401k Plan data: KENDRION (SHELBY) INC. EYEMED VISION CARE plan

KENDRION (SHELBY) INC. EYEMED VISION CARE 401k Plan overview

Plan Name	KENDRION (SHELBY) INC. EYEMED VISION CARE
Plan identification number	504

KENDRION (SHELBY) INC. EYEMED VISION CARE Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Vision

401k Sponsoring company profile

KENDRION (SHELBY) INC. has sponsored the creation of one or more 401k plans.

Company Name: KENDRION (SHELBY) INC.

Employer identification number (EIN): 208284552

NAIC Classification: 336300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KENDRION (SHELBY) INC. EYEMED VISION CARE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2015-04-01 PAULA VINCENT PAULA VINCENT 2016-10-03
504 2013-04-01 STEPHANIE OLIVER STEPHANIE OLIVER 2014-07-25
504 2012-04-01 STEPHANIE OLIVER STEPHANIE OLIVER 2013-11-15
504 2011-04-01 STEPHANIE OLIVER STEPHANIE OLIVER 2012-10-15
504 2010-04-01 STEPHANIE OLIVER STEPHANIE OLIVER 2011-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
504	2015-04-01	PAULA VINCENT	PAULA VINCENT	2016-10-03
504	2013-04-01	STEPHANIE OLIVER	STEPHANIE OLIVER	2014-07-25
504	2012-04-01	STEPHANIE OLIVER	STEPHANIE OLIVER	2013-11-15
504	2011-04-01	STEPHANIE OLIVER	STEPHANIE OLIVER	2012-10-15
504	2010-04-01	STEPHANIE OLIVER	STEPHANIE OLIVER	2011-10-15

Plan Statistics for KENDRION (SHELBY) INC. EYEMED VISION CARE

401k plan membership statisitcs for KENDRION (SHELBY) INC. EYEMED VISION CARE

Measure Date Value
2015: KENDRION (SHELBY) INC. EYEMED VISION CARE 2015 401k membership
Total participants, beginning-of-year 2015-04-01 308
Total number of active participants reported on line 7a of the Form 5500 2015-04-01 321
Total of all active and inactive participants 2015-04-01 321
2013: KENDRION (SHELBY) INC. EYEMED VISION CARE 2013 401k membership
Total participants, beginning-of-year 2013-04-01 290
Total number of active participants reported on line 7a of the Form 5500 2013-04-01 308
Total of all active and inactive participants 2013-04-01 308
2012: KENDRION (SHELBY) INC. EYEMED VISION CARE 2012 401k membership
Total participants, beginning-of-year 2012-04-01 268
Total number of active participants reported on line 7a of the Form 5500 2012-04-01 290
Total of all active and inactive participants 2012-04-01 290
2011: KENDRION (SHELBY) INC. EYEMED VISION CARE 2011 401k membership
Total participants, beginning-of-year 2011-04-01 219
Total number of active participants reported on line 7a of the Form 5500 2011-04-01 268
Total of all active and inactive participants 2011-04-01 268
2010: KENDRION (SHELBY) INC. EYEMED VISION CARE 2010 401k membership
Total participants, beginning-of-year 2010-04-01 0
Total number of active participants reported on line 7a of the Form 5500 2010-04-01 219
Total of all active and inactive participants 2010-04-01 219

Measure	Date	Value
2015: KENDRION (SHELBY) INC. EYEMED VISION CARE 2015 401k membership
Total participants, beginning-of-year	2015-04-01	308
Total number of active participants reported on line 7a of the Form 5500	2015-04-01	321
Total of all active and inactive participants	2015-04-01	321
2013: KENDRION (SHELBY) INC. EYEMED VISION CARE 2013 401k membership
Total participants, beginning-of-year	2013-04-01	290
Total number of active participants reported on line 7a of the Form 5500	2013-04-01	308
Total of all active and inactive participants	2013-04-01	308
2012: KENDRION (SHELBY) INC. EYEMED VISION CARE 2012 401k membership
Total participants, beginning-of-year	2012-04-01	268
Total number of active participants reported on line 7a of the Form 5500	2012-04-01	290
Total of all active and inactive participants	2012-04-01	290
2011: KENDRION (SHELBY) INC. EYEMED VISION CARE 2011 401k membership
Total participants, beginning-of-year	2011-04-01	219
Total number of active participants reported on line 7a of the Form 5500	2011-04-01	268
Total of all active and inactive participants	2011-04-01	268
2010: KENDRION (SHELBY) INC. EYEMED VISION CARE 2010 401k membership
Total participants, beginning-of-year	2010-04-01	0
Total number of active participants reported on line 7a of the Form 5500	2010-04-01	219
Total of all active and inactive participants	2010-04-01	219

Form 5500 Responses for KENDRION (SHELBY) INC. EYEMED VISION CARE

2015: KENDRION (SHELBY) INC. EYEMED VISION CARE 2015 form 5500 responses
2015-04-01	Type of plan entity	Single employer plan
2015-04-01	Plan funding arrangement – Insurance	Yes
2015-04-01	Plan benefit arrangement – Insurance	Yes
2013: KENDRION (SHELBY) INC. EYEMED VISION CARE 2013 form 5500 responses
2013-04-01	Type of plan entity	Single employer plan
2013-04-01	Plan funding arrangement – Insurance	Yes
2013-04-01	Plan benefit arrangement – Insurance	Yes
2012: KENDRION (SHELBY) INC. EYEMED VISION CARE 2012 form 5500 responses
2012-04-01	Type of plan entity	Single employer plan
2012-04-01	Plan funding arrangement – Insurance	Yes
2012-04-01	Plan benefit arrangement – Insurance	Yes
2011: KENDRION (SHELBY) INC. EYEMED VISION CARE 2011 form 5500 responses
2011-04-01	Type of plan entity	Single employer plan
2011-04-01	Plan funding arrangement – Insurance	Yes
2011-04-01	Plan benefit arrangement – Insurance	Yes
2010: KENDRION (SHELBY) INC. EYEMED VISION CARE 2010 form 5500 responses
2010-04-01	Type of plan entity	Single employer plan
2010-04-01	Plan funding arrangement – Insurance	Yes
2010-04-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	KENDRION (SHELBY) INC.
Employer identification number (EIN):	208284552
NAIC Classification:	336300