401k Plan data: HAYNES DOWNARD LLP FLEXIBLE BENEFIT PLAN plan

HAYNES DOWNARD LLP FLEXIBLE BENEFIT PLAN 401k Plan overview

Plan Name	HAYNES DOWNARD LLP FLEXIBLE BENEFIT PLAN
Plan identification number	502

HAYNES DOWNARD LLP FLEXIBLE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Vision Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

HAYNES DOWNARD LLP has sponsored the creation of one or more 401k plans.

Company Name: HAYNES DOWNARD LLP

Employer identification number (EIN): 631133963

NAIC Classification: 541211
NAIC Description: Offices of Certified Public Accountants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HAYNES DOWNARD LLP FLEXIBLE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2014-01-01 LEWIS F. JONES LEWIS F. JONES 2015-07-28

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2014-01-01	LEWIS F. JONES		LEWIS F. JONES	2015-07-28

Plan Statistics for HAYNES DOWNARD LLP FLEXIBLE BENEFIT PLAN

401k plan membership statisitcs for HAYNES DOWNARD LLP FLEXIBLE BENEFIT PLAN

Measure Date Value
2014: HAYNES DOWNARD LLP FLEXIBLE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 3
Total of all active and inactive participants 2014-01-01 3

Measure	Date	Value
2014: HAYNES DOWNARD LLP FLEXIBLE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	3
Total of all active and inactive participants	2014-01-01	3

Form 5500 Responses for HAYNES DOWNARD LLP FLEXIBLE BENEFIT PLAN

2014: HAYNES DOWNARD LLP FLEXIBLE BENEFIT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
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

Insurance Providers Used on plan

CERIDIAN HEALTH AND PRODUCTIVITY SOLUTIONS (National Association of Insurance Commissioners NAIC id number: 54121 )

Policy contract number

77239

Policy instance

Insurance contract or identification number	77239
Number of Individuals Covered	3
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $802
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	802
Insurance broker organization code?	5
Insurance broker name	CERIDIAN CORPORATION

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Company Name:	HAYNES DOWNARD LLP
Employer identification number (EIN):	631133963
NAIC Classification:	541211
NAIC Description:	Offices of Certified Public Accountants