401k Plan data: KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS PLAN plan

KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS PLAN 401k Plan overview

Plan Name	KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS PLAN
Plan identification number	528

KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

KELLOGG BROWN & ROOT, LLC has sponsored the creation of one or more 401k plans.

Company Name: KELLOGG BROWN & ROOT, LLC

Employer identification number (EIN): 203897734

NAIC Classification: 238900

Additional information about KELLOGG BROWN & ROOT, LLC

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2005-12-12

Company Identification Number: 0800582407

Legal Registered Office Address: 601 JEFFERSON ST STE 2800

HOUSTON
United States of America (USA)
77002

More information about KELLOGG BROWN & ROOT, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
528 2017-01-01 VALERIE HULSE VALERIE HULSE 2018-10-15
528 2017-01-01
528 2016-01-01 VALERIE HULSE VALERIE HULSE 2018-01-24
528 2015-01-01 VALERIE HULSE VALERIE HULSE 2016-10-17
528 2014-01-01 VALERIE HULSE VALERIE HULSE 2015-10-15
528 2013-01-01 VALERIE HULSE VALERIE HULSE 2014-10-15
528 2012-01-01 ANN HOLLINGSWORTH
528 2011-01-01 ANN HOLLINGSWORTH

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
528	2017-01-01	VALERIE HULSE	VALERIE HULSE	2018-10-15
528	2017-01-01
528	2016-01-01	VALERIE HULSE	VALERIE HULSE	2018-01-24
528	2015-01-01	VALERIE HULSE	VALERIE HULSE	2016-10-17
528	2014-01-01	VALERIE HULSE	VALERIE HULSE	2015-10-15
528	2013-01-01	VALERIE HULSE	VALERIE HULSE	2014-10-15
528	2012-01-01	ANN HOLLINGSWORTH
528	2011-01-01	ANN HOLLINGSWORTH

Plan Statistics for KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS PLAN

401k plan membership statisitcs for KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS PLAN

Measure Date Value
2017: KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 17
Number of retired or separated participants receiving benefits 2017-01-01 17
Number of other retired or separated participants entitled to future benefits 2017-01-01 4
Total of all active and inactive participants 2017-01-01 21
Total participants 2017-01-01 21
2016: KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 17
Number of retired or separated participants receiving benefits 2016-01-01 14
Number of other retired or separated participants entitled to future benefits 2016-01-01 3
Total of all active and inactive participants 2016-01-01 17
2015: KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 37
Number of retired or separated participants receiving benefits 2015-01-01 38
Number of other retired or separated participants entitled to future benefits 2015-01-01 2
Total of all active and inactive participants 2015-01-01 40
2014: KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 42
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 36
Number of other retired or separated participants entitled to future benefits 2014-01-01 7
Total of all active and inactive participants 2014-01-01 43
2013: KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 49
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 42
Number of other retired or separated participants entitled to future benefits 2013-01-01 1
Total of all active and inactive participants 2013-01-01 43
2012: KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 45
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Number of retired or separated participants receiving benefits 2012-01-01 43
Number of other retired or separated participants entitled to future benefits 2012-01-01 2
Total of all active and inactive participants 2012-01-01 45
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
2011: KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 62
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
Number of retired or separated participants receiving benefits 2011-01-01 40
Number of other retired or separated participants entitled to future benefits 2011-01-01 26
Total of all active and inactive participants 2011-01-01 66
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0

Measure	Date	Value
2017: KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	17
Number of retired or separated participants receiving benefits	2017-01-01	17
Number of other retired or separated participants entitled to future benefits	2017-01-01	4
Total of all active and inactive participants	2017-01-01	21
Total participants	2017-01-01	21
2016: KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	17
Number of retired or separated participants receiving benefits	2016-01-01	14
Number of other retired or separated participants entitled to future benefits	2016-01-01	3
Total of all active and inactive participants	2016-01-01	17
2015: KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	37
Number of retired or separated participants receiving benefits	2015-01-01	38
Number of other retired or separated participants entitled to future benefits	2015-01-01	2
Total of all active and inactive participants	2015-01-01	40
2014: KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	42
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	36
Number of other retired or separated participants entitled to future benefits	2014-01-01	7
Total of all active and inactive participants	2014-01-01	43
2013: KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	49
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	42
Number of other retired or separated participants entitled to future benefits	2013-01-01	1
Total of all active and inactive participants	2013-01-01	43
2012: KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	45
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Number of retired or separated participants receiving benefits	2012-01-01	43
Number of other retired or separated participants entitled to future benefits	2012-01-01	2
Total of all active and inactive participants	2012-01-01	45
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
2011: KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	62
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
Number of retired or separated participants receiving benefits	2011-01-01	40
Number of other retired or separated participants entitled to future benefits	2011-01-01	26
Total of all active and inactive participants	2011-01-01	66
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0

Form 5500 Responses for KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS PLAN

2017: KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS 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 – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS 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 – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS 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 – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS 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 – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS 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 – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: KELLOGG BROWN & ROOT RETIREE MEDICAL BENEFITS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	First time form 5500 has been submitted	Yes
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 – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Potentially related plans

KELLOGG BROWN & ROOT SERVICES INTERNATIONAL, INC. [EIN = 204912734]

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Company Name:	KELLOGG BROWN & ROOT, LLC
Employer identification number (EIN):	203897734
NAIC Classification:	238900

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2005-12-12
Company Identification Number:	0800582407
Legal Registered Office Address:	601 JEFFERSON ST STE 2800 HOUSTON United States of America (USA) 77002