401k Plan data: EMPLOYEE INJURY BENEFIT PLAN plan

EMPLOYEE INJURY BENEFIT PLAN 401k Plan overview

Plan Name	EMPLOYEE INJURY BENEFIT PLAN
Plan identification number	501

EMPLOYEE INJURY BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Temporary disability (accident and sickness) Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

STARPAK, CORP. has sponsored the creation of one or more 401k plans.

Company Name: STARPAK, CORP.

Employer identification number (EIN): 500016972

NAIC Classification: 326100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE INJURY BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2015-01-01 MARITZA RUBIO MARITZA RUBIO 2016-01-14
501 2014-01-01 MARITZA RUBIO MARITZA RUBIO 2015-01-15
501 2013-01-01 MARITZA RUBIO MARITZA RUBIO 2014-01-10
501 2012-01-01 MARITZA RUBIO MARITZA RUBIO 2013-01-30
501 2011-09-01 MARITZA RUBIO MARITZA RUBIO 2012-04-12
501 2009-09-01 MARITZA RUBIO MARITZA RUBIO 2010-09-21

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2015-01-01	MARITZA RUBIO	MARITZA RUBIO	2016-01-14
501	2014-01-01	MARITZA RUBIO	MARITZA RUBIO	2015-01-15
501	2013-01-01	MARITZA RUBIO	MARITZA RUBIO	2014-01-10
501	2012-01-01	MARITZA RUBIO	MARITZA RUBIO	2013-01-30
501	2011-09-01	MARITZA RUBIO	MARITZA RUBIO	2012-04-12
501	2009-09-01	MARITZA RUBIO	MARITZA RUBIO	2010-09-21

Plan Statistics for EMPLOYEE INJURY BENEFIT PLAN

401k plan membership statisitcs for EMPLOYEE INJURY BENEFIT PLAN

Measure Date Value
2015: EMPLOYEE INJURY BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 327
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Total participants 2015-01-01 0
2014: EMPLOYEE INJURY BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 306
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 327
Total of all active and inactive participants 2014-01-01 327
Total participants 2014-01-01 327
2013: EMPLOYEE INJURY BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 285
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 306
Total of all active and inactive participants 2013-01-01 306
Total participants 2013-01-01 306
2012: EMPLOYEE INJURY BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 243
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 285
Total of all active and inactive participants 2012-01-01 285
Total participants 2012-01-01 285
2011: EMPLOYEE INJURY BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-09-01 224
Total number of active participants reported on line 7a of the Form 5500 2011-09-01 243
Total of all active and inactive participants 2011-09-01 243
Total participants 2011-09-01 243
2009: EMPLOYEE INJURY BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-09-01 169
Total number of active participants reported on line 7a of the Form 5500 2009-09-01 189
Number of retired or separated participants receiving benefits 2009-09-01 0
Number of other retired or separated participants entitled to future benefits 2009-09-01 0
Total of all active and inactive participants 2009-09-01 189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-09-01 0
Total participants 2009-09-01 189
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-09-01 0

Measure	Date	Value
2015: EMPLOYEE INJURY BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	327
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Total participants	2015-01-01	0
2014: EMPLOYEE INJURY BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	306
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	327
Total of all active and inactive participants	2014-01-01	327
Total participants	2014-01-01	327
2013: EMPLOYEE INJURY BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	285
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	306
Total of all active and inactive participants	2013-01-01	306
Total participants	2013-01-01	306
2012: EMPLOYEE INJURY BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	243
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	285
Total of all active and inactive participants	2012-01-01	285
Total participants	2012-01-01	285
2011: EMPLOYEE INJURY BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-09-01	224
Total number of active participants reported on line 7a of the Form 5500	2011-09-01	243
Total of all active and inactive participants	2011-09-01	243
Total participants	2011-09-01	243
2009: EMPLOYEE INJURY BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-09-01	169
Total number of active participants reported on line 7a of the Form 5500	2009-09-01	189
Number of retired or separated participants receiving benefits	2009-09-01	0
Number of other retired or separated participants entitled to future benefits	2009-09-01	0
Total of all active and inactive participants	2009-09-01	189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-09-01	0
Total participants	2009-09-01	189
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-09-01	0

Form 5500 Responses for EMPLOYEE INJURY BENEFIT PLAN

2015: EMPLOYEE INJURY BENEFIT 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	Yes
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: EMPLOYEE INJURY BENEFIT 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: EMPLOYEE INJURY BENEFIT 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: EMPLOYEE INJURY BENEFIT 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: EMPLOYEE INJURY BENEFIT PLAN 2011 form 5500 responses
2011-09-01	Type of plan entity	Single employer plan
2011-09-01	Submission has been amended	Yes
2011-09-01	This submission is the final filing	No
2011-09-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2011-09-01	Plan is a collectively bargained plan	No
2011-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: EMPLOYEE INJURY BENEFIT PLAN 2009 form 5500 responses
2009-09-01	Type of plan entity	Single employer plan
2009-09-01	Submission has been amended	No
2009-09-01	This submission is the final filing	No
2009-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-09-01	Plan is a collectively bargained plan	No
2009-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-09-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	STARPAK, CORP.
Employer identification number (EIN):	500016972
NAIC Classification:	326100