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ANGI ENERGY SYSTEMS, INC. GROUP VISION INSURANCE PLAN 401k Plan overview

Plan NameANGI ENERGY SYSTEMS, INC. GROUP VISION INSURANCE PLAN
Plan identification number 505

ANGI ENERGY SYSTEMS, INC. GROUP VISION INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision

401k Sponsoring company profile

ANGI ENERGY SYSTEMS, LLC has sponsored the creation of one or more 401k plans.

Company Name:ANGI ENERGY SYSTEMS, LLC
Employer identification number (EIN):352011809
NAIC Classification:339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANGI ENERGY SYSTEMS, INC. GROUP VISION INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052014-06-01TRACY CLERKIN TRACY CLERKIN2015-12-29

Plan Statistics for ANGI ENERGY SYSTEMS, INC. GROUP VISION INSURANCE PLAN

401k plan membership statisitcs for ANGI ENERGY SYSTEMS, INC. GROUP VISION INSURANCE PLAN

Measure Date Value
2014: ANGI ENERGY SYSTEMS, INC. GROUP VISION INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-06-0190
Total number of active participants reported on line 7a of the Form 55002014-06-01105
Total of all active and inactive participants2014-06-01105

Form 5500 Responses for ANGI ENERGY SYSTEMS, INC. GROUP VISION INSURANCE PLAN

2014: ANGI ENERGY SYSTEMS, INC. GROUP VISION INSURANCE PLAN 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01First time form 5500 has been submittedYes
2014-06-01Submission has been amendedNo
2014-06-01This submission is the final filingNo
2014-06-01This return/report is a short plan year return/report (less than 12 months)No
2014-06-01Plan is a collectively bargained planNo
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

SUPERIOR VISION INSURANCE PLAN OF WISCONSIN, INC (National Association of Insurance Commissioners NAIC id number: 52005 )
Policy contract number217150
Policy instance 1
Insurance contract or identification number217150
Number of Individuals Covered264
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $1,755
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,320
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,755
Insurance broker organization code?3
Insurance broker nameM3 INSURANCE SOLUTIONS INC

Potentially related plans

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