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| Plan Name | KATEE SALES, INC. - COBRA |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | KATEE SALES, INC |
| Employer identification number (EIN): | 391788825 |
| NAIC Classification: | 531110 |
| NAIC Description: | Lessors of Residential Buildings and Dwellings |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2018-01-01 | ||||
| 501 | 2016-10-01 | TOM WAKEFIELD | TOM WAKEFIELD | 2018-05-01 | |
| 501 | 2015-10-01 | TOM WAKEFIELD | TOM WAKEFIELD | 2017-07-13 |
| Measure | Date | Value |
|---|---|---|
| 2018: KATEE SALES, INC. - COBRA 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-01-01 | 47 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 0 |
| Total of all active and inactive participants | 2018-01-01 | 0 |
| 2016: KATEE SALES, INC. - COBRA 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-10-01 | 74 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-10-01 | 47 |
| Total of all active and inactive participants | 2016-10-01 | 47 |
| 2015: KATEE SALES, INC. - COBRA 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-10-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-10-01 | 50 |
| Total of all active and inactive participants | 2015-10-01 | 50 |
| 2018: KATEE SALES, INC. - COBRA 2018 form 5500 responses | ||
|---|---|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | This submission is the final filing | Yes |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: KATEE SALES, INC. - COBRA 2016 form 5500 responses | ||
| 2016-10-01 | Type of plan entity | Single employer plan |
| 2016-10-01 | Plan funding arrangement – Insurance | Yes |
| 2016-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: KATEE SALES, INC. - COBRA 2015 form 5500 responses | ||
| 2015-10-01 | Type of plan entity | Single employer plan |
| 2015-10-01 | First time form 5500 has been submitted | Yes |
| 2015-10-01 | Plan funding arrangement – Insurance | Yes |
| 2015-10-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS BLUE SHIELD OF WISCONSIN (National Association of Insurance Commissioners NAIC id number: 54003 ) | |||||||||||||||||||
| Policy contract number | 00188697 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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