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SKAGIT VALLEY FOOD CO-OP WELFARE BENEFIT PLAN 401k Plan overview

Plan NameSKAGIT VALLEY FOOD CO-OP WELFARE BENEFIT PLAN
Plan identification number 501

SKAGIT VALLEY FOOD CO-OP WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
    SELECT distinct(Description) AS Description FROM 401k_benefit_codes LEFT JOIN 401k_benefit_code_description ON BenefitCode=Code COLLATE utf8_unicode_ci WHERE EIN='910989458' AND PlanID='501'

401k Sponsoring company profile

SKAGIT VALLEY FOOD CO-OP has sponsored the creation of one or more 401k plans.

Company Name:SKAGIT VALLEY FOOD CO-OP
Employer identification number (EIN):910989458
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Additional information about SKAGIT VALLEY FOOD CO-OP

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1974-10-09
Company Identification Number: 600090522
Legal Registered Office Address: 202 S 1ST ST

MOUNT VERNON
United States of America (USA)
982733803

More information about SKAGIT VALLEY FOOD CO-OP

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SKAGIT VALLEY FOOD CO-OP WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-10-01TRICIA CARTER2025-01-07
5012022-10-01CAROL VEACH2024-04-24
5012020-10-01CAROL VEACH2022-01-04
5012019-10-01CAROL VEACH2021-01-21
5012018-10-01CAROL VEACH2020-03-04
5012017-10-01

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0B7WN
Policy instance 1
Insurance contract or identification numberGLUG0B7WN
Number of Individuals Covered117
Insurance policy start date2023-10-01
Insurance policy end date2024-09-30
Total amount of commissions paid to insurance brokerUSD $4,342
Total amount of fees paid to insurance companyUSD $1,516
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $28,940
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0B7WN
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0B7WN
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0B7WN
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0B7WN
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0B7WN
Policy instance 1

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