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| Plan Name | WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC. |
| Plan identification number | 506 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | FOX BROS. PIGGLY WIGGLY, INC. |
| Employer identification number (EIN): | 391611134 |
| NAIC Classification: | 445110 |
| NAIC Description: | Supermarkets and Other Grocery (except Convenience) Stores |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 506 | 2018-06-01 | MARY LIEBLANG | 2019-12-13 | ||
| 506 | 2017-06-01 | ||||
| 506 | 2016-06-01 | PATRICK V. FOX | |||
| 506 | 2015-06-01 | PATRICK V. FOX | |||
| 506 | 2014-06-01 | PATRICK V. FOX | |||
| 506 | 2013-06-01 | PATRICK V. FOX |
| 2018: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC. 2018 form 5500 responses | ||
|---|---|---|
| 2018-06-01 | Type of plan entity | Single employer plan |
| 2018-06-01 | This submission is the final filing | Yes |
| 2018-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC. 2017 form 5500 responses | ||
| 2017-06-01 | Type of plan entity | Single employer plan |
| 2017-06-01 | Plan funding arrangement – Insurance | Yes |
| 2017-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC. 2016 form 5500 responses | ||
| 2016-06-01 | Type of plan entity | Single employer plan |
| 2016-06-01 | Plan funding arrangement – Insurance | Yes |
| 2016-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC. 2015 form 5500 responses | ||
| 2015-06-01 | Type of plan entity | Single employer plan |
| 2015-06-01 | Plan funding arrangement – Insurance | Yes |
| 2015-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC. 2014 form 5500 responses | ||
| 2014-06-01 | Type of plan entity | Single employer plan |
| 2014-06-01 | Plan funding arrangement – Insurance | Yes |
| 2014-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC. 2013 form 5500 responses | ||
| 2013-06-01 | Type of plan entity | Single employer plan |
| 2013-06-01 | First time form 5500 has been submitted | Yes |
| 2013-06-01 | Plan funding arrangement – Insurance | Yes |
| 2013-06-01 | Plan benefit arrangement – Insurance | Yes |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |
| Policy contract number | 248500 |
| Policy instance | 1 |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |
| Policy contract number | 248500 |
| Policy instance | 1 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |
| Policy contract number | 000010152277 |
| Policy instance | 1 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |
| Policy contract number | 000010152277 |
| Policy instance | 1 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |
| Policy contract number | 000010152277 |
| Policy instance | 1 |
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