401k Plan data: ARTHREX CALIFORNIA INC HEALTH PLAN plan

ARTHREX CALIFORNIA INC HEALTH PLAN 401k Plan overview

Plan Name	ARTHREX CALIFORNIA INC HEALTH PLAN
Plan identification number	505

ARTHREX CALIFORNIA INC HEALTH PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

ARTHREX CALIFORNIA INC has sponsored the creation of one or more 401k plans.

Company Name: ARTHREX CALIFORNIA INC

Employer identification number (EIN): 954337083

NAIC Classification: 339110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ARTHREX CALIFORNIA INC HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2016-01-01 KATHY SPARROW KATHY SPARROW 2017-10-06
505 2015-01-01 KATHY SPARROW
505 2014-01-01 KATHY SPARROW
505 2013-01-01 KATHY SPARROW

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
505	2016-01-01	KATHY SPARROW	KATHY SPARROW	2017-10-06
505	2015-01-01	KATHY SPARROW
505	2014-01-01	KATHY SPARROW
505	2013-01-01	KATHY SPARROW

Plan Statistics for ARTHREX CALIFORNIA INC HEALTH PLAN

401k plan membership statisitcs for ARTHREX CALIFORNIA INC HEALTH PLAN

Measure Date Value
2016: ARTHREX CALIFORNIA INC HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 126
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 144
Total of all active and inactive participants 2016-01-01 144
Total participants 2016-01-01 144
2015: ARTHREX CALIFORNIA INC HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 111
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 126
Total of all active and inactive participants 2015-01-01 126
Total participants 2015-01-01 126
2014: ARTHREX CALIFORNIA INC HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 90
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 111
Total of all active and inactive participants 2014-01-01 111
Total participants 2014-01-01 111
2013: ARTHREX CALIFORNIA INC HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 90
Total of all active and inactive participants 2013-01-01 90
Total participants 2013-01-01 90

Measure	Date	Value
2016: ARTHREX CALIFORNIA INC HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	126
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	144
Total of all active and inactive participants	2016-01-01	144
Total participants	2016-01-01	144
2015: ARTHREX CALIFORNIA INC HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	111
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	126
Total of all active and inactive participants	2015-01-01	126
Total participants	2015-01-01	126
2014: ARTHREX CALIFORNIA INC HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	90
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	111
Total of all active and inactive participants	2014-01-01	111
Total participants	2014-01-01	111
2013: ARTHREX CALIFORNIA INC HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	90
Total of all active and inactive participants	2013-01-01	90
Total participants	2013-01-01	90

Form 5500 Responses for ARTHREX CALIFORNIA INC HEALTH PLAN

2016: ARTHREX CALIFORNIA INC HEALTH 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	No
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 – Section 412(e)(3) insurance Contracts	Yes
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – Section 412(e)(3) insurance Contracts	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: ARTHREX CALIFORNIA INC HEALTH 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 – Section 412(e)(3) insurance Contracts	Yes
2015-01-01	Plan benefit arrangement – Section 412(e)(3) insurance Contracts	Yes
2014: ARTHREX CALIFORNIA INC HEALTH 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 – Section 412(e)(3) insurance Contracts	Yes
2014-01-01	Plan benefit arrangement – Section 412(e)(3) insurance Contracts	Yes
2013: ARTHREX CALIFORNIA INC HEALTH 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 – Section 412(e)(3) insurance Contracts	Yes
2013-01-01	Plan benefit arrangement – Section 412(e)(3) insurance Contracts	Yes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	137821
Policy instance	1
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	137821
Policy instance	1
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	137821
Policy instance	1

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Company Name:	ARTHREX CALIFORNIA INC
Employer identification number (EIN):	954337083
NAIC Classification:	339110