401k Plan data: SIMPSON ELECTRIC COMPANY HEALTH AND WELFARE PLAN plan

SIMPSON ELECTRIC COMPANY HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	SIMPSON ELECTRIC COMPANY HEALTH AND WELFARE PLAN
Plan identification number	501

SIMPSON ELECTRIC COMPANY HEALTH AND WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover 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

SIMPSON ELECTRIC COMPANY has sponsored the creation of one or more 401k plans.

Company Name: SIMPSON ELECTRIC COMPANY

Employer identification number (EIN): 560787504

NAIC Classification: 238210
NAIC Description: Electrical Contractors and Other Wiring Installation Contractors

Additional information about SIMPSON ELECTRIC COMPANY

Jurisdiction of Incorporation: North Carolina Secretary of State

Incorporation Date:

Company Identification Number: 0134161

More information about SIMPSON ELECTRIC COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SIMPSON ELECTRIC COMPANY HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2016-11-01 SHARON LEWIS
501 2015-11-01 SHARON LEWIS
501 2014-11-01 DANNY SIMPSON SHARON LEWIS 2016-04-06

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2016-11-01	SHARON LEWIS
501	2015-11-01	SHARON LEWIS
501	2014-11-01	DANNY SIMPSON	SHARON LEWIS	2016-04-06

Plan Statistics for SIMPSON ELECTRIC COMPANY HEALTH AND WELFARE PLAN

401k plan membership statisitcs for SIMPSON ELECTRIC COMPANY HEALTH AND WELFARE PLAN

Measure Date Value
2016: SIMPSON ELECTRIC COMPANY HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-11-01 114
Total number of active participants reported on line 7a of the Form 5500 2016-11-01 91
Number of retired or separated participants receiving benefits 2016-11-01 0
Number of other retired or separated participants entitled to future benefits 2016-11-01 0
Total of all active and inactive participants 2016-11-01 91
2015: SIMPSON ELECTRIC COMPANY HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-11-01 138
Total number of active participants reported on line 7a of the Form 5500 2015-11-01 112
Number of retired or separated participants receiving benefits 2015-11-01 0
Number of other retired or separated participants entitled to future benefits 2015-11-01 0
Total of all active and inactive participants 2015-11-01 112
2014: SIMPSON ELECTRIC COMPANY HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-11-01 176
Total number of active participants reported on line 7a of the Form 5500 2014-11-01 168
Number of retired or separated participants receiving benefits 2014-11-01 1
Number of other retired or separated participants entitled to future benefits 2014-11-01 0
Total of all active and inactive participants 2014-11-01 169

Measure	Date	Value
2016: SIMPSON ELECTRIC COMPANY HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-11-01	114
Total number of active participants reported on line 7a of the Form 5500	2016-11-01	91
Number of retired or separated participants receiving benefits	2016-11-01	0
Number of other retired or separated participants entitled to future benefits	2016-11-01	0
Total of all active and inactive participants	2016-11-01	91
2015: SIMPSON ELECTRIC COMPANY HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-11-01	138
Total number of active participants reported on line 7a of the Form 5500	2015-11-01	112
Number of retired or separated participants receiving benefits	2015-11-01	0
Number of other retired or separated participants entitled to future benefits	2015-11-01	0
Total of all active and inactive participants	2015-11-01	112
2014: SIMPSON ELECTRIC COMPANY HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-11-01	176
Total number of active participants reported on line 7a of the Form 5500	2014-11-01	168
Number of retired or separated participants receiving benefits	2014-11-01	1
Number of other retired or separated participants entitled to future benefits	2014-11-01	0
Total of all active and inactive participants	2014-11-01	169

Form 5500 Responses for SIMPSON ELECTRIC COMPANY HEALTH AND WELFARE PLAN

2016: SIMPSON ELECTRIC COMPANY HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-11-01	Type of plan entity	Single employer plan
2016-11-01	Submission has been amended	No
2016-11-01	This submission is the final filing	No
2016-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-11-01	Plan is a collectively bargained plan	No
2016-11-01	Plan funding arrangement – Insurance	Yes
2016-11-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-11-01	Plan benefit arrangement – Insurance	Yes
2016-11-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: SIMPSON ELECTRIC COMPANY HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-11-01	Type of plan entity	Single employer plan
2015-11-01	Submission has been amended	No
2015-11-01	This submission is the final filing	No
2015-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-11-01	Plan is a collectively bargained plan	No
2015-11-01	Plan funding arrangement – Insurance	Yes
2015-11-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-11-01	Plan benefit arrangement – Insurance	Yes
2015-11-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: SIMPSON ELECTRIC COMPANY HEALTH AND WELFARE PLAN 2014 form 5500 responses
2014-11-01	Type of plan entity	Single employer plan
2014-11-01	First time form 5500 has been submitted	Yes
2014-11-01	Submission has been amended	No
2014-11-01	This submission is the final filing	No
2014-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-11-01	Plan is a collectively bargained plan	No
2014-11-01	Plan funding arrangement – Insurance	Yes
2014-11-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	SIMPSON ELECTRIC COMPANY
Employer identification number (EIN):	560787504
NAIC Classification:	238210
NAIC Description:	Electrical Contractors and Other Wiring Installation Contractors

Jurisdiction of Incorporation:	North Carolina Secretary of State
Incorporation Date:
Company Identification Number:	0134161