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| Plan Name | EMPLOYEE OCCUPATIONAL INJURY PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | HARGIS INDUSTRIES, L.P. |
| Employer identification number (EIN): | 751587401 |
| NAIC Classification: | 339900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2010-06-01 | BRUCE CROUCH | |||
| 502 | 2009-06-01 | BRUCE CROUCH |
| Measure | Date | Value |
|---|---|---|
| 2010: EMPLOYEE OCCUPATIONAL INJURY PLAN 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-06-01 | 131 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-06-01 | 116 |
| Total of all active and inactive participants | 2010-06-01 | 116 |
| Total participants | 2010-06-01 | 116 |
| 2009: EMPLOYEE OCCUPATIONAL INJURY PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-06-01 | 137 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-06-01 | 131 |
| Total of all active and inactive participants | 2009-06-01 | 131 |
| Total participants | 2009-06-01 | 131 |
| 2010: EMPLOYEE OCCUPATIONAL INJURY PLAN 2010 form 5500 responses | ||
|---|---|---|
| 2010-06-01 | Type of plan entity | Single employer plan |
| 2010-06-01 | Plan funding arrangement – Insurance | Yes |
| 2010-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2010-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2010-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2009: EMPLOYEE OCCUPATIONAL INJURY PLAN 2009 form 5500 responses | ||
| 2009-06-01 | Type of plan entity | Single employer plan |
| 2009-06-01 | Plan funding arrangement – Insurance | Yes |
| 2009-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
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