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| Plan Name | COMMUNITY INTEGRATED SERVICES GROUP DENTAL PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | COMMUNITY INTEGRATED SERVICES, INC. |
| Employer identification number (EIN): | 200006353 |
| NAIC Classification: | 624100 |
| NAIC Description: | Individual and Family Services |
Additional information about COMMUNITY INTEGRATED SERVICES, INC.
| Jurisdiction of Incorporation: | State of Delaware Division of Corporations |
| Incorporation Date: | |
| Company Identification Number: | 3378077 |
More information about COMMUNITY INTEGRATED SERVICES, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2021-08-01 | CHARLES MORTON | 2023-02-16 | ||
| 503 | 2021-08-01 | CHARLES MORTON | 2024-04-23 |
| 2021: COMMUNITY INTEGRATED SERVICES GROUP DENTAL PLAN 2021 form 5500 responses | ||
|---|---|---|
| 2021-08-01 | Type of plan entity | Single employer plan |
| 2021-08-01 | First time form 5500 has been submitted | Yes |
| 2021-08-01 | Submission has been amended | Yes |
| 2021-08-01 | This submission is the final filing | Yes |
| 2021-08-01 | Plan funding arrangement – Insurance | Yes |
| 2021-08-01 | Plan benefit arrangement – Insurance | Yes |
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |
| Policy contract number | 1143240 |
| Policy instance | 1 |
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