401k Plan data: KYOCERA MITA AMERICA, INC. MEDICAL PLAN plan

KYOCERA MITA AMERICA, INC. MEDICAL PLAN 401k Plan overview

Plan Name	KYOCERA MITA AMERICA, INC. MEDICAL PLAN
Plan identification number	504

KYOCERA MITA AMERICA, INC. MEDICAL PLAN Benefits

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

401k Sponsoring company profile

KYOCERA DOCUMENT SOLUTIONS AMERICA, INC. has sponsored the creation of one or more 401k plans.

Company Name: KYOCERA DOCUMENT SOLUTIONS AMERICA, INC.

Employer identification number (EIN): 952819506

NAIC Classification: 423800

Additional information about KYOCERA DOCUMENT SOLUTIONS AMERICA, INC.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1982-11-15

Company Identification Number: 0005660806

Legal Registered Office Address: PO BOX 40008 ATTN: TAX DEPT

FAIRFIELD
United States of America (USA)
07004

More information about KYOCERA DOCUMENT SOLUTIONS AMERICA, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KYOCERA MITA AMERICA, INC. MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2013-04-01 GARY BONOMOLO
504 2012-04-01 GARY BONOMOLO GARY BONOMOLO 2014-01-13
504 2011-04-01 GARY BONOMOLO
504 2010-04-01 GARY BONOMOLO
504 2009-04-01 KERRI FIORE

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
504	2013-04-01	GARY BONOMOLO
504	2012-04-01	GARY BONOMOLO	GARY BONOMOLO	2014-01-13
504	2011-04-01	GARY BONOMOLO
504	2010-04-01	GARY BONOMOLO
504	2009-04-01	KERRI FIORE

Plan Statistics for KYOCERA MITA AMERICA, INC. MEDICAL PLAN

401k plan membership statisitcs for KYOCERA MITA AMERICA, INC. MEDICAL PLAN

Measure Date Value
2013: KYOCERA MITA AMERICA, INC. MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-04-01 519
Total number of active participants reported on line 7a of the Form 5500 2013-04-01 0
Number of retired or separated participants receiving benefits 2013-04-01 0
Number of other retired or separated participants entitled to future benefits 2013-04-01 0
Total of all active and inactive participants 2013-04-01 0
2012: KYOCERA MITA AMERICA, INC. MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-04-01 526
Total number of active participants reported on line 7a of the Form 5500 2012-04-01 515
Number of retired or separated participants receiving benefits 2012-04-01 4
Number of other retired or separated participants entitled to future benefits 2012-04-01 0
Total of all active and inactive participants 2012-04-01 519
2011: KYOCERA MITA AMERICA, INC. MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-04-01 533
Total number of active participants reported on line 7a of the Form 5500 2011-04-01 520
Number of retired or separated participants receiving benefits 2011-04-01 6
Number of other retired or separated participants entitled to future benefits 2011-04-01 0
Total of all active and inactive participants 2011-04-01 526
2010: KYOCERA MITA AMERICA, INC. MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year 2010-04-01 559
Total number of active participants reported on line 7a of the Form 5500 2010-04-01 533
Number of retired or separated participants receiving benefits 2010-04-01 16
Number of other retired or separated participants entitled to future benefits 2010-04-01 0
Total of all active and inactive participants 2010-04-01 549
2009: KYOCERA MITA AMERICA, INC. MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-04-01 570
Total number of active participants reported on line 7a of the Form 5500 2009-04-01 540
Number of retired or separated participants receiving benefits 2009-04-01 19
Number of other retired or separated participants entitled to future benefits 2009-04-01 0
Total of all active and inactive participants 2009-04-01 559

