| Plan Name | CUSTOM GLASS VISION |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | CUSTOM GLASS SOLUTIONS UPPER SANDUSKY LLC |
| Employer identification number (EIN): | 352476454 |
| NAIC Classification: | 327210 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2023-01-01 | AMANDA WILLIS | 2024-06-11 | ||
| 503 | 2022-01-01 | AMANDA WILLIS | 2023-02-10 | ||
| 503 | 2021-01-01 | LAUREN CREASAP | 2022-01-07 | ||
| 503 | 2020-01-01 | LAUREN CREASAP | 2021-05-17 | ||
| 503 | 2019-01-01 | LAUREN CREASAP | 2021-05-17 | ||
| 503 | 2018-10-01 | LAUREN CREASAP | 2021-05-17 |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |
| Policy contract number | 30086063 |
| Policy instance | 1 |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |
| Policy contract number | 30086063 |
| Policy instance | 1 |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |
| Policy contract number | 30086063 |
| Policy instance | 1 |