401k Plan data: 125 CAFETERIA PLAN plan

125 CAFETERIA PLAN 401k Plan overview

Plan Name	125 CAFETERIA PLAN
Plan identification number	501

125 CAFETERIA PLAN Benefits

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

401k Sponsoring company profile

PACKAGING UNLIMITED LLC has sponsored the creation of one or more 401k plans.

Company Name: PACKAGING UNLIMITED LLC

Employer identification number (EIN): 610876334

NAIC Classification: 323100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 125 CAFETERIA PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2016-01-01 KATHY DONAHUE KATHY DONAHUE 2017-07-13
501 2015-01-01 KATHY DONAHUE
501 2014-01-01 KATHY DONAHUE KATHY DONAHUE 2015-06-12
501 2013-01-01 KATHY DONAHUE KATHY DONAHUE 2014-04-28
501 2012-01-01 KATHY DONAHUE KATHY DONAHUE 2013-07-11
501 2011-01-01 KATHY DONAHUE
501 2010-01-01 KATHY DONAHUE
501 2009-02-01 KATHY DONAHUE

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2016-01-01	KATHY DONAHUE	KATHY DONAHUE	2017-07-13
501	2015-01-01	KATHY DONAHUE
501	2014-01-01	KATHY DONAHUE	KATHY DONAHUE	2015-06-12
501	2013-01-01	KATHY DONAHUE	KATHY DONAHUE	2014-04-28
501	2012-01-01	KATHY DONAHUE	KATHY DONAHUE	2013-07-11
501	2011-01-01	KATHY DONAHUE
501	2010-01-01	KATHY DONAHUE
501	2009-02-01	KATHY DONAHUE

Plan Statistics for 125 CAFETERIA PLAN

401k plan membership statisitcs for 125 CAFETERIA PLAN

Measure Date Value
2016: 125 CAFETERIA PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 313
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: 125 CAFETERIA PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 336
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 313
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 313
2014: 125 CAFETERIA PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 360
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 336
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 336
2013: 125 CAFETERIA PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 364
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 360
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 360
2012: 125 CAFETERIA PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 231
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 364
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 364
2011: 125 CAFETERIA PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 259
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 231
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 231
2010: 125 CAFETERIA PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 316
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 256
Number of retired or separated participants receiving benefits 2010-01-01 3
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 259
2009: 125 CAFETERIA PLAN 2009 401k membership
Total participants, beginning-of-year 2009-02-01 317
Total number of active participants reported on line 7a of the Form 5500 2009-02-01 316
Number of retired or separated participants receiving benefits 2009-02-01 5
Number of other retired or separated participants entitled to future benefits 2009-02-01 0
Total of all active and inactive participants 2009-02-01 321

Measure	Date	Value
2016: 125 CAFETERIA PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	313
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: 125 CAFETERIA PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	336
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	313
Number of retired or separated participants receiving benefits	2015-01-01	0
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	313
2014: 125 CAFETERIA PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	360
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	336
Number of retired or separated participants receiving benefits	2014-01-01	0
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	336
2013: 125 CAFETERIA PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	364
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	360
Number of retired or separated participants receiving benefits	2013-01-01	0
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	360
2012: 125 CAFETERIA PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	231
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	364
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	364
2011: 125 CAFETERIA PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	259
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	231
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	231
2010: 125 CAFETERIA PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	316
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	256
Number of retired or separated participants receiving benefits	2010-01-01	3
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	259
2009: 125 CAFETERIA PLAN 2009 401k membership
Total participants, beginning-of-year	2009-02-01	317
Total number of active participants reported on line 7a of the Form 5500	2009-02-01	316
Number of retired or separated participants receiving benefits	2009-02-01	5
Number of other retired or separated participants entitled to future benefits	2009-02-01	0
Total of all active and inactive participants	2009-02-01	321

Form 5500 Responses for 125 CAFETERIA PLAN

2016: 125 CAFETERIA 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 – Insurance	Yes
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: 125 CAFETERIA 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 – Insurance	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: 125 CAFETERIA 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 – Insurance	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: 125 CAFETERIA 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 – Insurance	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: 125 CAFETERIA PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: 125 CAFETERIA PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: 125 CAFETERIA PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: 125 CAFETERIA PLAN 2009 form 5500 responses
2009-02-01	Type of plan entity	Single employer plan
2009-02-01	Submission has been amended	No
2009-02-01	This submission is the final filing	No
2009-02-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2009-02-01	Plan is a collectively bargained plan	No
2009-02-01	Plan funding arrangement – Insurance	Yes
2009-02-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-02-01	Plan benefit arrangement – Insurance	Yes
2009-02-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number	DU6590
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0AQYX
Policy instance	2
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number	DU6590
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0AQYX
Policy instance	2
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number	DU6590
Policy instance	1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	10152392
Policy instance	2
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number	DU6590
Policy instance	1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	10152392
Policy instance	3
DENTAL CHOICE, INC. (National Association of Insurance Commissioners NAIC id number: 48127 )
Policy contract number	DU6590
Policy instance	2
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number	DU6590
Policy instance	1
DENTAL CHOICE, INC. (National Association of Insurance Commissioners NAIC id number: 48127 )
Policy contract number	DU6590
Policy instance	2
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	FLX961149
Policy instance	3
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number	DU6590
Policy instance	1
DENTAL CHOICE, INC. (National Association of Insurance Commissioners NAIC id number: 48127 )
Policy contract number	DU6590
Policy instance	2
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	FLX961149
Policy instance	3

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Company Name:	PACKAGING UNLIMITED LLC
Employer identification number (EIN):	610876334
NAIC Classification:	323100