?>
| Plan Name | LOS ANGELES APPAREL |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | LOS ANGELES APPAREL, INC. |
| Employer identification number (EIN): | 813121592 |
| NAIC Classification: | 315240 |
| NAIC Description: | Women's, Girls', and Infants' Cut and Sew Apparel Manufacturing |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2022-01-01 | DAVID NISENBAUM | 2023-07-26 |
| Measure | Date | Value |
|---|---|---|
| 2022: LOS ANGELES APPAREL 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-01-01 | 3,073 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 1,143 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
| Total of all active and inactive participants | 2022-01-01 | 1,143 |
| Number of employers contributing to the scheme | 2022-01-01 | 0 |
| 2022: LOS ANGELES APPAREL 2022 form 5500 responses | ||
|---|---|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | First time form 5500 has been submitted | Yes |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 926245 | ||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | LBT | ||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 709816 | ||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||
| PAUL REVERE VARIABLE ANNUITY INS. CO. (National Association of Insurance Commissioners NAIC id number: 67601 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 709818 | ||||||||||||||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||