHARD REESE RICHARD REESE 2013-12-06
506 2007-01-01 RICHARD REESE RICHARD REESE 2013-12-06
506 2006-01-01 RICHARD REESE RICHARD REESE 2013-12-06
506 2005-01-01 RICHARD REESE RICHARD REESE 2013-12-06
506 2004-01-01 RICHARD REESE RICHARD REESE 2013-12-06
506 2003-01-01 RICHARD REESE RICHARD REESE 2013-12-06
506 2002-01-01 RICHARD REESE RICHARD REESE 2013-12-06
506 2001-01-01 RICHARD REESE RICHARD REESE 2013-12-06
506 2000-01-01 RICHARD REESE RICHARD REESE 2013-12-06

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
506	2013-01-01	RICHARD REESE	RICHARD REESE	2014-07-29
506	2012-01-01	RICHARD REESE	RICHARD REESE	2013-12-06
506	2011-01-01	RICHARD REESE	RICHARD REESE	2013-12-06
506	2009-01-01	RICHARD REESE	RICHARD REESE	2013-12-12
506	2008-01-01	RICHARD REESE	RICHARD REESE	2013-12-06
506	2007-01-01	RICHARD REESE	RICHARD REESE	2013-12-06
506	2006-01-01	RICHARD REESE	RICHARD REESE	2013-12-06
506	2005-01-01	RICHARD REESE	RICHARD REESE	2013-12-06
506	2004-01-01	RICHARD REESE	RICHARD REESE	2013-12-06
506	2003-01-01	RICHARD REESE	RICHARD REESE	2013-12-06
506	2002-01-01	RICHARD REESE	RICHARD REESE	2013-12-06
506	2001-01-01	RICHARD REESE	RICHARD REESE	2013-12-06
506	2000-01-01	RICHARD REESE	RICHARD REESE	2013-12-06

Plan Statistics for CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN

401k plan membership statisitcs for CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN

Measure Date Value
2013: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 812
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
2012: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 823
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 812
Total of all active and inactive participants 2012-01-01 812
2011: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 829
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 823
Total of all active and inactive participants 2011-01-01 823
2009: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,025
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 858
Total of all active and inactive participants 2009-01-01 858
2008: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 1,229
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 1,025
Total of all active and inactive participants 2008-01-01 1,025
2007: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2007 401k membership
Total participants, beginning-of-year 2007-01-01 1,086
Total number of active participants reported on line 7a of the Form 5500 2007-01-01 1,229
Total of all active and inactive participants 2007-01-01 1,229
2006: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2006 401k membership
Total participants, beginning-of-year 2006-01-01 1,180
Total number of active participants reported on line 7a of the Form 5500 2006-01-01 1,086
Total of all active and inactive participants 2006-01-01 1,086
2005: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2005 401k membership
Total participants, beginning-of-year 2005-01-01 1,520
Total number of active participants reported on line 7a of the Form 5500 2005-01-01 1,180
Total of all active and inactive participants 2005-01-01 1,180
2004: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2004 401k membership
Total participants, beginning-of-year 2004-01-01 1,520
Total number of active participants reported on line 7a of the Form 5500 2004-01-01 1,520
Total of all active and inactive participants 2004-01-01 1,520

Measure	Date	Value
2013: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	812
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
2012: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	823
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	812
Total of all active and inactive participants	2012-01-01	812
2011: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	829
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	823
Total of all active and inactive participants	2011-01-01	823
2009: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,025
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	858
Total of all active and inactive participants	2009-01-01	858
2008: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	1,229
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	1,025
Total of all active and inactive participants	2008-01-01	1,025
2007: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2007 401k membership
Total participants, beginning-of-year	2007-01-01	1,086
Total number of active participants reported on line 7a of the Form 5500	2007-01-01	1,229
Total of all active and inactive participants	2007-01-01	1,229
2006: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2006 401k membership
Total participants, beginning-of-year	2006-01-01	1,180
Total number of active participants reported on line 7a of the Form 5500	2006-01-01	1,086
Total of all active and inactive participants	2006-01-01	1,086
2005: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2005 401k membership
Total participants, beginning-of-year	2005-01-01	1,520
Total number of active participants reported on line 7a of the Form 5500	2005-01-01	1,180
Total of all active and inactive participants	2005-01-01	1,180
2004: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2004 401k membership
Total participants, beginning-of-year	2004-01-01	1,520
Total number of active participants reported on line 7a of the Form 5500	2004-01-01	1,520
Total of all active and inactive participants	2004-01-01	1,520

Form 5500 Responses for CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN

2013: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	This submission is the final filing	Yes
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2008: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Plan funding arrangement – Insurance	Yes
2008-01-01	Plan benefit arrangement – Insurance	Yes
2007: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	Plan funding arrangement – Insurance	Yes
2007-01-01	Plan benefit arrangement – Insurance	Yes
2006: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2006 form 5500 responses
2006-01-01	Type of plan entity	Single employer plan
2006-01-01	Plan funding arrangement – Insurance	Yes
2006-01-01	Plan benefit arrangement – Insurance	Yes
2005: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2005 form 5500 responses
2005-01-01	Type of plan entity	Single employer plan
2005-01-01	Plan funding arrangement – Insurance	Yes
2005-01-01	Plan benefit arrangement – Insurance	Yes
2004: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2004 form 5500 responses
2004-01-01	Type of plan entity	Single employer plan
2004-01-01	Plan funding arrangement – Insurance	Yes
2004-01-01	Plan benefit arrangement – Insurance	Yes
2003: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2003 form 5500 responses
2003-01-01	Type of plan entity	Single employer plan
2003-01-01	Plan funding arrangement – Insurance	Yes
2003-01-01	Plan benefit arrangement – Insurance	Yes
2002: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2002 form 5500 responses
2002-01-01	Type of plan entity	Single employer plan
2002-01-01	Plan funding arrangement – Insurance	Yes
2002-01-01	Plan benefit arrangement – Insurance	Yes
2001: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2001 form 5500 responses
2001-01-01	Type of plan entity	Single employer plan
2001-01-01	Plan funding arrangement – Insurance	Yes
2001-01-01	Plan benefit arrangement – Insurance	Yes
2000: CV INDUSTRIES INC. SHORT TERM DISABILITY PLAN 2000 form 5500 responses
2000-01-01	Type of plan entity	Single employer plan
2000-01-01	Plan funding arrangement – Insurance	Yes
2000-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000010046437
Policy instance	1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000010046437
Policy instance	1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000010046437
Policy instance	1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000010046437
Policy instance	1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000010046437
Policy instance	1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000010046437
Policy instance	1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000010046437
Policy instance	1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000010046437
Policy instance	1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000010046437
Policy instance	1
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	527253
Policy instance	1

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Company Name:	CV INDUSTRIES INC
Employer identification number (EIN):	561043374
NAIC Classification:	313000
NAIC Description:	Textile Mills