401k Plan data: ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN plan

ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN 401k Plan overview

Plan Name	ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN
Plan identification number	001

ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Non-U.S. plan - Pension plan maintained outside the United States primarily for nonresident aliens.
Plan not intended to be qualified - A plan not intended to be qualified under Code sections 401, 403, or 408.
Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL has sponsored the creation of one or more 401k plans.

Company Name: ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL

Employer identification number (EIN): 660424327

NAIC Classification: 339110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 ENEIDA CASTRO MERCADO
001 2014-01-01 CARLOS MARTINEZ
001 2013-01-01 CARLOS MARTINEZ
001 2012-01-01 CARLOS MARTINEZ
001 2011-01-01 CARLOS MARTINEZ
001 2010-01-01 CARLOS MARTINEZ CARLOS MARTINEZ 2011-07-29
001 2009-01-01 CARLOS MARTINEZ
001 2009-01-01 CARLOS MARTINEZ

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2015-01-01	ENEIDA CASTRO MERCADO
001	2014-01-01	CARLOS MARTINEZ
001	2013-01-01	CARLOS MARTINEZ
001	2012-01-01	CARLOS MARTINEZ
001	2011-01-01	CARLOS MARTINEZ
001	2010-01-01	CARLOS MARTINEZ	CARLOS MARTINEZ	2011-07-29
001	2009-01-01	CARLOS MARTINEZ
001	2009-01-01	CARLOS MARTINEZ

Plan Statistics for ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN

Measure Date Value
2015: ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 177
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 206
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 177
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 14
Total of all active and inactive participants 2014-01-01 191
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 191
Number of participants with account balances 2014-01-01 153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 223
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 135
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 9
Total of all active and inactive participants 2013-01-01 144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 144
Number of participants with account balances 2013-01-01 144
2012: ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 212
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 141
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 8
Total of all active and inactive participants 2012-01-01 149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 149
Number of participants with account balances 2012-01-01 149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 199
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 147
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 5
Total of all active and inactive participants 2011-01-01 152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 152
Number of participants with account balances 2011-01-01 152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 208
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 152
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 2
Total of all active and inactive participants 2010-01-01 154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 154
Number of participants with account balances 2010-01-01 154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 155
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 155
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 2
Total of all active and inactive participants 2009-01-01 157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 157
Number of participants with account balances 2009-01-01 157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2015: ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	177
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	206
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	177
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	14
Total of all active and inactive participants	2014-01-01	191
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	191
Number of participants with account balances	2014-01-01	153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	223
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	135
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	9
Total of all active and inactive participants	2013-01-01	144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	144
Number of participants with account balances	2013-01-01	144
2012: ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	212
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	141
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	8
Total of all active and inactive participants	2012-01-01	149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	149
Number of participants with account balances	2012-01-01	149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	199
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	147
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	5
Total of all active and inactive participants	2011-01-01	152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	152
Number of participants with account balances	2011-01-01	152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	208
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	152
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	2
Total of all active and inactive participants	2010-01-01	154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	154
Number of participants with account balances	2010-01-01	154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	155
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	155
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	2
Total of all active and inactive participants	2009-01-01	157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	157
Number of participants with account balances	2009-01-01	157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN

