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| Plan Name | OZARK MOUNTAIN POULTRY, INC. WARREN WELFARE BENEFITS PLAN |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | OZARK MOUNTAIN POULTRY, INC. |
| Employer identification number (EIN): | 710847279 |
| NAIC Classification: | 112300 |
| NAIC Description: | Poultry & Egg Production |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2016-04-01 | HOGANTAYLOR LLP PREPARER | HOGANTAYLOR LLP PREPARER | 2017-01-14 | |
| 504 | 2015-04-01 | HOGANTAYLOR LLP PREPARER | HOGANTAYLOR LLP PREPARER | 2017-01-14 | |
| 504 | 2014-12-01 | HOGANTAYLOR LLP PREPARER | HOGANTAYLOR LLP PREPARER | 2016-01-14 |
| Measure | Date | Value |
|---|---|---|
| 2016: OZARK MOUNTAIN POULTRY, INC. WARREN WELFARE BENEFITS PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-04-01 | 189 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-04-01 | 0 |
| Total of all active and inactive participants | 2016-04-01 | 0 |
| Total participants | 2016-04-01 | 0 |
| 2015: OZARK MOUNTAIN POULTRY, INC. WARREN WELFARE BENEFITS PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-04-01 | 125 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-04-01 | 189 |
| Total of all active and inactive participants | 2015-04-01 | 189 |
| Total participants | 2015-04-01 | 189 |
| 2014: OZARK MOUNTAIN POULTRY, INC. WARREN WELFARE BENEFITS PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-12-01 | 125 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-12-01 | 125 |
| Total of all active and inactive participants | 2014-12-01 | 125 |
| Total participants | 2014-12-01 | 125 |
| 2016: OZARK MOUNTAIN POULTRY, INC. WARREN WELFARE BENEFITS PLAN 2016 form 5500 responses | ||
|---|---|---|
| 2016-04-01 | Type of plan entity | Single employer plan |
| 2016-04-01 | Submission has been amended | No |
| 2016-04-01 | This submission is the final filing | Yes |
| 2016-04-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2016-04-01 | Plan is a collectively bargained plan | No |
| 2016-04-01 | Plan funding arrangement – Insurance | Yes |
| 2016-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: OZARK MOUNTAIN POULTRY, INC. WARREN WELFARE BENEFITS PLAN 2015 form 5500 responses | ||
| 2015-04-01 | Type of plan entity | Single employer plan |
| 2015-04-01 | Submission has been amended | No |
| 2015-04-01 | This submission is the final filing | No |
| 2015-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-04-01 | Plan is a collectively bargained plan | No |
| 2015-04-01 | Plan funding arrangement – Insurance | Yes |
| 2015-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: OZARK MOUNTAIN POULTRY, INC. WARREN WELFARE BENEFITS PLAN 2014 form 5500 responses | ||
| 2014-12-01 | Type of plan entity | Single employer plan |
| 2014-12-01 | First time form 5500 has been submitted | Yes |
| 2014-12-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2014-12-01 | Plan funding arrangement – Insurance | Yes |
| 2014-12-01 | Plan benefit arrangement – Insurance | Yes |
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 5473676 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 5473676 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 5473676 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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