401k Plan data: SAVANNA ENERGY SERVICES USA CORP plan

SAVANNA ENERGY SERVICES USA CORP 401k Plan overview

Plan Name	SAVANNA ENERGY SERVICES USA CORP
Plan identification number	501

SAVANNA ENERGY SERVICES USA CORP Benefits

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

401k Sponsoring company profile

SAVANNA ENERGY SERVICES USA CORP has sponsored the creation of one or more 401k plans.

Company Name: SAVANNA ENERGY SERVICES USA CORP

Employer identification number (EIN): 870756758

NAIC Classification: 211110
NAIC Description: Oil and Gas Extraction, Oil

Additional information about SAVANNA ENERGY SERVICES USA CORP

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 4062031

More information about SAVANNA ENERGY SERVICES USA CORP

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SAVANNA ENERGY SERVICES USA CORP

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2017-01-01 DEANN STAMPS
501 2016-01-01 MIKE MCCABE
501 2015-01-01 MIKE MCCABE
501 2014-08-01 MARGARET LAU TERRY MELNYK 2015-07-31
501 2013-08-01 KATHY BELL
501 2012-08-01 KATHY BELL
501 2011-08-01 MARY JANE RYAN EVAN RUSSELL 2013-09-25
501 2010-08-01 JEFFERY MILLER STEVE VAN HOWE 2012-03-18
501 2009-08-01 JEFFERY MILLER STEVE VAN HOWE 2011-03-29
501 2008-08-01 JEFFERY MILLER STEVE VAN HOWE 2010-02-25

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2017-01-01	DEANN STAMPS
501	2016-01-01	MIKE MCCABE
501	2015-01-01	MIKE MCCABE
501	2014-08-01	MARGARET LAU	TERRY MELNYK	2015-07-31
501	2013-08-01	KATHY BELL
501	2012-08-01	KATHY BELL
501	2011-08-01	MARY JANE RYAN	EVAN RUSSELL	2013-09-25
501	2010-08-01	JEFFERY MILLER	STEVE VAN HOWE	2012-03-18
501	2009-08-01	JEFFERY MILLER	STEVE VAN HOWE	2011-03-29
501	2008-08-01	JEFFERY MILLER	STEVE VAN HOWE	2010-02-25

Plan Statistics for SAVANNA ENERGY SERVICES USA CORP

401k plan membership statisitcs for SAVANNA ENERGY SERVICES USA CORP

Measure Date Value
2017: SAVANNA ENERGY SERVICES USA CORP 2017 401k membership
Total participants, beginning-of-year 2017-01-01 269
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 339
Number of retired or separated participants receiving benefits 2017-01-01 4
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 343
2016: SAVANNA ENERGY SERVICES USA CORP 2016 401k membership
Total participants, beginning-of-year 2016-01-01 165
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 267
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 267
2015: SAVANNA ENERGY SERVICES USA CORP 2015 401k membership
Total participants, beginning-of-year 2015-01-01 642
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 165
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 165
2014: SAVANNA ENERGY SERVICES USA CORP 2014 401k membership
Total participants, beginning-of-year 2014-08-01 563
Total number of active participants reported on line 7a of the Form 5500 2014-08-01 642
Number of retired or separated participants receiving benefits 2014-08-01 0
Number of other retired or separated participants entitled to future benefits 2014-08-01 0
Total of all active and inactive participants 2014-08-01 642
Total participants 2014-08-01 642
2013: SAVANNA ENERGY SERVICES USA CORP 2013 401k membership
Total participants, beginning-of-year 2013-08-01 622
Total number of active participants reported on line 7a of the Form 5500 2013-08-01 563
Total of all active and inactive participants 2013-08-01 563
2012: SAVANNA ENERGY SERVICES USA CORP 2012 401k membership
Total participants, beginning-of-year 2012-08-01 682
Total number of active participants reported on line 7a of the Form 5500 2012-08-01 535
Total of all active and inactive participants 2012-08-01 535
2011: SAVANNA ENERGY SERVICES USA CORP 2011 401k membership
Total participants, beginning-of-year 2011-08-01 761
Total number of active participants reported on line 7a of the Form 5500 2011-08-01 682
Total of all active and inactive participants 2011-08-01 682
2010: SAVANNA ENERGY SERVICES USA CORP 2010 401k membership
Total participants, beginning-of-year 2010-08-01 761
Total number of active participants reported on line 7a of the Form 5500 2010-08-01 761
Number of retired or separated participants receiving benefits 2010-08-01 0
Number of other retired or separated participants entitled to future benefits 2010-08-01 0
Total of all active and inactive participants 2010-08-01 761
2009: SAVANNA ENERGY SERVICES USA CORP 2009 401k membership
Total participants, beginning-of-year 2009-08-01 412
Total number of active participants reported on line 7a of the Form 5500 2009-08-01 435
Number of retired or separated participants receiving benefits 2009-08-01 0
Number of other retired or separated participants entitled to future benefits 2009-08-01 0
Total of all active and inactive participants 2009-08-01 435
2008: SAVANNA ENERGY SERVICES USA CORP 2008 401k membership
Total participants, beginning-of-year 2008-08-01 400
Total number of active participants reported on line 7a of the Form 5500 2008-08-01 412
Total of all active and inactive participants 2008-08-01 412

