401k Plan data: GROUP SICK LEAVE SALARY CONTINUATION PLAN plan

GROUP SICK LEAVE SALARY CONTINUATION PLAN 401k Plan overview

Plan Name	GROUP SICK LEAVE SALARY CONTINUATION PLAN
Plan identification number	504

GROUP SICK LEAVE SALARY CONTINUATION PLAN Benefits

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

401k Sponsoring company profile

CENTRAL ATLANTIC TOYOTA DISTRIBUTOR has sponsored the creation of one or more 401k plans.

Company Name: CENTRAL ATLANTIC TOYOTA DISTRIBUTOR

Employer identification number (EIN): 951958272

NAIC Classification: 423100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP SICK LEAVE SALARY CONTINUATION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2015-01-01 RIDLEY J. POLITISKI
504 2015-01-01 RIDLEY J. POLITISKI
504 2014-01-01 RIDLEY J. POLITISKI
504 2013-01-01 RIDLEY J. POLITISKI
504 2012-01-01 RIDLEY J. POLITISKI
504 2011-01-01 RIDLEY J. POLITISKI
504 2010-01-01 RIDLEY J. POLITISKI RIDLEY J. POLITISKI 2011-10-12
504 2009-01-01 RIDLEY J. POLITISKI RIDLEY J. POLITISKI 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
504	2015-01-01	RIDLEY J. POLITISKI
504	2015-01-01	RIDLEY J. POLITISKI
504	2014-01-01	RIDLEY J. POLITISKI
504	2013-01-01	RIDLEY J. POLITISKI
504	2012-01-01	RIDLEY J. POLITISKI
504	2011-01-01	RIDLEY J. POLITISKI
504	2010-01-01	RIDLEY J. POLITISKI	RIDLEY J. POLITISKI	2011-10-12
504	2009-01-01	RIDLEY J. POLITISKI	RIDLEY J. POLITISKI	2010-10-14

Plan Statistics for GROUP SICK LEAVE SALARY CONTINUATION PLAN

401k plan membership statisitcs for GROUP SICK LEAVE SALARY CONTINUATION PLAN

Measure Date Value
2015: GROUP SICK LEAVE SALARY CONTINUATION PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 8,750
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 8,786
Total of all active and inactive participants 2015-01-01 8,786
2014: GROUP SICK LEAVE SALARY CONTINUATION PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 8,750
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 8,704
Total of all active and inactive participants 2014-01-01 8,704
Total participants 2014-01-01 8,704
2013: GROUP SICK LEAVE SALARY CONTINUATION PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 8,710
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 8,750
Total of all active and inactive participants 2013-01-01 8,750
Total participants 2013-01-01 8,750
2012: GROUP SICK LEAVE SALARY CONTINUATION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 8,632
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 8,710
Total of all active and inactive participants 2012-01-01 8,710
Total participants 2012-01-01 8,710
2011: GROUP SICK LEAVE SALARY CONTINUATION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 8,827
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 8,632
Total of all active and inactive participants 2011-01-01 8,632
Total participants 2011-01-01 8,632
2010: GROUP SICK LEAVE SALARY CONTINUATION PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 9,025
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 8,827
Total of all active and inactive participants 2010-01-01 8,827
Total participants 2010-01-01 8,827
2009: GROUP SICK LEAVE SALARY CONTINUATION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 9,179
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 9,025
Total of all active and inactive participants 2009-01-01 9,025
Total participants 2009-01-01 9,025

Measure	Date	Value
2015: GROUP SICK LEAVE SALARY CONTINUATION PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	8,750
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	8,786
Total of all active and inactive participants	2015-01-01	8,786
2014: GROUP SICK LEAVE SALARY CONTINUATION PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	8,750
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	8,704
Total of all active and inactive participants	2014-01-01	8,704
Total participants	2014-01-01	8,704
2013: GROUP SICK LEAVE SALARY CONTINUATION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	8,710
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	8,750
Total of all active and inactive participants	2013-01-01	8,750
Total participants	2013-01-01	8,750
2012: GROUP SICK LEAVE SALARY CONTINUATION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	8,632
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	8,710
Total of all active and inactive participants	2012-01-01	8,710
Total participants	2012-01-01	8,710
2011: GROUP SICK LEAVE SALARY CONTINUATION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	8,827
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	8,632
Total of all active and inactive participants	2011-01-01	8,632
Total participants	2011-01-01	8,632
2010: GROUP SICK LEAVE SALARY CONTINUATION PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	9,025
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	8,827
Total of all active and inactive participants	2010-01-01	8,827
Total participants	2010-01-01	8,827
2009: GROUP SICK LEAVE SALARY CONTINUATION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	9,179
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	9,025
Total of all active and inactive participants	2009-01-01	9,025
Total participants	2009-01-01	9,025

Form 5500 Responses for GROUP SICK LEAVE SALARY CONTINUATION PLAN

2015: GROUP SICK LEAVE SALARY CONTINUATION PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	Yes
2015-01-01	This submission is the final filing	Yes
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: GROUP SICK LEAVE SALARY CONTINUATION PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: GROUP SICK LEAVE SALARY CONTINUATION PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: GROUP SICK LEAVE SALARY CONTINUATION PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: GROUP SICK LEAVE SALARY CONTINUATION PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: GROUP SICK LEAVE SALARY CONTINUATION PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: GROUP SICK LEAVE SALARY CONTINUATION PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )

Policy contract number

PD3-860-066615

Policy instance

Insurance contract or identification number	PD3-860-066615
Number of Individuals Covered	8786
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $271,887
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	CENTRAL ATLANTIC TOYOTA DISTRIBUTOR
Employer identification number (EIN):	951958272
NAIC Classification:	423100