BLUE CROSS AND BLUE SHIELD HOSPITAL AND MEDICAL INSURANCE PLAN 401k Plan overview

BLUE CROSS AND BLUE SHIELD HOSPITAL AND MEDICAL INSURANCE PLAN Benefits

401k Sponsoring company profile

Company Name:	FEDERAL SCREW WORKS
Employer identification number (EIN):	380533740
NAIC Classification:	332700

Additional information about FEDERAL SCREW WORKS

Jurisdiction of Incorporation:	Michigan Secretary of State
Incorporation Date:	0000-00-00
Company Identification Number:	153176
Legal Registered Office Address:	GODDARD RD ROMULUS 48174 United States of America (USA) 34846

More information about FEDERAL SCREW WORKS

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
507	2013-01-01	J. BUCKLER		J. BUCKLER	2015-06-26
507	2012-01-01	J. BUCKLER		J. BUCKLER	2013-09-10
507	2011-01-01	JAN BUCKLER		JAN BUCKLER	2012-08-08
507	2010-01-01	DAVID C. SWERC		DAVID C. SWERC	2011-07-29
507	2009-01-01	DAVID C. SWERC		DAVID C. SWERC	2010-07-27

Plan Statistics for BLUE CROSS AND BLUE SHIELD HOSPITAL AND MEDICAL INSURANCE PLAN

Measure	Date	Value
2013: BLUE CROSS AND BLUE SHIELD HOSPITAL AND MEDICAL INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	221
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	44
Number of retired or separated participants receiving benefits	2013-01-01	20
Total of all active and inactive participants	2013-01-01	64
Total participants	2013-01-01	64
2012: BLUE CROSS AND BLUE SHIELD HOSPITAL AND MEDICAL INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	232
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	165
Number of retired or separated participants receiving benefits	2012-01-01	56
Total of all active and inactive participants	2012-01-01	221
Total participants	2012-01-01	221
2011: BLUE CROSS AND BLUE SHIELD HOSPITAL AND MEDICAL INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	242
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	154
Number of retired or separated participants receiving benefits	2011-01-01	78
Total of all active and inactive participants	2011-01-01	232
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	232
2010: BLUE CROSS AND BLUE SHIELD HOSPITAL AND MEDICAL INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	235
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	156
Number of retired or separated participants receiving benefits	2010-01-01	86
Total of all active and inactive participants	2010-01-01	242
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	242
2009: BLUE CROSS AND BLUE SHIELD HOSPITAL AND MEDICAL INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	314
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	135
Number of retired or separated participants receiving benefits	2009-01-01	100
Total of all active and inactive participants	2009-01-01	235
Total participants	2009-01-01	235

Form 5500 Responses for BLUE CROSS AND BLUE SHIELD HOSPITAL AND MEDICAL INSURANCE PLAN

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• BLUE CROSS BLUE SHIELD GROUP INSURANCE [EIN = 160743037]
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• BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA [EIN = 561038919]
• BLUE CROSS BLUE SHIELD ALABAMA [EIN = 630355713]
• BLUE CROSS BLUE SHIELD OF ALABAMA MEDICAL [EIN = 630843226]
• BLUE CROSS BLUE SHEILD OF ALABAMA [EIN = 273410813]
• BLUE CROSS AND BLUE SHIELD OF ALABAMA [EIN = 630103830]
• BLUE CROSS BLUE SHIELD OF ALABAMA MEDICAL [EIN = 630843226]
• BLUE CROSS BLUE SHEILD OF NORTH CAROLINA [EIN = 562384240]
• BLUE CROSS BLUE SHIELD ALABAMA DENTAL [EIN = 630355713]
• BLUE CROSS BLUE SHIELD PLAN [EIN = 451580204]
• BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST [EIN = 301140600]
• BLUE CROSS BLUE SHIELD OF MINNESOTA [EIN = 416050237]
• BLUE CROSS ANIMAL HOSPITAL GROUP 401(K) PLAN [EIN = 870903171]
• BLUE CROSS & BLUE SHIELD OF RHODE ISLAND GROUP BUSINESS TRAVEL ACCIDENT PLAN [EIN = 050158952]
• BLUE CROSS BLUE SHIELD OF ALABAMA MEDICAL [EIN = 630843226]
• BLUE CROSS BLUE SHIELD OF ARIZONA, INC. EXECUTIVE SEVERANCE PLAN [EIN = 860004538]
• BLUE CROSS BLUE SHIELD OF TEXAS MEDICAL INSURANCE PLAN [EIN = 842662763]
• BLUE CROSS BLUE SHIELD OF ALABAMA [EIN = 630843226]
• BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA [EIN = 223851031]
• BLUE CROSS BLUE SHIELD OF ND SEVERANCE PLAN [EIN = 262326076]
• BLUE CROSS BLUE SHIELD OF NORTH DAKOTA HEALTHCARE REIMBURSEMENT PLAN [EIN = 262326076]
• BLUE CROSS BLUE SHIELD OF AZ [EIN = 882806512]
• BLUE CROSS PET CARE, INC 401K PLAN [EIN = 873520766]
• BLUE CROSS OF IDAHO RETIREE HEALTH REIMBURSEMENT ARRANGEMENT [EIN = 820344294]
• BLUE CROSS BLUE SHIELD OF ALABAMA [EIN = 831077369]
• BLUE CROSS BLUE SHIELD OF ALABAMA [EIN = 630843226]

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