401k Plan data: FLAMBEAU CORPORATION EMPLOYEES HEALTH AND BENEFIT TRUST plan

FLAMBEAU CORPORATION EMPLOYEES HEALTH AND BENEFIT TRUST 401k Plan overview

Plan Name	FLAMBEAU CORPORATION EMPLOYEES HEALTH AND BENEFIT TRUST
Plan identification number	501

FLAMBEAU CORPORATION EMPLOYEES HEALTH AND BENEFIT TRUST Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision Temporary disability (accident and sickness)

401k Sponsoring company profile

FLAMBEAU CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: FLAMBEAU CORPORATION

Employer identification number (EIN): 391933694

NAIC Classification: 326100

Additional information about FLAMBEAU CORPORATION

Jurisdiction of Incorporation: Georgia Department of States Corporations Division

Incorporation Date: 1987-01-02

Company Identification Number: 715482

Legal Registered Office Address: 801 LYNN AVE

BARABOO
United States of America (USA)
53913-2746

More information about FLAMBEAU CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FLAMBEAU CORPORATION EMPLOYEES HEALTH AND BENEFIT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2021-01-01 SHELLY EISEN 2022-11-18
501 2020-01-01
501 2020-01-01 SHELLY EISEN 2022-11-18
501 2019-01-01
501 2018-01-01
501 2017-01-01 SHELLY EISEN
501 2016-01-01 TRACI PULVERMACHER
501 2015-01-01 TODD SPENCER
501 2014-01-01 MARK RIELAND
501 2013-01-01 MARK RIELAND
501 2012-01-01 MARK RIELAND MARK RIELAND 2013-06-26
501 2011-01-01 MARK RIELAND MARK RIELAND 2012-07-31
501 2010-01-01 MARK RIELAND MARK RIELAND 2011-07-13
501 2009-01-01 RENEE STEGER
501 2009-01-01 MARK RIELAND 2010-07-09

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2021-01-01	SHELLY EISEN	2022-11-18
501	2020-01-01
501	2020-01-01	SHELLY EISEN	2022-11-18
501	2019-01-01
501	2018-01-01
501	2017-01-01	SHELLY EISEN
501	2016-01-01	TRACI PULVERMACHER
501	2015-01-01	TODD SPENCER
501	2014-01-01	MARK RIELAND
501	2013-01-01	MARK RIELAND
501	2012-01-01	MARK RIELAND		MARK RIELAND	2013-06-26
501	2011-01-01	MARK RIELAND		MARK RIELAND	2012-07-31
501	2010-01-01	MARK RIELAND		MARK RIELAND	2011-07-13
501	2009-01-01	RENEE STEGER
501	2009-01-01			MARK RIELAND	2010-07-09

Form 5500 Responses for FLAMBEAU CORPORATION EMPLOYEES HEALTH AND BENEFIT TRUST

2021: FLAMBEAU CORPORATION EMPLOYEES HEALTH AND BENEFIT TRUST 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	Yes
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: FLAMBEAU CORPORATION EMPLOYEES HEALTH AND BENEFIT TRUST 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: FLAMBEAU CORPORATION EMPLOYEES HEALTH AND BENEFIT TRUST 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: FLAMBEAU CORPORATION EMPLOYEES HEALTH AND BENEFIT TRUST 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: FLAMBEAU CORPORATION EMPLOYEES HEALTH AND BENEFIT TRUST 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
2016: FLAMBEAU CORPORATION EMPLOYEES HEALTH AND BENEFIT TRUST 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: FLAMBEAU CORPORATION EMPLOYEES HEALTH AND BENEFIT TRUST 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: FLAMBEAU CORPORATION EMPLOYEES HEALTH AND BENEFIT TRUST 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: FLAMBEAU CORPORATION EMPLOYEES HEALTH AND BENEFIT TRUST 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: FLAMBEAU CORPORATION EMPLOYEES HEALTH AND BENEFIT TRUST 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 – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: FLAMBEAU CORPORATION EMPLOYEES HEALTH AND BENEFIT TRUST 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 – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: FLAMBEAU CORPORATION EMPLOYEES HEALTH AND BENEFIT TRUST 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
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 funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: FLAMBEAU CORPORATION EMPLOYEES HEALTH AND BENEFIT TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	115647
Policy instance	1

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Company Name:	FLAMBEAU CORPORATION
Employer identification number (EIN):	391933694
NAIC Classification:	326100

Jurisdiction of Incorporation:	Georgia Department of States Corporations Division
Incorporation Date:	1987-01-02
Company Identification Number:	715482
Legal Registered Office Address:	801 LYNN AVE BARABOO United States of America (USA) 53913-2746