Measure	Date	Value
2017: SAVANNA ENERGY SERVICES USA CORP 2017 401k membership
Total participants, beginning-of-year	2017-01-01	269
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	339
Number of retired or separated participants receiving benefits	2017-01-01	4
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	343
2016: SAVANNA ENERGY SERVICES USA CORP 2016 401k membership
Total participants, beginning-of-year	2016-01-01	165
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	267
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	267
2015: SAVANNA ENERGY SERVICES USA CORP 2015 401k membership
Total participants, beginning-of-year	2015-01-01	642
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	165
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	165
2014: SAVANNA ENERGY SERVICES USA CORP 2014 401k membership
Total participants, beginning-of-year	2014-08-01	563
Total number of active participants reported on line 7a of the Form 5500	2014-08-01	642
Number of retired or separated participants receiving benefits	2014-08-01	0
Number of other retired or separated participants entitled to future benefits	2014-08-01	0
Total of all active and inactive participants	2014-08-01	642
Total participants	2014-08-01	642
2013: SAVANNA ENERGY SERVICES USA CORP 2013 401k membership
Total participants, beginning-of-year	2013-08-01	622
Total number of active participants reported on line 7a of the Form 5500	2013-08-01	563
Total of all active and inactive participants	2013-08-01	563
2012: SAVANNA ENERGY SERVICES USA CORP 2012 401k membership
Total participants, beginning-of-year	2012-08-01	682
Total number of active participants reported on line 7a of the Form 5500	2012-08-01	535
Total of all active and inactive participants	2012-08-01	535
2011: SAVANNA ENERGY SERVICES USA CORP 2011 401k membership
Total participants, beginning-of-year	2011-08-01	761
Total number of active participants reported on line 7a of the Form 5500	2011-08-01	682
Total of all active and inactive participants	2011-08-01	682
2010: SAVANNA ENERGY SERVICES USA CORP 2010 401k membership
Total participants, beginning-of-year	2010-08-01	761
Total number of active participants reported on line 7a of the Form 5500	2010-08-01	761
Number of retired or separated participants receiving benefits	2010-08-01	0
Number of other retired or separated participants entitled to future benefits	2010-08-01	0
Total of all active and inactive participants	2010-08-01	761
2009: SAVANNA ENERGY SERVICES USA CORP 2009 401k membership
Total participants, beginning-of-year	2009-08-01	412
Total number of active participants reported on line 7a of the Form 5500	2009-08-01	435
Number of retired or separated participants receiving benefits	2009-08-01	0
Number of other retired or separated participants entitled to future benefits	2009-08-01	0
Total of all active and inactive participants	2009-08-01	435
2008: SAVANNA ENERGY SERVICES USA CORP 2008 401k membership
Total participants, beginning-of-year	2008-08-01	400
Total number of active participants reported on line 7a of the Form 5500	2008-08-01	412
Total of all active and inactive participants	2008-08-01	412

