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| Plan Name | ACCIDENTAL DEATH AND DISMEMBERMENT |
| Plan identification number | 506 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MAYFLOWER DISTRIBUTING CO. INC. |
| Employer identification number (EIN): | 411400806 |
| NAIC Classification: | 424990 |
| NAIC Description: | Other Miscellaneous Nondurable Goods Merchant Wholesalers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 506 | 2023-01-01 | BOB HEURUNG | 2024-07-12 | ||
| 506 | 2022-01-01 | SHARON ENGELLAND | 2023-09-26 |
| Measure | Date | Value |
|---|---|---|
| 2023: ACCIDENTAL DEATH AND DISMEMBERMENT 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-01-01 | 164 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 172 |
| Number of retired or separated participants receiving benefits | 2023-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2023-01-01 | 0 |
| Total of all active and inactive participants | 2023-01-01 | 172 |
| Number of employers contributing to the scheme | 2023-01-01 | 0 |
| 2022: ACCIDENTAL DEATH AND DISMEMBERMENT 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-01-01 | 167 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 166 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
| Total of all active and inactive participants | 2022-01-01 | 166 |
| Number of employers contributing to the scheme | 2022-01-01 | 0 |
| 2023: ACCIDENTAL DEATH AND DISMEMBERMENT 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: ACCIDENTAL DEATH AND DISMEMBERMENT 2022 form 5500 responses | ||
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | First time form 5500 has been submitted | Yes |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | SOK0606865 | ||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||
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| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | SOK606865 | ||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||
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