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| Plan Name | MICHAEL LEWIS COMPANY GROUP TERM LIFE AND A D & D PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MICHAEL LEWIS COMPANY |
| Employer identification number (EIN): | 360905140 |
| NAIC Classification: | 722300 |
| NAIC Description: | Special Food Services |
Additional information about MICHAEL LEWIS COMPANY
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2004-06-09 |
| Company Identification Number: | 0800351798 |
| Legal Registered Office Address: |
8900 W 50TH ST MC COOK United States of America (USA) 60525 |
More information about MICHAEL LEWIS COMPANY
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2012-01-01 | SHELDON ROSEN | |||
| 501 | 2011-01-01 | SHELDON ROSEN | |||
| 501 | 2010-01-01 | SHELDON ROSEN |
| Measure | Date | Value |
|---|---|---|
| 2012: MICHAEL LEWIS COMPANY GROUP TERM LIFE AND A D & D PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-01-01 | 115 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 113 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-01-01 | 0 |
| Total of all active and inactive participants | 2012-01-01 | 113 |
| 2011: MICHAEL LEWIS COMPANY GROUP TERM LIFE AND A D & D PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-01-01 | 120 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 115 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-01-01 | 0 |
| Total of all active and inactive participants | 2011-01-01 | 115 |
| 2010: MICHAEL LEWIS COMPANY GROUP TERM LIFE AND A D & D PLAN 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-01-01 | 121 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 120 |
| Total of all active and inactive participants | 2010-01-01 | 120 |
| 2012: MICHAEL LEWIS COMPANY GROUP TERM LIFE AND A D & D PLAN 2012 form 5500 responses | ||
|---|---|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Submission has been amended | No |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | No |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: MICHAEL LEWIS COMPANY GROUP TERM LIFE AND A D & D PLAN 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | No |
| 2011-01-01 | This submission is the final filing | No |
| 2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-01-01 | Plan is a collectively bargained plan | No |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: MICHAEL LEWIS COMPANY GROUP TERM LIFE AND A D & D PLAN 2010 form 5500 responses | ||
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | First time form 5500 has been submitted | Yes |
| 2010-01-01 | Submission has been amended | No |
| 2010-01-01 | This submission is the final filing | No |
| 2010-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-01-01 | Plan is a collectively bargained plan | No |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | G@ 60233 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | G@ 60233 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | G# 60233 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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