| Plan Name | LONG TERM DISABILITY |
| Plan identification number | 505 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | ELEUTHERIAN MILLS - HAGLEY FOUNDATION, INC. |
| Employer identification number (EIN): | 510070531 |
| NAIC Classification: | 712100 |
| NAIC Description: | Museums, Historical Sites, and Similar Institutions |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 505 | 2021-07-01 | KAREN CRONIN | 2023-04-09 | ||
| 505 | 2020-07-01 | KAREN CRONIN | 2021-08-16 | KAREN CRONIN | 2021-08-16 |
| 505 | 2019-07-01 | KAREN CRONIN | 2020-08-19 | KAREN CRONIN | 2020-08-19 |
| 505 | 2018-07-01 | KAREN CRONIN | 2019-10-29 | KAREN CRONIN | 2019-10-29 |
| 505 | 2017-07-01 | JEANNE BELK | 2018-10-31 | JEANNE BELK | 2018-10-31 |
| 505 | 2016-07-01 | JEANNE BELK | 2017-11-28 | JEANNE BELK | 2017-11-28 |
| 505 | 2015-07-01 | JEANNE BELK | 2016-11-22 | ||
| 505 | 2014-07-01 | JEANNE BELK | 2015-11-23 | JEANNE BELK | 2015-11-23 |
| 505 | 2013-07-01 | JEANNE BELK | 2015-01-07 | JEANNE BELK | 2015-01-07 |
| 505 | 2012-07-01 | JEANNE BELK | 2013-10-24 | JEANNE BELK | 2013-10-24 |
| 505 | 2011-07-01 | JEANNE BELK | 2012-12-06 | ||
| 505 | 2010-07-01 | JEANNE BELK | 2012-01-30 |
| 2021: LONG TERM DISABILITY 2021 form 5500 responses | ||
|---|---|---|
| 2021-07-01 | Type of plan entity | Single employer plan |
| 2021-07-01 | Submission has been amended | No |
| 2021-07-01 | This submission is the final filing | Yes |
| 2021-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-07-01 | Plan is a collectively bargained plan | No |
| 2021-07-01 | Plan funding arrangement – Insurance | Yes |
| 2021-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |
| Policy contract number | 136256 |
| Policy instance | 1 |