401k Plan data: CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN plan

CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN 401k Plan overview

Plan Name	CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN
Plan identification number	504

CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN Benefits

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

CE SERVICES LLC has sponsored the creation of one or more 401k plans.

Company Name: CE SERVICES LLC

Employer identification number (EIN): 455281546

NAIC Classification: 486000
NAIC Description: Pipeline Transportation

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2017-08-01 CAROLYN PARK CAROLYN PARK 2018-09-28
504 2016-08-01 CAROLYN PARK CAROLYN PARK 2017-10-30
504 2015-08-01 CAROLYN PARK CAROLYN PARK 2017-01-13
504 2014-08-01 CAROLYN PARK CAROLYN PARK 2015-12-31
504 2013-08-01 CAROLYN PARK CAROLYN PARK 2014-11-05
504 2012-08-01 CAROLYN PARK CAROLYN PARK 2013-10-22
504 2011-08-01 CAROLYN PARK

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
504	2017-08-01	CAROLYN PARK	CAROLYN PARK	2018-09-28
504	2016-08-01	CAROLYN PARK	CAROLYN PARK	2017-10-30
504	2015-08-01	CAROLYN PARK	CAROLYN PARK	2017-01-13
504	2014-08-01	CAROLYN PARK	CAROLYN PARK	2015-12-31
504	2013-08-01	CAROLYN PARK	CAROLYN PARK	2014-11-05
504	2012-08-01	CAROLYN PARK	CAROLYN PARK	2013-10-22
504	2011-08-01	CAROLYN PARK

Plan Statistics for CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN

401k plan membership statisitcs for CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN

Measure Date Value
2017: CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year 2017-08-01 5
Total number of active participants reported on line 7a of the Form 5500 2017-08-01 3
Number of retired or separated participants receiving benefits 2017-08-01 0
Number of other retired or separated participants entitled to future benefits 2017-08-01 0
Total of all active and inactive participants 2017-08-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-08-01 0
Total participants 2017-08-01 3
Number of participants with account balances 2017-08-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-08-01 0
2016: CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-08-01 5
Total number of active participants reported on line 7a of the Form 5500 2016-08-01 4
Number of retired or separated participants receiving benefits 2016-08-01 1
Number of other retired or separated participants entitled to future benefits 2016-08-01 0
Total of all active and inactive participants 2016-08-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-08-01 0
Total participants 2016-08-01 5
Number of participants with account balances 2016-08-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-08-01 0
2015: CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-08-01 7
Total number of active participants reported on line 7a of the Form 5500 2015-08-01 4
Number of retired or separated participants receiving benefits 2015-08-01 1
Total of all active and inactive participants 2015-08-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-08-01 0
Total participants 2015-08-01 5
Number of participants with account balances 2015-08-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-08-01 0
2014: CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-08-01 37
Total number of active participants reported on line 7a of the Form 5500 2014-08-01 4
Number of retired or separated participants receiving benefits 2014-08-01 3
Number of other retired or separated participants entitled to future benefits 2014-08-01 0
Total of all active and inactive participants 2014-08-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-08-01 0
Total participants 2014-08-01 7
Number of participants with account balances 2014-08-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-08-01 0
2013: CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-08-01 61
Total number of active participants reported on line 7a of the Form 5500 2013-08-01 4
Number of retired or separated participants receiving benefits 2013-08-01 33
Number of other retired or separated participants entitled to future benefits 2013-08-01 0
Total of all active and inactive participants 2013-08-01 37
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-08-01 0
Total participants 2013-08-01 37
2012: CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-08-01 232
Total number of active participants reported on line 7a of the Form 5500 2012-08-01 5
Number of retired or separated participants receiving benefits 2012-08-01 56
Number of other retired or separated participants entitled to future benefits 2012-08-01 0
Total of all active and inactive participants 2012-08-01 61
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-08-01 0
Total participants 2012-08-01 61
2011: CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-08-01 212
Total number of active participants reported on line 7a of the Form 5500 2011-08-01 195
Number of retired or separated participants receiving benefits 2011-08-01 36
Number of other retired or separated participants entitled to future benefits 2011-08-01 0
Total of all active and inactive participants 2011-08-01 231
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-08-01 0
Total participants 2011-08-01 231

