401k Plan data: SAFE BOATS EMPLOYEE DENTAL PLAN plan

SAFE BOATS EMPLOYEE DENTAL PLAN 401k Plan overview

Plan Name	SAFE BOATS EMPLOYEE DENTAL PLAN
Plan identification number	502

SAFE BOATS EMPLOYEE DENTAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental

401k Sponsoring company profile

SAFE BOATS INTERNATIONAL LLC has sponsored the creation of one or more 401k plans.

Company Name: SAFE BOATS INTERNATIONAL LLC

Employer identification number (EIN): 911737896

NAIC Classification: 336610

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SAFE BOATS EMPLOYEE DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2016-01-01
502 2015-01-01
502 2014-01-01 NANCI GRIFFIN
502 2013-01-01 NANCI GRIFFIN
502 2012-01-01 CONNIE LAPE
502 2011-01-01 CONNIE LAPE WILLIAM HANSEN 2012-07-30
502 2009-11-01 CONNIE LAPE WILLIAM HANSEN 2011-01-28

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
502	2016-01-01
502	2015-01-01
502	2014-01-01	NANCI GRIFFIN
502	2013-01-01	NANCI GRIFFIN
502	2012-01-01	CONNIE LAPE
502	2011-01-01	CONNIE LAPE	WILLIAM HANSEN	2012-07-30
502	2009-11-01	CONNIE LAPE	WILLIAM HANSEN	2011-01-28

Plan Statistics for SAFE BOATS EMPLOYEE DENTAL PLAN

401k plan membership statisitcs for SAFE BOATS EMPLOYEE DENTAL PLAN

Measure Date Value
2016: SAFE BOATS EMPLOYEE DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 309
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
2015: SAFE BOATS EMPLOYEE DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 252
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 307
Number of retired or separated participants receiving benefits 2015-01-01 2
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 309
2014: SAFE BOATS EMPLOYEE DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 313
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 255
Number of retired or separated participants receiving benefits 2014-01-01 3
Total of all active and inactive participants 2014-01-01 258
Total participants 2014-01-01 258
2013: SAFE BOATS EMPLOYEE DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 291
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 310
Number of retired or separated participants receiving benefits 2013-01-01 3
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 313
Total participants 2013-01-01 313
2012: SAFE BOATS EMPLOYEE DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 250
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 291
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 2012-01-01 291
Total participants 2012-01-01 291
2011: SAFE BOATS EMPLOYEE DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 241
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 250
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 0
Total of all active and inactive participants 2011-01-01 250
Total participants 2011-01-01 250
2009: SAFE BOATS EMPLOYEE DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-11-01 267
Total number of active participants reported on line 7a of the Form 5500 2009-11-01 246
Number of retired or separated participants receiving benefits 2009-11-01 0
Number of other retired or separated participants entitled to future benefits 2009-11-01 0
Total of all active and inactive participants 2009-11-01 246
Total participants 2009-11-01 246

Measure	Date	Value
2016: SAFE BOATS EMPLOYEE DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	309
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
2015: SAFE BOATS EMPLOYEE DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	252
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	307
Number of retired or separated participants receiving benefits	2015-01-01	2
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	309
2014: SAFE BOATS EMPLOYEE DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	313
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	255
Number of retired or separated participants receiving benefits	2014-01-01	3
Total of all active and inactive participants	2014-01-01	258
Total participants	2014-01-01	258
2013: SAFE BOATS EMPLOYEE DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	291
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	310
Number of retired or separated participants receiving benefits	2013-01-01	3
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	313
Total participants	2013-01-01	313
2012: SAFE BOATS EMPLOYEE DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	250
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	291
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	291
Total participants	2012-01-01	291
2011: SAFE BOATS EMPLOYEE DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	241
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	250
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	0
Total of all active and inactive participants	2011-01-01	250
Total participants	2011-01-01	250
2009: SAFE BOATS EMPLOYEE DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-11-01	267
Total number of active participants reported on line 7a of the Form 5500	2009-11-01	246
Number of retired or separated participants receiving benefits	2009-11-01	0
Number of other retired or separated participants entitled to future benefits	2009-11-01	0
Total of all active and inactive participants	2009-11-01	246
Total participants	2009-11-01	246

Form 5500 Responses for SAFE BOATS EMPLOYEE DENTAL PLAN

2016: SAFE BOATS EMPLOYEE DENTAL PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: SAFE BOATS EMPLOYEE DENTAL 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	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: SAFE BOATS EMPLOYEE DENTAL 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 benefit arrangement – Insurance	Yes
2013: SAFE BOATS EMPLOYEE DENTAL 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: SAFE BOATS EMPLOYEE DENTAL 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 benefit arrangement – Insurance	Yes
2011: SAFE BOATS EMPLOYEE DENTAL 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: SAFE BOATS EMPLOYEE DENTAL PLAN 2009 form 5500 responses
2009-11-01	Type of plan entity	Single employer plan
2009-11-01	Submission has been amended	No
2009-11-01	This submission is the final filing	No
2009-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-11-01	Plan is a collectively bargained plan	No
2009-11-01	Plan funding arrangement – Insurance	Yes
2009-11-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	1032743 0001
Policy instance	1
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	1032743 0002
Policy instance	2
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	0001
Policy instance	1
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	0002
Policy instance	2
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	1032743
Policy instance	1
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	0001, 0002
Policy instance	1
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	0001 0002
Policy instance	1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	H41052
Policy instance	1

Potentially related plans

SAFE BOATS INTERNATIONAL EMPLOYEE STOCK PLAN & TRUST [EIN = 884367942]

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Company Name:	SAFE BOATS INTERNATIONAL LLC
Employer identification number (EIN):	911737896
NAIC Classification:	336610