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| Plan Name | PICKWICK MANUFACTURING LIFE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | PICKWICK MANUFACTURING |
| Employer identification number (EIN): | 420634966 |
| NAIC Classification: | 332900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2012-04-01 | PETER COREY | PETER COREY | 2013-10-29 | |
| 501 | 2011-04-01 | RICHARD RANK |
| Measure | Date | Value |
|---|---|---|
| 2012: PICKWICK MANUFACTURING LIFE PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-04-01 | 106 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-04-01 | 90 |
| Total of all active and inactive participants | 2012-04-01 | 90 |
| Total participants | 2012-04-01 | 90 |
| 2011: PICKWICK MANUFACTURING LIFE PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-04-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-04-01 | 106 |
| Number of retired or separated participants receiving benefits | 2011-04-01 | 0 |
| Total of all active and inactive participants | 2011-04-01 | 106 |
| Total participants | 2011-04-01 | 106 |
| 2012: PICKWICK MANUFACTURING LIFE PLAN 2012 form 5500 responses | ||
|---|---|---|
| 2012-04-01 | Type of plan entity | Single employer plan |
| 2012-04-01 | First time form 5500 has been submitted | Yes |
| 2012-04-01 | Submission has been amended | No |
| 2012-04-01 | This submission is the final filing | No |
| 2012-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-04-01 | Plan is a collectively bargained plan | No |
| 2012-04-01 | Plan funding arrangement – Insurance | Yes |
| 2012-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: PICKWICK MANUFACTURING LIFE PLAN 2011 form 5500 responses | ||
| 2011-04-01 | Type of plan entity | Single employer plan |
| 2011-04-01 | First time form 5500 has been submitted | Yes |
| 2011-04-01 | Submission has been amended | No |
| 2011-04-01 | This submission is the final filing | No |
| 2011-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-04-01 | Plan is a collectively bargained plan | No |
| 2011-04-01 | Plan funding arrangement – Insurance | Yes |
| 2011-04-01 | Plan benefit arrangement – Insurance | Yes |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |||||||||||||||||||||||||||||
| Policy contract number | G000AFS5 | ||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||
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| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |||||||||||||||||||||||||||||
| Policy contract number | GLUG0AFS5 | ||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||
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