401k Plan data: AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN plan

AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN
Plan identification number	501

AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

AMERICAN TRAILER WORKS, INC. has sponsored the creation of one or more 401k plans.

Company Name: AMERICAN TRAILER WORKS, INC.

Employer identification number (EIN): 274102458

NAIC Classification: 336990

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2017-10-01
501 2016-10-01
501 2015-10-01 ROBERT MC DEVITT
501 2014-10-01 SAMANTHA HOFFMAN
501 2014-09-01 DOUGLAS CLARK DOUGLAS CLARK 2015-05-26
501 2013-09-01 DOUGLAS CLARK
501 2012-09-01 DAVID A. SPURIA
501 2011-09-01 DAVID A. SPURIA

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2017-10-01
501	2016-10-01
501	2015-10-01	ROBERT MC DEVITT
501	2014-10-01	SAMANTHA HOFFMAN
501	2014-09-01	DOUGLAS CLARK	DOUGLAS CLARK	2015-05-26
501	2013-09-01	DOUGLAS CLARK
501	2012-09-01	DAVID A. SPURIA
501	2011-09-01	DAVID A. SPURIA

Plan Statistics for AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN

Measure Date Value
2017: AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-10-01 343
Total number of active participants reported on line 7a of the Form 5500 2017-10-01 0
Number of retired or separated participants receiving benefits 2017-10-01 0
Number of other retired or separated participants entitled to future benefits 2017-10-01 0
Total of all active and inactive participants 2017-10-01 0
2016: AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-10-01 387
Total number of active participants reported on line 7a of the Form 5500 2016-10-01 473
Number of retired or separated participants receiving benefits 2016-10-01 0
Number of other retired or separated participants entitled to future benefits 2016-10-01 0
Total of all active and inactive participants 2016-10-01 473
2015: AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 257
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 384
Number of retired or separated participants receiving benefits 2015-10-01 3
Number of other retired or separated participants entitled to future benefits 2015-10-01 0
Total of all active and inactive participants 2015-10-01 387
2014: AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 191
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 257
Number of retired or separated participants receiving benefits 2014-10-01 0
Number of other retired or separated participants entitled to future benefits 2014-10-01 0
Total of all active and inactive participants 2014-10-01 257
Total participants, beginning-of-year 2014-09-01 191
Total number of active participants reported on line 7a of the Form 5500 2014-09-01 191
Number of retired or separated participants receiving benefits 2014-09-01 0
Number of other retired or separated participants entitled to future benefits 2014-09-01 0
Total of all active and inactive participants 2014-09-01 191
2013: AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-09-01 228
Total number of active participants reported on line 7a of the Form 5500 2013-09-01 191
Number of retired or separated participants receiving benefits 2013-09-01 0
Number of other retired or separated participants entitled to future benefits 2013-09-01 0
Total of all active and inactive participants 2013-09-01 191
2012: AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-09-01 191
Total number of active participants reported on line 7a of the Form 5500 2012-09-01 136
Number of retired or separated participants receiving benefits 2012-09-01 0
Number of other retired or separated participants entitled to future benefits 2012-09-01 0
Total of all active and inactive participants 2012-09-01 136
2011: AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-09-01 228
Total number of active participants reported on line 7a of the Form 5500 2011-09-01 191
Number of retired or separated participants receiving benefits 2011-09-01 0
Number of other retired or separated participants entitled to future benefits 2011-09-01 0
Total of all active and inactive participants 2011-09-01 191

