| Plan Name | 3 FORKS INSURANCE LLC 401(K) PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | 3 FORKS INSURANCE LLC |
| Employer identification number (EIN): | 454056645 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2012-01-01 | JAMES BENNINGTON | 2013-08-22 | JAMES BENNINGTON | 2013-08-22 |