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| Plan Name | CALDWELL MANUFACTURING COMPANY NORTH AMERICA, LLC HEALTH AND WELFARE PLAN |
| Plan identification number | 506 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CALDWELL MANUFACTURING COMPANY |
| Employer identification number (EIN): | 160372360 |
| NAIC Classification: | 332900 |
Additional information about CALDWELL MANUFACTURING COMPANY
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 1910-01-04 |
| Company Identification Number: | 29423 |
| Legal Registered Office Address: |
2605 Manitou Road Monroe Rochester United States of America (USA) 14620 |
More information about CALDWELL MANUFACTURING COMPANY
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 506 | 2017-01-01 | ROBERT LELIO |
| Measure | Date | Value |
|---|---|---|
| 2017: CALDWELL MANUFACTURING COMPANY NORTH AMERICA, LLC HEALTH AND WELFARE PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 263 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 241 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 22 |
| Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
| Total of all active and inactive participants | 2017-01-01 | 263 |
| Total participants | 2017-01-01 | 263 |
| 2017: CALDWELL MANUFACTURING COMPANY NORTH AMERICA, LLC HEALTH AND WELFARE PLAN 2017 form 5500 responses | ||
|---|---|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | First time form 5500 has been submitted | Yes |
| 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 |
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) | |
| Policy contract number | 00017061 |
| Policy instance | 1 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 ) | |
| Policy contract number | 10031061001 |
| Policy instance | 2 |
| LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 ) | |
| Policy contract number | 000010177098 |
| Policy instance | 3 |
| LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 ) | |
| Policy contract number | 000403002238 |
| Policy instance | 4 |
| LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 ) | |
| Policy contract number | 000010177099 |
| Policy instance | 5 |
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) | |
| Policy contract number | BTA-120958 |
| Policy instance | 6 |
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