401k Plan data: CHARITYUSA.COM LLC WELFARE BENEFIT PLAN plan

CHARITYUSA.COM LLC WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	CHARITYUSA.COM LLC WELFARE BENEFIT PLAN
Plan identification number	501

CHARITYUSA.COM LLC WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental 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. Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

CHARITYUSA.COM LLC has sponsored the creation of one or more 401k plans.

Company Name: CHARITYUSA.COM LLC

Employer identification number (EIN): 411946074

NAIC Classification: 624200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHARITYUSA.COM LLC WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2015-10-01 YVETTE BOWEN
501 2014-10-01 GLEN A DODGE
501 2013-10-01 GLEN DODGE
501 2011-10-01 GLEN DODGE

Plan id#	Filing Submission Date	Name of Administrator
501	2015-10-01	YVETTE BOWEN
501	2014-10-01	GLEN A DODGE
501	2013-10-01	GLEN DODGE
501	2011-10-01	GLEN DODGE

Plan Statistics for CHARITYUSA.COM LLC WELFARE BENEFIT PLAN

401k plan membership statisitcs for CHARITYUSA.COM LLC WELFARE BENEFIT PLAN

Measure Date Value
2015: CHARITYUSA.COM LLC WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 241
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 0
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 0
2014: CHARITYUSA.COM LLC WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 180
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 240
Number of retired or separated participants receiving benefits 2014-10-01 1
Number of other retired or separated participants entitled to future benefits 2014-10-01 0
Total of all active and inactive participants 2014-10-01 241
2013: CHARITYUSA.COM LLC WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 100
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 176
Number of retired or separated participants receiving benefits 2013-10-01 4
Number of other retired or separated participants entitled to future benefits 2013-10-01 0
Total of all active and inactive participants 2013-10-01 180
2011: CHARITYUSA.COM LLC WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 103
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 91
Number of retired or separated participants receiving benefits 2011-10-01 0
Number of other retired or separated participants entitled to future benefits 2011-10-01 0
Total of all active and inactive participants 2011-10-01 91

Measure	Date	Value
2015: CHARITYUSA.COM LLC WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	241
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	0
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	0
2014: CHARITYUSA.COM LLC WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	180
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	240
Number of retired or separated participants receiving benefits	2014-10-01	1
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	241
2013: CHARITYUSA.COM LLC WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	100
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	176
Number of retired or separated participants receiving benefits	2013-10-01	4
Number of other retired or separated participants entitled to future benefits	2013-10-01	0
Total of all active and inactive participants	2013-10-01	180
2011: CHARITYUSA.COM LLC WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	103
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	91
Number of retired or separated participants receiving benefits	2011-10-01	0
Number of other retired or separated participants entitled to future benefits	2011-10-01	0
Total of all active and inactive participants	2011-10-01	91

Form 5500 Responses for CHARITYUSA.COM LLC WELFARE BENEFIT PLAN

2015: CHARITYUSA.COM LLC WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Submission has been amended	No
2015-10-01	This submission is the final filing	Yes
2015-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-10-01	Plan is a collectively bargained plan	No
2015-10-01	Plan funding arrangement – Insurance	Yes
2015-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-10-01	Plan benefit arrangement – Insurance	Yes
2015-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: CHARITYUSA.COM LLC WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	No
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	No
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-10-01	Plan benefit arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: CHARITYUSA.COM LLC WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: CHARITYUSA.COM LLC WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	First time form 5500 has been submitted	Yes
2011-10-01	Submission has been amended	No
2011-10-01	This submission is the final filing	No
2011-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-10-01	Plan is a collectively bargained plan	No
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-10-01	Plan benefit arrangement – Insurance	Yes
2011-10-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	CHARITYUSA.COM LLC
Employer identification number (EIN):	411946074
NAIC Classification:	624200