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| Plan Name | BASIC LIFE AD&D/BASIC TERM LIFE |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | EASTERN PETROLEUM CORPORATION |
| Employer identification number (EIN): | 560684863 |
| NAIC Classification: | 447100 |
| NAIC Description: | Gasoline Stations, Gas |
Additional information about EASTERN PETROLEUM CORPORATION
| Jurisdiction of Incorporation: | State of Delaware Division of Corporations |
| Incorporation Date: | |
| Company Identification Number: | 4083637 |
More information about EASTERN PETROLEUM CORPORATION
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-11-01 | AUDREY SHEARIN | |||
| 501 | 2022-11-01 | ||||
| 501 | 2022-11-01 | AUDREY SHEARIN | |||
| 501 | 2019-11-01 | ||||
| 501 | 2019-11-01 | ||||
| 501 | 2019-11-01 | JO LYNN MELTON |
| Measure | Date | Value |
|---|---|---|
| 2022: BASIC LIFE AD&D/BASIC TERM LIFE 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-11-01 | 113 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-11-01 | 113 |
| Number of retired or separated participants receiving benefits | 2022-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-11-01 | 0 |
| Total of all active and inactive participants | 2022-11-01 | 113 |
| 2019: BASIC LIFE AD&D/BASIC TERM LIFE 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-11-01 | 108 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-11-01 | 108 |
| Total of all active and inactive participants | 2019-11-01 | 108 |
| Total participants | 2019-11-01 | 108 |
| Number of retired or separated participants receiving benefits | 2019-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-11-01 | 0 |
| 2022: BASIC LIFE AD&D/BASIC TERM LIFE 2022 form 5500 responses | ||
|---|---|---|
| 2022-11-01 | Type of plan entity | Single employer plan |
| 2022-11-01 | Submission has been amended | No |
| 2022-11-01 | This submission is the final filing | No |
| 2022-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-11-01 | Plan is a collectively bargained plan | No |
| 2022-11-01 | Plan funding arrangement – Insurance | Yes |
| 2022-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: BASIC LIFE AD&D/BASIC TERM LIFE 2019 form 5500 responses | ||
| 2019-11-01 | Type of plan entity | Single employer plan |
| 2019-11-01 | First time form 5500 has been submitted | Yes |
| 2019-11-01 | Submission has been amended | No |
| 2019-11-01 | This submission is the final filing | No |
| 2019-11-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2019-11-01 | Plan is a collectively bargained plan | No |
| 2019-11-01 | Plan funding arrangement – Insurance | Yes |
| 2019-11-01 | Plan benefit arrangement – Insurance | Yes |
| COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 ) | |||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 90714S2886001 | ||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
| COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 ) | |||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 90714S2886001 | ||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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