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| Plan Name | A&D MORTGAGE MEDICAL PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | A&D MORTGAGE LLC |
| Employer identification number (EIN): | 800832417 |
| NAIC Classification: | 522292 |
| NAIC Description: | Real Estate Credit |
Additional information about A&D MORTGAGE LLC
| Jurisdiction of Incorporation: | Florida Department of State Division of Corporations |
| Incorporation Date: | 2012-07-09 |
| Company Identification Number: | L12000088950 |
| Legal Registered Office Address: |
1040 S FEDERAL HWY HOLLYWOOD 33020 |
More information about A&D MORTGAGE LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2021-12-01 | JESSICA VALDES | 2023-06-20 |
| Measure | Date | Value |
|---|---|---|
| 2021: A&D MORTGAGE MEDICAL PLAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-12-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-12-01 | 98 |
| Number of retired or separated participants receiving benefits | 2021-12-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2021-12-01 | 12 |
| Total of all active and inactive participants | 2021-12-01 | 111 |
| Number of employers contributing to the scheme | 2021-12-01 | 0 |
| 2021: A&D MORTGAGE MEDICAL PLAN 2021 form 5500 responses | ||
|---|---|---|
| 2021-12-01 | Type of plan entity | Single employer plan |
| 2021-12-01 | First time form 5500 has been submitted | Yes |
| 2021-12-01 | Plan funding arrangement – Insurance | Yes |
| 2021-12-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) | |||||||||||||||||||||||
| Policy contract number | D0746 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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| BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 ) | |||||||||||||||||||||||
| Policy contract number | D0746 | ||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||
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