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| Plan Name | GROUP LIFE INSURANCE |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | THE SHELTERING ARMS |
| Employer identification number (EIN): | 580566236 |
| NAIC Classification: | 624410 |
| NAIC Description: | Child Day Care Services |
Additional information about THE SHELTERING ARMS
| Jurisdiction of Incorporation: | Georgia Department of States Corporations Division |
| Incorporation Date: | |
| Company Identification Number: | 523400 |
More information about THE SHELTERING ARMS
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2017-01-01 | DASHANA JELKS | |||
| 501 | 2010-01-01 | DASHANA JELKS |
| Measure | Date | Value |
|---|---|---|
| 2017: GROUP LIFE INSURANCE 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 490 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 585 |
| Total of all active and inactive participants | 2017-01-01 | 585 |
| Total participants | 2017-01-01 | 585 |
| Number of participants with account balances | 2017-01-01 | 585 |
| 2010: GROUP LIFE INSURANCE 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-01-01 | 279 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 290 |
| Number of retired or separated participants receiving benefits | 2010-01-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2010-01-01 | 6 |
| Total of all active and inactive participants | 2010-01-01 | 298 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2010-01-01 | 0 |
| Total participants | 2010-01-01 | 298 |
| 2017: GROUP LIFE INSURANCE 2017 form 5500 responses | ||
|---|---|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | First time form 5500 has been submitted | Yes |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | No |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-01 | Plan is a collectively bargained plan | No |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: GROUP LIFE INSURANCE 2010 form 5500 responses | ||
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | First time form 5500 has been submitted | Yes |
| 2010-01-01 | Submission has been amended | No |
| 2010-01-01 | This submission is the final filing | No |
| 2010-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-01-01 | Plan is a collectively bargained plan | No |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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