401k Plan data: KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT plan

KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT 401k Plan overview

Plan Name	KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT
Plan identification number	505

KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

KARL STORZ ENDOSCOPY-AMERICA, INC. has sponsored the creation of one or more 401k plans.

Company Name: KARL STORZ ENDOSCOPY-AMERICA, INC.

Employer identification number (EIN): 952678449

NAIC Classification: 454390
NAIC Description: Other Direct Selling Establishments

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2016-01-01 MARK GREEN MARK GREEN 2017-10-06
505 2015-01-01 MARK GREEN MARK GREEN 2016-10-07
505 2015-01-01 MARK GREEN
505 2014-01-01 MARK GREEN
505 2013-01-01 MARK GREEN
505 2012-01-01 MARK GREEN
505 2011-01-01 MARK GREEN
505 2010-01-01 MARK GREEN
505 2009-01-01 MARK GREEN

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
505	2016-01-01	MARK GREEN	MARK GREEN	2017-10-06
505	2015-01-01	MARK GREEN	MARK GREEN	2016-10-07
505	2015-01-01	MARK GREEN
505	2014-01-01	MARK GREEN
505	2013-01-01	MARK GREEN
505	2012-01-01	MARK GREEN
505	2011-01-01	MARK GREEN
505	2010-01-01	MARK GREEN
505	2009-01-01	MARK GREEN

Plan Statistics for KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT

401k plan membership statisitcs for KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT

Measure Date Value
2016: KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT 2016 401k membership
Total participants, beginning-of-year 2016-01-01 2,152
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Total participants 2016-01-01 0
2015: KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT 2015 401k membership
Total participants, beginning-of-year 2015-01-01 2,122
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 2,116
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 2,116
2014: KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2,089
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2,122
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 2,122
2013: KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT 2013 401k membership
Total participants, beginning-of-year 2013-01-01 2,064
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2,089
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 2,089
2012: KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,915
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2,064
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 2,064
2011: KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,607
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,915
Number of retired or separated participants receiving benefits 2011-01-01 0
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 1,915
2010: KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,593
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,607
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 1,607
2009: KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,536
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,593
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 1,593

Measure	Date	Value
2016: KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT 2016 401k membership
Total participants, beginning-of-year	2016-01-01	2,152
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Total participants	2016-01-01	0
2015: KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT 2015 401k membership
Total participants, beginning-of-year	2015-01-01	2,122
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	2,116
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	2,116
2014: KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2,089
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2,122
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	2,122
2013: KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT 2013 401k membership
Total participants, beginning-of-year	2013-01-01	2,064
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2,089
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	2,089
2012: KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,915
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2,064
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	2,064
2011: KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,607
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,915
Number of retired or separated participants receiving benefits	2011-01-01	0
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	1,915
2010: KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,593
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,607
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	1,607
2009: KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,536
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,593
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	1,593

Form 5500 Responses for KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT

2016: KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT 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: KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT 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 – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT 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 – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT 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 – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT 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 – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT 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
2010: KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: KARL STORZ ENDOSCOPY-AMERICA, INC. TRAVEL ACCIDENT 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

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	ABL960626
Policy instance	1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	ABL960626
Policy instance	1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	ABL960626
Policy instance	1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	ABL960626
Policy instance	1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	ABL960626
Policy instance	1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	ABL960626
Policy instance	1

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Company Name:	KARL STORZ ENDOSCOPY-AMERICA, INC.
Employer identification number (EIN):	952678449
NAIC Classification:	454390
NAIC Description:	Other Direct Selling Establishments