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| Plan Name | TEEN CHALLENGE INTERNATIONAL PACIFIC NW CENTER HEALTH AND WELFARE PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | TEEN CHALLENGE INTERNATIONAL PACIFIC NW CENTER |
| Employer identification number (EIN): | 930844063 |
| NAIC Classification: | 453310 |
| NAIC Description: | Used Merchandise Stores |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2019-08-01 | JOSH HOWARD | 2021-02-24 |
| Measure | Date | Value |
|---|---|---|
| 2019: TEEN CHALLENGE INTERNATIONAL PACIFIC NW CENTER HEALTH AND WELFARE PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-08-01 | 142 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-08-01 | 142 |
| Number of retired or separated participants receiving benefits | 2019-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-08-01 | 0 |
| Total of all active and inactive participants | 2019-08-01 | 142 |
| Number of employers contributing to the scheme | 2019-08-01 | 0 |
| 2019: TEEN CHALLENGE INTERNATIONAL PACIFIC NW CENTER HEALTH AND WELFARE PLAN 2019 form 5500 responses | ||
|---|---|---|
| 2019-08-01 | Type of plan entity | Single employer plan |
| 2019-08-01 | First time form 5500 has been submitted | Yes |
| 2019-08-01 | Plan funding arrangement – Insurance | Yes |
| 2019-08-01 | Plan benefit arrangement – Insurance | Yes |
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||||||||||||||
| Policy contract number | 1097469 | ||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||
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