| Plan Name | MEDICAL BENEFIT PLAN OF WOODS POWR-GRIP CO. INC |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | WOOD'S POWR-GRIP CO., INC |
| Employer identification number (EIN): | 810294758 |
| NAIC Classification: | 326200 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2017-01-01 | BRYAN WOOD | |||
| 501 | 2016-01-01 | KELCIE LOHOF | 2017-05-31 | ||
| 501 | 2015-01-01 | BRYAN WOOD | 2016-07-26 | BARRY WOOD | 2016-07-25 |
| 501 | 2014-01-01 | BARRY WOOD | 2015-06-26 | BARRY WOOD | 2015-06-26 |
| 501 | 2014-01-01 | BARRY WOOD | 2015-06-03 | BARRY WOOD | 2015-06-03 |
| 501 | 2013-01-01 | BARRY WOOD | 2015-06-26 | BARRY WOOD | 2015-06-26 |
| 501 | 2012-01-01 | BARRY WOOD | 2013-06-24 | BARRY WOOD | 2013-06-24 |
| 2017: MEDICAL BENEFIT PLAN OF WOODS POWR-GRIP CO. INC 2017 form 5500 responses | ||
|---|---|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | Yes |
| 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 funding arrangement – General assets of the sponsor | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 ) | |
| Policy contract number | 17637 |
| Policy instance | 1 |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |
| Policy contract number | 30019449 |
| Policy instance | 2 |