401k Plan data: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN plan

AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 401k Plan overview

Plan Name	AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN
Plan identification number	509

AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN Benefits

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

401k Sponsoring company profile

AMERICAN LUNG ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name: AMERICAN LUNG ASSOCIATION

Employer identification number (EIN): 131632524

NAIC Classification: 813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Additional information about AMERICAN LUNG ASSOCIATION

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division

Incorporation Date: 2017-05-24

Company Identification Number: 132748096

Legal Registered Office Address: 3337 EDGEMONT RD

LAKE OSWEGO
United States of America (USA)
97035

More information about AMERICAN LUNG ASSOCIATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
509 2023-07-01 LAURA SCOTT
509 2022-07-01
509 2022-07-01 LAURA SCOTT
509 2021-07-01
509 2021-07-01 LAURA SCOTT
509 2020-07-01
509 2019-07-01
509 2018-07-01
509 2017-07-01
509 2016-07-01 LAURA SCOTT LAURA SCOTT 2018-02-22
509 2015-07-01 LAURA SCOTT LAURA SCOTT 2017-04-07
509 2014-07-01 LAURA SCOTT
509 2013-07-01 LAURA SCOTT
509 2012-07-01 LAURA SCOTT
509 2011-07-01 VIRGINIA KOENIG VIRGINIA KOENIG 2013-01-14
509 2010-07-01 ADRIENNE GLASGOW
509 2009-07-01 ADRIENNE GLASGOW

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
509	2023-07-01	LAURA SCOTT
509	2022-07-01
509	2022-07-01	LAURA SCOTT
509	2021-07-01
509	2021-07-01	LAURA SCOTT
509	2020-07-01
509	2019-07-01
509	2018-07-01
509	2017-07-01
509	2016-07-01	LAURA SCOTT	LAURA SCOTT	2018-02-22
509	2015-07-01	LAURA SCOTT	LAURA SCOTT	2017-04-07
509	2014-07-01	LAURA SCOTT
509	2013-07-01	LAURA SCOTT
509	2012-07-01	LAURA SCOTT
509	2011-07-01	VIRGINIA KOENIG	VIRGINIA KOENIG	2013-01-14
509	2010-07-01	ADRIENNE GLASGOW
509	2009-07-01	ADRIENNE GLASGOW

Plan Statistics for AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN

401k plan membership statisitcs for AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN

Measure Date Value
2022: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-07-01 1,172
Total number of active participants reported on line 7a of the Form 5500 2022-07-01 1,172
Number of retired or separated participants receiving benefits 2022-07-01 0
Number of other retired or separated participants entitled to future benefits 2022-07-01 0
Total of all active and inactive participants 2022-07-01 1,172
Total participants 2022-07-01 1,172
2021: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 1,172
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 1,172
Number of retired or separated participants receiving benefits 2021-07-01 0
Number of other retired or separated participants entitled to future benefits 2021-07-01 0
Total of all active and inactive participants 2021-07-01 1,172
Total participants 2021-07-01 1,172
2020: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 1,172
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 1,172
Number of retired or separated participants receiving benefits 2020-07-01 0
Number of other retired or separated participants entitled to future benefits 2020-07-01 0
Total of all active and inactive participants 2020-07-01 1,172
Total participants 2020-07-01 1,172
2019: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 1,172
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 1,172
Number of retired or separated participants receiving benefits 2019-07-01 0
Number of other retired or separated participants entitled to future benefits 2019-07-01 0
Total of all active and inactive participants 2019-07-01 1,172
Total participants 2019-07-01 1,172
2018: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 1,172
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 1,172
Number of retired or separated participants receiving benefits 2018-07-01 0
Number of other retired or separated participants entitled to future benefits 2018-07-01 0
Total of all active and inactive participants 2018-07-01 1,172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 0
Total participants 2018-07-01 1,172
2017: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 1,125
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 1,125
Number of retired or separated participants receiving benefits 2017-07-01 0
Number of other retired or separated participants entitled to future benefits 2017-07-01 0
Total of all active and inactive participants 2017-07-01 1,125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 0
Total participants 2017-07-01 1,125
2016: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 1,125
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 1,125
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 0
Total of all active and inactive participants 2016-07-01 1,125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 0
Total participants 2016-07-01 1,125
2015: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 1,125
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 1,125
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 0
Total of all active and inactive participants 2015-07-01 1,125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 1,125
2014: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 1,053
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 1,053
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 0
Total of all active and inactive participants 2014-07-01 1,053
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 1,053
2013: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 1,053
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 1,053
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 0
Total of all active and inactive participants 2013-07-01 1,053
2012: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 1,197
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 1,053
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 0
Total of all active and inactive participants 2012-07-01 1,053
2011: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 1,677
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 1,677
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 0
Total of all active and inactive participants 2011-07-01 1,677
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 1,677
2010: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 1,677
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 1,677
Number of retired or separated participants receiving benefits 2010-07-01 0
Number of other retired or separated participants entitled to future benefits 2010-07-01 0
Total of all active and inactive participants 2010-07-01 1,677
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-07-01 0
Total participants 2010-07-01 1,677
2009: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 1,844
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 1,844
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 0
Total of all active and inactive participants 2009-07-01 1,844
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 1,844

