401k Plan data: ACTION PRODUCTS HEALTH AND WELFARE BENEFITS PLAN plan

ACTION PRODUCTS HEALTH AND WELFARE BENEFITS PLAN 401k Plan overview

Plan Name	ACTION PRODUCTS HEALTH AND WELFARE BENEFITS PLAN
Plan identification number	502

ACTION PRODUCTS HEALTH AND WELFARE BENEFITS PLAN Benefits

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

401k Sponsoring company profile

ACTION PRODUCTS INC. has sponsored the creation of one or more 401k plans.

Company Name: ACTION PRODUCTS INC.

Employer identification number (EIN): 521156075

NAIC Classification: 339110

Additional information about ACTION PRODUCTS INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 2011-10-03

Company Identification Number: P11000086651

Legal Registered Office Address: 450 E MAIN STREET

GENEVA

32732

More information about ACTION PRODUCTS INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ACTION PRODUCTS HEALTH AND WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2012-03-01 ROBERT T. MCKNIGHT ROBERT T. MCKNIGHT 2013-09-23
502 2011-03-01 ROBERT T. MCKNIGHT ROBERT T. MCKNIGHT 2012-10-24
502 2009-03-01 ROBERT T. MCKNIGHT

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
502	2012-03-01	ROBERT T. MCKNIGHT	ROBERT T. MCKNIGHT	2013-09-23
502	2011-03-01	ROBERT T. MCKNIGHT	ROBERT T. MCKNIGHT	2012-10-24
502	2009-03-01	ROBERT T. MCKNIGHT

Plan Statistics for ACTION PRODUCTS HEALTH AND WELFARE BENEFITS PLAN

401k plan membership statisitcs for ACTION PRODUCTS HEALTH AND WELFARE BENEFITS PLAN

Measure Date Value
2012: ACTION PRODUCTS HEALTH AND WELFARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-03-01 79
Total number of active participants reported on line 7a of the Form 5500 2012-03-01 81
Number of retired or separated participants receiving benefits 2012-03-01 0
Number of other retired or separated participants entitled to future benefits 2012-03-01 0
Total of all active and inactive participants 2012-03-01 81
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-03-01 0
Total participants 2012-03-01 81
2011: ACTION PRODUCTS HEALTH AND WELFARE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-03-01 190
Total number of active participants reported on line 7a of the Form 5500 2011-03-01 78
Number of retired or separated participants receiving benefits 2011-03-01 1
Number of other retired or separated participants entitled to future benefits 2011-03-01 0
Total of all active and inactive participants 2011-03-01 79
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-03-01 0
Total participants 2011-03-01 79
2009: ACTION PRODUCTS HEALTH AND WELFARE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-03-01 199
Total number of active participants reported on line 7a of the Form 5500 2009-03-01 191
Total of all active and inactive participants 2009-03-01 191

Measure	Date	Value
2012: ACTION PRODUCTS HEALTH AND WELFARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-03-01	79
Total number of active participants reported on line 7a of the Form 5500	2012-03-01	81
Number of retired or separated participants receiving benefits	2012-03-01	0
Number of other retired or separated participants entitled to future benefits	2012-03-01	0
Total of all active and inactive participants	2012-03-01	81
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-03-01	0
Total participants	2012-03-01	81
2011: ACTION PRODUCTS HEALTH AND WELFARE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-03-01	190
Total number of active participants reported on line 7a of the Form 5500	2011-03-01	78
Number of retired or separated participants receiving benefits	2011-03-01	1
Number of other retired or separated participants entitled to future benefits	2011-03-01	0
Total of all active and inactive participants	2011-03-01	79
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-03-01	0
Total participants	2011-03-01	79
2009: ACTION PRODUCTS HEALTH AND WELFARE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-03-01	199
Total number of active participants reported on line 7a of the Form 5500	2009-03-01	191
Total of all active and inactive participants	2009-03-01	191

Form 5500 Responses for ACTION PRODUCTS HEALTH AND WELFARE BENEFITS PLAN

2012: ACTION PRODUCTS HEALTH AND WELFARE BENEFITS PLAN 2012 form 5500 responses
2012-03-01	Type of plan entity	Single employer plan
2012-03-01	Submission has been amended	No
2012-03-01	This submission is the final filing	No
2012-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-03-01	Plan is a collectively bargained plan	No
2012-03-01	Plan funding arrangement – Insurance	Yes
2012-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-03-01	Plan benefit arrangement – Insurance	Yes
2012-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: ACTION PRODUCTS HEALTH AND WELFARE BENEFITS PLAN 2011 form 5500 responses
2011-03-01	Type of plan entity	Single employer plan
2011-03-01	Submission has been amended	No
2011-03-01	This submission is the final filing	No
2011-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-03-01	Plan is a collectively bargained plan	No
2011-03-01	Plan funding arrangement – Insurance	Yes
2011-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-03-01	Plan benefit arrangement – Insurance	Yes
2011-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: ACTION PRODUCTS HEALTH AND WELFARE BENEFITS PLAN 2009 form 5500 responses
2009-03-01	Type of plan entity	Single employer plan
2009-03-01	This submission is the final filing	No
2009-03-01	Plan funding arrangement – Insurance	Yes
2009-03-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

CAREFIRST BLUECHOICE (National Association of Insurance Commissioners NAIC id number: 96202 )

Policy contract number

0LUM

Policy instance

Insurance contract or identification number	0LUM
Number of Individuals Covered	68
Insurance policy start date	2012-03-01
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $11,669
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	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term 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
Welfare Benefit Premiums Paid to Carrier	USD $684,638
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	5943
Additional information about fees paid to insurance broker	WHOLESALER FEES
Insurance broker organization code?	3
Insurance broker name	CBIZ BENEFITS & INSURANCE SERVICES

CAREFIRST BLUECHOICE (National Association of Insurance Commissioners NAIC id number: 96202 )

Policy contract number

0LUM

Policy instance

Insurance contract or identification number	0LUM
Number of Individuals Covered	72
Insurance policy start date	2011-03-01
Insurance policy end date	2012-02-29
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $13,463
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	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term 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
Welfare Benefit Premiums Paid to Carrier	USD $709,556
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

CAREFIRST BLUECHOICE (National Association of Insurance Commissioners NAIC id number: 96202 )

Policy contract number

0LUM

Policy instance

Insurance contract or identification number	0LUM
Number of Individuals Covered	190
Insurance policy start date	2010-03-01
Insurance policy end date	2011-02-28
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $23,751
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	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term 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
Welfare Benefit Premiums Paid to Carrier	USD $867,502
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

ACTION PRODUCTS COMPANY 401(K) PROFIT SHARING PLAN [EIN = 431768476]

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Company Name:	ACTION PRODUCTS INC.
Employer identification number (EIN):	521156075
NAIC Classification:	339110

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	2011-10-03
Company Identification Number:	P11000086651
Legal Registered Office Address:	450 E MAIN STREET GENEVA 32732