401k Plan data: PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE PLAN plan

PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE PLAN 401k Plan overview

Plan Name	PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE PLAN
Plan identification number	501

PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE PLAN Benefits

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

401k Sponsoring company profile

PURDUE PHARMA, L.P. has sponsored the creation of one or more 401k plans.

Company Name: PURDUE PHARMA, L.P.

Employer identification number (EIN): 061307484

NAIC Classification: 325410

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2015-01-01 CHRISTINE DESTEFANO
501 2014-01-01 CHRISTINE DE STEFANO
501 2013-01-01 DOUGLAS J. VAN TORNHOUT DOUGLAS J. VAN TORNHOUT 2014-07-25
501 2012-01-01 DOUGLAS VAN TORNHOUT DOUGLAS VAN TORNHOUT 2013-07-23
501 2011-01-01 DOUGLAS VAN TORNHOUT
501 2010-01-01 DOUGLAS VAN TORNHOUT
501 2009-01-01 DOUGLAS VAN TORNHOUT

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2015-01-01	CHRISTINE DESTEFANO
501	2014-01-01	CHRISTINE DE STEFANO
501	2013-01-01	DOUGLAS J. VAN TORNHOUT	DOUGLAS J. VAN TORNHOUT	2014-07-25
501	2012-01-01	DOUGLAS VAN TORNHOUT	DOUGLAS VAN TORNHOUT	2013-07-23
501	2011-01-01	DOUGLAS VAN TORNHOUT
501	2010-01-01	DOUGLAS VAN TORNHOUT
501	2009-01-01	DOUGLAS VAN TORNHOUT

Plan Statistics for PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE PLAN

401k plan membership statisitcs for PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE PLAN

Measure Date Value
2015: PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,562
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
2014: PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,811
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,574
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 1,574
2013: PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,771
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,815
Number of retired or separated participants receiving benefits 2013-01-01 1
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 1,816
2012: PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,725
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,762
Total of all active and inactive participants 2012-01-01 1,762
Total participants 2012-01-01 1,762
2011: PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,510
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,725
Total of all active and inactive participants 2011-01-01 1,725
Total participants 2011-01-01 1,725
2010: PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,428
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,510
Total of all active and inactive participants 2010-01-01 1,510
Total participants 2010-01-01 1,510
2009: PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,301
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,418
Total of all active and inactive participants 2009-01-01 1,418
Total participants 2009-01-01 1,418

Measure	Date	Value
2015: PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,562
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
2014: PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,811
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,574
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	1,574
2013: PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,771
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,815
Number of retired or separated participants receiving benefits	2013-01-01	1
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	1,816
2012: PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,725
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,762
Total of all active and inactive participants	2012-01-01	1,762
Total participants	2012-01-01	1,762
2011: PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,510
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,725
Total of all active and inactive participants	2011-01-01	1,725
Total participants	2011-01-01	1,725
2010: PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,428
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,510
Total of all active and inactive participants	2010-01-01	1,510
Total participants	2010-01-01	1,510
2009: PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,301
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,418
Total of all active and inactive participants	2009-01-01	1,418
Total participants	2009-01-01	1,418

Form 5500 Responses for PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE PLAN

2015: PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE 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 – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE 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 – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE 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 – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE 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 – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE PLAN 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 benefit arrangement – Insurance	Yes
2010: PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: PURDUE PHARMA L.P. GROUP LONG-TERM DISABILITY INSURANCE PLAN 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 benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

LK 961646

Policy instance

Insurance contract or identification number	LK 961646
Number of Individuals Covered	0
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $532,948
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

LK 961646

Policy instance

Insurance contract or identification number	LK 961646
Number of Individuals Covered	1574
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $581,861
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

LK 961646

Policy instance

Insurance contract or identification number	LK 961646
Number of Individuals Covered	1815
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $596,238
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

LK 961646

Policy instance

Insurance contract or identification number	LK 961646
Number of Individuals Covered	1762
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $565,091
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

LK 961646

Policy instance

Insurance contract or identification number	LK 961646
Number of Individuals Covered	1725
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $527,914

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

LK 961646

Policy instance

Insurance contract or identification number	LK 961646
Number of Individuals Covered	1510
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $414,272
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	PURDUE PHARMA, L.P.
Employer identification number (EIN):	061307484
NAIC Classification:	325410