401k Plan data: ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY PLAN plan

ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY PLAN 401k Plan overview

Plan Name	ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY PLAN
Plan identification number	503

ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

ACCELLENT CORP. DBA ACELLENT INC. has sponsored the creation of one or more 401k plans.

Company Name: ACCELLENT CORP. DBA ACELLENT INC.

Employer identification number (EIN): 912054669

NAIC Classification: 332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2016-01-01 THOMAS J MAZZA
503 2015-01-01 RICH COOSE RICH COOSE 2016-07-12
503 2014-01-01 CARLA MCCULLY CARLA MCCULLY 2015-07-20
503 2013-01-01 MARIA GANONG MARIA GANONG 2014-08-05
503 2012-01-01 KATE SCANLON
503 2011-01-01 KATE SCANLON
503 2009-01-01 LISA MASSE

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
503	2016-01-01	THOMAS J MAZZA
503	2015-01-01	RICH COOSE	RICH COOSE	2016-07-12
503	2014-01-01	CARLA MCCULLY	CARLA MCCULLY	2015-07-20
503	2013-01-01	MARIA GANONG	MARIA GANONG	2014-08-05
503	2012-01-01	KATE SCANLON
503	2011-01-01	KATE SCANLON
503	2009-01-01	LISA MASSE

Plan Statistics for ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY PLAN

401k plan membership statisitcs for ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY PLAN

Measure Date Value
2016: ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 3,339
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
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 0
2015: ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 2,378
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 3,313
Number of retired or separated participants receiving benefits 2015-01-01 26
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 3,339
2014: ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2,230
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2,163
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 2,163
2013: ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 2,269
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2,230
Number of retired or separated participants receiving benefits 2013-01-01 0
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 2,230
2012: ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2,410
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2,269
Number of retired or separated participants receiving benefits 2012-01-01 0
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 2,269
2011: ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2,418
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2,410
Total of all active and inactive participants 2011-01-01 2,410
2009: ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2,492
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2,231
Number of retired or separated participants receiving benefits 2009-01-01 0
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 2,231

Measure	Date	Value
2016: ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	3,339
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
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	0
2015: ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	2,378
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	3,313
Number of retired or separated participants receiving benefits	2015-01-01	26
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	3,339
2014: ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2,230
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2,163
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	2,163
2013: ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	2,269
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2,230
Number of retired or separated participants receiving benefits	2013-01-01	0
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	2,230
2012: ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2,410
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2,269
Number of retired or separated participants receiving benefits	2012-01-01	0
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	2,269
2011: ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2,418
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2,410
Total of all active and inactive participants	2011-01-01	2,410
2009: ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2,492
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2,231
Number of retired or separated participants receiving benefits	2009-01-01	0
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	2,231

Form 5500 Responses for ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY PLAN

2016: ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY PLAN 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	Yes
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 benefit arrangement – Insurance	Yes
2015: ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY PLAN 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: ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY 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	No
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 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: ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY 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 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: ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY 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 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: ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY 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 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: ACCELLENT CORP. (DBA) ACCELLENT INC. DISABILITY 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 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

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Company Name:	ACCELLENT CORP. DBA ACELLENT INC.
Employer identification number (EIN):	912054669
NAIC Classification:	332900