401k Plan data: GROUP WELFARE BENEFITS PLAN OF PERMIAN MUD SERVICE, INC. plan

GROUP WELFARE BENEFITS PLAN OF PERMIAN MUD SERVICE, INC. 401k Plan overview

Plan Name	GROUP WELFARE BENEFITS PLAN OF PERMIAN MUD SERVICE, INC.
Plan identification number	501

GROUP WELFARE BENEFITS PLAN OF PERMIAN MUD SERVICE, INC. Benefits

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

401k Sponsoring company profile

PERMIAN MUD SERVICE, INC. has sponsored the creation of one or more 401k plans.

Company Name: PERMIAN MUD SERVICE, INC.

Employer identification number (EIN): 750721008

NAIC Classification: 211110
NAIC Description: Oil and Gas Extraction, Oil

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP WELFARE BENEFITS PLAN OF PERMIAN MUD SERVICE, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2013-01-01 SUZANNE HANSON SUZANNE HANSON 2014-10-09
501 2012-01-01 LORI PARTAIN 2013-07-31 LORI PARTAIN 2013-07-31
501 2011-01-01 JOHN A. RYDER JOHN A. RYDER 2012-07-27
501 2009-01-01 JOHN A. RYDER JOHN A. RYDER 2010-07-22

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2013-01-01	SUZANNE HANSON		SUZANNE HANSON	2014-10-09
501	2012-01-01	LORI PARTAIN	2013-07-31	LORI PARTAIN	2013-07-31
501	2011-01-01	JOHN A. RYDER		JOHN A. RYDER	2012-07-27
501	2009-01-01	JOHN A. RYDER		JOHN A. RYDER	2010-07-22

Plan Statistics for GROUP WELFARE BENEFITS PLAN OF PERMIAN MUD SERVICE, INC.

401k plan membership statisitcs for GROUP WELFARE BENEFITS PLAN OF PERMIAN MUD SERVICE, INC.

Measure Date Value
2013: GROUP WELFARE BENEFITS PLAN OF PERMIAN MUD SERVICE, INC. 2013 401k membership
Total participants, beginning-of-year 2013-01-01 2,038
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 0
Total of all active and inactive participants 2013-01-01 0
2012: GROUP WELFARE BENEFITS PLAN OF PERMIAN MUD SERVICE, INC. 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,871
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2,019
Number of retired or separated participants receiving benefits 2012-01-01 19
Total of all active and inactive participants 2012-01-01 2,038
2011: GROUP WELFARE BENEFITS PLAN OF PERMIAN MUD SERVICE, INC. 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,584
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,849
Number of retired or separated participants receiving benefits 2011-01-01 22
Total of all active and inactive participants 2011-01-01 1,871
2009: GROUP WELFARE BENEFITS PLAN OF PERMIAN MUD SERVICE, INC. 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,424
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,466
Number of retired or separated participants receiving benefits 2009-01-01 23
Total of all active and inactive participants 2009-01-01 1,489

Measure	Date	Value
2013: GROUP WELFARE BENEFITS PLAN OF PERMIAN MUD SERVICE, INC. 2013 401k membership
Total participants, beginning-of-year	2013-01-01	2,038
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	0
Total of all active and inactive participants	2013-01-01	0
2012: GROUP WELFARE BENEFITS PLAN OF PERMIAN MUD SERVICE, INC. 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,871
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2,019
Number of retired or separated participants receiving benefits	2012-01-01	19
Total of all active and inactive participants	2012-01-01	2,038
2011: GROUP WELFARE BENEFITS PLAN OF PERMIAN MUD SERVICE, INC. 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,584
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,849
Number of retired or separated participants receiving benefits	2011-01-01	22
Total of all active and inactive participants	2011-01-01	1,871
2009: GROUP WELFARE BENEFITS PLAN OF PERMIAN MUD SERVICE, INC. 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,424
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,466
Number of retired or separated participants receiving benefits	2009-01-01	23
Total of all active and inactive participants	2009-01-01	1,489

Form 5500 Responses for GROUP WELFARE BENEFITS PLAN OF PERMIAN MUD SERVICE, INC.

2013: GROUP WELFARE BENEFITS PLAN OF PERMIAN MUD SERVICE, INC. 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	Yes
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: GROUP WELFARE BENEFITS PLAN OF PERMIAN MUD SERVICE, INC. 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: GROUP WELFARE BENEFITS PLAN OF PERMIAN MUD SERVICE, INC. 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
2009: GROUP WELFARE BENEFITS PLAN OF PERMIAN MUD SERVICE, INC. 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:	PERMIAN MUD SERVICE, INC.
Employer identification number (EIN):	750721008
NAIC Classification:	211110
NAIC Description:	Oil and Gas Extraction, Oil