401k Plan data: ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN plan

ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN 401k Plan overview

Plan Name	ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN
Plan identification number	502

ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN Benefits

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

401k Sponsoring company profile

ENERGY MANUFACTURING COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name: ENERGY MANUFACTURING COMPANY, INC.

Employer identification number (EIN): 420863116

NAIC Classification: 332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2017-06-01 JUSTIN MAYFIELD
502 2014-06-01 MARK VAN LAUWE
502 2013-06-01 GERY OESTERN GERY OESTERN 2014-12-05
502 2012-06-01 TERRY OTTO
502 2011-06-01 TERRY OTTO
502 2010-06-01 PATRICK KOPF
502 2009-06-01 PATRICK KOPF

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
502	2017-06-01	JUSTIN MAYFIELD
502	2014-06-01	MARK VAN LAUWE
502	2013-06-01	GERY OESTERN	GERY OESTERN	2014-12-05
502	2012-06-01	TERRY OTTO
502	2011-06-01	TERRY OTTO
502	2010-06-01	PATRICK KOPF
502	2009-06-01	PATRICK KOPF

Plan Statistics for ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN

401k plan membership statisitcs for ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN

Measure Date Value
2017: ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-06-01 0
Total of all active and inactive participants 2017-06-01 0
2014: ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-06-01 139
Total number of active participants reported on line 7a of the Form 5500 2014-06-01 109
Number of retired or separated participants receiving benefits 2014-06-01 0
Number of other retired or separated participants entitled to future benefits 2014-06-01 0
Total of all active and inactive participants 2014-06-01 109
2013: ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-06-01 160
Total number of active participants reported on line 7a of the Form 5500 2013-06-01 127
Total of all active and inactive participants 2013-06-01 127
2012: ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-06-01 133
Total number of active participants reported on line 7a of the Form 5500 2012-06-01 159
Number of retired or separated participants receiving benefits 2012-06-01 1
Number of other retired or separated participants entitled to future benefits 2012-06-01 0
Total of all active and inactive participants 2012-06-01 160
2011: ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-06-01 133
Total number of active participants reported on line 7a of the Form 5500 2011-06-01 132
Number of retired or separated participants receiving benefits 2011-06-01 1
Number of other retired or separated participants entitled to future benefits 2011-06-01 0
Total of all active and inactive participants 2011-06-01 133
2010: ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-06-01 121
Total number of active participants reported on line 7a of the Form 5500 2010-06-01 130
Number of retired or separated participants receiving benefits 2010-06-01 1
Number of other retired or separated participants entitled to future benefits 2010-06-01 0
Total of all active and inactive participants 2010-06-01 131
2009: ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-06-01 112
Total number of active participants reported on line 7a of the Form 5500 2009-06-01 121
Number of retired or separated participants receiving benefits 2009-06-01 2
Number of other retired or separated participants entitled to future benefits 2009-06-01 0
Total of all active and inactive participants 2009-06-01 123

Measure	Date	Value
2017: ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-06-01	0
Total of all active and inactive participants	2017-06-01	0
2014: ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-06-01	139
Total number of active participants reported on line 7a of the Form 5500	2014-06-01	109
Number of retired or separated participants receiving benefits	2014-06-01	0
Number of other retired or separated participants entitled to future benefits	2014-06-01	0
Total of all active and inactive participants	2014-06-01	109
2013: ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-06-01	160
Total number of active participants reported on line 7a of the Form 5500	2013-06-01	127
Total of all active and inactive participants	2013-06-01	127
2012: ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-06-01	133
Total number of active participants reported on line 7a of the Form 5500	2012-06-01	159
Number of retired or separated participants receiving benefits	2012-06-01	1
Number of other retired or separated participants entitled to future benefits	2012-06-01	0
Total of all active and inactive participants	2012-06-01	160
2011: ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-06-01	133
Total number of active participants reported on line 7a of the Form 5500	2011-06-01	132
Number of retired or separated participants receiving benefits	2011-06-01	1
Number of other retired or separated participants entitled to future benefits	2011-06-01	0
Total of all active and inactive participants	2011-06-01	133
2010: ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-06-01	121
Total number of active participants reported on line 7a of the Form 5500	2010-06-01	130
Number of retired or separated participants receiving benefits	2010-06-01	1
Number of other retired or separated participants entitled to future benefits	2010-06-01	0
Total of all active and inactive participants	2010-06-01	131
2009: ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-06-01	112
Total number of active participants reported on line 7a of the Form 5500	2009-06-01	121
Number of retired or separated participants receiving benefits	2009-06-01	2
Number of other retired or separated participants entitled to future benefits	2009-06-01	0
Total of all active and inactive participants	2009-06-01	123

