401k Plan data: ENERVISE, INC. HEALTH, LIFE, STD AND AD & D PLAN plan

ENERVISE, INC. HEALTH, LIFE, STD AND AD & D PLAN 401k Plan overview

Plan Name	ENERVISE, INC. HEALTH, LIFE, STD AND AD & D PLAN
Plan identification number	503

ENERVISE, INC. HEALTH, LIFE, STD AND AD & D PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

ENERVISE, INC. has sponsored the creation of one or more 401k plans.

Company Name: ENERVISE, INC.

Employer identification number (EIN): 311144000

NAIC Classification: 541330
NAIC Description: Engineering Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ENERVISE, INC. HEALTH, LIFE, STD AND AD & D PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2014-09-01 MARY W SEAMAN MARY W SEAMAN 2016-03-24
503 2013-09-01 MARY W SEAMAN MARY W SEAMAN 2015-03-30
503 2012-09-01 MARY W SEAMAN MARY W SEAMAN 2014-03-20
503 2011-09-01 MARY WINSTEL SEAMAN MARY WINSTEL SEAMAN 2013-03-26
503 2010-09-01 MARY W SEAMAN MARY W SEAMAN 2012-03-27
503 2009-09-01 THOMAS WINSTEL

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
503	2014-09-01	MARY W SEAMAN	MARY W SEAMAN	2016-03-24
503	2013-09-01	MARY W SEAMAN	MARY W SEAMAN	2015-03-30
503	2012-09-01	MARY W SEAMAN	MARY W SEAMAN	2014-03-20
503	2011-09-01	MARY WINSTEL SEAMAN	MARY WINSTEL SEAMAN	2013-03-26
503	2010-09-01	MARY W SEAMAN	MARY W SEAMAN	2012-03-27
503	2009-09-01	THOMAS WINSTEL

Plan Statistics for ENERVISE, INC. HEALTH, LIFE, STD AND AD & D PLAN

401k plan membership statisitcs for ENERVISE, INC. HEALTH, LIFE, STD AND AD & D PLAN

Measure Date Value
2014: ENERVISE, INC. HEALTH, LIFE, STD AND AD & D PLAN 2014 401k membership
Total participants, beginning-of-year 2014-09-01 152
Total number of active participants reported on line 7a of the Form 5500 2014-09-01 92
Total of all active and inactive participants 2014-09-01 92
2013: ENERVISE, INC. HEALTH, LIFE, STD AND AD & D PLAN 2013 401k membership
Total participants, beginning-of-year 2013-09-01 117
Total number of active participants reported on line 7a of the Form 5500 2013-09-01 152
Total of all active and inactive participants 2013-09-01 152
2012: ENERVISE, INC. HEALTH, LIFE, STD AND AD & D PLAN 2012 401k membership
Total participants, beginning-of-year 2012-09-01 154
Total number of active participants reported on line 7a of the Form 5500 2012-09-01 117
Total of all active and inactive participants 2012-09-01 117
2011: ENERVISE, INC. HEALTH, LIFE, STD AND AD & D PLAN 2011 401k membership
Total participants, beginning-of-year 2011-09-01 85
Total number of active participants reported on line 7a of the Form 5500 2011-09-01 114
Total of all active and inactive participants 2011-09-01 114
2010: ENERVISE, INC. HEALTH, LIFE, STD AND AD & D PLAN 2010 401k membership
Total participants, beginning-of-year 2010-09-01 202
Total number of active participants reported on line 7a of the Form 5500 2010-09-01 85
Total of all active and inactive participants 2010-09-01 85
2009: ENERVISE, INC. HEALTH, LIFE, STD AND AD & D PLAN 2009 401k membership
Total participants, beginning-of-year 2009-09-01 113
Total number of active participants reported on line 7a of the Form 5500 2009-09-01 202
Total of all active and inactive participants 2009-09-01 202

Measure	Date	Value
2014: ENERVISE, INC. HEALTH, LIFE, STD AND AD & D PLAN 2014 401k membership
Total participants, beginning-of-year	2014-09-01	152
Total number of active participants reported on line 7a of the Form 5500	2014-09-01	92
Total of all active and inactive participants	2014-09-01	92
2013: ENERVISE, INC. HEALTH, LIFE, STD AND AD & D PLAN 2013 401k membership
Total participants, beginning-of-year	2013-09-01	117
Total number of active participants reported on line 7a of the Form 5500	2013-09-01	152
Total of all active and inactive participants	2013-09-01	152
2012: ENERVISE, INC. HEALTH, LIFE, STD AND AD & D PLAN 2012 401k membership
Total participants, beginning-of-year	2012-09-01	154
Total number of active participants reported on line 7a of the Form 5500	2012-09-01	117
Total of all active and inactive participants	2012-09-01	117
2011: ENERVISE, INC. HEALTH, LIFE, STD AND AD & D PLAN 2011 401k membership
Total participants, beginning-of-year	2011-09-01	85
Total number of active participants reported on line 7a of the Form 5500	2011-09-01	114
Total of all active and inactive participants	2011-09-01	114
2010: ENERVISE, INC. HEALTH, LIFE, STD AND AD & D PLAN 2010 401k membership
Total participants, beginning-of-year	2010-09-01	202
Total number of active participants reported on line 7a of the Form 5500	2010-09-01	85
Total of all active and inactive participants	2010-09-01	85
2009: ENERVISE, INC. HEALTH, LIFE, STD AND AD & D PLAN 2009 401k membership
Total participants, beginning-of-year	2009-09-01	113
Total number of active participants reported on line 7a of the Form 5500	2009-09-01	202
Total of all active and inactive participants	2009-09-01	202

Form 5500 Responses for ENERVISE, INC. HEALTH, LIFE, STD AND AD & D PLAN

2014: ENERVISE, INC. HEALTH, LIFE, STD AND AD & D PLAN 2014 form 5500 responses
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)	No
2014-09-01	Plan is a collectively bargained plan	No
2014-09-01	Plan funding arrangement – Insurance	Yes
2014-09-01	Plan benefit arrangement – Insurance	Yes
2013: ENERVISE, INC. HEALTH, LIFE, STD AND AD & D 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 benefit arrangement – Insurance	Yes
2012: ENERVISE, INC. HEALTH, LIFE, STD AND AD & D PLAN 2012 form 5500 responses
2012-09-01	Type of plan entity	Single 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: ENERVISE, INC. HEALTH, LIFE, STD AND AD & D PLAN 2011 form 5500 responses
2011-09-01	Type of plan entity	Single employer plan
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
2010: ENERVISE, INC. HEALTH, LIFE, STD AND AD & D PLAN 2010 form 5500 responses
2010-09-01	Type of plan entity	Single employer plan
2010-09-01	Submission has been amended	No
2010-09-01	This submission is the final filing	No
2010-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-09-01	Plan is a collectively bargained plan	No
2010-09-01	Plan funding arrangement – Insurance	Yes
2010-09-01	Plan benefit arrangement – Insurance	Yes
2009: ENERVISE, INC. HEALTH, LIFE, STD AND AD & D PLAN 2009 form 5500 responses
2009-09-01	Type of plan entity	Single employer plan
2009-09-01	Submission has been amended	No
2009-09-01	This submission is the final filing	No
2009-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-09-01	Plan is a collectively bargained plan	No
2009-09-01	Plan funding arrangement – Insurance	Yes
2009-09-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	ENERVISE, INC.
Employer identification number (EIN):	311144000
NAIC Classification:	541330
NAIC Description:	Engineering Services