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Plan Name | KLEEN-RITE DENTAL VISION ANCILLARY |
Plan identification number | 503 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | KLEEN-RITE CORPORATION |
Employer identification number (EIN): | 231712065 |
NAIC Classification: | 424990 |
NAIC Description: | Other Miscellaneous Nondurable Goods Merchant Wholesalers |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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503 | 2021-10-01 | JEFF DETZ | 2023-03-11 | ||
503 | 2020-10-01 | JEFF DETZ | 2022-04-21 |
Measure | Date | Value |
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2021: KLEEN-RITE DENTAL VISION ANCILLARY 2021 401k membership | ||
Total participants, beginning-of-year | 2021-10-01 | 105 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-10-01 | 117 |
Number of retired or separated participants receiving benefits | 2021-10-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2021-10-01 | 0 |
Total of all active and inactive participants | 2021-10-01 | 117 |
Number of employers contributing to the scheme | 2021-10-01 | 0 |
2020: KLEEN-RITE DENTAL VISION ANCILLARY 2020 401k membership | ||
Total participants, beginning-of-year | 2020-10-01 | 100 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-10-01 | 105 |
Number of retired or separated participants receiving benefits | 2020-10-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2020-10-01 | 0 |
Total of all active and inactive participants | 2020-10-01 | 105 |
Number of employers contributing to the scheme | 2020-10-01 | 0 |
2021: KLEEN-RITE DENTAL VISION ANCILLARY 2021 form 5500 responses | ||
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2021-10-01 | Type of plan entity | Single employer plan |
2021-10-01 | Plan funding arrangement – Insurance | Yes |
2021-10-01 | Plan benefit arrangement – Insurance | Yes |
2020: KLEEN-RITE DENTAL VISION ANCILLARY 2020 form 5500 responses | ||
2020-10-01 | Type of plan entity | Single employer plan |
2020-10-01 | First time form 5500 has been submitted | Yes |
2020-10-01 | Plan funding arrangement – Insurance | Yes |
2020-10-01 | Plan benefit arrangement – Insurance | Yes |
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||||||||||
Policy contract number | 565591 | ||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||
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THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||||||||||
Policy contract number | 565591 | ||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||
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