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| Plan Name | CAPSTONE SOLUTIONS, INC. HEALTH PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | CAPSTONE SOLUTIONS, INC. |
| Employer identification number (EIN): | 261457033 |
| NAIC Classification: | 519100 |
Additional information about CAPSTONE SOLUTIONS, INC.
| Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
| Incorporation Date: | 2007-10-08 |
| Company Identification Number: | 602768575 |
| Legal Registered Office Address: |
8195 166TH AVE NE STE 100 REDMOND United States of America (USA) 980523960 |
More information about CAPSTONE SOLUTIONS, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2022-09-01 | CARLEN MORELAND | 2024-03-06 | ||
| 502 | 2021-09-01 | CARLEN MORELAND | 2023-03-29 |
| Measure | Date | Value |
|---|---|---|
| 2022: CAPSTONE SOLUTIONS, INC. HEALTH PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-09-01 | 114 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-09-01 | 116 |
| Number of retired or separated participants receiving benefits | 2022-09-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2022-09-01 | 0 |
| Total of all active and inactive participants | 2022-09-01 | 117 |
| Number of employers contributing to the scheme | 2022-09-01 | 0 |
| 2021: CAPSTONE SOLUTIONS, INC. HEALTH PLAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-09-01 | 120 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-09-01 | 111 |
| Number of retired or separated participants receiving benefits | 2021-09-01 | 3 |
| Number of other retired or separated participants entitled to future benefits | 2021-09-01 | 0 |
| Total of all active and inactive participants | 2021-09-01 | 114 |
| Number of employers contributing to the scheme | 2021-09-01 | 0 |
| 2022: CAPSTONE SOLUTIONS, INC. HEALTH PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-09-01 | Type of plan entity | Single employer plan |
| 2022-09-01 | Plan funding arrangement – Insurance | Yes |
| 2022-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: CAPSTONE SOLUTIONS, INC. HEALTH PLAN 2021 form 5500 responses | ||
| 2021-09-01 | Type of plan entity | Single employer plan |
| 2021-09-01 | First time form 5500 has been submitted | Yes |
| 2021-09-01 | Plan funding arrangement – Insurance | Yes |
| 2021-09-01 | Plan benefit arrangement – Insurance | Yes |
| PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 ) | |
| Policy contract number | 4020480 |
| Policy instance | 1 |
| PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 ) | |
| Policy contract number | 4020480 |
| Policy instance | 1 |