401k Plan data: KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN plan

KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN 401k Plan overview

Plan Name	KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN
Plan identification number	501

KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

KIRLIN'S INC has sponsored the creation of one or more 401k plans.

Company Name: KIRLIN'S INC

Employer identification number (EIN): 370843226

NAIC Classification: 453220
NAIC Description: Gift, Novelty, and Souvenir Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2015-10-01 DANIELLE FLEER
501 2014-10-01 DANIELLE M FLEER
501 2014-10-01 DANIELLE M FLEER
501 2014-10-01 JAMES K KNODEL
501 2013-10-01
501 2012-10-01 JAMES K KNODEL
501 2011-10-01 JAMES K KNODEL
501 2009-10-01 MELVIN D DILLMAN MELVIN D DILLMAN 2011-04-29
501 2009-10-01 MELVIN D DILLMAN MELVIN D DILLMAN 2011-04-28

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2015-10-01	DANIELLE FLEER
501	2014-10-01	DANIELLE M FLEER
501	2014-10-01	DANIELLE M FLEER
501	2014-10-01	JAMES K KNODEL
501	2013-10-01
501	2012-10-01	JAMES K KNODEL
501	2011-10-01	JAMES K KNODEL
501	2009-10-01	MELVIN D DILLMAN	MELVIN D DILLMAN	2011-04-29
501	2009-10-01	MELVIN D DILLMAN	MELVIN D DILLMAN	2011-04-28

Plan Statistics for KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN

401k plan membership statisitcs for KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN

Measure Date Value
2015: KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 110
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 93
Number of retired or separated participants receiving benefits 2015-10-01 0
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 93
2014: KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 125
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 110
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 2014-10-01 110
2013: KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 127
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 125
Total of all active and inactive participants 2013-10-01 125
Total participants 2013-10-01 125
2012: KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 123
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 127
Total of all active and inactive participants 2012-10-01 127
Total participants 2012-10-01 127
2011: KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 125
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 123
Total of all active and inactive participants 2011-10-01 123
Total participants 2011-10-01 123
2009: KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 132
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 131
Total of all active and inactive participants 2009-10-01 131
Total participants 2009-10-01 131

Measure	Date	Value
2015: KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	110
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	93
Number of retired or separated participants receiving benefits	2015-10-01	0
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	93
2014: KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	125
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	110
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	110
2013: KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	127
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	125
Total of all active and inactive participants	2013-10-01	125
Total participants	2013-10-01	125
2012: KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	123
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	127
Total of all active and inactive participants	2012-10-01	127
Total participants	2012-10-01	127
2011: KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	125
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	123
Total of all active and inactive participants	2011-10-01	123
Total participants	2011-10-01	123
2009: KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	132
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	131
Total of all active and inactive participants	2009-10-01	131
Total participants	2009-10-01	131

Form 5500 Responses for KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN

2015: KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Plan funding arrangement – Insurance	Yes
2015-10-01	Plan benefit arrangement – Insurance	Yes
2014: KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	Yes
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement – Insurance	Yes
2013: KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2012: KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes
2011: KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan benefit arrangement – Insurance	Yes
2009: KIRLIN'S, INC. LIFE, ACCIDENT AND DISABILITY PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number	662281
Policy instance	1
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	632253
Policy instance	2
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number	662281
Policy instance	1
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	632253
Policy instance	2
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number	662281
Policy instance	1
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	632253
Policy instance	2
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number	662281
Policy instance	1
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	632253
Policy instance	2

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Company Name:	KIRLIN'S INC
Employer identification number (EIN):	370843226
NAIC Classification:	453220
NAIC Description:	Gift, Novelty, and Souvenir Stores