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| Plan Name | R.S. AUDLEY, INC GROUP LIFE PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | R.S. AUDLEY, INC. |
| Employer identification number (EIN): | 020237185 |
| NAIC Classification: | 237310 |
| NAIC Description: | Highway, Street, and Bridge Construction |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2019-04-01 | PAULA ANDERSON | 2021-01-15 | PAULA ANDERSON | 2021-01-15 |
| 503 | 2018-04-01 | BILL FINCH | 2019-12-17 | BILL FINCH | 2019-12-17 |
| 503 | 2017-07-01 | BILL FINCH | 2019-12-17 | BILL FINCH | 2019-12-17 |
| Measure | Date | Value |
|---|---|---|
| 2019: R.S. AUDLEY, INC GROUP LIFE PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-04-01 | 118 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-04-01 | 129 |
| Total of all active and inactive participants | 2019-04-01 | 129 |
| 2018: R.S. AUDLEY, INC GROUP LIFE PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-04-01 | 136 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-04-01 | 118 |
| Total of all active and inactive participants | 2018-04-01 | 118 |
| 2017: R.S. AUDLEY, INC GROUP LIFE PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-07-01 | 112 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-07-01 | 146 |
| Total of all active and inactive participants | 2017-07-01 | 146 |
| 2019: R.S. AUDLEY, INC GROUP LIFE PLAN 2019 form 5500 responses | ||
|---|---|---|
| 2019-04-01 | Type of plan entity | Single employer plan |
| 2019-04-01 | Plan funding arrangement – Insurance | Yes |
| 2019-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: R.S. AUDLEY, INC GROUP LIFE PLAN 2018 form 5500 responses | ||
| 2018-04-01 | Type of plan entity | Single employer plan |
| 2018-04-01 | Plan funding arrangement – Insurance | Yes |
| 2018-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: R.S. AUDLEY, INC GROUP LIFE PLAN 2017 form 5500 responses | ||
| 2017-07-01 | Type of plan entity | Single employer plan |
| 2017-07-01 | First time form 5500 has been submitted | Yes |
| 2017-07-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2017-07-01 | Plan funding arrangement – Insurance | Yes |
| 2017-07-01 | Plan benefit arrangement – Insurance | Yes |
| MONY (National Association of Insurance Commissioners NAIC id number: 78077 ) | |||||||||||||||||||||||||||
| Policy contract number | 001000 | ||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||
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| MONY (National Association of Insurance Commissioners NAIC id number: 78077 ) | |||||||||||||||||||||||||||
| Policy contract number | 001000 | ||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||
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| AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) | |||||||||||||||||||||||||||
| Policy contract number | D72K61 | ||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||
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| MONY (National Association of Insurance Commissioners NAIC id number: 78077 ) | |||||||||||||||||||||||||||
| Policy contract number | 001000 | ||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||
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