401k Plan data: INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN plan

INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN 401k Plan overview

Plan Name	INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN
Plan identification number	501

INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS 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

401k Sponsoring company profile

INLAND NORTHWEST BLOOD CENTER has sponsored the creation of one or more 401k plans.

Company Name: INLAND NORTHWEST BLOOD CENTER

Employer identification number (EIN): 910499130

NAIC Classification: 621900

Additional information about INLAND NORTHWEST BLOOD CENTER

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 1945-03-05

Company Identification Number: 328047864

Legal Registered Office Address: 210 W CATALDO AVE

SPOKANE
United States of America (USA)
992010000

More information about INLAND NORTHWEST BLOOD CENTER

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2016-01-01 KATHRYN SEWELL
501 2015-01-01 KATHRYN SEWELL
501 2014-01-01 KATHRYN SEWELL
501 2013-01-01 KATHRYN SEWELL KATHRYN SEWELL 2014-05-09
501 2012-01-01 TERI BARROS TERI BARROS 2013-06-24
501 2011-01-01 TERI BARROS TERI BARROS 2012-09-27
501 2009-01-01 LORI E. FIELD LORI E. FIELD 2010-09-17

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2016-01-01	KATHRYN SEWELL
501	2015-01-01	KATHRYN SEWELL
501	2014-01-01	KATHRYN SEWELL
501	2013-01-01	KATHRYN SEWELL	KATHRYN SEWELL	2014-05-09
501	2012-01-01	TERI BARROS	TERI BARROS	2013-06-24
501	2011-01-01	TERI BARROS	TERI BARROS	2012-09-27
501	2009-01-01	LORI E. FIELD	LORI E. FIELD	2010-09-17

Plan Statistics for INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN

401k plan membership statisitcs for INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN

Measure Date Value
2016: INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 169
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
2015: INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 174
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 182
Number of retired or separated participants receiving benefits 2015-01-01 1
Total of all active and inactive participants 2015-01-01 183
2014: INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 161
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 173
Number of retired or separated participants receiving benefits 2014-01-01 1
Total of all active and inactive participants 2014-01-01 174
2013: INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 142
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 161
Total of all active and inactive participants 2013-01-01 161
2012: INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 155
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 140
Number of retired or separated participants receiving benefits 2012-01-01 2
Total of all active and inactive participants 2012-01-01 142
2011: INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 141
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 152
Number of retired or separated participants receiving benefits 2011-01-01 3
Total of all active and inactive participants 2011-01-01 155
2009: INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 152
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 153
Total of all active and inactive participants 2009-01-01 153

Measure	Date	Value
2016: INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	169
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
2015: INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	174
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	182
Number of retired or separated participants receiving benefits	2015-01-01	1
Total of all active and inactive participants	2015-01-01	183
2014: INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	161
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	173
Number of retired or separated participants receiving benefits	2014-01-01	1
Total of all active and inactive participants	2014-01-01	174
2013: INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	142
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	161
Total of all active and inactive participants	2013-01-01	161
2012: INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	155
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	140
Number of retired or separated participants receiving benefits	2012-01-01	2
Total of all active and inactive participants	2012-01-01	142
2011: INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	141
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	152
Number of retired or separated participants receiving benefits	2011-01-01	3
Total of all active and inactive participants	2011-01-01	155
2009: INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	152
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	153
Total of all active and inactive participants	2009-01-01	153

Form 5500 Responses for INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN

2016: INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	This submission is the final filing	Yes
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: INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
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: INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: INLAND NORTHWEST BLOOD CENTER FLEXIBLE BENEFITS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	10187
Policy instance	2
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number	232
Policy instance	1
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number	232
Policy instance	1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	10187
Policy instance	2
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	10187
Policy instance	2
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number	232
Policy instance	1
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number	232
Policy instance	1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	10187
Policy instance	2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	10033582
Policy instance	1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	10033584
Policy instance	2
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number	232
Policy instance	3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	10033582
Policy instance	1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	10033584
Policy instance	2
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number	232
Policy instance	3

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Company Name:	INLAND NORTHWEST BLOOD CENTER
Employer identification number (EIN):	910499130
NAIC Classification:	621900

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	1945-03-05
Company Identification Number:	328047864
Legal Registered Office Address:	210 W CATALDO AVE SPOKANE United States of America (USA) 992010000