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Plan Name | ARCHITECTURAL SURFACES GROUP, LLC HEALTH & WELFARE PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | ARCHITECTURAL SURFACES GROUP, LLC |
Employer identification number (EIN): | 474228240 |
NAIC Classification: | 423990 |
NAIC Description: | Other Miscellaneous Durable Goods Merchant Wholesalers |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2022-01-01 | SCOTT JARVIS | 2023-08-01 | ||
501 | 2021-07-01 | LISA GOULD | 2022-08-24 |
Measure | Date | Value |
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2022: ARCHITECTURAL SURFACES GROUP, LLC HEALTH & WELFARE PLAN 2022 401k membership | ||
Total participants, beginning-of-year | 2022-01-01 | 320 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 492 |
Number of retired or separated participants receiving benefits | 2022-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
Total of all active and inactive participants | 2022-01-01 | 492 |
Number of employers contributing to the scheme | 2022-01-01 | 0 |
2021: ARCHITECTURAL SURFACES GROUP, LLC HEALTH & WELFARE PLAN 2021 401k membership | ||
Total participants, beginning-of-year | 2021-07-01 | 368 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-07-01 | 320 |
Number of retired or separated participants receiving benefits | 2021-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2021-07-01 | 0 |
Total of all active and inactive participants | 2021-07-01 | 320 |
Number of employers contributing to the scheme | 2021-07-01 | 0 |
2022: ARCHITECTURAL SURFACES GROUP, LLC HEALTH & WELFARE PLAN 2022 form 5500 responses | ||
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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: ARCHITECTURAL SURFACES GROUP, LLC HEALTH & WELFARE PLAN 2021 form 5500 responses | ||
2021-07-01 | Type of plan entity | Single employer plan |
2021-07-01 | First time form 5500 has been submitted | Yes |
2021-07-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2021-07-01 | Plan funding arrangement – Insurance | Yes |
2021-07-01 | Plan benefit arrangement – Insurance | Yes |
BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) | |||||||||||||||||||||||||||||||||||||
Policy contract number | L04706 | ||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||
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THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||||||||||
Policy contract number | 22291 | ||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||
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BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) | |||||||||||||||||||||||||||||||||||||
Policy contract number | L03230 | ||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||
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THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||||||||||
Policy contract number | 22291 | ||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||
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