| Plan Name | LONG TERM DISABILITY BENEFIT PLAN |
| Plan identification number | 509 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | UNITED STATES PLAYING CARD COMPANY |
| Employer identification number (EIN): | 311421130 |
| NAIC Classification: | 339900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 509 | 2004-01-01 | DAVID RUSSELL | 2021-10-13 |
| 2004: LONG TERM DISABILITY BENEFIT PLAN 2004 form 5500 responses | ||
|---|---|---|
| 2004-01-01 | Type of plan entity | Single employer plan |
| 2004-01-01 | Submission has been amended | Yes |
| 2004-01-01 | This submission is the final filing | Yes |
| 2004-01-01 | Plan funding arrangement – Insurance | Yes |
| 2004-01-01 | Plan benefit arrangement – Insurance | Yes |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |
| Policy contract number | GUD57R2 |
| Policy instance | 1 |