401k Plan data: HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN plan

HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN 401k Plan overview

Plan Name	HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN
Plan identification number	520

HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN Benefits

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

401k Sponsoring company profile

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

Company Name: HAYNEEDLE, INC.

Employer identification number (EIN): 680555169

NAIC Classification: 442299
NAIC Description: All Other Home Furnishings Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
520 2017-08-01 LYN O'HEARN
520 2016-08-01 DANA COONCE DANA COONCE 2018-02-27
520 2015-08-01 DANA COONCE DANA COONCE 2017-02-27
520 2014-08-01 DANA COONCE DANA COONCE 2016-02-19
520 2013-08-01 DANA COONCE DANA COONCE 2015-02-26
520 2012-08-01 DANA COONCE
520 2011-08-01 DANA COONCE DANA COONCE 2013-02-27
520 2009-08-01 DANA COONCE
520 2009-08-01 DANA COONCE DANA COONCE 2011-02-23

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
520	2017-08-01	LYN O'HEARN
520	2016-08-01	DANA COONCE	DANA COONCE	2018-02-27
520	2015-08-01	DANA COONCE	DANA COONCE	2017-02-27
520	2014-08-01	DANA COONCE	DANA COONCE	2016-02-19
520	2013-08-01	DANA COONCE	DANA COONCE	2015-02-26
520	2012-08-01	DANA COONCE
520	2011-08-01	DANA COONCE	DANA COONCE	2013-02-27
520	2009-08-01	DANA COONCE
520	2009-08-01	DANA COONCE	DANA COONCE	2011-02-23

Plan Statistics for HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN

401k plan membership statisitcs for HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN

Measure Date Value
2017: HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-08-01 97
Total number of active participants reported on line 7a of the Form 5500 2017-08-01 0
Number of retired or separated participants receiving benefits 2017-08-01 0
Number of other retired or separated participants entitled to future benefits 2017-08-01 0
Total of all active and inactive participants 2017-08-01 0
2016: HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-08-01 60
Total number of active participants reported on line 7a of the Form 5500 2016-08-01 97
Number of retired or separated participants receiving benefits 2016-08-01 0
Number of other retired or separated participants entitled to future benefits 2016-08-01 0
Total of all active and inactive participants 2016-08-01 97
2015: HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-08-01 88
Total number of active participants reported on line 7a of the Form 5500 2015-08-01 60
Number of retired or separated participants receiving benefits 2015-08-01 0
Number of other retired or separated participants entitled to future benefits 2015-08-01 0
Total of all active and inactive participants 2015-08-01 60
2014: HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-08-01 111
Total number of active participants reported on line 7a of the Form 5500 2014-08-01 88
Number of retired or separated participants receiving benefits 2014-08-01 0
Number of other retired or separated participants entitled to future benefits 2014-08-01 0
Total of all active and inactive participants 2014-08-01 88
2013: HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-08-01 107
Total number of active participants reported on line 7a of the Form 5500 2013-08-01 111
Number of retired or separated participants receiving benefits 2013-08-01 0
Number of other retired or separated participants entitled to future benefits 2013-08-01 0
Total of all active and inactive participants 2013-08-01 111
2012: HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-08-01 115
Total number of active participants reported on line 7a of the Form 5500 2012-08-01 107
Number of retired or separated participants receiving benefits 2012-08-01 0
Number of other retired or separated participants entitled to future benefits 2012-08-01 0
Total of all active and inactive participants 2012-08-01 107
2011: HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-08-01 106
Total number of active participants reported on line 7a of the Form 5500 2011-08-01 115
Number of retired or separated participants receiving benefits 2011-08-01 0
Number of other retired or separated participants entitled to future benefits 2011-08-01 0
Total of all active and inactive participants 2011-08-01 115
2009: HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-08-01 77
Total number of active participants reported on line 7a of the Form 5500 2009-08-01 100
Number of retired or separated participants receiving benefits 2009-08-01 0
Number of other retired or separated participants entitled to future benefits 2009-08-01 0
Total of all active and inactive participants 2009-08-01 100

