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| Plan Name | MIKE HOOKS, INC. STOP LOSS |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MIKE HOOKS, LLC |
| Employer identification number (EIN): | 720491360 |
| NAIC Classification: | 237990 |
| NAIC Description: | Other Heavy and Civil Engineering Construction |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2023-05-01 | DANA TAYLOR | 2024-07-30 | ||
| 504 | 2016-05-01 | DANA TAYLOR | 2024-03-21 |
| 2023: MIKE HOOKS, INC. STOP LOSS 2023 form 5500 responses | ||
|---|---|---|
| 2023-05-01 | Type of plan entity | Single employer plan |
| 2023-05-01 | First time form 5500 has been submitted | Yes |
| 2023-05-01 | Plan funding arrangement – Insurance | Yes |
| 2023-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: MIKE HOOKS, INC. STOP LOSS 2016 form 5500 responses | ||
| 2016-05-01 | Type of plan entity | Single employer plan |
| 2016-05-01 | First time form 5500 has been submitted | Yes |
| 2016-05-01 | Submission has been amended | Yes |
| 2016-05-01 | This submission is the final filing | Yes |
| 2016-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |||||||||||||||||||
| Policy contract number | 936162 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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