401k Plan data: PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN plan

PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN
Plan identification number	501

PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN Benefits

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

PASCAL ENTERPRISES, INC. has sponsored the creation of one or more 401k plans.

Company Name: PASCAL ENTERPRISES, INC.

Employer identification number (EIN): 752280387

NAIC Classification: 541600

Additional information about PASCAL ENTERPRISES, INC.

Jurisdiction of Incorporation: Nevada Department of State

Incorporation Date: 1994-05-31

Company Identification Number: 19941068233

More information about PASCAL ENTERPRISES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2016-07-01 COLLEEN SHIRLEY WILLIAM SHIRLEY 2018-01-24
501 2015-07-01 COLLEEN SHIRLEY WILLIAM SHIRLEY 2017-01-12
501 2014-07-01 COLLEEN SHIRLEY WILLIAM SHIRLEY 2016-01-20
501 2013-07-01 COLLEEN SHIRLEY WILLIAM SHIRLEY 2015-01-26
501 2012-07-01 COLLEEN SHIRLEY WILLIAM SHIRLEY 2014-01-27
501 2011-07-01 COLLEEN SHIRLEY WILLIAM SHIRLEY 2013-01-30

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2016-07-01	COLLEEN SHIRLEY	WILLIAM SHIRLEY	2018-01-24
501	2015-07-01	COLLEEN SHIRLEY	WILLIAM SHIRLEY	2017-01-12
501	2014-07-01	COLLEEN SHIRLEY	WILLIAM SHIRLEY	2016-01-20
501	2013-07-01	COLLEEN SHIRLEY	WILLIAM SHIRLEY	2015-01-26
501	2012-07-01	COLLEEN SHIRLEY	WILLIAM SHIRLEY	2014-01-27
501	2011-07-01	COLLEEN SHIRLEY	WILLIAM SHIRLEY	2013-01-30

Plan Statistics for PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN

401k plan membership statisitcs for PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN

Measure Date Value
2016: PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 109
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 3
Number of retired or separated participants receiving benefits 2016-07-01 1
Total of all active and inactive participants 2016-07-01 4
Total participants 2016-07-01 4
2015: PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 111
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 101
Number of retired or separated participants receiving benefits 2015-07-01 0
Total of all active and inactive participants 2015-07-01 101
Total participants 2015-07-01 101
2014: PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 112
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 115
Number of retired or separated participants receiving benefits 2014-07-01 1
Total of all active and inactive participants 2014-07-01 116
Total participants 2014-07-01 116
2013: PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 110
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 123
Number of retired or separated participants receiving benefits 2013-07-01 1
Total of all active and inactive participants 2013-07-01 124
Total participants 2013-07-01 124
2012: PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 117
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 108
Number of retired or separated participants receiving benefits 2012-07-01 2
Total of all active and inactive participants 2012-07-01 110
Total participants 2012-07-01 110
2011: PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 121
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 117
Number of retired or separated participants receiving benefits 2011-07-01 0
Total of all active and inactive participants 2011-07-01 117
Total participants 2011-07-01 117

Measure	Date	Value
2016: PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	109
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	3
Number of retired or separated participants receiving benefits	2016-07-01	1
Total of all active and inactive participants	2016-07-01	4
Total participants	2016-07-01	4
2015: PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	111
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	101
Number of retired or separated participants receiving benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	101
Total participants	2015-07-01	101
2014: PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	112
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	115
Number of retired or separated participants receiving benefits	2014-07-01	1
Total of all active and inactive participants	2014-07-01	116
Total participants	2014-07-01	116
2013: PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	110
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	123
Number of retired or separated participants receiving benefits	2013-07-01	1
Total of all active and inactive participants	2013-07-01	124
Total participants	2013-07-01	124
2012: PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	117
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	108
Number of retired or separated participants receiving benefits	2012-07-01	2
Total of all active and inactive participants	2012-07-01	110
Total participants	2012-07-01	110
2011: PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	121
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	117
Number of retired or separated participants receiving benefits	2011-07-01	0
Total of all active and inactive participants	2011-07-01	117
Total participants	2011-07-01	117

Form 5500 Responses for PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN

2016: PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2015: PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2014: PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2013: PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2012: PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2011: PASCAL ENTERPRISES, INC. HEALTH AND WELFARE PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	First time form 5500 has been submitted	Yes
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UNITED DENTAL CARE OF TEXAS INC (National Association of Insurance Commissioners NAIC id number: 95142 )
Policy contract number	5471868
Policy instance	5
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number	5471868
Policy instance	4
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GVTL0ALU3
Policy instance	3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0ALU3
Policy instance	2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	116308
Policy instance	1
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number	5471868
Policy instance	2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0ALU3
Policy instance	4
UNITED DENTAL CARE OF TEXAS INC (National Association of Insurance Commissioners NAIC id number: 95142 )
Policy contract number	5471868
Policy instance	3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	116308
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GVTL0ALU3
Policy instance	5
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0ALU3
Policy instance	5
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GVTL0ALU3
Policy instance	6
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number	H831
Policy instance	2
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number	H831
Policy instance	3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	116308
Policy instance	1
UNITED DENTAL CARE OF TEXAS INC (National Association of Insurance Commissioners NAIC id number: 95142 )
Policy contract number	H831
Policy instance	4
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0ALU3
Policy instance	1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	0742632
Policy instance	5
UNITED DENTAL CARE OF TEXAS INC (National Association of Insurance Commissioners NAIC id number: 95142 )
Policy contract number	H831
Policy instance	4
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number	H831
Policy instance	3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000ALU3
Policy instance	2
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	742632
Policy instance	1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	302954
Policy instance	2
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number	H831
Policy instance	3
UNITED DENTAL CARE OF TEXAS INC (National Association of Insurance Commissioners NAIC id number: 95142 )
Policy contract number	H831
Policy instance	4

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Company Name:	PASCAL ENTERPRISES, INC.
Employer identification number (EIN):	752280387
NAIC Classification:	541600

Jurisdiction of Incorporation:	Nevada Department of State
Incorporation Date:	1994-05-31
Company Identification Number:	19941068233