401k Plan data: VIDEO ONLY, INC. plan

VIDEO ONLY, INC. 401k Plan overview

Plan Name	VIDEO ONLY, INC.
Plan identification number	503

VIDEO ONLY, INC. 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 Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

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

Company Name: VIDEO ONLY, INC.

Employer identification number (EIN): 911212107

NAIC Classification: 443142
NAIC Description: Electronics Stores

Additional information about VIDEO ONLY, INC.

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 1982-03-30

Company Identification Number: 600497780

Legal Registered Office Address: 701 PIKE ST STE 1700

SEATTLE
United States of America (USA)
981013930

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VIDEO ONLY, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2016-10-01 JERRY PROSIO
503 2014-10-01 JERRY PROSIO
503 2014-10-01 JERRY PROSIO
503 2013-10-01 JERRY PROSIO JERRY PROSIO 2015-04-21
503 2012-01-01 JERRY PROSIO
503 2011-10-01 JERRY PROSIO
503 2010-10-01 JERRY PROSIO
503 2009-09-01 JERRY PROSIO
503 2008-09-01 JERRY PROSIO
503 2007-09-01 JERRY PROSIO
503 2006-09-01 JERRY PROSIO
503 2005-09-01 JERRY PROSIO

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
503	2016-10-01	JERRY PROSIO
503	2014-10-01	JERRY PROSIO
503	2014-10-01	JERRY PROSIO
503	2013-10-01	JERRY PROSIO	JERRY PROSIO	2015-04-21
503	2012-01-01	JERRY PROSIO
503	2011-10-01	JERRY PROSIO
503	2010-10-01	JERRY PROSIO
503	2009-09-01	JERRY PROSIO
503	2008-09-01	JERRY PROSIO
503	2007-09-01	JERRY PROSIO
503	2006-09-01	JERRY PROSIO
503	2005-09-01	JERRY PROSIO

Plan Statistics for VIDEO ONLY, INC.

401k plan membership statisitcs for VIDEO ONLY, INC.

Measure Date Value
2016: VIDEO ONLY, INC. 2016 401k membership
Total participants, beginning-of-year 2016-10-01 92
Total number of active participants reported on line 7a of the Form 5500 2016-10-01 81
Total of all active and inactive participants 2016-10-01 81
Total participants 2016-10-01 81
2014: VIDEO ONLY, INC. 2014 401k membership
Total participants, beginning-of-year 2014-10-01 101
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 94
Total of all active and inactive participants 2014-10-01 94
Total participants 2014-10-01 94
2013: VIDEO ONLY, INC. 2013 401k membership
Total participants, beginning-of-year 2013-10-01 109
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 100
Total of all active and inactive participants 2013-10-01 100
Total participants 2013-10-01 100
2012: VIDEO ONLY, INC. 2012 401k membership
Total participants, beginning-of-year 2012-01-01 115
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 109
Total of all active and inactive participants 2012-01-01 109
Total participants 2012-01-01 109
2011: VIDEO ONLY, INC. 2011 401k membership
Total participants, beginning-of-year 2011-10-01 125
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 115
Total of all active and inactive participants 2011-10-01 115
Total participants 2011-10-01 115
2010: VIDEO ONLY, INC. 2010 401k membership
Total participants, beginning-of-year 2010-10-01 131
Total number of active participants reported on line 7a of the Form 5500 2010-10-01 118
Total of all active and inactive participants 2010-10-01 118
Total participants 2010-10-01 118
2009: VIDEO ONLY, INC. 2009 401k membership
Total participants, beginning-of-year 2009-09-01 147
Total number of active participants reported on line 7a of the Form 5500 2009-09-01 134
Total of all active and inactive participants 2009-09-01 134
Total participants 2009-09-01 134
2008: VIDEO ONLY, INC. 2008 401k membership
Total participants, beginning-of-year 2008-09-01 150
Total number of active participants reported on line 7a of the Form 5500 2008-09-01 142
Total of all active and inactive participants 2008-09-01 142
Total participants 2008-09-01 142
2007: VIDEO ONLY, INC. 2007 401k membership
Total participants, beginning-of-year 2007-09-01 149
Total number of active participants reported on line 7a of the Form 5500 2007-09-01 139
Total of all active and inactive participants 2007-09-01 139
Total participants 2007-09-01 139
2006: VIDEO ONLY, INC. 2006 401k membership
Total participants, beginning-of-year 2006-09-01 134
Total number of active participants reported on line 7a of the Form 5500 2006-09-01 139
Total of all active and inactive participants 2006-09-01 139
Total participants 2006-09-01 139
2005: VIDEO ONLY, INC. 2005 401k membership
Total participants, beginning-of-year 2005-09-01 129
Total number of active participants reported on line 7a of the Form 5500 2005-09-01 126
Total of all active and inactive participants 2005-09-01 126
Total participants 2005-09-01 126

