401k Plan data: GOLD STAR FOODS EMPLOYEE WELFARE PLAN plan

GOLD STAR FOODS EMPLOYEE WELFARE PLAN 401k Plan overview

Plan Name	GOLD STAR FOODS EMPLOYEE WELFARE PLAN
Plan identification number	501

GOLD STAR FOODS EMPLOYEE WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

GOLD STAR FOODS, INC has sponsored the creation of one or more 401k plans.

Company Name: GOLD STAR FOODS, INC

Employer identification number (EIN): 261340567

NAIC Classification: 424400

Additional information about GOLD STAR FOODS, INC

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 4435085

More information about GOLD STAR FOODS, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOLD STAR FOODS EMPLOYEE WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-06-01 ANITA ESPINOZA 2023-12-29
501 2021-06-01 ANITA ESPINOZA 2023-03-10
501 2020-06-01 VERONICA MIRAMONTES 2022-03-11
501 2019-06-01 C. SCOTT SALMON 2021-01-21
501 2018-06-01
501 2017-06-01 WILLIAM BARRETT
501 2016-06-01 WILLIAM BARRETT
501 2015-06-01 WILLIAM BARRETT
501 2014-06-01 WILLIAM BARRETT
501 2013-06-01 WILLIAM BARRETT
501 2012-06-01 MAHVASH HOWELL
501 2011-06-01 GREGORY JOHNSON
501 2010-06-01 GREGORY JOHNSON

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2022-06-01	ANITA ESPINOZA	2023-12-29
501	2021-06-01	ANITA ESPINOZA	2023-03-10
501	2020-06-01	VERONICA MIRAMONTES	2022-03-11
501	2019-06-01	C. SCOTT SALMON	2021-01-21
501	2018-06-01
501	2017-06-01	WILLIAM BARRETT
501	2016-06-01	WILLIAM BARRETT
501	2015-06-01	WILLIAM BARRETT
501	2014-06-01	WILLIAM BARRETT
501	2013-06-01	WILLIAM BARRETT
501	2012-06-01	MAHVASH HOWELL
501	2011-06-01	GREGORY JOHNSON
501	2010-06-01	GREGORY JOHNSON

Plan Statistics for GOLD STAR FOODS EMPLOYEE WELFARE PLAN

401k plan membership statisitcs for GOLD STAR FOODS EMPLOYEE WELFARE PLAN

Measure Date Value
2022: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year 2022-06-01 620
Total number of active participants reported on line 7a of the Form 5500 2022-06-01 834
Number of retired or separated participants receiving benefits 2022-06-01 5
Number of other retired or separated participants entitled to future benefits 2022-06-01 0
Total of all active and inactive participants 2022-06-01 839
Number of employers contributing to the scheme 2022-06-01 0
2021: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year 2021-06-01 579
Total number of active participants reported on line 7a of the Form 5500 2021-06-01 789
Number of retired or separated participants receiving benefits 2021-06-01 6
Number of other retired or separated participants entitled to future benefits 2021-06-01 0
Total of all active and inactive participants 2021-06-01 795
Number of employers contributing to the scheme 2021-06-01 0
2020: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year 2020-06-01 382
Total number of active participants reported on line 7a of the Form 5500 2020-06-01 609
Number of retired or separated participants receiving benefits 2020-06-01 11
Number of other retired or separated participants entitled to future benefits 2020-06-01 0
Total of all active and inactive participants 2020-06-01 620
Number of employers contributing to the scheme 2020-06-01 0
2019: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year 2019-06-01 447
Total number of active participants reported on line 7a of the Form 5500 2019-06-01 382
Number of retired or separated participants receiving benefits 2019-06-01 1
Number of other retired or separated participants entitled to future benefits 2019-06-01 0
Total of all active and inactive participants 2019-06-01 383
Number of employers contributing to the scheme 2019-06-01 0
2018: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year 2018-06-01 462
Total number of active participants reported on line 7a of the Form 5500 2018-06-01 437
Number of retired or separated participants receiving benefits 2018-06-01 10
Number of other retired or separated participants entitled to future benefits 2018-06-01 0
Total of all active and inactive participants 2018-06-01 447
2017: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-06-01 402
Total number of active participants reported on line 7a of the Form 5500 2017-06-01 458
Number of retired or separated participants receiving benefits 2017-06-01 4
Number of other retired or separated participants entitled to future benefits 2017-06-01 0
Total of all active and inactive participants 2017-06-01 462
2016: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-06-01 343
Total number of active participants reported on line 7a of the Form 5500 2016-06-01 402
Number of retired or separated participants receiving benefits 2016-06-01 0
Number of other retired or separated participants entitled to future benefits 2016-06-01 0
Total of all active and inactive participants 2016-06-01 402
2015: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-06-01 244
Total number of active participants reported on line 7a of the Form 5500 2015-06-01 343
Number of retired or separated participants receiving benefits 2015-06-01 0
Number of other retired or separated participants entitled to future benefits 2015-06-01 0
Total of all active and inactive participants 2015-06-01 343
2014: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-06-01 214
Total number of active participants reported on line 7a of the Form 5500 2014-06-01 244
Number of retired or separated participants receiving benefits 2014-06-01 0
Number of other retired or separated participants entitled to future benefits 2014-06-01 0
Total of all active and inactive participants 2014-06-01 244
2013: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-06-01 190
Total number of active participants reported on line 7a of the Form 5500 2013-06-01 214
Number of retired or separated participants receiving benefits 2013-06-01 0
Number of other retired or separated participants entitled to future benefits 2013-06-01 0
Total of all active and inactive participants 2013-06-01 214
2012: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-06-01 378
Total number of active participants reported on line 7a of the Form 5500 2012-06-01 190
Total of all active and inactive participants 2012-06-01 190
2011: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-06-01 273
Total number of active participants reported on line 7a of the Form 5500 2011-06-01 330
Number of other retired or separated participants entitled to future benefits 2011-06-01 48
Total of all active and inactive participants 2011-06-01 378
Total participants 2011-06-01 378
2010: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-06-01 220
Total number of active participants reported on line 7a of the Form 5500 2010-06-01 220
Number of other retired or separated participants entitled to future benefits 2010-06-01 53
Total of all active and inactive participants 2010-06-01 273
Total participants 2010-06-01 273

