401k Plan data: GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN plan

GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN 401k Plan overview

Plan Name	GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN
Plan identification number	504

GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN Benefits

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

GRAY PLANT MOOTY MOOTY AND BENNETT PA has sponsored the creation of one or more 401k plans.

Company Name: GRAY PLANT MOOTY MOOTY AND BENNETT PA

Employer identification number (EIN): 411411978

NAIC Classification: 541110
NAIC Description: Offices of Lawyers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2017-01-01 KATHI WRIGHT
504 2017-01-01
504 2016-01-01 JOHN M NICHOLS
504 2015-01-01 JOHN M NICHOLS
504 2014-01-01 JOHN M NICHOLS
504 2013-01-01 JOHN M. NICHOLS
504 2012-01-01 JOHN M NICHOLS
504 2011-01-01 JOHN M. NICHOLS
504 2009-01-01 JOHN NICHOLS JOHN NICHOLS 2010-07-07

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
504	2017-01-01	KATHI WRIGHT
504	2017-01-01
504	2016-01-01	JOHN M NICHOLS
504	2015-01-01	JOHN M NICHOLS
504	2014-01-01	JOHN M NICHOLS
504	2013-01-01	JOHN M. NICHOLS
504	2012-01-01	JOHN M NICHOLS
504	2011-01-01	JOHN M. NICHOLS
504	2009-01-01	JOHN NICHOLS	JOHN NICHOLS	2010-07-07

Plan Statistics for GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN

401k plan membership statisitcs for GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN

Measure Date Value
2017: GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 261
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 263
Total of all active and inactive participants 2017-01-01 263
Total participants 2017-01-01 0
2016: GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 261
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 261
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
Total of all active and inactive participants 2016-01-01 261
2015: GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 255
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 261
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 2015-01-01 261
2014: GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 204
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 224
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 2014-01-01 224
2013: GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 244
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 223
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 2013-01-01 223
2012: GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 280
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 245
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 2012-01-01 245
2011: GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 323
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 313
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 2011-01-01 313
2009: GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 332
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 339
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 339

Measure	Date	Value
2017: GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	261
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	263
Total of all active and inactive participants	2017-01-01	263
Total participants	2017-01-01	0
2016: GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	261
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	261
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
Total of all active and inactive participants	2016-01-01	261
2015: GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	255
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	261
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	261
2014: GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	204
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	224
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	224
2013: GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	244
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	223
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	223
2012: GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	280
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	245
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	245
2011: GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	323
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	313
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	313
2009: GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	332
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	339
Number of retired or separated participants receiving benefits	2009-01-01	0
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	339

Form 5500 Responses for GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN

2017: GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
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: GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL 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: GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT 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 – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT 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 – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT 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 – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT 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 – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: GRAY PLANT MOOTY MOOTY AND BENNETT PA MEDICAL REIMBURSEMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
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 – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	GRAY PLANT MOOTY MOOTY AND BENNETT PA
Employer identification number (EIN):	411411978
NAIC Classification:	541110
NAIC Description:	Offices of Lawyers