Measure	Date	Value
2017: HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-08-01	97
Total number of active participants reported on line 7a of the Form 5500	2017-08-01	0
Number of retired or separated participants receiving benefits	2017-08-01	0
Number of other retired or separated participants entitled to future benefits	2017-08-01	0
Total of all active and inactive participants	2017-08-01	0
2016: HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-08-01	60
Total number of active participants reported on line 7a of the Form 5500	2016-08-01	97
Number of retired or separated participants receiving benefits	2016-08-01	0
Number of other retired or separated participants entitled to future benefits	2016-08-01	0
Total of all active and inactive participants	2016-08-01	97
2015: HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-08-01	88
Total number of active participants reported on line 7a of the Form 5500	2015-08-01	60
Number of retired or separated participants receiving benefits	2015-08-01	0
Number of other retired or separated participants entitled to future benefits	2015-08-01	0
Total of all active and inactive participants	2015-08-01	60
2014: HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-08-01	111
Total number of active participants reported on line 7a of the Form 5500	2014-08-01	88
Number of retired or separated participants receiving benefits	2014-08-01	0
Number of other retired or separated participants entitled to future benefits	2014-08-01	0
Total of all active and inactive participants	2014-08-01	88
2013: HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-08-01	107
Total number of active participants reported on line 7a of the Form 5500	2013-08-01	111
Number of retired or separated participants receiving benefits	2013-08-01	0
Number of other retired or separated participants entitled to future benefits	2013-08-01	0
Total of all active and inactive participants	2013-08-01	111
2012: HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-08-01	115
Total number of active participants reported on line 7a of the Form 5500	2012-08-01	107
Number of retired or separated participants receiving benefits	2012-08-01	0
Number of other retired or separated participants entitled to future benefits	2012-08-01	0
Total of all active and inactive participants	2012-08-01	107
2011: HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-08-01	106
Total number of active participants reported on line 7a of the Form 5500	2011-08-01	115
Number of retired or separated participants receiving benefits	2011-08-01	0
Number of other retired or separated participants entitled to future benefits	2011-08-01	0
Total of all active and inactive participants	2011-08-01	115
2009: HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-08-01	77
Total number of active participants reported on line 7a of the Form 5500	2009-08-01	100
Number of retired or separated participants receiving benefits	2009-08-01	0
Number of other retired or separated participants entitled to future benefits	2009-08-01	0
Total of all active and inactive participants	2009-08-01	100

Form 5500 Responses for HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN

2017: HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN 2017 form 5500 responses
2017-08-01	Type of plan entity	Single employer plan
2017-08-01	Submission has been amended	No
2017-08-01	This submission is the final filing	Yes
2017-08-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-08-01	Plan is a collectively bargained plan	No
2017-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN 2016 form 5500 responses
2016-08-01	Type of plan entity	Single employer plan
2016-08-01	Submission has been amended	No
2016-08-01	This submission is the final filing	No
2016-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-08-01	Plan is a collectively bargained plan	No
2016-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN 2015 form 5500 responses
2015-08-01	Type of plan entity	Single employer plan
2015-08-01	Submission has been amended	No
2015-08-01	This submission is the final filing	No
2015-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-08-01	Plan is a collectively bargained plan	No
2015-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN 2014 form 5500 responses
2014-08-01	Type of plan entity	Single employer plan
2014-08-01	Submission has been amended	No
2014-08-01	This submission is the final filing	No
2014-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-08-01	Plan is a collectively bargained plan	No
2014-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN 2013 form 5500 responses
2013-08-01	Type of plan entity	Single employer plan
2013-08-01	Submission has been amended	No
2013-08-01	This submission is the final filing	No
2013-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-08-01	Plan is a collectively bargained plan	No
2013-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN 2012 form 5500 responses
2012-08-01	Type of plan entity	Single employer plan
2012-08-01	Submission has been amended	No
2012-08-01	This submission is the final filing	No
2012-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-08-01	Plan is a collectively bargained plan	No
2012-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN 2011 form 5500 responses
2011-08-01	Type of plan entity	Single employer plan
2011-08-01	Submission has been amended	No
2011-08-01	This submission is the final filing	No
2011-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-08-01	Plan is a collectively bargained plan	No
2011-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: HAYNEEDLE, INC. FLEXIBLE BENEFITS PLAN 2009 form 5500 responses
2009-08-01	Type of plan entity	Single employer plan
2009-08-01	Submission has been amended	Yes
2009-08-01	This submission is the final filing	No
2009-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-08-01	Plan is a collectively bargained plan	No
2009-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-08-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	HAYNEEDLE, INC.
Employer identification number (EIN):	680555169
NAIC Classification:	442299
NAIC Description:	All Other Home Furnishings Stores