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| Plan Name | ADRIEL AUTO EAP PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | ADRIEL AUTO |
| Employer identification number (EIN): | 660582889 |
| NAIC Classification: | 441110 |
| NAIC Description: | New Car Dealers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2022-06-01 | ||||
| 502 | 2021-06-01 | ||||
| 502 | 2020-06-01 | ||||
| 502 | 2019-06-01 |
| Measure | Date | Value |
|---|---|---|
| 2022: ADRIEL AUTO EAP PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-06-01 | 308 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-06-01 | 308 |
| Total of all active and inactive participants | 2022-06-01 | 308 |
| 2021: ADRIEL AUTO EAP PLAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-06-01 | 308 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-06-01 | 308 |
| Total of all active and inactive participants | 2021-06-01 | 308 |
| 2020: ADRIEL AUTO EAP PLAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-06-01 | 308 |
| Number of other retired or separated participants entitled to future benefits | 2020-06-01 | 308 |
| Total of all active and inactive participants | 2020-06-01 | 308 |
| 2019: ADRIEL AUTO EAP PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-06-01 | 308 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-06-01 | 308 |
| Number of other retired or separated participants entitled to future benefits | 2019-06-01 | 0 |
| Total of all active and inactive participants | 2019-06-01 | 308 |
| 2022: ADRIEL AUTO EAP PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-06-01 | Type of plan entity | Single employer plan |
| 2022-06-01 | Submission has been amended | No |
| 2022-06-01 | This submission is the final filing | No |
| 2022-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-06-01 | Plan is a collectively bargained plan | No |
| 2022-06-01 | Plan funding arrangement – Insurance | Yes |
| 2022-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: ADRIEL AUTO EAP PLAN 2021 form 5500 responses | ||
| 2021-06-01 | Type of plan entity | Single employer plan |
| 2021-06-01 | Submission has been amended | No |
| 2021-06-01 | This submission is the final filing | No |
| 2021-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-06-01 | Plan is a collectively bargained plan | No |
| 2021-06-01 | Plan funding arrangement – Insurance | Yes |
| 2021-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: ADRIEL AUTO EAP PLAN 2020 form 5500 responses | ||
| 2020-06-01 | Type of plan entity | Single employer plan |
| 2020-06-01 | Submission has been amended | No |
| 2020-06-01 | This submission is the final filing | No |
| 2020-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-06-01 | Plan is a collectively bargained plan | No |
| 2020-06-01 | Plan funding arrangement – Insurance | Yes |
| 2020-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: ADRIEL AUTO EAP PLAN 2019 form 5500 responses | ||
| 2019-06-01 | Type of plan entity | Single employer plan |
| 2019-06-01 | Submission has been amended | No |
| 2019-06-01 | This submission is the final filing | No |
| 2019-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-06-01 | Plan is a collectively bargained plan | No |
| 2019-06-01 | Plan funding arrangement – Insurance | Yes |
| 2019-06-01 | Plan benefit arrangement – Insurance | Yes |
| INSPIRA MENTAL HEALTH MANAGEMENT, INC. (National Association of Insurance Commissioners NAIC id number: 62133 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 00000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| INSPIRA MENTAL HEALTH MANAGEMENT, INC. (National Association of Insurance Commissioners NAIC id number: 62133 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 00000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| INSPIRA MENTAL HEALTH MANAGEMENT, INC. (National Association of Insurance Commissioners NAIC id number: 62133 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 00000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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