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| Plan Name | ELITE PRODUCTION SERVICES, LLC WELFARE BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | ELITE PRODUCTION SERVICES, LLC |
| Employer identification number (EIN): | 273519003 |
| NAIC Classification: | 211110 |
| NAIC Description: | Oil and Gas Extraction, Oil |
Additional information about ELITE PRODUCTION SERVICES, LLC
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2010-09-22 |
| Company Identification Number: | 0801321633 |
| Legal Registered Office Address: |
2050 W SAM HOUSTON PKWY S STE 1550 HOUSTON United States of America (USA) 77042 |
More information about ELITE PRODUCTION SERVICES, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2014-12-01 | ADAM KOCIK | |||
| 501 | 2013-12-01 | DENNIS TURNIPSEED |
| Measure | Date | Value |
|---|---|---|
| 2014: ELITE PRODUCTION SERVICES, LLC WELFARE BENEFIT PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-12-01 | 121 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-12-01 | 5 |
| Number of retired or separated participants receiving benefits | 2014-12-01 | 77 |
| Number of other retired or separated participants entitled to future benefits | 2014-12-01 | 3 |
| Total of all active and inactive participants | 2014-12-01 | 85 |
| 2013: ELITE PRODUCTION SERVICES, LLC WELFARE BENEFIT PLAN 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-12-01 | 109 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-12-01 | 183 |
| Number of retired or separated participants receiving benefits | 2013-12-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2013-12-01 | 0 |
| Total of all active and inactive participants | 2013-12-01 | 185 |
| 2014: ELITE PRODUCTION SERVICES, LLC WELFARE BENEFIT PLAN 2014 form 5500 responses | ||
|---|---|---|
| 2014-12-01 | Type of plan entity | Single employer plan |
| 2014-12-01 | Submission has been amended | No |
| 2014-12-01 | This submission is the final filing | No |
| 2014-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-12-01 | Plan is a collectively bargained plan | No |
| 2014-12-01 | Plan funding arrangement – Insurance | Yes |
| 2014-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: ELITE PRODUCTION SERVICES, LLC WELFARE BENEFIT PLAN 2013 form 5500 responses | ||
| 2013-12-01 | Type of plan entity | Single employer plan |
| 2013-12-01 | First time form 5500 has been submitted | Yes |
| 2013-12-01 | Submission has been amended | No |
| 2013-12-01 | This submission is the final filing | No |
| 2013-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-12-01 | Plan is a collectively bargained plan | No |
| 2013-12-01 | Plan funding arrangement – Insurance | Yes |
| 2013-12-01 | Plan benefit arrangement – Insurance | Yes |
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 109023 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 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 | 494623 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 109023 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 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 | 494623 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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