401k Plan data: ELEKTRISOLA INCORPORATED LONG-TERM DISABILITY plan

ELEKTRISOLA INCORPORATED LONG-TERM DISABILITY 401k Plan overview

Plan Name	ELEKTRISOLA INCORPORATED LONG-TERM DISABILITY
Plan identification number	503

ELEKTRISOLA INCORPORATED LONG-TERM DISABILITY Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Long-term disability cover

401k Sponsoring company profile

ELEKTRISOLA INCORPORATED has sponsored the creation of one or more 401k plans.

Company Name: ELEKTRISOLA INCORPORATED

Employer identification number (EIN): 020328436

NAIC Classification: 331400

Additional information about ELEKTRISOLA INCORPORATED

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1995-06-29

Company Identification Number: 0010556606

Legal Registered Office Address: 126 HIGH ST

BOSCAWEN
United States of America (USA)
03303

More information about ELEKTRISOLA INCORPORATED

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ELEKTRISOLA INCORPORATED LONG-TERM DISABILITY

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2012-11-01 GEORGE DOWNING
503 2012-11-01 LEONEL KLASSEN 2020-06-19
503 2011-11-01 GEORGE DOWNING
503 2010-11-01 GEORGE DOWNING
503 2009-11-01 GEORGE DOWNING

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
503	2012-11-01	GEORGE DOWNING
503	2012-11-01	LEONEL KLASSEN	2020-06-19
503	2011-11-01	GEORGE DOWNING
503	2010-11-01	GEORGE DOWNING
503	2009-11-01	GEORGE DOWNING

Plan Statistics for ELEKTRISOLA INCORPORATED LONG-TERM DISABILITY

401k plan membership statisitcs for ELEKTRISOLA INCORPORATED LONG-TERM DISABILITY

Measure Date Value
2012: ELEKTRISOLA INCORPORATED LONG-TERM DISABILITY 2012 401k membership
Total participants, beginning-of-year 2012-11-01 151
Total number of active participants reported on line 7a of the Form 5500 2012-11-01 136
Total of all active and inactive participants 2012-11-01 136
Total participants 2012-11-01 136
Number of retired or separated participants receiving benefits 2012-11-01 0
Number of other retired or separated participants entitled to future benefits 2012-11-01 0
Number of employers contributing to the scheme 2012-11-01 0
2011: ELEKTRISOLA INCORPORATED LONG-TERM DISABILITY 2011 401k membership
Total participants, beginning-of-year 2011-11-01 149
Total number of active participants reported on line 7a of the Form 5500 2011-11-01 151
Total of all active and inactive participants 2011-11-01 151
2010: ELEKTRISOLA INCORPORATED LONG-TERM DISABILITY 2010 401k membership
Total participants, beginning-of-year 2010-11-01 144
Total number of active participants reported on line 7a of the Form 5500 2010-11-01 149
Number of retired or separated participants receiving benefits 2010-11-01 0
Number of other retired or separated participants entitled to future benefits 2010-11-01 0
Total of all active and inactive participants 2010-11-01 149
Total participants 2010-11-01 149
2009: ELEKTRISOLA INCORPORATED LONG-TERM DISABILITY 2009 401k membership
Total participants, beginning-of-year 2009-11-01 141
Total number of active participants reported on line 7a of the Form 5500 2009-11-01 144
Number of retired or separated participants receiving benefits 2009-11-01 0
Number of other retired or separated participants entitled to future benefits 2009-11-01 0
Total of all active and inactive participants 2009-11-01 144

Measure	Date	Value
2012: ELEKTRISOLA INCORPORATED LONG-TERM DISABILITY 2012 401k membership
Total participants, beginning-of-year	2012-11-01	151
Total number of active participants reported on line 7a of the Form 5500	2012-11-01	136
Total of all active and inactive participants	2012-11-01	136
Total participants	2012-11-01	136
Number of retired or separated participants receiving benefits	2012-11-01	0
Number of other retired or separated participants entitled to future benefits	2012-11-01	0
Number of employers contributing to the scheme	2012-11-01	0
2011: ELEKTRISOLA INCORPORATED LONG-TERM DISABILITY 2011 401k membership
Total participants, beginning-of-year	2011-11-01	149
Total number of active participants reported on line 7a of the Form 5500	2011-11-01	151
Total of all active and inactive participants	2011-11-01	151
2010: ELEKTRISOLA INCORPORATED LONG-TERM DISABILITY 2010 401k membership
Total participants, beginning-of-year	2010-11-01	144
Total number of active participants reported on line 7a of the Form 5500	2010-11-01	149
Number of retired or separated participants receiving benefits	2010-11-01	0
Number of other retired or separated participants entitled to future benefits	2010-11-01	0
Total of all active and inactive participants	2010-11-01	149
Total participants	2010-11-01	149
2009: ELEKTRISOLA INCORPORATED LONG-TERM DISABILITY 2009 401k membership
Total participants, beginning-of-year	2009-11-01	141
Total number of active participants reported on line 7a of the Form 5500	2009-11-01	144
Number of retired or separated participants receiving benefits	2009-11-01	0
Number of other retired or separated participants entitled to future benefits	2009-11-01	0
Total of all active and inactive participants	2009-11-01	144

Form 5500 Responses for ELEKTRISOLA INCORPORATED LONG-TERM DISABILITY

2012: ELEKTRISOLA INCORPORATED LONG-TERM DISABILITY 2012 form 5500 responses
2012-11-01	Type of plan entity	Single employer plan
2012-11-01	Submission has been amended	Yes
2012-11-01	This submission is the final filing	Yes
2012-11-01	Plan funding arrangement – Insurance	Yes
2012-11-01	Plan benefit arrangement – Insurance	Yes
2011: ELEKTRISOLA INCORPORATED LONG-TERM DISABILITY 2011 form 5500 responses
2011-11-01	Type of plan entity	Single employer plan
2011-11-01	Submission has been amended	No
2011-11-01	This submission is the final filing	No
2011-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-11-01	Plan is a collectively bargained plan	No
2011-11-01	Plan funding arrangement – Insurance	Yes
2011-11-01	Plan benefit arrangement – Insurance	Yes
2010: ELEKTRISOLA INCORPORATED LONG-TERM DISABILITY 2010 form 5500 responses
2010-11-01	Type of plan entity	Single employer plan
2010-11-01	Submission has been amended	No
2010-11-01	This submission is the final filing	No
2010-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-11-01	Plan is a collectively bargained plan	No
2010-11-01	Plan funding arrangement – Insurance	Yes
2010-11-01	Plan benefit arrangement – Insurance	Yes
2009: ELEKTRISOLA INCORPORATED LONG-TERM DISABILITY 2009 form 5500 responses
2009-11-01	Type of plan entity	Single employer plan
2009-11-01	Submission has been amended	No
2009-11-01	This submission is the final filing	No
2009-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-11-01	Plan is a collectively bargained plan	No
2009-11-01	Plan funding arrangement – Insurance	Yes
2009-11-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

581954

Policy instance

Insurance contract or identification number	581954
Number of Individuals Covered	136
Insurance policy start date	2012-11-01
Insurance policy end date	2013-10-31
Total amount of commissions paid to insurance broker	USD $3,980
Total amount of fees paid to insurance company	USD $297
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $36,343
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,980
Amount paid for insurance broker fees	297
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	4

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Company Name:	ELEKTRISOLA INCORPORATED
Employer identification number (EIN):	020328436
NAIC Classification:	331400

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1995-06-29
Company Identification Number:	0010556606
Legal Registered Office Address:	126 HIGH ST BOSCAWEN United States of America (USA) 03303