401k Plan data: FAITHFUL GOULD EMPLOYEE LIFE PLAN plan

FAITHFUL GOULD EMPLOYEE LIFE PLAN 401k Plan overview

Plan Name	FAITHFUL GOULD EMPLOYEE LIFE PLAN
Plan identification number	502

FAITHFUL GOULD EMPLOYEE LIFE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

FAITHFUL AND GOULD INC has sponsored the creation of one or more 401k plans.

Company Name: FAITHFUL AND GOULD INC

Employer identification number (EIN): 411797617

NAIC Classification: 238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FAITHFUL GOULD EMPLOYEE LIFE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2011-05-01 HOLLY CANNON
502 2010-05-01 H. CANNON
502 2009-05-01 HOLLY CANNON

Plan id#	Filing Submission Date	Name of Administrator
502	2011-05-01	HOLLY CANNON
502	2010-05-01	H. CANNON
502	2009-05-01	HOLLY CANNON

Plan Statistics for FAITHFUL GOULD EMPLOYEE LIFE PLAN

401k plan membership statisitcs for FAITHFUL GOULD EMPLOYEE LIFE PLAN

Measure Date Value
2011: FAITHFUL GOULD EMPLOYEE LIFE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-05-01 628
Total number of active participants reported on line 7a of the Form 5500 2011-05-01 0
Number of retired or separated participants receiving benefits 2011-05-01 0
Number of other retired or separated participants entitled to future benefits 2011-05-01 0
Total of all active and inactive participants 2011-05-01 0
2010: FAITHFUL GOULD EMPLOYEE LIFE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-05-01 535
Total number of active participants reported on line 7a of the Form 5500 2010-05-01 628
Number of retired or separated participants receiving benefits 2010-05-01 0
Number of other retired or separated participants entitled to future benefits 2010-05-01 0
Total of all active and inactive participants 2010-05-01 628
2009: FAITHFUL GOULD EMPLOYEE LIFE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-05-01 598
Total number of active participants reported on line 7a of the Form 5500 2009-05-01 535
Number of retired or separated participants receiving benefits 2009-05-01 0
Number of other retired or separated participants entitled to future benefits 2009-05-01 0
Total of all active and inactive participants 2009-05-01 535

Measure	Date	Value
2011: FAITHFUL GOULD EMPLOYEE LIFE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-05-01	628
Total number of active participants reported on line 7a of the Form 5500	2011-05-01	0
Number of retired or separated participants receiving benefits	2011-05-01	0
Number of other retired or separated participants entitled to future benefits	2011-05-01	0
Total of all active and inactive participants	2011-05-01	0
2010: FAITHFUL GOULD EMPLOYEE LIFE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-05-01	535
Total number of active participants reported on line 7a of the Form 5500	2010-05-01	628
Number of retired or separated participants receiving benefits	2010-05-01	0
Number of other retired or separated participants entitled to future benefits	2010-05-01	0
Total of all active and inactive participants	2010-05-01	628
2009: FAITHFUL GOULD EMPLOYEE LIFE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-05-01	598
Total number of active participants reported on line 7a of the Form 5500	2009-05-01	535
Number of retired or separated participants receiving benefits	2009-05-01	0
Number of other retired or separated participants entitled to future benefits	2009-05-01	0
Total of all active and inactive participants	2009-05-01	535

Form 5500 Responses for FAITHFUL GOULD EMPLOYEE LIFE PLAN

2011: FAITHFUL GOULD EMPLOYEE LIFE PLAN 2011 form 5500 responses
2011-05-01	Type of plan entity	Single employer plan
2011-05-01	Submission has been amended	No
2011-05-01	This submission is the final filing	Yes
2011-05-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2011-05-01	Plan is a collectively bargained plan	No
2011-05-01	Plan funding arrangement – Insurance	Yes
2011-05-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-05-01	Plan benefit arrangement – Insurance	Yes
2011-05-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: FAITHFUL GOULD EMPLOYEE LIFE PLAN 2010 form 5500 responses
2010-05-01	Type of plan entity	Single employer plan
2010-05-01	Submission has been amended	No
2010-05-01	This submission is the final filing	No
2010-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-05-01	Plan is a collectively bargained plan	No
2010-05-01	Plan funding arrangement – Insurance	Yes
2010-05-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-05-01	Plan benefit arrangement – Insurance	Yes
2010-05-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: FAITHFUL GOULD EMPLOYEE LIFE PLAN 2009 form 5500 responses
2009-05-01	Type of plan entity	Single employer plan
2009-05-01	Submission has been amended	Yes
2009-05-01	This submission is the final filing	No
2009-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-05-01	Plan is a collectively bargained plan	No
2009-05-01	Plan funding arrangement – Insurance	Yes
2009-05-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-05-01	Plan benefit arrangement – Insurance	Yes
2009-05-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	FAITHFUL AND GOULD INC
Employer identification number (EIN):	411797617
NAIC Classification:	238900