Form 5500 Responses for ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN

2017: ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN 2017 form 5500 responses
2017-06-01	Type of plan entity	Single employer plan
2017-06-01	Submission has been amended	No
2017-06-01	This submission is the final filing	Yes
2017-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-06-01	Plan is a collectively bargained plan	No
2017-06-01	Plan funding arrangement – Insurance	Yes
2017-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-06-01	Plan benefit arrangement – Insurance	Yes
2017-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN 2014 form 5500 responses
2014-06-01	Type of plan entity	Single employer plan
2014-06-01	Submission has been amended	No
2014-06-01	This submission is the final filing	No
2014-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-06-01	Plan is a collectively bargained plan	No
2014-06-01	Plan funding arrangement – Insurance	Yes
2014-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-06-01	Plan benefit arrangement – Insurance	Yes
2014-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN 2013 form 5500 responses
2013-06-01	Type of plan entity	Single employer plan
2013-06-01	Submission has been amended	No
2013-06-01	This submission is the final filing	No
2013-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-06-01	Plan is a collectively bargained plan	No
2013-06-01	Plan funding arrangement – Insurance	Yes
2013-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-06-01	Plan benefit arrangement – Insurance	Yes
2013-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN 2012 form 5500 responses
2012-06-01	Type of plan entity	Single employer plan
2012-06-01	Submission has been amended	No
2012-06-01	This submission is the final filing	No
2012-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-06-01	Plan is a collectively bargained plan	No
2012-06-01	Plan funding arrangement – Insurance	Yes
2012-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-06-01	Plan benefit arrangement – Insurance	Yes
2012-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN 2011 form 5500 responses
2011-06-01	Type of plan entity	Single employer plan
2011-06-01	Submission has been amended	No
2011-06-01	This submission is the final filing	No
2011-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-06-01	Plan is a collectively bargained plan	No
2011-06-01	Plan funding arrangement – Insurance	Yes
2011-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-06-01	Plan benefit arrangement – Insurance	Yes
2011-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN 2010 form 5500 responses
2010-06-01	Type of plan entity	Single employer plan
2010-06-01	Submission has been amended	Yes
2010-06-01	This submission is the final filing	No
2010-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-06-01	Plan is a collectively bargained plan	No
2010-06-01	Plan funding arrangement – Insurance	Yes
2010-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-06-01	Plan benefit arrangement – Insurance	Yes
2010-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: ENERGY MANUFACTURING COMPANY GROUP LIFE INSURANCE PLAN 2009 form 5500 responses
2009-06-01	Type of plan entity	Single employer plan
2009-06-01	Submission has been amended	No
2009-06-01	This submission is the final filing	No
2009-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-06-01	Plan is a collectively bargained plan	No
2009-06-01	Plan funding arrangement – Insurance	Yes
2009-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-06-01	Plan benefit arrangement – Insurance	Yes
2009-06-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

10177870

Policy instance

Insurance contract or identification number	10177870
Number of Individuals Covered	0
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	AD&D
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	REGIONS INSURANCE INC

Potentially related plans

ENERGY MANUFACTURING COMPANY COLLECTIVELY BARGAINED PROFIT SHARING PLAN [EIN = 391910790]

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Company Name:	ENERGY MANUFACTURING COMPANY, INC.
Employer identification number (EIN):	420863116
NAIC Classification:	332900