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Plan Name | HARTZELL PFO, INC. DBA CHUCK & DON'S PET FOOD & SUPPLIES MEDICAL AND DENTAL PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | HARTZELL PFO, INC. |
Employer identification number (EIN): | 411993494 |
NAIC Classification: | 453910 |
NAIC Description: | Pet and Pet Supplies Stores |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2017-05-01 | ||||
501 | 2016-05-01 | THOMAS MURPHY | 2018-11-30 | ||
501 | 2015-05-01 | THOMAS MURPHY | 2018-11-30 |
Measure | Date | Value |
---|---|---|
2017: HARTZELL PFO, INC. DBA CHUCK & DON'S PET FOOD & SUPPLIES MEDICAL AND DENTAL PLAN 2017 401k membership | ||
Total participants, beginning-of-year | 2017-05-01 | 146 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-05-01 | 157 |
Number of retired or separated participants receiving benefits | 2017-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2017-05-01 | 0 |
Total of all active and inactive participants | 2017-05-01 | 157 |
2016: HARTZELL PFO, INC. DBA CHUCK & DON'S PET FOOD & SUPPLIES MEDICAL AND DENTAL PLAN 2016 401k membership | ||
Total participants, beginning-of-year | 2016-05-01 | 125 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-05-01 | 142 |
Number of retired or separated participants receiving benefits | 2016-05-01 | 1 |
Number of other retired or separated participants entitled to future benefits | 2016-05-01 | 0 |
Total of all active and inactive participants | 2016-05-01 | 143 |
2015: HARTZELL PFO, INC. DBA CHUCK & DON'S PET FOOD & SUPPLIES MEDICAL AND DENTAL PLAN 2015 401k membership | ||
Total participants, beginning-of-year | 2015-05-01 | 114 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-05-01 | 122 |
Number of retired or separated participants receiving benefits | 2015-05-01 | 2 |
Number of other retired or separated participants entitled to future benefits | 2015-05-01 | 0 |
Total of all active and inactive participants | 2015-05-01 | 124 |
2017: HARTZELL PFO, INC. DBA CHUCK & DON'S PET FOOD & SUPPLIES MEDICAL AND DENTAL PLAN 2017 form 5500 responses | ||
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2017-05-01 | Type of plan entity | Single employer plan |
2017-05-01 | Submission has been amended | No |
2017-05-01 | This submission is the final filing | No |
2017-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2017-05-01 | Plan is a collectively bargained plan | No |
2017-05-01 | Plan funding arrangement – Insurance | Yes |
2017-05-01 | Plan benefit arrangement – Insurance | Yes |
2016: HARTZELL PFO, INC. DBA CHUCK & DON'S PET FOOD & SUPPLIES MEDICAL AND DENTAL PLAN 2016 form 5500 responses | ||
2016-05-01 | Type of plan entity | Single employer plan |
2016-05-01 | Submission has been amended | No |
2016-05-01 | This submission is the final filing | No |
2016-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2016-05-01 | Plan is a collectively bargained plan | No |
2016-05-01 | Plan funding arrangement – Insurance | Yes |
2016-05-01 | Plan benefit arrangement – Insurance | Yes |
2015: HARTZELL PFO, INC. DBA CHUCK & DON'S PET FOOD & SUPPLIES MEDICAL AND DENTAL PLAN 2015 form 5500 responses | ||
2015-05-01 | Type of plan entity | Single employer plan |
2015-05-01 | Submission has been amended | No |
2015-05-01 | This submission is the final filing | No |
2015-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2015-05-01 | Plan is a collectively bargained plan | No |
2015-05-01 | Plan funding arrangement – Insurance | Yes |
2015-05-01 | Plan benefit arrangement – Insurance | Yes |
DELTA DENTAL OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 210290 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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HEALTHPARTNERS INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 44547 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 19381 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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