401k Plan data: ED STAUB & SONS PETROLEUM, INC. 125 CAFETERIA PLAN plan

ED STAUB & SONS PETROLEUM, INC. 125 CAFETERIA PLAN 401k Plan overview

Plan Name	ED STAUB & SONS PETROLEUM, INC. 125 CAFETERIA PLAN
Plan identification number	502

ED STAUB & SONS PETROLEUM, INC. 125 CAFETERIA PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental Temporary disability (accident and sickness)

401k Sponsoring company profile

ED STAUB & SONS PETROLEUM, INC. has sponsored the creation of one or more 401k plans.

Company Name: ED STAUB & SONS PETROLEUM, INC.

Employer identification number (EIN): 942644690

NAIC Classification: 324110
NAIC Description: Petroleum Refineries

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ED STAUB & SONS PETROLEUM, INC. 125 CAFETERIA PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2013-05-01 GINGER RAYL GINGER RAYL 2014-11-11
502 2012-05-01 GINGER RAYL GINGER RAYL 2013-12-02
502 2011-05-01 GINGER RAYL GINGER RAYL 2012-11-15
502 2010-05-01 GINGER RAYL GINGER RAYL 2012-01-27
502 2009-05-01 TINA SNIDER TINA SNIDER 2011-02-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
502	2013-05-01	GINGER RAYL	GINGER RAYL	2014-11-11
502	2012-05-01	GINGER RAYL	GINGER RAYL	2013-12-02
502	2011-05-01	GINGER RAYL	GINGER RAYL	2012-11-15
502	2010-05-01	GINGER RAYL	GINGER RAYL	2012-01-27
502	2009-05-01	TINA SNIDER	TINA SNIDER	2011-02-15

Plan Statistics for ED STAUB & SONS PETROLEUM, INC. 125 CAFETERIA PLAN

401k plan membership statisitcs for ED STAUB & SONS PETROLEUM, INC. 125 CAFETERIA PLAN

Measure Date Value
2013: ED STAUB & SONS PETROLEUM, INC. 125 CAFETERIA PLAN 2013 401k membership
Total participants, beginning-of-year 2013-05-01 192
Total number of active participants reported on line 7a of the Form 5500 2013-05-01 0
Total of all active and inactive participants 2013-05-01 0
2012: ED STAUB & SONS PETROLEUM, INC. 125 CAFETERIA PLAN 2012 401k membership
Total participants, beginning-of-year 2012-05-01 159
Total number of active participants reported on line 7a of the Form 5500 2012-05-01 192
Total of all active and inactive participants 2012-05-01 192
2011: ED STAUB & SONS PETROLEUM, INC. 125 CAFETERIA PLAN 2011 401k membership
Total participants, beginning-of-year 2011-05-01 180
Total number of active participants reported on line 7a of the Form 5500 2011-05-01 159
Total of all active and inactive participants 2011-05-01 159
2010: ED STAUB & SONS PETROLEUM, INC. 125 CAFETERIA PLAN 2010 401k membership
Total participants, beginning-of-year 2010-05-01 159
Total number of active participants reported on line 7a of the Form 5500 2010-05-01 180
Total of all active and inactive participants 2010-05-01 180
2009: ED STAUB & SONS PETROLEUM, INC. 125 CAFETERIA PLAN 2009 401k membership
Total participants, beginning-of-year 2009-05-01 181
Total number of active participants reported on line 7a of the Form 5500 2009-05-01 159
Total of all active and inactive participants 2009-05-01 159

Measure	Date	Value
2013: ED STAUB & SONS PETROLEUM, INC. 125 CAFETERIA PLAN 2013 401k membership
Total participants, beginning-of-year	2013-05-01	192
Total number of active participants reported on line 7a of the Form 5500	2013-05-01	0
Total of all active and inactive participants	2013-05-01	0
2012: ED STAUB & SONS PETROLEUM, INC. 125 CAFETERIA PLAN 2012 401k membership
Total participants, beginning-of-year	2012-05-01	159
Total number of active participants reported on line 7a of the Form 5500	2012-05-01	192
Total of all active and inactive participants	2012-05-01	192
2011: ED STAUB & SONS PETROLEUM, INC. 125 CAFETERIA PLAN 2011 401k membership
Total participants, beginning-of-year	2011-05-01	180
Total number of active participants reported on line 7a of the Form 5500	2011-05-01	159
Total of all active and inactive participants	2011-05-01	159
2010: ED STAUB & SONS PETROLEUM, INC. 125 CAFETERIA PLAN 2010 401k membership
Total participants, beginning-of-year	2010-05-01	159
Total number of active participants reported on line 7a of the Form 5500	2010-05-01	180
Total of all active and inactive participants	2010-05-01	180
2009: ED STAUB & SONS PETROLEUM, INC. 125 CAFETERIA PLAN 2009 401k membership
Total participants, beginning-of-year	2009-05-01	181
Total number of active participants reported on line 7a of the Form 5500	2009-05-01	159
Total of all active and inactive participants	2009-05-01	159

Form 5500 Responses for ED STAUB & SONS PETROLEUM, INC. 125 CAFETERIA PLAN

2013: ED STAUB & SONS PETROLEUM, INC. 125 CAFETERIA PLAN 2013 form 5500 responses
2013-05-01	Type of plan entity	Single employer plan
2013-05-01	This submission is the final filing	Yes
2013-05-01	Plan funding arrangement – Insurance	Yes
2013-05-01	Plan benefit arrangement – Insurance	Yes
2012: ED STAUB & SONS PETROLEUM, INC. 125 CAFETERIA PLAN 2012 form 5500 responses
2012-05-01	Type of plan entity	Single employer plan
2012-05-01	Plan funding arrangement – Insurance	Yes
2012-05-01	Plan benefit arrangement – Insurance	Yes
2011: ED STAUB & SONS PETROLEUM, INC. 125 CAFETERIA PLAN 2011 form 5500 responses
2011-05-01	Type of plan entity	Single employer plan
2011-05-01	Plan funding arrangement – Insurance	Yes
2011-05-01	Plan benefit arrangement – Insurance	Yes
2010: ED STAUB & SONS PETROLEUM, INC. 125 CAFETERIA PLAN 2010 form 5500 responses
2010-05-01	Type of plan entity	Single employer plan
2010-05-01	Plan funding arrangement – Insurance	Yes
2010-05-01	Plan benefit arrangement – Insurance	Yes
2009: ED STAUB & SONS PETROLEUM, INC. 125 CAFETERIA PLAN 2009 form 5500 responses
2009-05-01	Type of plan entity	Single employer plan
2009-05-01	This submission is the final filing	No
2009-05-01	Plan funding arrangement – Insurance	Yes
2009-05-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	ED STAUB & SONS PETROLEUM, INC.
Employer identification number (EIN):	942644690
NAIC Classification:	324110
NAIC Description:	Petroleum Refineries