| Plan Name | GROUP LIFE INSURANCE WELFARE PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | BLOOM ENGINEERING COMPANY, INC. |
| Employer identification number (EIN): | 250938174 |
| NAIC Classification: | 332900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2010-05-01 | CHARLES G. DRAGO | |||
| 502 | 2009-05-01 | CHARLES DRAGO | ROBERT GREEN | 2010-11-22 |
| 2010: GROUP LIFE INSURANCE WELFARE PLAN 2010 form 5500 responses | ||
|---|---|---|
| 2010-05-01 | Type of plan entity | Single employer plan |
| 2010-05-01 | This submission is the final filing | Yes |
| 2010-05-01 | Plan is a collectively bargained plan | Yes |
| 2010-05-01 | Plan funding arrangement – Insurance | Yes |
| 2010-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: GROUP LIFE INSURANCE WELFARE PLAN 2009 form 5500 responses | ||
| 2009-05-01 | Type of plan entity | Single employer plan |
| 2009-05-01 | Submission has been amended | No |
| 2009-05-01 | This submission is the final filing | No |
| 2009-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-05-01 | Plan is a collectively bargained plan | Yes |
| 2009-05-01 | Plan funding arrangement – Insurance | Yes |
| 2009-05-01 | Plan benefit arrangement – Insurance | Yes |