401k Plan data: SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN plan

SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN 401k Plan overview

Plan Name	SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN
Plan identification number	503

SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover 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

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

Company Name: SKYLINE DISPLAYS, INC.

Employer identification number (EIN): 363104785

NAIC Classification: 339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2015-01-01 ELAINE PRICKEL
503 2014-01-01 MARY RILEY
503 2013-01-01 MARY RILEY
503 2012-01-01 MARY RILEY
503 2011-01-01 MARY RILEY
503 2009-01-01 MARY RILEY MARY RILEY 2010-10-12
503 2009-01-01 MARY RILEY MARY RILEY 2010-10-12

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
503	2015-01-01	ELAINE PRICKEL
503	2014-01-01	MARY RILEY
503	2013-01-01	MARY RILEY
503	2012-01-01	MARY RILEY
503	2011-01-01	MARY RILEY
503	2009-01-01	MARY RILEY	MARY RILEY	2010-10-12
503	2009-01-01	MARY RILEY	MARY RILEY	2010-10-12

Plan Statistics for SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN

401k plan membership statisitcs for SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN

Measure Date Value
2015: SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 323
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
2014: SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 316
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 320
Number of retired or separated participants receiving benefits 2014-01-01 3
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 323
2013: SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 302
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 310
Number of retired or separated participants receiving benefits 2013-01-01 2
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 312
2012: SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 277
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 302
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 2012-01-01 302
2011: SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 272
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 277
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 2011-01-01 277
2009: SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 376
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 283
Number of retired or separated participants receiving benefits 2009-01-01 7
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 290

Measure	Date	Value
2015: SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	323
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
2014: SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	316
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	320
Number of retired or separated participants receiving benefits	2014-01-01	3
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	323
2013: SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	302
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	310
Number of retired or separated participants receiving benefits	2013-01-01	2
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	312
2012: SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	277
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	302
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	302
2011: SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	272
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	277
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	277
2009: SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	376
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	283
Number of retired or separated participants receiving benefits	2009-01-01	7
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	290

Form 5500 Responses for SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN

2015: SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	Yes
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN 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: SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN 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	No
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: SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN 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: SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
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
2009: SKYLINE DISPLAYS ACCIDENTAL CONTRIB LIFE INS LTD LIFE & AD&D PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	SKYLINE DISPLAYS, INC.
Employer identification number (EIN):	363104785
NAIC Classification:	339900