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| Plan Name | MEDICAL & DENTAL |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SEA CREATURES, LLC |
| Employer identification number (EIN): | 603300776 |
| NAIC Classification: | 722511 |
| NAIC Description: | Full-Service Restaurants |
Additional information about SEA CREATURES, LLC
| Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
| Incorporation Date: | 2013-05-09 |
| Company Identification Number: | 603300776 |
| Legal Registered Office Address: |
3837 STONE WAY N SEATTLE United States of America (USA) 981038005 |
More information about SEA CREATURES, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2019-04-01 | LIDIA DE BERNARDO | 2021-01-05 |
| Measure | Date | Value |
|---|---|---|
| 2019: MEDICAL & DENTAL 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-04-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-04-01 | 137 |
| Number of retired or separated participants receiving benefits | 2019-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-04-01 | 0 |
| Total of all active and inactive participants | 2019-04-01 | 137 |
| Number of employers contributing to the scheme | 2019-04-01 | 0 |
| 2019: MEDICAL & DENTAL 2019 form 5500 responses | ||
|---|---|---|
| 2019-04-01 | Type of plan entity | Single employer plan |
| 2019-04-01 | First time form 5500 has been submitted | Yes |
| 2019-04-01 | Plan funding arrangement – Insurance | Yes |
| 2019-04-01 | Plan benefit arrangement – Insurance | Yes |
| GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 ) | |||||||||||||||||||||||||
| Policy contract number | 1980600 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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| GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 ) | |||||||||||||||||||||||||
| Policy contract number | 8480100 | ||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||
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