Measure	Date	Value
2017: AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-10-01	343
Total number of active participants reported on line 7a of the Form 5500	2017-10-01	0
Number of retired or separated participants receiving benefits	2017-10-01	0
Number of other retired or separated participants entitled to future benefits	2017-10-01	0
Total of all active and inactive participants	2017-10-01	0
2016: AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-10-01	387
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	473
Number of retired or separated participants receiving benefits	2016-10-01	0
Number of other retired or separated participants entitled to future benefits	2016-10-01	0
Total of all active and inactive participants	2016-10-01	473
2015: AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	257
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	384
Number of retired or separated participants receiving benefits	2015-10-01	3
Number of other retired or separated participants entitled to future benefits	2015-10-01	0
Total of all active and inactive participants	2015-10-01	387
2014: AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	191
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	257
Number of retired or separated participants receiving benefits	2014-10-01	0
Number of other retired or separated participants entitled to future benefits	2014-10-01	0
Total of all active and inactive participants	2014-10-01	257
Total participants, beginning-of-year	2014-09-01	191
Total number of active participants reported on line 7a of the Form 5500	2014-09-01	191
Number of retired or separated participants receiving benefits	2014-09-01	0
Number of other retired or separated participants entitled to future benefits	2014-09-01	0
Total of all active and inactive participants	2014-09-01	191
2013: AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-09-01	228
Total number of active participants reported on line 7a of the Form 5500	2013-09-01	191
Number of retired or separated participants receiving benefits	2013-09-01	0
Number of other retired or separated participants entitled to future benefits	2013-09-01	0
Total of all active and inactive participants	2013-09-01	191
2012: AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-09-01	191
Total number of active participants reported on line 7a of the Form 5500	2012-09-01	136
Number of retired or separated participants receiving benefits	2012-09-01	0
Number of other retired or separated participants entitled to future benefits	2012-09-01	0
Total of all active and inactive participants	2012-09-01	136
2011: AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-09-01	228
Total number of active participants reported on line 7a of the Form 5500	2011-09-01	191
Number of retired or separated participants receiving benefits	2011-09-01	0
Number of other retired or separated participants entitled to future benefits	2011-09-01	0
Total of all active and inactive participants	2011-09-01	191

Form 5500 Responses for AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN

2017: AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN 2017 form 5500 responses
2017-10-01	Type of plan entity	Single employer plan
2017-10-01	This submission is the final filing	Yes
2017-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-10-01	Plan funding arrangement – Insurance	Yes
2017-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-10-01	Plan benefit arrangement – Insurance	Yes
2017-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	Submission has been amended	No
2016-10-01	This submission is the final filing	No
2016-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-10-01	Plan is a collectively bargained plan	No
2016-10-01	Plan funding arrangement – Insurance	Yes
2016-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-10-01	Plan benefit arrangement – Insurance	Yes
2016-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Submission has been amended	No
2015-10-01	This submission is the final filing	No
2015-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-10-01	Plan is a collectively bargained plan	No
2015-10-01	Plan funding arrangement – Insurance	Yes
2015-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-10-01	Plan benefit arrangement – Insurance	Yes
2015-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	No
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	No
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-10-01	Plan benefit arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014-09-01	Type of plan entity	Single employer plan
2014-09-01	Submission has been amended	No
2014-09-01	This submission is the final filing	No
2014-09-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-09-01	Plan is a collectively bargained plan	No
2014-09-01	Plan funding arrangement – Insurance	Yes
2014-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-09-01	Plan benefit arrangement – Insurance	Yes
2014-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN 2013 form 5500 responses
2013-09-01	Type of plan entity	Single employer plan
2013-09-01	Submission has been amended	No
2013-09-01	This submission is the final filing	No
2013-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-09-01	Plan is a collectively bargained plan	No
2013-09-01	Plan funding arrangement – Insurance	Yes
2013-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-09-01	Plan benefit arrangement – Insurance	Yes
2013-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN 2012 form 5500 responses
2012-09-01	Type of plan entity	Multi-employer plan
2012-09-01	Submission has been amended	No
2012-09-01	This submission is the final filing	No
2012-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-09-01	Plan is a collectively bargained plan	No
2012-09-01	Plan funding arrangement – Insurance	Yes
2012-09-01	Plan benefit arrangement – Insurance	Yes
2011: AMERICAN TRAILER WORKS EMPLOYEE BENEFIT PLAN 2011 form 5500 responses
2011-09-01	Type of plan entity	Multi-employer plan
2011-09-01	First time form 5500 has been submitted	Yes
2011-09-01	Submission has been amended	No
2011-09-01	This submission is the final filing	No
2011-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-09-01	Plan is a collectively bargained plan	No
2011-09-01	Plan funding arrangement – Insurance	Yes
2011-09-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

455651

Policy instance

Insurance contract or identification number	455651
Number of Individuals Covered	449
Insurance policy start date	2017-10-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $46,567
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HEALTH RESOURCES INC (National Association of Insurance Commissioners NAIC id number: 96687 )

Policy contract number

33001210RCT

Policy instance

Insurance contract or identification number	33001210RCT
Number of Individuals Covered	79
Insurance policy start date	2017-10-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $4,461
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

KANSAS CITY LIFE (National Association of Insurance Commissioners NAIC id number: 65129 )

Policy contract number

GF21761

Policy instance

Insurance contract or identification number	GF21761
Number of Individuals Covered	21
Insurance policy start date	2017-10-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $297
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $2,019
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $297
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	JOELLA MULLIN

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Company Name:	AMERICAN TRAILER WORKS, INC.
Employer identification number (EIN):	274102458
NAIC Classification:	336990