401k Plan data: DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN plan

DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN 401k Plan overview

Plan Name	DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN
Plan identification number	516

DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

DENIS WHITE INTERIOR CONTRACTORS has sponsored the creation of one or more 401k plans.

Company Name: DENIS WHITE INTERIOR CONTRACTORS

Employer identification number (EIN): 030327997

NAIC Classification: 236200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
516 2014-01-01 JOAN WHITE
516 2013-01-01 JOAN WHITE
516 2012-01-01 JOAN WHITE
516 2011-01-01 JOAN WHITE

Plan id#	Filing Submission Date	Name of Administrator
516	2014-01-01	JOAN WHITE
516	2013-01-01	JOAN WHITE
516	2012-01-01	JOAN WHITE
516	2011-01-01	JOAN WHITE

Plan Statistics for DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN

401k plan membership statisitcs for DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure Date Value
2014: DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
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 0
2013: DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 12
Number of retired or separated participants receiving benefits 2013-01-01 0
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 12
2012: DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 11
Number of retired or separated participants receiving benefits 2012-01-01 0
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 11
2011: DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 14
Number of retired or separated participants receiving benefits 2011-01-01 0
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 14

Measure	Date	Value
2014: DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
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	0
2013: DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	12
Number of retired or separated participants receiving benefits	2013-01-01	0
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	12
2012: DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	11
Number of retired or separated participants receiving benefits	2012-01-01	0
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	11
2011: DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	14
Number of retired or separated participants receiving benefits	2011-01-01	0
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	14

Financial Data on DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure	Date	Value
2014 : DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$-30,738
Total income from all sources	2014-12-31	$1
Expenses. Total of all expenses incurred	2014-12-31	$267
Benefits paid (including direct rollovers)	2014-12-31	$254
Total plan assets at end of year	2014-12-31	$0
Total plan assets at beginning of year	2014-12-31	$31,004
Other income received	2014-12-31	$1
Net income (gross income less expenses)	2014-12-31	$-266
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$31,004
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$13
2013 : DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$26,159
Expenses. Total of all expenses incurred	2013-12-31	$6,894
Benefits paid (including direct rollovers)	2013-12-31	$2,700
Total plan assets at end of year	2013-12-31	$31,004
Total plan assets at beginning of year	2013-12-31	$11,739
Total contributions received or receivable from participants	2013-12-31	$26,156
Other income received	2013-12-31	$3
Net income (gross income less expenses)	2013-12-31	$19,265
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$31,004
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$11,739
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$4,194
2012 : DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$15,856
Expenses. Total of all expenses incurred	2012-12-31	$16,739
Benefits paid (including direct rollovers)	2012-12-31	$11,014
Total plan assets at end of year	2012-12-31	$11,739
Total plan assets at beginning of year	2012-12-31	$12,622
Total contributions received or receivable from participants	2012-12-31	$15,852
Other income received	2012-12-31	$4
Net income (gross income less expenses)	2012-12-31	$-883
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$11,739
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$12,622
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$5,725
2011 : DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k financial data
Total plan liabilities at beginning of year	2011-12-31	$63
Total income from all sources	2011-12-31	$23,877
Expenses. Total of all expenses incurred	2011-12-31	$23,129
Benefits paid (including direct rollovers)	2011-12-31	$17,274
Total plan assets at end of year	2011-12-31	$12,622
Total plan assets at beginning of year	2011-12-31	$11,937
Total contributions received or receivable from participants	2011-12-31	$23,794
Other income received	2011-12-31	$83
Net income (gross income less expenses)	2011-12-31	$748
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$12,622
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$11,874
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$5,855
2010 : DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$63
Total income from all sources	2010-12-31	$29,489
Expenses. Total of all expenses incurred	2010-12-31	$17,615
Benefits paid (including direct rollovers)	2010-12-31	$11,472
Total plan assets at end of year	2010-12-31	$11,937
Total contributions received or receivable from participants	2010-12-31	$28,338
Other income received	2010-12-31	$8
Net income (gross income less expenses)	2010-12-31	$11,874
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$11,874
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$0
Total contributions received or receivable from employer(s)	2010-12-31	$1,143
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$6,143

Form 5500 Responses for DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN

2014: DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	This submission is the final filing	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: DENIS WHITE INTERIOR CONTRACTORS SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	DENIS WHITE INTERIOR CONTRACTORS
Employer identification number (EIN):	030327997
NAIC Classification:	236200