Measure	Date	Value
2022: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year	2022-06-01	620
Total number of active participants reported on line 7a of the Form 5500	2022-06-01	834
Number of retired or separated participants receiving benefits	2022-06-01	5
Number of other retired or separated participants entitled to future benefits	2022-06-01	0
Total of all active and inactive participants	2022-06-01	839
Number of employers contributing to the scheme	2022-06-01	0
2021: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year	2021-06-01	579
Total number of active participants reported on line 7a of the Form 5500	2021-06-01	789
Number of retired or separated participants receiving benefits	2021-06-01	6
Number of other retired or separated participants entitled to future benefits	2021-06-01	0
Total of all active and inactive participants	2021-06-01	795
Number of employers contributing to the scheme	2021-06-01	0
2020: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year	2020-06-01	382
Total number of active participants reported on line 7a of the Form 5500	2020-06-01	609
Number of retired or separated participants receiving benefits	2020-06-01	11
Number of other retired or separated participants entitled to future benefits	2020-06-01	0
Total of all active and inactive participants	2020-06-01	620
Number of employers contributing to the scheme	2020-06-01	0
2019: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-06-01	447
Total number of active participants reported on line 7a of the Form 5500	2019-06-01	382
Number of retired or separated participants receiving benefits	2019-06-01	1
Number of other retired or separated participants entitled to future benefits	2019-06-01	0
Total of all active and inactive participants	2019-06-01	383
Number of employers contributing to the scheme	2019-06-01	0
2018: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year	2018-06-01	462
Total number of active participants reported on line 7a of the Form 5500	2018-06-01	437
Number of retired or separated participants receiving benefits	2018-06-01	10
Number of other retired or separated participants entitled to future benefits	2018-06-01	0
Total of all active and inactive participants	2018-06-01	447
2017: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-06-01	402
Total number of active participants reported on line 7a of the Form 5500	2017-06-01	458
Number of retired or separated participants receiving benefits	2017-06-01	4
Number of other retired or separated participants entitled to future benefits	2017-06-01	0
Total of all active and inactive participants	2017-06-01	462
2016: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-06-01	343
Total number of active participants reported on line 7a of the Form 5500	2016-06-01	402
Number of retired or separated participants receiving benefits	2016-06-01	0
Number of other retired or separated participants entitled to future benefits	2016-06-01	0
Total of all active and inactive participants	2016-06-01	402
2015: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-06-01	244
Total number of active participants reported on line 7a of the Form 5500	2015-06-01	343
Number of retired or separated participants receiving benefits	2015-06-01	0
Number of other retired or separated participants entitled to future benefits	2015-06-01	0
Total of all active and inactive participants	2015-06-01	343
2014: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-06-01	214
Total number of active participants reported on line 7a of the Form 5500	2014-06-01	244
Number of retired or separated participants receiving benefits	2014-06-01	0
Number of other retired or separated participants entitled to future benefits	2014-06-01	0
Total of all active and inactive participants	2014-06-01	244
2013: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-06-01	190
Total number of active participants reported on line 7a of the Form 5500	2013-06-01	214
Number of retired or separated participants receiving benefits	2013-06-01	0
Number of other retired or separated participants entitled to future benefits	2013-06-01	0
Total of all active and inactive participants	2013-06-01	214
2012: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-06-01	378
Total number of active participants reported on line 7a of the Form 5500	2012-06-01	190
Total of all active and inactive participants	2012-06-01	190
2011: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-06-01	273
Total number of active participants reported on line 7a of the Form 5500	2011-06-01	330
Number of other retired or separated participants entitled to future benefits	2011-06-01	48
Total of all active and inactive participants	2011-06-01	378
Total participants	2011-06-01	378
2010: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-06-01	220
Total number of active participants reported on line 7a of the Form 5500	2010-06-01	220
Number of other retired or separated participants entitled to future benefits	2010-06-01	53
Total of all active and inactive participants	2010-06-01	273
Total participants	2010-06-01	273

