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| Plan Name | SUTHERLANDS LIFE INSURANCE PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CIMARRON LUMBER AND SUPPLY COMPANY |
| Employer identification number (EIN): | 431260576 |
| NAIC Classification: | 444110 |
| NAIC Description: | Home Centers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2022-01-01 | Y1143696 | 2023-05-31 | Y1143696 | 2023-05-31 |
| 503 | 2021-01-01 | Y1143696 | 2022-05-23 | Y1143696 | 2022-05-23 |
| Measure | Date | Value |
|---|---|---|
| 2022: SUTHERLANDS LIFE INSURANCE PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-01-01 | 400 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 417 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 0 |
| Total of all active and inactive participants | 2022-01-01 | 417 |
| 2021: SUTHERLANDS LIFE INSURANCE PLAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-01-01 | 394 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 400 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
| Total of all active and inactive participants | 2021-01-01 | 400 |
| 2022: SUTHERLANDS LIFE INSURANCE PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: SUTHERLANDS LIFE INSURANCE PLAN 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | First time form 5500 has been submitted | Yes |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||
| Policy contract number | 1080076 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||
| Policy contract number | 1080076 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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