401k Plan data: RIVER STATES TRUCK & TRAILER, INC. HEALTH REIMBURSEMENT PLAN plan

RIVER STATES TRUCK & TRAILER, INC. HEALTH REIMBURSEMENT PLAN 401k Plan overview

Plan Name	RIVER STATES TRUCK & TRAILER, INC. HEALTH REIMBURSEMENT PLAN
Plan identification number	510

RIVER STATES TRUCK & TRAILER, INC. HEALTH REIMBURSEMENT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

RIVER STATES TRUCK & TRAILER, INC. has sponsored the creation of one or more 401k plans.

Company Name: RIVER STATES TRUCK & TRAILER, INC.

Employer identification number (EIN): 390762790

NAIC Classification: 441228
NAIC Description: Motorcycle, ATV, and All Other Motor Vehicle Dealers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RIVER STATES TRUCK & TRAILER, INC. HEALTH REIMBURSEMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
510 2016-01-01
510 2016-01-01
510 2015-01-01 RICK OLSON
510 2014-01-01 RICK OLSON

Plan Statistics for RIVER STATES TRUCK & TRAILER, INC. HEALTH REIMBURSEMENT PLAN

401k plan membership statisitcs for RIVER STATES TRUCK & TRAILER, INC. HEALTH REIMBURSEMENT PLAN

Measure Date Value
2016: RIVER STATES TRUCK & TRAILER, INC. HEALTH REIMBURSEMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 106
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 96
Total of all active and inactive participants 2016-01-01 96
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
2015: RIVER STATES TRUCK & TRAILER, INC. HEALTH REIMBURSEMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 147
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 139
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 2015-01-01 139
2014: RIVER STATES TRUCK & TRAILER, INC. HEALTH REIMBURSEMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 136
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 136
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 136

Measure	Date	Value
2016: RIVER STATES TRUCK & TRAILER, INC. HEALTH REIMBURSEMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	106
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	96
Total of all active and inactive participants	2016-01-01	96
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
2015: RIVER STATES TRUCK & TRAILER, INC. HEALTH REIMBURSEMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	147
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	139
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	139
2014: RIVER STATES TRUCK & TRAILER, INC. HEALTH REIMBURSEMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	136
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	136
Number of retired or separated participants receiving benefits	2014-01-01	0
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	136

Form 5500 Responses for RIVER STATES TRUCK & TRAILER, INC. HEALTH REIMBURSEMENT PLAN

2016: RIVER STATES TRUCK & TRAILER, INC. HEALTH REIMBURSEMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	Yes
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: RIVER STATES TRUCK & TRAILER, INC. HEALTH REIMBURSEMENT 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	No
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 – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: RIVER STATES TRUCK & TRAILER, INC. HEALTH REIMBURSEMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	First time form 5500 has been submitted	Yes
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 – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	RIVER STATES TRUCK & TRAILER, INC.
Employer identification number (EIN):	390762790
NAIC Classification:	441228
NAIC Description:	Motorcycle, ATV, and All Other Motor Vehicle Dealers