| Plan Name | AMFUEL GROUP VOLUNTARY LIFE PLAN |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | AMFUEL CELL & COATED FABRICS CO. |
| Employer identification number (EIN): | 710567522 |
| NAIC Classification: | 326200 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2017-06-01 | DIANNE STRICKLAND | |||
| 504 | 2015-10-01 | DIANNE STRICKLAND | |||
| 504 | 2014-10-01 | DIANNE STRICKLAND | |||
| 504 | 2013-10-01 | SUSAN BULLINGER | |||
| 504 | 2012-10-01 | SUSAN BULLINGER |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |
| Policy contract number | GVTL0B6BQ |
| Policy instance | 1 |