Measure	Date	Value
2016: VIDEO ONLY, INC. 2016 401k membership
Total participants, beginning-of-year	2016-10-01	92
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	81
Total of all active and inactive participants	2016-10-01	81
Total participants	2016-10-01	81
2014: VIDEO ONLY, INC. 2014 401k membership
Total participants, beginning-of-year	2014-10-01	101
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	94
Total of all active and inactive participants	2014-10-01	94
Total participants	2014-10-01	94
2013: VIDEO ONLY, INC. 2013 401k membership
Total participants, beginning-of-year	2013-10-01	109
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	100
Total of all active and inactive participants	2013-10-01	100
Total participants	2013-10-01	100
2012: VIDEO ONLY, INC. 2012 401k membership
Total participants, beginning-of-year	2012-01-01	115
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	109
Total of all active and inactive participants	2012-01-01	109
Total participants	2012-01-01	109
2011: VIDEO ONLY, INC. 2011 401k membership
Total participants, beginning-of-year	2011-10-01	125
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	115
Total of all active and inactive participants	2011-10-01	115
Total participants	2011-10-01	115
2010: VIDEO ONLY, INC. 2010 401k membership
Total participants, beginning-of-year	2010-10-01	131
Total number of active participants reported on line 7a of the Form 5500	2010-10-01	118
Total of all active and inactive participants	2010-10-01	118
Total participants	2010-10-01	118
2009: VIDEO ONLY, INC. 2009 401k membership
Total participants, beginning-of-year	2009-09-01	147
Total number of active participants reported on line 7a of the Form 5500	2009-09-01	134
Total of all active and inactive participants	2009-09-01	134
Total participants	2009-09-01	134
2008: VIDEO ONLY, INC. 2008 401k membership
Total participants, beginning-of-year	2008-09-01	150
Total number of active participants reported on line 7a of the Form 5500	2008-09-01	142
Total of all active and inactive participants	2008-09-01	142
Total participants	2008-09-01	142
2007: VIDEO ONLY, INC. 2007 401k membership
Total participants, beginning-of-year	2007-09-01	149
Total number of active participants reported on line 7a of the Form 5500	2007-09-01	139
Total of all active and inactive participants	2007-09-01	139
Total participants	2007-09-01	139
2006: VIDEO ONLY, INC. 2006 401k membership
Total participants, beginning-of-year	2006-09-01	134
Total number of active participants reported on line 7a of the Form 5500	2006-09-01	139
Total of all active and inactive participants	2006-09-01	139
Total participants	2006-09-01	139
2005: VIDEO ONLY, INC. 2005 401k membership
Total participants, beginning-of-year	2005-09-01	129
Total number of active participants reported on line 7a of the Form 5500	2005-09-01	126
Total of all active and inactive participants	2005-09-01	126
Total participants	2005-09-01	126

Form 5500 Responses for VIDEO ONLY, INC.

2016: VIDEO ONLY, INC. 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	Submission has been amended	No
2016-10-01	This submission is the final filing	No
2016-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-10-01	Plan is a collectively bargained plan	No
2016-10-01	Plan funding arrangement – Insurance	Yes
2016-10-01	Plan benefit arrangement – Insurance	Yes
2014: VIDEO ONLY, INC. 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	Yes
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	No
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement – Insurance	Yes
2013: VIDEO ONLY, INC. 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2012: VIDEO ONLY, INC. 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 benefit arrangement – Insurance	Yes
2011: VIDEO ONLY, INC. 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Submission has been amended	No
2011-10-01	This submission is the final filing	No
2011-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-10-01	Plan is a collectively bargained plan	No
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan benefit arrangement – Insurance	Yes
2010: VIDEO ONLY, INC. 2010 form 5500 responses
2010-10-01	Type of plan entity	Single employer plan
2010-10-01	Submission has been amended	No
2010-10-01	This submission is the final filing	No
2010-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-10-01	Plan is a collectively bargained plan	No
2010-10-01	Plan funding arrangement – Insurance	Yes
2010-10-01	Plan benefit arrangement – Insurance	Yes
2009: VIDEO ONLY, INC. 2009 form 5500 responses
2009-09-01	Type of plan entity	Single employer plan
2009-09-01	Submission has been amended	No
2009-09-01	This submission is the final filing	No
2009-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-09-01	Plan is a collectively bargained plan	No
2009-09-01	Plan funding arrangement – Insurance	Yes
2009-09-01	Plan benefit arrangement – Insurance	Yes
2008: VIDEO ONLY, INC. 2008 form 5500 responses
2008-09-01	Type of plan entity	Single employer plan
2008-09-01	Submission has been amended	No
2008-09-01	This submission is the final filing	No
2008-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-09-01	Plan is a collectively bargained plan	No
2008-09-01	Plan funding arrangement – Insurance	Yes
2008-09-01	Plan benefit arrangement – Insurance	Yes
2007: VIDEO ONLY, INC. 2007 form 5500 responses
2007-09-01	Type of plan entity	Single employer plan
2007-09-01	Submission has been amended	No
2007-09-01	This submission is the final filing	No
2007-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-09-01	Plan is a collectively bargained plan	No
2007-09-01	Plan funding arrangement – Insurance	Yes
2007-09-01	Plan benefit arrangement – Insurance	Yes
2006: VIDEO ONLY, INC. 2006 form 5500 responses
2006-09-01	Type of plan entity	Single employer plan
2006-09-01	Submission has been amended	No
2006-09-01	This submission is the final filing	No
2006-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-09-01	Plan is a collectively bargained plan	No
2006-09-01	Plan funding arrangement – Insurance	Yes
2006-09-01	Plan benefit arrangement – Insurance	Yes
2005: VIDEO ONLY, INC. 2005 form 5500 responses
2005-09-01	Type of plan entity	Single employer plan
2005-09-01	Submission has been amended	No
2005-09-01	This submission is the final filing	No
2005-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2005-09-01	Plan is a collectively bargained plan	No
2005-09-01	Plan funding arrangement – Insurance	Yes
2005-09-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	VIDEO ONLY, INC.
Employer identification number (EIN):	911212107
NAIC Classification:	443142
NAIC Description:	Electronics Stores

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	1982-03-30
Company Identification Number:	600497780
Legal Registered Office Address:	701 PIKE ST STE 1700 SEATTLE United States of America (USA) 981013930