Form 5500 Responses for GOLD STAR FOODS EMPLOYEE WELFARE PLAN

2022: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2022 form 5500 responses
2022-06-01	Type of plan entity	Single employer plan
2022-06-01	Plan funding arrangement – Insurance	Yes
2022-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-06-01	Plan benefit arrangement – Insurance	Yes
2022-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2021 form 5500 responses
2021-06-01	Type of plan entity	Single employer plan
2021-06-01	Plan funding arrangement – Insurance	Yes
2021-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-06-01	Plan benefit arrangement – Insurance	Yes
2021-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2020 form 5500 responses
2020-06-01	Type of plan entity	Single employer plan
2020-06-01	Plan funding arrangement – Insurance	Yes
2020-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-06-01	Plan benefit arrangement – Insurance	Yes
2020-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2019 form 5500 responses
2019-06-01	Type of plan entity	Single employer plan
2019-06-01	Plan funding arrangement – Insurance	Yes
2019-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-06-01	Plan benefit arrangement – Insurance	Yes
2019-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2018 form 5500 responses
2018-06-01	Type of plan entity	Single employer plan
2018-06-01	Plan funding arrangement – Insurance	Yes
2018-06-01	Plan benefit arrangement – Insurance	Yes
2017: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2017 form 5500 responses
2017-06-01	Type of plan entity	Single employer plan
2017-06-01	Plan funding arrangement – Insurance	Yes
2017-06-01	Plan benefit arrangement – Insurance	Yes
2016: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2016 form 5500 responses
2016-06-01	Type of plan entity	Single employer plan
2016-06-01	Plan funding arrangement – Insurance	Yes
2016-06-01	Plan benefit arrangement – Insurance	Yes
2015: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2015 form 5500 responses
2015-06-01	Type of plan entity	Single employer plan
2015-06-01	Plan funding arrangement – Insurance	Yes
2015-06-01	Plan benefit arrangement – Insurance	Yes
2014: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2014 form 5500 responses
2014-06-01	Type of plan entity	Single employer plan
2014-06-01	Plan funding arrangement – Insurance	Yes
2014-06-01	Plan benefit arrangement – Insurance	Yes
2013: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2013 form 5500 responses
2013-06-01	Type of plan entity	Single employer plan
2013-06-01	Plan funding arrangement – Insurance	Yes
2013-06-01	Plan benefit arrangement – Insurance	Yes
2012: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2012 form 5500 responses
2012-06-01	Type of plan entity	Single employer plan
2012-06-01	Plan funding arrangement – Insurance	Yes
2012-06-01	Plan benefit arrangement – Insurance	Yes
2011: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2011 form 5500 responses
2011-06-01	Type of plan entity	Single employer plan
2011-06-01	Plan funding arrangement – Insurance	Yes
2011-06-01	Plan benefit arrangement – Insurance	Yes
2010: GOLD STAR FOODS EMPLOYEE WELFARE PLAN 2010 form 5500 responses
2010-06-01	Type of plan entity	Single employer plan
2010-06-01	Plan funding arrangement – Insurance	Yes
2010-06-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	128549
Policy instance	4
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract number	W0073056
Policy instance	3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	574926
Policy instance	2
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	346581
Policy instance	1
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	128549
Policy instance	4
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract number	W0073056
Policy instance	3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	574926
Policy instance	2
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	346581
Policy instance	1
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	346581
Policy instance	1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	574926
Policy instance	2
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	128549
Policy instance	3
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number	346581
Policy instance	1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	467037
Policy instance	2
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	128549
Policy instance	3
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number	346581
Policy instance	1
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	128549
Policy instance	2
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00467037
Policy instance	3
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	346581
Policy instance	4
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	604471
Policy instance	5
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00467037
Policy instance	3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	128549
Policy instance	2
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number	346581
Policy instance	1
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number	346581
Policy instance	1
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	128549
Policy instance	2
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00467037
Policy instance	3
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	346581
Policy instance	3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	467037
Policy instance	2
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	128549
Policy instance	1
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	604471
Policy instance	4
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	346581
Policy instance	3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	467037
Policy instance	2
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	128549
Policy instance	1
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	346581
Policy instance	3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	467037
Policy instance	2
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	128549
Policy instance	1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	467037
Policy instance	1
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	346581
Policy instance	2
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	128549
Policy instance	3
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	05034
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0AD7F
Policy instance	2
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	19889
Policy instance	3
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	06088
Policy instance	4
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	128549
Policy instance	5

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Company Name:	GOLD STAR FOODS, INC
Employer identification number (EIN):	261340567
NAIC Classification:	424400

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	4435085