Measure	Date	Value
2017: CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year	2017-08-01	5
Total number of active participants reported on line 7a of the Form 5500	2017-08-01	3
Number of retired or separated participants receiving benefits	2017-08-01	0
Number of other retired or separated participants entitled to future benefits	2017-08-01	0
Total of all active and inactive participants	2017-08-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-08-01	0
Total participants	2017-08-01	3
Number of participants with account balances	2017-08-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-08-01	0
2016: CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-08-01	5
Total number of active participants reported on line 7a of the Form 5500	2016-08-01	4
Number of retired or separated participants receiving benefits	2016-08-01	1
Number of other retired or separated participants entitled to future benefits	2016-08-01	0
Total of all active and inactive participants	2016-08-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-08-01	0
Total participants	2016-08-01	5
Number of participants with account balances	2016-08-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-08-01	0
2015: CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-08-01	7
Total number of active participants reported on line 7a of the Form 5500	2015-08-01	4
Number of retired or separated participants receiving benefits	2015-08-01	1
Total of all active and inactive participants	2015-08-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-08-01	0
Total participants	2015-08-01	5
Number of participants with account balances	2015-08-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-08-01	0
2014: CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-08-01	37
Total number of active participants reported on line 7a of the Form 5500	2014-08-01	4
Number of retired or separated participants receiving benefits	2014-08-01	3
Number of other retired or separated participants entitled to future benefits	2014-08-01	0
Total of all active and inactive participants	2014-08-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-08-01	0
Total participants	2014-08-01	7
Number of participants with account balances	2014-08-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-08-01	0
2013: CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-08-01	61
Total number of active participants reported on line 7a of the Form 5500	2013-08-01	4
Number of retired or separated participants receiving benefits	2013-08-01	33
Number of other retired or separated participants entitled to future benefits	2013-08-01	0
Total of all active and inactive participants	2013-08-01	37
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-08-01	0
Total participants	2013-08-01	37
2012: CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-08-01	232
Total number of active participants reported on line 7a of the Form 5500	2012-08-01	5
Number of retired or separated participants receiving benefits	2012-08-01	56
Number of other retired or separated participants entitled to future benefits	2012-08-01	0
Total of all active and inactive participants	2012-08-01	61
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-08-01	0
Total participants	2012-08-01	61
2011: CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-08-01	212
Total number of active participants reported on line 7a of the Form 5500	2011-08-01	195
Number of retired or separated participants receiving benefits	2011-08-01	36
Number of other retired or separated participants entitled to future benefits	2011-08-01	0
Total of all active and inactive participants	2011-08-01	231
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-08-01	0
Total participants	2011-08-01	231

Form 5500 Responses for CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN

2017: CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN 2017 form 5500 responses
2017-08-01	Type of plan entity	Single employer plan
2017-08-01	Submission has been amended	No
2017-08-01	This submission is the final filing	No
2017-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-08-01	Plan is a collectively bargained plan	No
2017-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN 2016 form 5500 responses
2016-08-01	Type of plan entity	Single employer plan
2016-08-01	Submission has been amended	No
2016-08-01	This submission is the final filing	No
2016-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-08-01	Plan is a collectively bargained plan	No
2016-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN 2015 form 5500 responses
2015-08-01	Type of plan entity	Single employer plan
2015-08-01	Submission has been amended	No
2015-08-01	This submission is the final filing	No
2015-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-08-01	Plan is a collectively bargained plan	No
2015-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN 2014 form 5500 responses
2014-08-01	Type of plan entity	Single employer plan
2014-08-01	Submission has been amended	No
2014-08-01	This submission is the final filing	No
2014-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-08-01	Plan is a collectively bargained plan	No
2014-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN 2013 form 5500 responses
2013-08-01	Type of plan entity	Single employer plan
2013-08-01	Submission has been amended	No
2013-08-01	This submission is the final filing	No
2013-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-08-01	Plan is a collectively bargained plan	No
2013-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN 2012 form 5500 responses
2012-08-01	Type of plan entity	Single employer plan
2012-08-01	Submission has been amended	No
2012-08-01	This submission is the final filing	No
2012-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-08-01	Plan is a collectively bargained plan	No
2012-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: CLEARFIELD ENERGY INC/OHIO OIL GATHERING CORP GROUP HEALTH/DENTAL PLAN 2011 form 5500 responses
2011-08-01	Type of plan entity	Single employer plan
2011-08-01	Submission has been amended	No
2011-08-01	This submission is the final filing	No
2011-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-08-01	Plan is a collectively bargained plan	No
2011-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-08-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	CE SERVICES LLC
Employer identification number (EIN):	455281546
NAIC Classification:	486000
NAIC Description:	Pipeline Transportation