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| Plan Name | TJ HALE COMPANY DENTAL PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | TJ HALE COMPANY, LLC |
| Employer identification number (EIN): | 463954205 |
| NAIC Classification: | 337000 |
Additional information about TJ HALE COMPANY, LLC
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2014-04-21 |
| Company Identification Number: | 0801979828 |
| Legal Registered Office Address: |
PO BOX 250 MENOMONEE FLS United States of America (USA) 53052 |
More information about TJ HALE COMPANY, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2015-01-01 | ||||
| 503 | 2014-01-01 | ||||
| 503 | 2013-11-22 |
| 2015: TJ HALE COMPANY DENTAL PLAN 2015 form 5500 responses | ||
|---|---|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: TJ HALE COMPANY DENTAL PLAN 2014 form 5500 responses | ||
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: TJ HALE COMPANY DENTAL PLAN 2013 form 5500 responses | ||
| 2013-11-22 | Type of plan entity | Single employer plan |
| 2013-11-22 | First time form 5500 has been submitted | Yes |
| 2013-11-22 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2013-11-22 | Plan funding arrangement – Insurance | Yes |
| 2013-11-22 | Plan benefit arrangement – Insurance | Yes |
| DELTA DENTAL OF WISCONSIN (National Association of Insurance Commissioners NAIC id number: 54046 ) | |
| Policy contract number | 1161400000 |
| Policy instance | 1 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | KM05914523 |
| Policy instance | 1 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 00483071 |
| Policy instance | 1 |
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