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| Plan Name | FLATOUT INC LIFE INSURANCE PLAN |
| Plan identification number | 003 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | FLATOUT, INC. |
| Employer identification number (EIN): | 271430026 |
| NAIC Classification: | 311800 |
| NAIC Description: | Bakeries and Tortilla Manufacturing |
Additional information about FLATOUT, INC.
| Jurisdiction of Incorporation: | Colorado Department of State |
| Incorporation Date: | 2016-10-15 |
| Company Identification Number: | 20161695637 |
| Legal Registered Office Address: |
528 Zircon Way Superior United States of America (USA) 80027 |
More information about FLATOUT, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 003 | 2013-06-01 | LORA ARRIAGA |
| 2013: FLATOUT INC LIFE INSURANCE PLAN 2013 form 5500 responses | ||
|---|---|---|
| 2013-06-01 | Type of plan entity | Single employer plan |
| 2013-06-01 | First time form 5500 has been submitted | Yes |
| 2013-06-01 | Submission has been amended | No |
| 2013-06-01 | This submission is the final filing | No |
| 2013-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-06-01 | Plan is a collectively bargained plan | No |
| 2013-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-06-01 | Plan benefit arrangement – Insurance | Yes |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |
| Policy contract number | 211932 |
| Policy instance | 1 |
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