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| Plan Name | OSI FORT ATKINSON MEDICAL PLAN |
| Plan identification number | 508 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | OSI INDUSTRIES, LLC |
| Employer identification number (EIN): | 522399960 |
| NAIC Classification: | 311110 |
| NAIC Description: | Animal Food Manufacturing |
Additional information about OSI INDUSTRIES, LLC
| Jurisdiction of Incorporation: | State of Delaware Division of Corporations |
| Incorporation Date: | 1975-07-11 |
| Company Identification Number: | 0814272 |
| Legal Registered Office Address: |
Corporation Trust Center 1209 Orange St Wilmington United States of America (USA) 19801 |
More information about OSI INDUSTRIES, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 508 | 2017-01-01 | ||||
| 508 | 2016-01-01 | SAMER N. NADDA | |||
| 508 | 2015-01-01 | JENNIFER DISCHER |
| Measure | Date | Value |
|---|---|---|
| 2017: OSI FORT ATKINSON MEDICAL PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 630 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
| Total of all active and inactive participants | 2017-01-01 | 0 |
| 2016: OSI FORT ATKINSON MEDICAL PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-01-01 | 250 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 266 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 0 |
| Total of all active and inactive participants | 2016-01-01 | 266 |
| 2015: OSI FORT ATKINSON MEDICAL PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-01-01 | 272 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 250 |
| Total of all active and inactive participants | 2015-01-01 | 250 |
| Total participants | 2015-01-01 | 250 |
| 2017: OSI FORT ATKINSON MEDICAL PLAN 2017 form 5500 responses | ||
|---|---|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | This submission is the final filing | Yes |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: OSI FORT ATKINSON MEDICAL PLAN 2016 form 5500 responses | ||
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Submission has been amended | No |
| 2016-01-01 | This submission is the final filing | No |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-01-01 | Plan is a collectively bargained plan | Yes |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: OSI FORT ATKINSON MEDICAL PLAN 2015 form 5500 responses | ||
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | Yes |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| MERCYCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60215 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 180480 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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| MERCYCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60215 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 180480 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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