Form 5500 Responses for SAVANNA ENERGY SERVICES USA CORP

2017: SAVANNA ENERGY SERVICES USA CORP 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: SAVANNA ENERGY SERVICES USA CORP 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: SAVANNA ENERGY SERVICES USA CORP 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: SAVANNA ENERGY SERVICES USA CORP 2014 form 5500 responses
2014-08-01	Type of plan entity	Single employer plan
2014-08-01	Submission has been amended	No
2014-08-01	This submission is the final filing	No
2014-08-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-08-01	Plan is a collectively bargained plan	No
2014-08-01	Plan funding arrangement – Insurance	Yes
2014-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-08-01	Plan benefit arrangement – Insurance	Yes
2014-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: SAVANNA ENERGY SERVICES USA CORP 2013 form 5500 responses
2013-08-01	Type of plan entity	Single employer plan
2013-08-01	Submission has been amended	No
2013-08-01	This submission is the final filing	No
2013-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-08-01	Plan is a collectively bargained plan	No
2013-08-01	Plan funding arrangement – Insurance	Yes
2013-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-08-01	Plan benefit arrangement – Insurance	Yes
2013-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: SAVANNA ENERGY SERVICES USA CORP 2012 form 5500 responses
2012-08-01	Type of plan entity	Single employer plan
2012-08-01	Submission has been amended	No
2012-08-01	This submission is the final filing	No
2012-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-08-01	Plan is a collectively bargained plan	No
2012-08-01	Plan funding arrangement – Insurance	Yes
2012-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-08-01	Plan benefit arrangement – Insurance	Yes
2012-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: SAVANNA ENERGY SERVICES USA CORP 2011 form 5500 responses
2011-08-01	Type of plan entity	Single employer plan
2011-08-01	Submission has been amended	Yes
2011-08-01	This submission is the final filing	No
2011-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-08-01	Plan is a collectively bargained plan	No
2011-08-01	Plan funding arrangement – Insurance	Yes
2011-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-08-01	Plan benefit arrangement – Insurance	Yes
2011-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: SAVANNA ENERGY SERVICES USA CORP 2010 form 5500 responses
2010-08-01	Type of plan entity	Single employer plan
2010-08-01	First time form 5500 has been submitted	Yes
2010-08-01	Submission has been amended	No
2010-08-01	This submission is the final filing	No
2010-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-08-01	Plan is a collectively bargained plan	No
2010-08-01	Plan funding arrangement – Insurance	Yes
2010-08-01	Plan benefit arrangement – Insurance	Yes
2009: SAVANNA ENERGY SERVICES USA CORP 2009 form 5500 responses
2009-08-01	Type of plan entity	Single employer plan
2009-08-01	First time form 5500 has been submitted	Yes
2009-08-01	Submission has been amended	No
2009-08-01	This submission is the final filing	No
2009-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-08-01	Plan is a collectively bargained plan	No
2009-08-01	Plan funding arrangement – Insurance	Yes
2009-08-01	Plan benefit arrangement – Insurance	Yes
2008: SAVANNA ENERGY SERVICES USA CORP 2008 form 5500 responses
2008-08-01	Type of plan entity	Single employer plan
2008-08-01	First time form 5500 has been submitted	Yes
2008-08-01	Submission has been amended	No
2008-08-01	This submission is the final filing	No
2008-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-08-01	Plan is a collectively bargained plan	No
2008-08-01	Plan funding arrangement – Insurance	Yes
2008-08-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

97549611001

Policy instance

Insurance contract or identification number	97549611001
Number of Individuals Covered	525
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $3,651
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
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	No
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 $38,906
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,651
Insurance broker organization code?	3
Insurance broker name	ASCENDE, INC. (EPIC)

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Company Name:	SAVANNA ENERGY SERVICES USA CORP
Employer identification number (EIN):	870756758
NAIC Classification:	211110
NAIC Description:	Oil and Gas Extraction, Oil

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	4062031