401k Plan data: ACPRODUCTS, INC. LONG TERM DISABILITY plan

ACPRODUCTS, INC. LONG TERM DISABILITY 401k Plan overview

Plan Name	ACPRODUCTS, INC. LONG TERM DISABILITY
Plan identification number	506

ACPRODUCTS, INC. LONG TERM DISABILITY Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

CABINETWORKS GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name: CABINETWORKS GROUP, INC.

Employer identification number (EIN): 460786059

NAIC Classification: 337000

Additional information about CABINETWORKS GROUP, INC.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2012-10-15

Company Identification Number: 0801670990

Legal Registered Office Address: 20000 VICTOR PKWY STE 100

LIVONIA
United States of America (USA)
48152

More information about CABINETWORKS GROUP, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ACPRODUCTS, INC. LONG TERM DISABILITY

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
506 2012-11-01 JOHANNA GONGORA

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
506	2012-11-01	JOHANNA GONGORA

Plan Statistics for ACPRODUCTS, INC. LONG TERM DISABILITY

401k plan membership statisitcs for ACPRODUCTS, INC. LONG TERM DISABILITY

Measure Date Value
2012: ACPRODUCTS, INC. LONG TERM DISABILITY 2012 401k membership
Total participants, beginning-of-year 2012-11-01 184
Total number of active participants reported on line 7a of the Form 5500 2012-11-01 0
Number of retired or separated participants receiving benefits 2012-11-01 0
Number of other retired or separated participants entitled to future benefits 2012-11-01 0
Total of all active and inactive participants 2012-11-01 0

Measure	Date	Value
2012: ACPRODUCTS, INC. LONG TERM DISABILITY 2012 401k membership
Total participants, beginning-of-year	2012-11-01	184
Total number of active participants reported on line 7a of the Form 5500	2012-11-01	0
Number of retired or separated participants receiving benefits	2012-11-01	0
Number of other retired or separated participants entitled to future benefits	2012-11-01	0
Total of all active and inactive participants	2012-11-01	0

Form 5500 Responses for ACPRODUCTS, INC. LONG TERM DISABILITY

2012: ACPRODUCTS, INC. LONG TERM DISABILITY 2012 form 5500 responses
2012-11-01	Type of plan entity	Single employer plan
2012-11-01	First time form 5500 has been submitted	Yes
2012-11-01	Submission has been amended	Yes
2012-11-01	This submission is the final filing	Yes
2012-11-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-11-01	Plan is a collectively bargained plan	Yes
2012-11-01	Plan funding arrangement – Insurance	Yes
2012-11-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-11-01	Plan benefit arrangement – Insurance	Yes
2012-11-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

51664

Policy instance

Insurance contract or identification number	51664
Number of Individuals Covered	185
Insurance policy start date	2012-11-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $539
Total amount of fees paid to insurance company	USD $0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $8,832
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Are there contracts with allocated funds for individual policies?	No
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	No
Temporary Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $539
Insurance broker organization code?	3
Insurance broker name	LOCKTON COMPANIES, LLC

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Company Name:	CABINETWORKS GROUP, INC.
Employer identification number (EIN):	460786059
NAIC Classification:	337000

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2012-10-15
Company Identification Number:	0801670990
Legal Registered Office Address:	20000 VICTOR PKWY STE 100 LIVONIA United States of America (USA) 48152