401k Plan data: PENINSULA AIRWAYS INC HEALTH CARE PLAN plan

PENINSULA AIRWAYS INC HEALTH CARE PLAN 401k Plan overview

Plan Name	PENINSULA AIRWAYS INC HEALTH CARE PLAN
Plan identification number	501

PENINSULA AIRWAYS INC HEALTH CARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Other welfare benefit cover

401k Sponsoring company profile

PENINSULA AIRWAYS INC has sponsored the creation of one or more 401k plans.

Company Name: PENINSULA AIRWAYS INC

Employer identification number (EIN): 920159320

NAIC Classification: 481000
NAIC Description: Air Transportation

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PENINSULA AIRWAYS INC HEALTH CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2015-01-01 JANET THIBERT JANET THIBERT 2016-09-21
501 2014-01-01 JANET THIBERT JANET THIBERT 2015-10-01
501 2013-01-01 ANNETTE ANZELINI ANNETTE ANZELINI 2014-07-11
501 2012-01-01 WILLIAM MCDONNELL JANET THIBERT 2013-10-01
501 2011-01-01 WILLIAM MCDONNELL WILLIAM MCDONNELL 2012-09-19
501 2010-01-01 MIKE CERKOVNIK MIKE CERKOVNIK 2011-09-20
501 2009-01-01 MIKE CERKOVNIK MIKE CERKOVNIK 2010-10-06

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2015-01-01	JANET THIBERT	JANET THIBERT	2016-09-21
501	2014-01-01	JANET THIBERT	JANET THIBERT	2015-10-01
501	2013-01-01	ANNETTE ANZELINI	ANNETTE ANZELINI	2014-07-11
501	2012-01-01	WILLIAM MCDONNELL	JANET THIBERT	2013-10-01
501	2011-01-01	WILLIAM MCDONNELL	WILLIAM MCDONNELL	2012-09-19
501	2010-01-01	MIKE CERKOVNIK	MIKE CERKOVNIK	2011-09-20
501	2009-01-01	MIKE CERKOVNIK	MIKE CERKOVNIK	2010-10-06

Plan Statistics for PENINSULA AIRWAYS INC HEALTH CARE PLAN

401k plan membership statisitcs for PENINSULA AIRWAYS INC HEALTH CARE PLAN

Measure Date Value
2015: PENINSULA AIRWAYS INC HEALTH CARE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 161
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 186
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 2015-01-01 186
2014: PENINSULA AIRWAYS INC HEALTH CARE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 160
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 161
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 0
Total of all active and inactive participants 2014-01-01 161
2013: PENINSULA AIRWAYS INC HEALTH CARE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 169
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 160
Total of all active and inactive participants 2013-01-01 160
2012: PENINSULA AIRWAYS INC HEALTH CARE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 192
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 169
Total of all active and inactive participants 2012-01-01 169
2011: PENINSULA AIRWAYS INC HEALTH CARE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 218
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 192
Total of all active and inactive participants 2011-01-01 192
2010: PENINSULA AIRWAYS INC HEALTH CARE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 229
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 218
Total of all active and inactive participants 2010-01-01 218
2009: PENINSULA AIRWAYS INC HEALTH CARE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 216
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 229
Total of all active and inactive participants 2009-01-01 229

Measure	Date	Value
2015: PENINSULA AIRWAYS INC HEALTH CARE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	161
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	186
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	186
2014: PENINSULA AIRWAYS INC HEALTH CARE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	160
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	161
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	0
Total of all active and inactive participants	2014-01-01	161
2013: PENINSULA AIRWAYS INC HEALTH CARE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	169
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	160
Total of all active and inactive participants	2013-01-01	160
2012: PENINSULA AIRWAYS INC HEALTH CARE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	192
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	169
Total of all active and inactive participants	2012-01-01	169
2011: PENINSULA AIRWAYS INC HEALTH CARE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	218
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	192
Total of all active and inactive participants	2011-01-01	192
2010: PENINSULA AIRWAYS INC HEALTH CARE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	229
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	218
Total of all active and inactive participants	2010-01-01	218
2009: PENINSULA AIRWAYS INC HEALTH CARE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	216
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	229
Total of all active and inactive participants	2009-01-01	229

Form 5500 Responses for PENINSULA AIRWAYS INC HEALTH CARE PLAN

2015: PENINSULA AIRWAYS INC HEALTH CARE PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: PENINSULA AIRWAYS INC HEALTH CARE PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: PENINSULA AIRWAYS INC HEALTH CARE PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: PENINSULA AIRWAYS INC HEALTH CARE PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: PENINSULA AIRWAYS INC HEALTH CARE PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: PENINSULA AIRWAYS INC HEALTH CARE PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: PENINSULA AIRWAYS INC HEALTH CARE PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	PENINSULA AIRWAYS INC
Employer identification number (EIN):	920159320
NAIC Classification:	481000
NAIC Description:	Air Transportation