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| Plan Name | LEOPARD VISION/DENTAL PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | LEOPARD SUPERVISION SERVICES LLC |
| Employer identification number (EIN): | 263571532 |
| NAIC Classification: | 522291 |
| NAIC Description: | Consumer Lending |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2016-01-01 | JOHN DRAUDE | |||
| 501 | 2015-01-01 | JOHN DRAUDE |
| Measure | Date | Value |
|---|---|---|
| 2016: LEOPARD VISION/DENTAL PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-01-01 | 91 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 83 |
| Total of all active and inactive participants | 2016-01-01 | 83 |
| Total participants | 2016-01-01 | 83 |
| 2015: LEOPARD VISION/DENTAL PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 91 |
| Total of all active and inactive participants | 2015-01-01 | 91 |
| Total participants | 2015-01-01 | 0 |
| Measure | Date | Value |
|---|---|---|
| 2016 : LEOPARD VISION/DENTAL PLAN 2016 401k financial data | ||
| Total income from all sources | 2016-12-31 | $34,535 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $34,535 |
| Benefits paid (including direct rollovers) | 2016-12-31 | $34,535 |
| Total contributions received or receivable from participants | 2016-12-31 | $34,535 |
| 2015 : LEOPARD VISION/DENTAL PLAN 2015 401k financial data | ||
| Total income from all sources | 2015-12-31 | $24,001 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $24,001 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $24,001 |
| Total contributions received or receivable from participants | 2015-12-31 | $24,001 |
| 2016: LEOPARD VISION/DENTAL PLAN 2016 form 5500 responses | ||
|---|---|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: LEOPARD VISION/DENTAL PLAN 2015 form 5500 responses | ||
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | First time form 5500 has been submitted | Yes |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||||||||||
| Policy contract number | 1050755 | ||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||
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