Measure	Date	Value
2013: KYOCERA MITA AMERICA, INC. MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-04-01	519
Total number of active participants reported on line 7a of the Form 5500	2013-04-01	0
Number of retired or separated participants receiving benefits	2013-04-01	0
Number of other retired or separated participants entitled to future benefits	2013-04-01	0
Total of all active and inactive participants	2013-04-01	0
2012: KYOCERA MITA AMERICA, INC. MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-04-01	526
Total number of active participants reported on line 7a of the Form 5500	2012-04-01	515
Number of retired or separated participants receiving benefits	2012-04-01	4
Number of other retired or separated participants entitled to future benefits	2012-04-01	0
Total of all active and inactive participants	2012-04-01	519
2011: KYOCERA MITA AMERICA, INC. MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-04-01	533
Total number of active participants reported on line 7a of the Form 5500	2011-04-01	520
Number of retired or separated participants receiving benefits	2011-04-01	6
Number of other retired or separated participants entitled to future benefits	2011-04-01	0
Total of all active and inactive participants	2011-04-01	526
2010: KYOCERA MITA AMERICA, INC. MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year	2010-04-01	559
Total number of active participants reported on line 7a of the Form 5500	2010-04-01	533
Number of retired or separated participants receiving benefits	2010-04-01	16
Number of other retired or separated participants entitled to future benefits	2010-04-01	0
Total of all active and inactive participants	2010-04-01	549
2009: KYOCERA MITA AMERICA, INC. MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-04-01	570
Total number of active participants reported on line 7a of the Form 5500	2009-04-01	540
Number of retired or separated participants receiving benefits	2009-04-01	19
Number of other retired or separated participants entitled to future benefits	2009-04-01	0
Total of all active and inactive participants	2009-04-01	559

Form 5500 Responses for KYOCERA MITA AMERICA, INC. MEDICAL PLAN

2013: KYOCERA MITA AMERICA, INC. MEDICAL PLAN 2013 form 5500 responses
2013-04-01	Type of plan entity	Single employer plan
2013-04-01	Submission has been amended	No
2013-04-01	This submission is the final filing	Yes
2013-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-04-01	Plan is a collectively bargained plan	No
2013-04-01	Plan funding arrangement – Insurance	Yes
2013-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-04-01	Plan benefit arrangement – Insurance	Yes
2013-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: KYOCERA MITA AMERICA, INC. MEDICAL PLAN 2012 form 5500 responses
2012-04-01	Type of plan entity	Single employer plan
2012-04-01	Submission has been amended	No
2012-04-01	This submission is the final filing	No
2012-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-04-01	Plan is a collectively bargained plan	No
2012-04-01	Plan funding arrangement – Insurance	Yes
2012-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-04-01	Plan benefit arrangement – Insurance	Yes
2012-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: KYOCERA MITA AMERICA, INC. MEDICAL PLAN 2011 form 5500 responses
2011-04-01	Type of plan entity	Single employer plan
2011-04-01	Submission has been amended	No
2011-04-01	This submission is the final filing	No
2011-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-04-01	Plan is a collectively bargained plan	No
2011-04-01	Plan funding arrangement – Insurance	Yes
2011-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-04-01	Plan benefit arrangement – Insurance	Yes
2011-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: KYOCERA MITA AMERICA, INC. MEDICAL PLAN 2010 form 5500 responses
2010-04-01	Type of plan entity	Single employer plan
2010-04-01	Submission has been amended	No
2010-04-01	This submission is the final filing	No
2010-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-04-01	Plan is a collectively bargained plan	No
2010-04-01	Plan funding arrangement – Insurance	Yes
2010-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-04-01	Plan benefit arrangement – Insurance	Yes
2010-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: KYOCERA MITA AMERICA, INC. MEDICAL PLAN 2009 form 5500 responses
2009-04-01	Type of plan entity	Single employer plan
2009-04-01	Submission has been amended	No
2009-04-01	This submission is the final filing	No
2009-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-04-01	Plan is a collectively bargained plan	No
2009-04-01	Plan funding arrangement – Insurance	Yes
2009-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-04-01	Plan benefit arrangement – Insurance	Yes
2009-04-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	KYOCERA DOCUMENT SOLUTIONS AMERICA, INC.
Employer identification number (EIN):	952819506
NAIC Classification:	423800

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1982-11-15
Company Identification Number:	0005660806
Legal Registered Office Address:	PO BOX 40008 ATTN: TAX DEPT FAIRFIELD United States of America (USA) 07004