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| Plan Name | SUNNYVALLEY SMOKED MEATS, INC. HEALTH & WELFARE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SUNNYVALLEY SMOKED MEATS, INC. |
| Employer identification number (EIN): | 680332632 |
| NAIC Classification: | 311610 |
| NAIC Description: | Animal Slaughtering and Processing |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2022-07-01 | HEATHER GRANDSTAFF | 2023-07-06 | ||
| 501 | 2021-07-01 | HEATHER GRANDSTAFF | 2023-01-10 | ||
| 501 | 2020-07-01 | HEATHER GRANDSTAFF | 2022-02-17 |
| 2022: SUNNYVALLEY SMOKED MEATS, INC. HEALTH & WELFARE PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-07-01 | Type of plan entity | Single employer plan |
| 2022-07-01 | This submission is the final filing | Yes |
| 2022-07-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2022-07-01 | Plan funding arrangement – Insurance | Yes |
| 2022-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: SUNNYVALLEY SMOKED MEATS, INC. HEALTH & WELFARE PLAN 2021 form 5500 responses | ||
| 2021-07-01 | Type of plan entity | Single employer plan |
| 2021-07-01 | Plan funding arrangement – Insurance | Yes |
| 2021-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: SUNNYVALLEY SMOKED MEATS, INC. HEALTH & WELFARE PLAN 2020 form 5500 responses | ||
| 2020-07-01 | Type of plan entity | Single employer plan |
| 2020-07-01 | First time form 5500 has been submitted | Yes |
| 2020-07-01 | Plan funding arrangement – Insurance | Yes |
| 2020-07-01 | Plan benefit arrangement – Insurance | Yes |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||
| Policy contract number | 602674 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||
| Policy contract number | 602674 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||
| Policy contract number | 602674 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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