401k Plan data: XYLEM WATER SOLUTIONS ZELIENOPLE SAVINGS PLAN FOR HOURLY EMPLOYEES plan

XYLEM WATER SOLUTIONS ZELIENOPLE SAVINGS PLAN FOR HOURLY EMPLOYEES 401k Plan overview

Plan Name	XYLEM WATER SOLUTIONS ZELIENOPLE SAVINGS PLAN FOR HOURLY EMPLOYEES
Plan identification number	007

XYLEM WATER SOLUTIONS ZELIENOPLE SAVINGS PLAN FOR HOURLY EMPLOYEES Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

XYLEM WATER SOLUTIONS ZELIENOPLE LLC has sponsored the creation of one or more 401k plans.

Company Name: XYLEM WATER SOLUTIONS ZELIENOPLE LLC

Employer identification number (EIN): 363193091

NAIC Classification: 333900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan XYLEM WATER SOLUTIONS ZELIENOPLE SAVINGS PLAN FOR HOURLY EMPLOYEES

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
007 2013-01-01 SHERRI MAGILL JOHN P. CONNOLLY 2014-10-15
007 2012-01-01 SHERRI MAGILL
007 2011-01-01 SHERRI MAGILL
007 2010-01-01 SHERRI MAGILL

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
007	2013-01-01	SHERRI MAGILL	JOHN P. CONNOLLY	2014-10-15
007	2012-01-01	SHERRI MAGILL
007	2011-01-01	SHERRI MAGILL
007	2010-01-01	SHERRI MAGILL

Plan Statistics for XYLEM WATER SOLUTIONS ZELIENOPLE SAVINGS PLAN FOR HOURLY EMPLOYEES

401k plan membership statisitcs for XYLEM WATER SOLUTIONS ZELIENOPLE SAVINGS PLAN FOR HOURLY EMPLOYEES

Measure Date Value
2013: XYLEM WATER SOLUTIONS ZELIENOPLE SAVINGS PLAN FOR HOURLY EMPLOYEES 2013 401k membership
Total participants, beginning-of-year 2013-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: XYLEM WATER SOLUTIONS ZELIENOPLE SAVINGS PLAN FOR HOURLY EMPLOYEES 2012 401k membership
Total participants, beginning-of-year 2012-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 0
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: XYLEM WATER SOLUTIONS ZELIENOPLE SAVINGS PLAN FOR HOURLY EMPLOYEES 2011 401k membership
Total participants, beginning-of-year 2011-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 0
Number of participants with account balances 2011-01-01 0
2010: XYLEM WATER SOLUTIONS ZELIENOPLE SAVINGS PLAN FOR HOURLY EMPLOYEES 2010 401k membership
Total participants, beginning-of-year 2010-01-01 37
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 0
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 5
Total of all active and inactive participants 2010-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 5
Number of participants with account balances 2010-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0

Measure	Date	Value
2013: XYLEM WATER SOLUTIONS ZELIENOPLE SAVINGS PLAN FOR HOURLY EMPLOYEES 2013 401k membership
Total participants, beginning-of-year	2013-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: XYLEM WATER SOLUTIONS ZELIENOPLE SAVINGS PLAN FOR HOURLY EMPLOYEES 2012 401k membership
Total participants, beginning-of-year	2012-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	0
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: XYLEM WATER SOLUTIONS ZELIENOPLE SAVINGS PLAN FOR HOURLY EMPLOYEES 2011 401k membership
Total participants, beginning-of-year	2011-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	0
Number of participants with account balances	2011-01-01	0
2010: XYLEM WATER SOLUTIONS ZELIENOPLE SAVINGS PLAN FOR HOURLY EMPLOYEES 2010 401k membership
Total participants, beginning-of-year	2010-01-01	37
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	0
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	5
Total of all active and inactive participants	2010-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	5
Number of participants with account balances	2010-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0

Financial Data on XYLEM WATER SOLUTIONS ZELIENOPLE SAVINGS PLAN FOR HOURLY EMPLOYEES

Measure	Date	Value
2013 : XYLEM WATER SOLUTIONS ZELIENOPLE SAVINGS PLAN FOR HOURLY EMPLOYEES 2013 401k financial data
Transfers to/from the plan	2013-12-31	$-57
Total income from all sources	2013-12-31	$0
Expenses. Total of all expenses incurred	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$0
Total plan assets at beginning of year	2013-12-31	$57
Value of fidelity bond covering the plan	2013-12-31	$15,000,000
Net income (gross income less expenses)	2013-12-31	$0
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$57
2012 : XYLEM WATER SOLUTIONS ZELIENOPLE SAVINGS PLAN FOR HOURLY EMPLOYEES 2012 401k financial data
Total income from all sources	2012-12-31	$2
Expenses. Total of all expenses incurred	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$57
Total plan assets at beginning of year	2012-12-31	$55
Value of fidelity bond covering the plan	2012-12-31	$15,000,000
Other income received	2012-12-31	$2
Net income (gross income less expenses)	2012-12-31	$2
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$57
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$55
2011 : XYLEM WATER SOLUTIONS ZELIENOPLE SAVINGS PLAN FOR HOURLY EMPLOYEES 2011 401k financial data
Total income from all sources	2011-12-31	$440
Expenses. Total of all expenses incurred	2011-12-31	$8,848
Benefits paid (including direct rollovers)	2011-12-31	$8,848
Total plan assets at end of year	2011-12-31	$55
Total plan assets at beginning of year	2011-12-31	$8,463
Value of fidelity bond covering the plan	2011-12-31	$15,000,000
Other income received	2011-12-31	$440
Net income (gross income less expenses)	2011-12-31	$-8,408
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$55
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$8,463
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : XYLEM WATER SOLUTIONS ZELIENOPLE SAVINGS PLAN FOR HOURLY EMPLOYEES 2010 401k financial data
Total income from all sources	2010-12-31	$54,779
Expenses. Total of all expenses incurred	2010-12-31	$196,008
Benefits paid (including direct rollovers)	2010-12-31	$196,008
Total plan assets at end of year	2010-12-31	$8,463
Total plan assets at beginning of year	2010-12-31	$149,692
Value of fidelity bond covering the plan	2010-12-31	$15,000,000
Total contributions received or receivable from participants	2010-12-31	$28,121
Other income received	2010-12-31	$5,610
Net income (gross income less expenses)	2010-12-31	$-141,229
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$8,463
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$149,692
Total contributions received or receivable from employer(s)	2010-12-31	$21,048
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0

Form 5500 Responses for XYLEM WATER SOLUTIONS ZELIENOPLE SAVINGS PLAN FOR HOURLY EMPLOYEES

2013: XYLEM WATER SOLUTIONS ZELIENOPLE SAVINGS PLAN FOR HOURLY EMPLOYEES 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	Yes
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	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: XYLEM WATER SOLUTIONS ZELIENOPLE SAVINGS PLAN FOR HOURLY EMPLOYEES 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	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: XYLEM WATER SOLUTIONS ZELIENOPLE SAVINGS PLAN FOR HOURLY EMPLOYEES 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	Yes
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: XYLEM WATER SOLUTIONS ZELIENOPLE SAVINGS PLAN FOR HOURLY EMPLOYEES 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	Yes
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	XYLEM WATER SOLUTIONS ZELIENOPLE LLC
Employer identification number (EIN):	363193091
NAIC Classification:	333900