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| Plan Name | SOMERSET INVESTMENTS HEALTH AND DENTAL PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SOMERSET INVESTMENTS, INC. |
| Employer identification number (EIN): | 753091379 |
| NAIC Classification: | 451211 |
| NAIC Description: | Book Stores |
Additional information about SOMERSET INVESTMENTS, INC.
| Jurisdiction of Incorporation: | Oregon Secretary of State Corporations Division |
| Incorporation Date: | 2002-12-16 |
| Company Identification Number: | 11905692 |
More information about SOMERSET INVESTMENTS, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2015-11-01 | DIEGO LUGLI | |||
| 503 | 2014-11-01 | RUSSELL R BOEDEKER |
| Measure | Date | Value |
|---|---|---|
| 2015: SOMERSET INVESTMENTS HEALTH AND DENTAL PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-11-01 | 166 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-11-01 | 153 |
| Number of retired or separated participants receiving benefits | 2015-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-11-01 | 0 |
| Total of all active and inactive participants | 2015-11-01 | 153 |
| 2014: SOMERSET INVESTMENTS HEALTH AND DENTAL PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-11-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-11-01 | 166 |
| Number of retired or separated participants receiving benefits | 2014-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-11-01 | 0 |
| Total of all active and inactive participants | 2014-11-01 | 166 |
| 2015: SOMERSET INVESTMENTS HEALTH AND DENTAL PLAN 2015 form 5500 responses | ||
|---|---|---|
| 2015-11-01 | Type of plan entity | Single employer plan |
| 2015-11-01 | Submission has been amended | No |
| 2015-11-01 | This submission is the final filing | No |
| 2015-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-11-01 | Plan is a collectively bargained plan | No |
| 2015-11-01 | Plan funding arrangement – Insurance | Yes |
| 2015-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: SOMERSET INVESTMENTS HEALTH AND DENTAL PLAN 2014 form 5500 responses | ||
| 2014-11-01 | Type of plan entity | Single employer plan |
| 2014-11-01 | First time form 5500 has been submitted | Yes |
| 2014-11-01 | Submission has been amended | No |
| 2014-11-01 | This submission is the final filing | No |
| 2014-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-11-01 | Plan is a collectively bargained plan | No |
| 2014-11-01 | Plan funding arrangement – Insurance | Yes |
| 2014-11-01 | Plan benefit arrangement – Insurance | Yes |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 16626 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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