401k Plan data: ODYSSEY ONE SOURCE INC WELFARE PLAN plan

ODYSSEY ONE SOURCE INC WELFARE PLAN 401k Plan overview

Plan Name	ODYSSEY ONE SOURCE INC WELFARE PLAN
Plan identification number	502

ODYSSEY ONE SOURCE INC WELFARE PLAN Benefits

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

401k Sponsoring company profile

COADVANTAGE RESOURCES 51, INC. has sponsored the creation of one or more 401k plans.

Company Name: COADVANTAGE RESOURCES 51, INC.

Employer identification number (EIN): 752569853

NAIC Classification: 541214
NAIC Description: Payroll Services

Additional information about COADVANTAGE RESOURCES 51, INC.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1995-01-17

Company Identification Number: 0134090300

Legal Registered Office Address: 2301 MAITLAND CENTER PKWY STE 100

MAITLAND
United States of America (USA)
32751

More information about COADVANTAGE RESOURCES 51, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ODYSSEY ONE SOURCE INC WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2013-01-01 JEFFREY SJOBECK JEFFREY SJOBECK 2014-10-15
502 2012-01-01 JAMES MUTZ
502 2011-01-01 JAMES MUTZ
502 2009-01-01 JAMES MUTZ

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
502	2013-01-01	JEFFREY SJOBECK	JEFFREY SJOBECK	2014-10-15
502	2012-01-01	JAMES MUTZ
502	2011-01-01	JAMES MUTZ
502	2009-01-01	JAMES MUTZ

Plan Statistics for ODYSSEY ONE SOURCE INC WELFARE PLAN

401k plan membership statisitcs for ODYSSEY ONE SOURCE INC WELFARE PLAN

Measure Date Value
2013: ODYSSEY ONE SOURCE INC WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 3,317
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2,107
Number of retired or separated participants receiving benefits 2013-01-01 33
Total of all active and inactive participants 2013-01-01 2,140
Total participants 2013-01-01 2,140
2012: ODYSSEY ONE SOURCE INC WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2,725
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 3,317
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 3,317
Total participants 2012-01-01 3,317
2011: ODYSSEY ONE SOURCE INC WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2,673
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2,725
Total of all active and inactive participants 2011-01-01 2,725
Total participants 2011-01-01 2,725
2009: ODYSSEY ONE SOURCE INC WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2,652
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2,694
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 0
Total of all active and inactive participants 2009-01-01 2,694
Total participants 2009-01-01 2,694

Measure	Date	Value
2013: ODYSSEY ONE SOURCE INC WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	3,317
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2,107
Number of retired or separated participants receiving benefits	2013-01-01	33
Total of all active and inactive participants	2013-01-01	2,140
Total participants	2013-01-01	2,140
2012: ODYSSEY ONE SOURCE INC WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2,725
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	3,317
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	3,317
Total participants	2012-01-01	3,317
2011: ODYSSEY ONE SOURCE INC WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2,673
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2,725
Total of all active and inactive participants	2011-01-01	2,725
Total participants	2011-01-01	2,725
2009: ODYSSEY ONE SOURCE INC WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2,652
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2,694
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	0
Total of all active and inactive participants	2009-01-01	2,694
Total participants	2009-01-01	2,694

Form 5500 Responses for ODYSSEY ONE SOURCE INC WELFARE PLAN

2013: ODYSSEY ONE SOURCE INC WELFARE 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 benefit arrangement – Insurance	Yes
2012: ODYSSEY ONE SOURCE INC WELFARE PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
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 benefit arrangement – Insurance	Yes
2011: ODYSSEY ONE SOURCE INC WELFARE 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 benefit arrangement – Insurance	Yes
2009: ODYSSEY ONE SOURCE INC WELFARE PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
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 benefit arrangement – Insurance	Yes

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Company Name:	COADVANTAGE RESOURCES 51, INC.
Employer identification number (EIN):	752569853
NAIC Classification:	541214
NAIC Description:	Payroll Services

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1995-01-17
Company Identification Number:	0134090300
Legal Registered Office Address:	2301 MAITLAND CENTER PKWY STE 100 MAITLAND United States of America (USA) 32751