401k Plan data: THE PURDUE PHARMA L.P. VISION PLAN plan

THE PURDUE PHARMA L.P. VISION PLAN 401k Plan overview

Plan Name	THE PURDUE PHARMA L.P. VISION PLAN
Plan identification number	525

THE PURDUE PHARMA L.P. VISION PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Vision

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 THE PURDUE PHARMA L.P. VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
525 2015-01-01 CHRISTINE DESTEFANO
525 2014-01-01 CHRISTINE DE STEFANO
525 2013-01-01 DOUGLAS J. VAN TORNHOUT DOUGLAS J. VAN TORNHOUT 2014-07-23
525 2012-01-01 DOUGLAS VAN TORNHOUT DOUGLAS VAN TORNHOUT 2013-07-31
525 2011-01-01 DOUGLAS VAN TORNHOUT

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
525	2015-01-01	CHRISTINE DESTEFANO
525	2014-01-01	CHRISTINE DE STEFANO
525	2013-01-01	DOUGLAS J. VAN TORNHOUT	DOUGLAS J. VAN TORNHOUT	2014-07-23
525	2012-01-01	DOUGLAS VAN TORNHOUT	DOUGLAS VAN TORNHOUT	2013-07-31
525	2011-01-01	DOUGLAS VAN TORNHOUT

Plan Statistics for THE PURDUE PHARMA L.P. VISION PLAN

401k plan membership statisitcs for THE PURDUE PHARMA L.P. VISION PLAN

Measure Date Value
2015: THE PURDUE PHARMA L.P. VISION PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,653
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: THE PURDUE PHARMA L.P. VISION PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,650
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,405
Number of retired or separated participants receiving benefits 2014-01-01 109
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 1,514
2013: THE PURDUE PHARMA L.P. VISION PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,812
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,814
Number of retired or separated participants receiving benefits 2013-01-01 38
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 1,852
2012: THE PURDUE PHARMA L.P. VISION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,734
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,745
Number of retired or separated participants receiving benefits 2012-01-01 36
Total of all active and inactive participants 2012-01-01 1,781
Total participants 2012-01-01 1,781
2011: THE PURDUE PHARMA L.P. VISION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,656
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,723
Number of retired or separated participants receiving benefits 2011-01-01 28
Total of all active and inactive participants 2011-01-01 1,751
Total participants 2011-01-01 1,751

Measure	Date	Value
2015: THE PURDUE PHARMA L.P. VISION PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,653
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: THE PURDUE PHARMA L.P. VISION PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,650
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,405
Number of retired or separated participants receiving benefits	2014-01-01	109
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	1,514
2013: THE PURDUE PHARMA L.P. VISION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,812
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,814
Number of retired or separated participants receiving benefits	2013-01-01	38
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	1,852
2012: THE PURDUE PHARMA L.P. VISION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,734
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,745
Number of retired or separated participants receiving benefits	2012-01-01	36
Total of all active and inactive participants	2012-01-01	1,781
Total participants	2012-01-01	1,781
2011: THE PURDUE PHARMA L.P. VISION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,656
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,723
Number of retired or separated participants receiving benefits	2011-01-01	28
Total of all active and inactive participants	2011-01-01	1,751
Total participants	2011-01-01	1,751

Form 5500 Responses for THE PURDUE PHARMA L.P. VISION PLAN

2015: THE PURDUE PHARMA L.P. VISION 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: THE PURDUE PHARMA L.P. VISION 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: THE PURDUE PHARMA L.P. VISION 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: THE PURDUE PHARMA L.P. VISION 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: THE PURDUE PHARMA L.P. VISION PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	First time form 5500 has been submitted	Yes
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

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

0730554

Policy instance

Insurance contract or identification number	0730554
Number of Individuals Covered	1756
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	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
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 $171,316
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

730554

Policy instance

Insurance contract or identification number	730554
Number of Individuals Covered	4950
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	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
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 $208,147
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

730554

Policy instance

Insurance contract or identification number	730554
Number of Individuals Covered	1852
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	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
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 $224,314
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

730554

Policy instance

Insurance contract or identification number	730554
Number of Individuals Covered	1781
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $217,055
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

730554

Policy instance

Insurance contract or identification number	730554
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $205,631
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