401k Plan data: EMPLOYMENT PLUS, INC. HEALTH AND WELFARE PLAN plan

EMPLOYMENT PLUS, INC. HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	EMPLOYMENT PLUS, INC. HEALTH AND WELFARE PLAN
Plan identification number	501

EMPLOYMENT PLUS, INC. HEALTH AND WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

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

Company Name: EMPLOYMENT PLUS, INC.

Employer identification number (EIN): 351930491

NAIC Classification: 561300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYMENT PLUS, INC. HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2013-01-01 LINDA BRATHWAITE
501 2012-02-01 TERRI NICOLE MATHERS TERRI NICOLE MATHERS 2013-08-26
501 2011-02-01 JON JEFFRIES

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2013-01-01	LINDA BRATHWAITE
501	2012-02-01	TERRI NICOLE MATHERS	TERRI NICOLE MATHERS	2013-08-26
501	2011-02-01	JON JEFFRIES

Plan Statistics for EMPLOYMENT PLUS, INC. HEALTH AND WELFARE PLAN

401k plan membership statisitcs for EMPLOYMENT PLUS, INC. HEALTH AND WELFARE PLAN

Measure Date Value
2013: EMPLOYMENT PLUS, INC. HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 628
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
2012: EMPLOYMENT PLUS, INC. HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-02-01 1,024
Total number of active participants reported on line 7a of the Form 5500 2012-02-01 628
Number of retired or separated participants receiving benefits 2012-02-01 0
Number of other retired or separated participants entitled to future benefits 2012-02-01 0
Total of all active and inactive participants 2012-02-01 628
2011: EMPLOYMENT PLUS, INC. HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-02-01 1,024
Total number of active participants reported on line 7a of the Form 5500 2011-02-01 1,024
Number of retired or separated participants receiving benefits 2011-02-01 0
Number of other retired or separated participants entitled to future benefits 2011-02-01 0
Total of all active and inactive participants 2011-02-01 1,024

Measure	Date	Value
2013: EMPLOYMENT PLUS, INC. HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	628
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
2012: EMPLOYMENT PLUS, INC. HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-02-01	1,024
Total number of active participants reported on line 7a of the Form 5500	2012-02-01	628
Number of retired or separated participants receiving benefits	2012-02-01	0
Number of other retired or separated participants entitled to future benefits	2012-02-01	0
Total of all active and inactive participants	2012-02-01	628
2011: EMPLOYMENT PLUS, INC. HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-02-01	1,024
Total number of active participants reported on line 7a of the Form 5500	2011-02-01	1,024
Number of retired or separated participants receiving benefits	2011-02-01	0
Number of other retired or separated participants entitled to future benefits	2011-02-01	0
Total of all active and inactive participants	2011-02-01	1,024

Form 5500 Responses for EMPLOYMENT PLUS, INC. HEALTH AND WELFARE PLAN

2013: EMPLOYMENT PLUS, INC. HEALTH AND WELFARE PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	This submission is the final filing	Yes
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: EMPLOYMENT PLUS, INC. HEALTH AND WELFARE PLAN 2012 form 5500 responses
2012-02-01	Type of plan entity	Single employer plan
2012-02-01	Submission has been amended	No
2012-02-01	This submission is the final filing	No
2012-02-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-02-01	Plan is a collectively bargained plan	No
2012-02-01	Plan funding arrangement – Insurance	Yes
2012-02-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-02-01	Plan benefit arrangement – Insurance	Yes
2012-02-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: EMPLOYMENT PLUS, INC. HEALTH AND WELFARE PLAN 2011 form 5500 responses
2011-02-01	Type of plan entity	Single employer plan
2011-02-01	Submission has been amended	No
2011-02-01	This submission is the final filing	No
2011-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-02-01	Plan is a collectively bargained plan	No
2011-02-01	Plan funding arrangement – Insurance	Yes
2011-02-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-02-01	Plan benefit arrangement – Insurance	Yes
2011-02-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	EMPLOYMENT PLUS, INC.
Employer identification number (EIN):	351930491
NAIC Classification:	561300