Measure	Date	Value
2022: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-07-01	1,172
Total number of active participants reported on line 7a of the Form 5500	2022-07-01	1,172
Number of retired or separated participants receiving benefits	2022-07-01	0
Number of other retired or separated participants entitled to future benefits	2022-07-01	0
Total of all active and inactive participants	2022-07-01	1,172
Total participants	2022-07-01	1,172
2021: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	1,172
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	1,172
Number of retired or separated participants receiving benefits	2021-07-01	0
Number of other retired or separated participants entitled to future benefits	2021-07-01	0
Total of all active and inactive participants	2021-07-01	1,172
Total participants	2021-07-01	1,172
2020: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	1,172
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	1,172
Number of retired or separated participants receiving benefits	2020-07-01	0
Number of other retired or separated participants entitled to future benefits	2020-07-01	0
Total of all active and inactive participants	2020-07-01	1,172
Total participants	2020-07-01	1,172
2019: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	1,172
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	1,172
Number of retired or separated participants receiving benefits	2019-07-01	0
Number of other retired or separated participants entitled to future benefits	2019-07-01	0
Total of all active and inactive participants	2019-07-01	1,172
Total participants	2019-07-01	1,172
2018: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	1,172
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	1,172
Number of retired or separated participants receiving benefits	2018-07-01	0
Number of other retired or separated participants entitled to future benefits	2018-07-01	0
Total of all active and inactive participants	2018-07-01	1,172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	0
Total participants	2018-07-01	1,172
2017: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	1,125
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	1,125
Number of retired or separated participants receiving benefits	2017-07-01	0
Number of other retired or separated participants entitled to future benefits	2017-07-01	0
Total of all active and inactive participants	2017-07-01	1,125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	0
Total participants	2017-07-01	1,125
2016: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	1,125
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	1,125
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	0
Total of all active and inactive participants	2016-07-01	1,125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	0
Total participants	2016-07-01	1,125
2015: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	1,125
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	1,125
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	1,125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	1,125
2014: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	1,053
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	1,053
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	0
Total of all active and inactive participants	2014-07-01	1,053
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	1,053
2013: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	1,053
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	1,053
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	0
Total of all active and inactive participants	2013-07-01	1,053
2012: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	1,197
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	1,053
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	0
Total of all active and inactive participants	2012-07-01	1,053
2011: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	1,677
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	1,677
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	0
Total of all active and inactive participants	2011-07-01	1,677
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	1,677
2010: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	1,677
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	1,677
Number of retired or separated participants receiving benefits	2010-07-01	0
Number of other retired or separated participants entitled to future benefits	2010-07-01	0
Total of all active and inactive participants	2010-07-01	1,677
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-07-01	0
Total participants	2010-07-01	1,677
2009: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	1,844
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	1,844
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	0
Total of all active and inactive participants	2009-07-01	1,844
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	1,844

Form 5500 Responses for AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN

2022: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2022 form 5500 responses
2022-07-01	Type of plan entity	Single employer plan
2022-07-01	Submission has been amended	No
2022-07-01	This submission is the final filing	No
2022-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-07-01	Plan is a collectively bargained plan	No
2022-07-01	Plan funding arrangement – Insurance	Yes
2022-07-01	Plan benefit arrangement – Insurance	Yes
2021: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Submission has been amended	No
2021-07-01	This submission is the final filing	No
2021-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-07-01	Plan is a collectively bargained plan	No
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2020: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Submission has been amended	No
2020-07-01	This submission is the final filing	No
2020-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-07-01	Plan is a collectively bargained plan	No
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2019: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Submission has been amended	No
2019-07-01	This submission is the final filing	No
2019-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-07-01	Plan is a collectively bargained plan	No
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2018: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Submission has been amended	No
2018-07-01	This submission is the final filing	No
2018-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-07-01	Plan is a collectively bargained plan	No
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2017: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Submission has been amended	No
2017-07-01	This submission is the final filing	No
2017-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-07-01	Plan is a collectively bargained plan	No
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2016: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Mulitple employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2015: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Mulitple employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2014: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Mulitple employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2013: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Mulitple employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2012: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Mulitple employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2011: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Mulitple employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2010: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Mulitple employer plan
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2009: AMERICAN LUNG ASSOCIATION GROUP TRAVEL ACCIDENT PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Mulitple employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	0000640884455
Policy instance	1
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	0000640884455
Policy instance	1
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	0000640884455
Policy instance	1
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	000064084455
Policy instance	1
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	000064084455
Policy instance	1
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	000064084455
Policy instance	1
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	000064084455
Policy instance	1
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	000064084455
Policy instance	1
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	000064084455
Policy instance	1
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	000064084455
Policy instance	1
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	64084455
Policy instance	1
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	64084455
Policy instance	1

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Company Name:	AMERICAN LUNG ASSOCIATION
Employer identification number (EIN):	131632524
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations

Jurisdiction of Incorporation:	Oregon Secretary of State Corporations Division
Incorporation Date:	2017-05-24
Company Identification Number:	132748096
Legal Registered Office Address:	3337 EDGEMONT RD LAKE OSWEGO United States of America (USA) 97035