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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 |
|---|---|---|---|---|---|
| 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 |
|---|---|---|
| 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 | ||
|---|---|---|
| 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 |
| REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 ) | |
| Policy contract number | 10003886 |
| Policy instance | 1 |
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