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| Plan Name | OMNI HOLDINGS LLC EMPLOYEE BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | OMNI HOLDINGS LLC |
| Employer identification number (EIN): | 383982432 |
| NAIC Classification: | 423100 |
Additional information about OMNI HOLDINGS LLC
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2006-04-22 |
| Company Identification Number: | 0800644122 |
| Legal Registered Office Address: |
PO BOX 13644 ATLANTA United States of America (USA) 30324 |
More information about OMNI HOLDINGS LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2017-01-01 | TRICIA MONTANO |
| Measure | Date | Value |
|---|---|---|
| 2017: OMNI HOLDINGS LLC EMPLOYEE BENEFIT PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 97 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 225 |
| Total of all active and inactive participants | 2017-01-01 | 225 |
| Total participants | 2017-01-01 | 225 |
| 2017: OMNI HOLDINGS LLC EMPLOYEE BENEFIT PLAN 2017 form 5500 responses | ||
|---|---|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | No |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-01 | Plan is a collectively bargained plan | No |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 281070 |
| Policy instance | 1 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 00463651 |
| Policy instance | 2 |
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) | |
| Policy contract number | 281070C003 |
| Policy instance | 3 |
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