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SCREEN-IT GRAPHICS OF LAWRENCE, INC. LIFE INSURANCE PLAN 401k Plan overview

Plan NameSCREEN-IT GRAPHICS OF LAWRENCE, INC. LIFE INSURANCE PLAN
Plan identification number 502

SCREEN-IT GRAPHICS OF LAWRENCE, INC. LIFE INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Other welfare benefit cover

401k Sponsoring company profile

SCREEN-IT GRAPHICS OF LAWRENCE, has sponsored the creation of one or more 401k plans.

Company Name:SCREEN-IT GRAPHICS OF LAWRENCE,
Employer identification number (EIN):481053811
NAIC Classification:323100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SCREEN-IT GRAPHICS OF LAWRENCE, INC. LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022016-09-01BRANDON PETZ
5022015-09-01BRANDON PETZ
5022014-09-01BRANDON PETZ

Plan Statistics for SCREEN-IT GRAPHICS OF LAWRENCE, INC. LIFE INSURANCE PLAN

401k plan membership statisitcs for SCREEN-IT GRAPHICS OF LAWRENCE, INC. LIFE INSURANCE PLAN

Measure Date Value
2016: SCREEN-IT GRAPHICS OF LAWRENCE, INC. LIFE INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-09-01184
Total number of active participants reported on line 7a of the Form 55002016-09-010
Number of retired or separated participants receiving benefits2016-09-010
Number of other retired or separated participants entitled to future benefits2016-09-010
Total of all active and inactive participants2016-09-010
2015: SCREEN-IT GRAPHICS OF LAWRENCE, INC. LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-01180
Total number of active participants reported on line 7a of the Form 55002015-09-01184
Number of retired or separated participants receiving benefits2015-09-010
Number of other retired or separated participants entitled to future benefits2015-09-010
Total of all active and inactive participants2015-09-01184
2014: SCREEN-IT GRAPHICS OF LAWRENCE, INC. LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-09-01139
Total number of active participants reported on line 7a of the Form 55002014-09-01180
Number of retired or separated participants receiving benefits2014-09-010
Number of other retired or separated participants entitled to future benefits2014-09-010
Total of all active and inactive participants2014-09-01180

Form 5500 Responses for SCREEN-IT GRAPHICS OF LAWRENCE, INC. LIFE INSURANCE PLAN

2016: SCREEN-IT GRAPHICS OF LAWRENCE, INC. LIFE INSURANCE PLAN 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01This submission is the final filingYes
2016-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan benefit arrangement – InsuranceYes
2015: SCREEN-IT GRAPHICS OF LAWRENCE, INC. LIFE INSURANCE PLAN 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan benefit arrangement – InsuranceYes
2014: SCREEN-IT GRAPHICS OF LAWRENCE, INC. LIFE INSURANCE PLAN 2014 form 5500 responses
2014-09-01Type of plan entitySingle employer plan
2014-09-01First time form 5500 has been submittedYes
2014-09-01Plan funding arrangement – InsuranceYes
2014-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ADVANCE INSURANCE COMPANY OF KANSAS (National Association of Insurance Commissioners NAIC id number: 12143 )
Policy contract number0027631
Policy instance 1
Insurance contract or identification number0027631
Number of Individuals Covered184
Insurance policy start date2015-09-01
Insurance policy end date2016-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $10,034
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ADVANCE INSURANCE COMPANY OF KANSAS (National Association of Insurance Commissioners NAIC id number: 12143 )
Policy contract number0027631
Policy instance 1
Insurance contract or identification number0027631
Number of Individuals Covered180
Insurance policy start date2014-09-01
Insurance policy end date2015-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $8,361
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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