401k Plan data: TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM plan

TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM 401k Plan overview

Plan Name	TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM
Plan identification number	501

TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM Benefits

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

TATA CHEMICALS NORTH AMERICA INC. has sponsored the creation of one or more 401k plans.

Company Name: TATA CHEMICALS NORTH AMERICA INC.

Employer identification number (EIN): 223649282

NAIC Classification: 325900
NAIC Description: Other Chemical Product and Preparation Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2014-01-01 JOHN CHRISTIAN
501 2013-01-01 JOHN CHRISTIAN
501 2012-01-01 JOHN G. CHRISTIAN JR.
501 2011-01-01 JOHN CHRISTIAN
501 2010-01-01 JOHN CHRISTIAN
501 2009-01-01 JOHN G. CHRISTIAN, JR.

Plan id#	Filing Submission Date	Name of Administrator
501	2014-01-01	JOHN CHRISTIAN
501	2013-01-01	JOHN CHRISTIAN
501	2012-01-01	JOHN G. CHRISTIAN JR.
501	2011-01-01	JOHN CHRISTIAN
501	2010-01-01	JOHN CHRISTIAN
501	2009-01-01	JOHN G. CHRISTIAN, JR.

Plan Statistics for TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM

401k plan membership statisitcs for TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM

Measure Date Value
2014: TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM 2014 401k membership
Total participants, beginning-of-year 2014-01-01 59
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 33
Number of retired or separated participants receiving benefits 2014-01-01 28
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 61
2013: TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM 2013 401k membership
Total participants, beginning-of-year 2013-01-01 110
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 33
Number of retired or separated participants receiving benefits 2013-01-01 86
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 119
2012: TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM 2012 401k membership
Total participants, beginning-of-year 2012-01-01 114
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 31
Number of retired or separated participants receiving benefits 2012-01-01 83
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 114
2011: TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM 2011 401k membership
Total participants, beginning-of-year 2011-01-01 83
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 33
Number of retired or separated participants receiving benefits 2011-01-01 83
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 116
2010: TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM 2010 401k membership
Total participants, beginning-of-year 2010-01-01 137
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 33
Number of retired or separated participants receiving benefits 2010-01-01 92
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 125
2009: TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM 2009 401k membership
Total participants, beginning-of-year 2009-01-01 145
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 38
Number of retired or separated participants receiving benefits 2009-01-01 99
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 137

Measure	Date	Value
2014: TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM 2014 401k membership
Total participants, beginning-of-year	2014-01-01	59
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	33
Number of retired or separated participants receiving benefits	2014-01-01	28
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	61
2013: TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM 2013 401k membership
Total participants, beginning-of-year	2013-01-01	110
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	33
Number of retired or separated participants receiving benefits	2013-01-01	86
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	119
2012: TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM 2012 401k membership
Total participants, beginning-of-year	2012-01-01	114
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	31
Number of retired or separated participants receiving benefits	2012-01-01	83
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	114
2011: TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM 2011 401k membership
Total participants, beginning-of-year	2011-01-01	83
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	33
Number of retired or separated participants receiving benefits	2011-01-01	83
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	116
2010: TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM 2010 401k membership
Total participants, beginning-of-year	2010-01-01	137
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	33
Number of retired or separated participants receiving benefits	2010-01-01	92
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	125
2009: TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM 2009 401k membership
Total participants, beginning-of-year	2009-01-01	145
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	38
Number of retired or separated participants receiving benefits	2009-01-01	99
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	137

Form 5500 Responses for TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM

2014: TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM 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 – 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: TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM 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 – 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: TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM 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 – 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: TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
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 – 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: TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
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: TATA CHEMICALS NORTH AMERICA INC. HEALTH CARE PROGRAM 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
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:	TATA CHEMICALS NORTH AMERICA INC.
Employer identification number (EIN):	223649282
NAIC Classification:	325900
NAIC Description:	Other Chemical Product and Preparation Manufacturing