401k Plan data: 1-800-PACK-RAT VISION BENEFITS plan

1-800-PACK-RAT VISION BENEFITS 401k Plan overview

Plan Name	1-800-PACK-RAT VISION BENEFITS
Plan identification number	503

1-800-PACK-RAT VISION BENEFITS Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Vision Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

1-800-PACK-RAT, LLC has sponsored the creation of one or more 401k plans.

Company Name: 1-800-PACK-RAT, LLC

Employer identification number (EIN): 202107163

NAIC Classification: 812990
NAIC Description: All Other Personal Services

Additional information about 1-800-PACK-RAT, LLC

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2009-10-07

Company Identification Number: 0801179070

Legal Registered Office Address: 11640 NORTHPARK DR STE 200

WAKE FOREST
United States of America (USA)
27587

More information about 1-800-PACK-RAT, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 1-800-PACK-RAT VISION BENEFITS

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2014-01-01 JEFF SHAY
503 2013-01-01 JEFF SHAY
503 2012-01-01 JEFF SHAY
503 2011-01-01 JEFF SHAY

Plan id#	Filing Submission Date	Name of Administrator
503	2014-01-01	JEFF SHAY
503	2013-01-01	JEFF SHAY
503	2012-01-01	JEFF SHAY
503	2011-01-01	JEFF SHAY

Plan Statistics for 1-800-PACK-RAT VISION BENEFITS

401k plan membership statisitcs for 1-800-PACK-RAT VISION BENEFITS

Measure Date Value
2014: 1-800-PACK-RAT VISION BENEFITS 2014 401k membership
Total participants, beginning-of-year 2014-01-01 218
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 147
Total of all active and inactive participants 2014-01-01 147
Total participants 2014-01-01 147
2013: 1-800-PACK-RAT VISION BENEFITS 2013 401k membership
Total participants, beginning-of-year 2013-01-01 218
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
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 0
2012: 1-800-PACK-RAT VISION BENEFITS 2012 401k membership
Total participants, beginning-of-year 2012-01-01 170
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 203
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 2012-01-01 203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 203
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: 1-800-PACK-RAT VISION BENEFITS 2011 401k membership
Total participants, beginning-of-year 2011-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 170
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 2011-01-01 170
Total participants 2011-01-01 170

Measure	Date	Value
2014: 1-800-PACK-RAT VISION BENEFITS 2014 401k membership
Total participants, beginning-of-year	2014-01-01	218
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	147
Total of all active and inactive participants	2014-01-01	147
Total participants	2014-01-01	147
2013: 1-800-PACK-RAT VISION BENEFITS 2013 401k membership
Total participants, beginning-of-year	2013-01-01	218
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
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	0
2012: 1-800-PACK-RAT VISION BENEFITS 2012 401k membership
Total participants, beginning-of-year	2012-01-01	170
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	203
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	203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	203
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: 1-800-PACK-RAT VISION BENEFITS 2011 401k membership
Total participants, beginning-of-year	2011-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	170
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	170
Total participants	2011-01-01	170

Form 5500 Responses for 1-800-PACK-RAT VISION BENEFITS

2014: 1-800-PACK-RAT VISION BENEFITS 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: 1-800-PACK-RAT VISION BENEFITS 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 benefit arrangement – Insurance	Yes
2012: 1-800-PACK-RAT VISION BENEFITS 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: 1-800-PACK-RAT VISION BENEFITS 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

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Company Name:	1-800-PACK-RAT, LLC
Employer identification number (EIN):	202107163
NAIC Classification:	812990
NAIC Description:	All Other Personal Services

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2009-10-07
Company Identification Number:	0801179070
Legal Registered Office Address:	11640 NORTHPARK DR STE 200 WAKE FOREST United States of America (USA) 27587