401k Plan data: BLACK BOX NETWORK SERVICES HEALTH INSURANCE PLAN plan

BLACK BOX NETWORK SERVICES HEALTH INSURANCE PLAN 401k Plan overview

Plan Name	BLACK BOX NETWORK SERVICES HEALTH INSURANCE PLAN
Plan identification number	501

BLACK BOX NETWORK SERVICES HEALTH INSURANCE PLAN Benefits

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

401k Sponsoring company profile

BLACK BOX NETWORK SERVICES, INC. - GOVERNMENT SOLUTIONS has sponsored the creation of one or more 401k plans.

Company Name: BLACK BOX NETWORK SERVICES, INC. - GOVERNMENT SOLUTIONS

Employer identification number (EIN): 621202425

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

Additional information about BLACK BOX NETWORK SERVICES, INC. - GOVERNMENT SOLUTIONS

Jurisdiction of Incorporation: Vermont Secretary of State Corporations Division

Incorporation Date: 2003-10-01

Company Identification Number: 76920

Legal Registered Office Address: 17 G W Tatro Dr

Jeffersonville
United States of America (USA)
05464

More information about BLACK BOX NETWORK SERVICES, INC. - GOVERNMENT SOLUTIONS

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLACK BOX NETWORK SERVICES HEALTH INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2014-01-01 PAUL CHIMENTO PAUL CHIMENTO 2015-07-17
501 2013-01-01 JEANNE M. PHILIPPI
501 2012-01-01 JEANNE M. PHILIPPI
501 2011-01-01 JEANNE M. PHILIPPI
501 2009-01-01 TONY CLENDENON

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2014-01-01	PAUL CHIMENTO	PAUL CHIMENTO	2015-07-17
501	2013-01-01	JEANNE M. PHILIPPI
501	2012-01-01	JEANNE M. PHILIPPI
501	2011-01-01	JEANNE M. PHILIPPI
501	2009-01-01	TONY CLENDENON

Plan Statistics for BLACK BOX NETWORK SERVICES HEALTH INSURANCE PLAN

401k plan membership statisitcs for BLACK BOX NETWORK SERVICES HEALTH INSURANCE PLAN

Measure Date Value
2014: BLACK BOX NETWORK SERVICES HEALTH INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 132
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
2013: BLACK BOX NETWORK SERVICES HEALTH INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 151
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 125
Number of retired or separated participants receiving benefits 2013-01-01 5
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 130
2012: BLACK BOX NETWORK SERVICES HEALTH INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 187
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 141
Number of retired or separated participants receiving benefits 2012-01-01 10
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 151
2011: BLACK BOX NETWORK SERVICES HEALTH INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 203
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 184
Number of retired or separated participants receiving benefits 2011-01-01 6
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 190
2009: BLACK BOX NETWORK SERVICES HEALTH INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 275
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 195
Number of retired or separated participants receiving benefits 2009-01-01 19
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 214

Measure	Date	Value
2014: BLACK BOX NETWORK SERVICES HEALTH INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	132
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
2013: BLACK BOX NETWORK SERVICES HEALTH INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	151
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	125
Number of retired or separated participants receiving benefits	2013-01-01	5
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	130
2012: BLACK BOX NETWORK SERVICES HEALTH INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	187
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	141
Number of retired or separated participants receiving benefits	2012-01-01	10
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	151
2011: BLACK BOX NETWORK SERVICES HEALTH INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	203
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	184
Number of retired or separated participants receiving benefits	2011-01-01	6
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	190
2009: BLACK BOX NETWORK SERVICES HEALTH INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	275
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	195
Number of retired or separated participants receiving benefits	2009-01-01	19
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	214

Form 5500 Responses for BLACK BOX NETWORK SERVICES HEALTH INSURANCE PLAN

2014: BLACK BOX NETWORK SERVICES HEALTH INSURANCE PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: BLACK BOX NETWORK SERVICES HEALTH INSURANCE PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: BLACK BOX NETWORK SERVICES HEALTH INSURANCE PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: BLACK BOX NETWORK SERVICES HEALTH INSURANCE PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: BLACK BOX NETWORK SERVICES HEALTH INSURANCE PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	BLACK BOX NETWORK SERVICES, INC. - GOVERNMENT SOLUTIONS
Employer identification number (EIN):	621202425
NAIC Classification:	238210
NAIC Description:	Electrical Contractors and Other Wiring Installation Contractors

Jurisdiction of Incorporation:	Vermont Secretary of State Corporations Division
Incorporation Date:	2003-10-01
Company Identification Number:	76920
Legal Registered Office Address:	17 G W Tatro Dr Jeffersonville United States of America (USA) 05464