Measure	Date	Value
2015 : ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-09-25	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-09-25	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-09-25	$0
Total income from all sources (including contributions)	2015-09-25	$371,715
Total loss/gain on sale of assets	2015-09-25	$0
Total of all expenses incurred	2015-09-25	$8,102,992
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-09-25	$7,916,317
Expenses. Certain deemed distributions of participant loans	2015-09-25	$186,571
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-09-25	$238,918
Value of total assets at end of year	2015-09-25	$0
Value of total assets at beginning of year	2015-09-25	$7,731,277
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-09-25	$104
Total interest from all sources	2015-09-25	$25,709
Total dividends received (eg from common stock, registered investment company shares)	2015-09-25	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-09-25	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-09-25	$0
Was this plan covered by a fidelity bond	2015-09-25	Yes
Value of fidelity bond cover	2015-09-25	$1,000,000
If this is an individual account plan, was there a blackout period	2015-09-25	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-09-25	$0
Were there any nonexempt tranactions with any party-in-interest	2015-09-25	No
Contributions received from participants	2015-09-25	$132,883
Participant contributions at end of year	2015-09-25	$0
Participant contributions at beginning of year	2015-09-25	$226,212
Administrative expenses (other) incurred	2015-09-25	$104
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-09-25	No
Value of net income/loss	2015-09-25	$-7,731,277
Value of net assets at end of year (total assets less liabilities)	2015-09-25	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-09-25	$7,731,277
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-09-25	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-09-25	No
Were any leases to which the plan was party in default or uncollectible	2015-09-25	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-09-25	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-09-25	$5,803,793
Interest on participant loans	2015-09-25	$7,108
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-09-25	$18,601
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-09-25	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-09-25	$1,701,272
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-09-25	$107,088
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-09-25	No
Was there a failure to transmit to the plan any participant contributions	2015-09-25	No
Has the plan failed to provide any benefit when due under the plan	2015-09-25	No
Contributions received in cash from employer	2015-09-25	$106,035
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-09-25	$7,916,317
Did the plan have assets held for investment	2015-09-25	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-09-25	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-09-25	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-09-25	Yes
Opinion of an independent qualified public accountant for this plan	2015-09-25	Disclaimer
Accountancy firm name	2015-09-25	IRIZARRY, RODRIGUEZ & CO.,PSC
Accountancy firm EIN	2015-09-25	660567717
2014 : ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$829,042
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$328,355
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$324,780
Expenses. Certain deemed distributions of participant loans	2014-12-31	$3,575
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$378,966
Value of total assets at end of year	2014-12-31	$7,731,277
Value of total assets at beginning of year	2014-12-31	$7,230,590
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$0
Total interest from all sources	2014-12-31	$50,375
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$208,979
Participant contributions at end of year	2014-12-31	$226,212
Participant contributions at beginning of year	2014-12-31	$200,241
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$500,687
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$7,731,277
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$7,230,590
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$5,803,793
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$5,345,789
Interest on participant loans	2014-12-31	$15,445
Interest earned on other investments	2014-12-31	$1,827
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$33,103
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$1,701,272
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$1,684,560
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$399,701
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$169,987
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$324,780
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	IRIZARRY, RODRIGUEZ & CO.,PSC
Accountancy firm EIN	2014-12-31	660567717
2013 : ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$1,565,474
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$477,727
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$472,010
Expenses. Certain deemed distributions of participant loans	2013-12-31	$5,667
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$377,181
Value of total assets at end of year	2013-12-31	$7,230,590
Value of total assets at beginning of year	2013-12-31	$6,142,843
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$50
Total interest from all sources	2013-12-31	$55,720
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$206,719
Participant contributions at end of year	2013-12-31	$200,241
Participant contributions at beginning of year	2013-12-31	$282,191
Administrative expenses (other) incurred	2013-12-31	$50
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$1,087,747
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$7,230,590
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$6,142,843
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$5,345,789
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$4,320,335
Interest on participant loans	2013-12-31	$18,239
Interest earned on other investments	2013-12-31	$2,308
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$35,173
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$1,684,560
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$1,540,317
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$1,132,573
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$170,462
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$472,010
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	IRIZARRY, RODRIGUEZ & CO.,PSC
Accountancy firm EIN	2013-12-31	660567717
2012 : ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$1,030,321
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$463,209
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$453,894
Expenses. Certain deemed distributions of participant loans	2012-12-31	$9,315
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$411,990
Value of total assets at end of year	2012-12-31	$6,142,843
Value of total assets at beginning of year	2012-12-31	$5,575,731
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$0
Total interest from all sources	2012-12-31	$61,918
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$218,112
Participant contributions at end of year	2012-12-31	$282,191
Participant contributions at beginning of year	2012-12-31	$291,907
Participant contributions at beginning of year	2012-12-31	$334
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$13,694
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$567,112
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$6,142,843
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$5,575,731
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$4,320,335
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$3,791,163
Interest on participant loans	2012-12-31	$19,633
Interest earned on other investments	2012-12-31	$4,779
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$37,506
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$1,540,317
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$1,492,016
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$556,413
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$180,184
Employer contributions (assets) at beginning of year	2012-12-31	$311
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$453,894
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	No
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	IRIZARRY, RODRIGUEZ & CO.,PSC
Accountancy firm EIN	2012-12-31	660567717
2011 : ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$424,738
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$394,520
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$394,520
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$356,117
Value of total assets at end of year	2011-12-31	$5,575,731
Value of total assets at beginning of year	2011-12-31	$5,545,513
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$0
Total interest from all sources	2011-12-31	$61,758
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$190,411
Participant contributions at end of year	2011-12-31	$291,907
Participant contributions at beginning of year	2011-12-31	$349,985
Participant contributions at end of year	2011-12-31	$334
Participant contributions at beginning of year	2011-12-31	$727
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$30,218
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$5,575,731
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$5,545,513
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$3,791,163
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$3,748,732
Interest on participant loans	2011-12-31	$20,984
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$40,774
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$1,492,016
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$1,445,433
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$6,863
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$165,706
Employer contributions (assets) at end of year	2011-12-31	$311
Employer contributions (assets) at beginning of year	2011-12-31	$636
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$394,520
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	IRIZARRY, RODRIGUEZ & CO., PSC
Accountancy firm EIN	2011-12-31	660567717
2010 : ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$993,211
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$161,548
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$161,548
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$333,942
Value of total assets at end of year	2010-12-31	$5,545,513
Value of total assets at beginning of year	2010-12-31	$4,713,850
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$0
Total interest from all sources	2010-12-31	$70,114
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$178,651
Participant contributions at end of year	2010-12-31	$349,985
Participant contributions at end of year	2010-12-31	$727
Assets. Loans (other than to participants) at beginning of year	2010-12-31	$402,903
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$831,663
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$5,545,513
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$4,713,850
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$3,748,732
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$2,973,874
Interest on participant loans	2010-12-31	$27,769
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$42,345
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$1,445,433
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$1,337,073
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$589,155
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$155,291
Employer contributions (assets) at end of year	2010-12-31	$636
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$161,548
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	IRIZARRY, RODRIGUEZ & CO.,PSC
Accountancy firm EIN	2010-12-31	660567717

Form 5500 Responses for ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN

2015: ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS 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	Yes
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS 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 – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS 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 – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS 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 – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
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 – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS 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 – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL RETIREMENT SAVINGS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

038778

Policy instance

Insurance contract or identification number	038778
Number of Individuals Covered	0
Insurance policy start date	2015-01-01
Insurance policy end date	2015-09-25
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

038778

Policy instance

Insurance contract or identification number	038778
Number of Individuals Covered	153
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

038778

Policy instance

Insurance contract or identification number	038778
Number of Individuals Covered	144
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

038778

Policy instance

Insurance contract or identification number	038778
Number of Individuals Covered	149
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

038776

Policy instance

Insurance contract or identification number	038776
Number of Individuals Covered	152
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

038776

Policy instance

Insurance contract or identification number	038776
Number of Individuals Covered	154
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

Potentially related plans

ESSILOR INDUSTRIES INC. [EIN = 660424347]

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Company Name:	ESSILOR INDUSTRIES A DIVISION OF ESSILOR INTERNATIONAL
Employer identification number (EIN):	660424327
NAIC Classification:	339110