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| Plan Name | LEGACY OFFSHORE BASIC LIFE AND ADD PLAN |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | LEGACY OFFSHORE, LLC |
| Employer identification number (EIN): | 300450130 |
| NAIC Classification: | 238900 |
Additional information about LEGACY OFFSHORE, LLC
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2008-08-18 |
| Company Identification Number: | 0801018553 |
| Legal Registered Office Address: |
1122 HIGHBORNE CAY CT TEXAS CITY United States of America (USA) 77590 |
More information about LEGACY OFFSHORE, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2015-03-15 | CHARLES ZARNOVA | |||
| 504 | 2014-03-15 | CHARLES ZAMORA |
| 2015: LEGACY OFFSHORE BASIC LIFE AND ADD PLAN 2015 form 5500 responses | ||
|---|---|---|
| 2015-03-15 | Type of plan entity | Single employer plan |
| 2015-03-15 | Submission has been amended | No |
| 2015-03-15 | This submission is the final filing | No |
| 2015-03-15 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-03-15 | Plan is a collectively bargained plan | No |
| 2015-03-15 | Plan funding arrangement – Insurance | Yes |
| 2015-03-15 | Plan benefit arrangement – Insurance | Yes |
| 2014: LEGACY OFFSHORE BASIC LIFE AND ADD PLAN 2014 form 5500 responses | ||
| 2014-03-15 | Type of plan entity | Single employer plan |
| 2014-03-15 | First time form 5500 has been submitted | Yes |
| 2014-03-15 | Submission has been amended | No |
| 2014-03-15 | This submission is the final filing | No |
| 2014-03-15 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-03-15 | Plan is a collectively bargained plan | No |
| 2014-03-15 | Plan funding arrangement – Insurance | Yes |
| 2014-03-15 | Plan benefit arrangement – Insurance | Yes |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |
| Policy contract number | 399579 |
| Policy instance | 1 |
| SOUTHERN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60009 ) | |
| Policy contract number | 78335ERC |
| Policy instance | 1 |
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