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| Plan Name | CUSTOM GLASS LIFE AND ADD |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| 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 |
|---|---|---|---|---|---|
| 504 | 2023-01-01 | AMANDA WILLIS | 2024-06-11 | ||
| 504 | 2022-11-01 | AMANDA WILLIS | 2023-06-22 | ||
| 504 | 2021-11-01 | AMANDA WILLIS | 2023-06-22 | ||
| 504 | 2020-11-01 | LAUREN CREASAP | 2022-01-07 | ||
| 504 | 2019-11-01 | LAUREN CREASAP | 2021-05-17 | ||
| 504 | 2018-11-01 | LAUREN CREASAP | 2021-05-17 | ||
| 504 | 2018-10-01 | LAUREN CREASAP | 2021-05-17 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||
| Policy contract number | 26020 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||
| Policy contract number | 26020 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||
| Policy contract number | 26020 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||
| Policy contract number | 5955155 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||
| Policy contract number | 5955155 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||
| Policy contract number | 5955155 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||
| Policy contract number | 5955155 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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