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Plan Name | MALLORY SAFETY AND SUPPLY MEDICAL |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | MALLORY SAFETY AND SUPPLY LLC |
Employer identification number (EIN): | 273905150 |
NAIC Classification: | 423990 |
NAIC Description: | Other Miscellaneous Durable Goods Merchant Wholesalers |
Additional information about MALLORY SAFETY AND SUPPLY LLC
Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
Incorporation Date: | 2010-11-04 |
Company Identification Number: | 603061535 |
Legal Registered Office Address: |
1040 INDUSTRIAL WAY LONGVIEW United States of America (USA) 986320000 |
More information about MALLORY SAFETY AND SUPPLY LLC
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2021-07-01 | HALEY ROTT | 2022-10-18 | ||
501 | 2021-07-01 | HALEY ROTT | 2023-12-19 | ||
501 | 2020-07-01 | ABIGAIL DILLAVOU | 2022-03-09 |
Measure | Date | Value |
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2021: MALLORY SAFETY AND SUPPLY MEDICAL 2021 401k membership | ||
Total participants, beginning-of-year | 2021-07-01 | 205 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-07-01 | 212 |
Number of retired or separated participants receiving benefits | 2021-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2021-07-01 | 0 |
Total of all active and inactive participants | 2021-07-01 | 212 |
Number of employers contributing to the scheme | 2021-07-01 | 0 |
2020: MALLORY SAFETY AND SUPPLY MEDICAL 2020 401k membership | ||
Total participants, beginning-of-year | 2020-07-01 | 100 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-07-01 | 205 |
Number of retired or separated participants receiving benefits | 2020-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2020-07-01 | 0 |
Total of all active and inactive participants | 2020-07-01 | 205 |
Number of employers contributing to the scheme | 2020-07-01 | 0 |
2021: MALLORY SAFETY AND SUPPLY MEDICAL 2021 form 5500 responses | ||
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2021-07-01 | Type of plan entity | Single employer plan |
2021-07-01 | Submission has been amended | Yes |
2021-07-01 | This submission is the final filing | Yes |
2021-07-01 | Plan funding arrangement – Insurance | Yes |
2021-07-01 | Plan benefit arrangement – Insurance | Yes |
2020: MALLORY SAFETY AND SUPPLY MEDICAL 2020 form 5500 responses | ||
2020-07-01 | Type of plan entity | Single employer plan |
2020-07-01 | First time form 5500 has been submitted | Yes |
2020-07-01 | Plan funding arrangement – Insurance | Yes |
2020-07-01 | Plan benefit arrangement – Insurance | Yes |
REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 ) | |||||||||||||||||||||||||||
Policy contract number | 10003886 | ||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||
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REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 ) | |||||||||||||||||||||||||||
Policy contract number | 10003886 | ||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||
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