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Plan Name | CHURCHILL ADMINISTRATIVE SERVICES, LLC DENTAL |
Plan identification number | 504 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | CHURCHILL ADMINISTRATIVE SERVICES, LLC |
Employer identification number (EIN): | 811093064 |
NAIC Classification: | 531110 |
NAIC Description: | Lessors of Residential Buildings and Dwellings |
Additional information about CHURCHILL ADMINISTRATIVE SERVICES, LLC
Jurisdiction of Incorporation: | Texas Secretary of State |
Incorporation Date: | 2016-01-08 |
Company Identification Number: | 0802365326 |
Legal Registered Office Address: |
5605 N MACARTHUR BLVD STE 580 IRVING United States of America (USA) 75038 |
More information about CHURCHILL ADMINISTRATIVE SERVICES, LLC
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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504 | 2019-10-01 | SANDY KLIDAS | 2021-07-13 | ||
504 | 2017-10-01 | SANDY KLIDAS | 2019-06-20 | ||
504 | 2016-10-01 | SANDY KLIDAS | |||
504 | 2016-05-01 | SANDY KLIDAS | SANDY KLIDAS | 2017-05-18 | |
504 | 2015-05-01 | 2016-10-26 | |||
504 | 2015-05-01 | BRADLEY E. FORSLUND |
Measure | Date | Value |
---|---|---|
2019: CHURCHILL ADMINISTRATIVE SERVICES, LLC DENTAL 2019 401k membership | ||
Total participants, beginning-of-year | 2019-10-01 | 100 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-10-01 | 408 |
Number of retired or separated participants receiving benefits | 2019-10-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2019-10-01 | 0 |
Total of all active and inactive participants | 2019-10-01 | 408 |
Number of employers contributing to the scheme | 2019-10-01 | 0 |
2017: CHURCHILL ADMINISTRATIVE SERVICES, LLC DENTAL 2017 401k membership | ||
Total participants, beginning-of-year | 2017-10-01 | 106 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-10-01 | 79 |
Number of retired or separated participants receiving benefits | 2017-10-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2017-10-01 | 0 |
Total of all active and inactive participants | 2017-10-01 | 79 |
Number of employers contributing to the scheme | 2017-10-01 | 0 |
2016: CHURCHILL ADMINISTRATIVE SERVICES, LLC DENTAL 2016 401k membership | ||
Total participants, beginning-of-year | 2016-10-01 | 106 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-10-01 | 106 |
Number of retired or separated participants receiving benefits | 2016-10-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2016-10-01 | 0 |
Total of all active and inactive participants | 2016-10-01 | 106 |
Total participants, beginning-of-year | 2016-05-01 | 112 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-05-01 | 106 |
Number of retired or separated participants receiving benefits | 2016-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2016-05-01 | 0 |
Total of all active and inactive participants | 2016-05-01 | 106 |
2015: CHURCHILL ADMINISTRATIVE SERVICES, LLC DENTAL 2015 401k membership | ||
Total participants, beginning-of-year | 2015-05-01 | 104 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-05-01 | 111 |
Number of retired or separated participants receiving benefits | 2015-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2015-05-01 | 0 |
Total of all active and inactive participants | 2015-05-01 | 111 |
2019: CHURCHILL ADMINISTRATIVE SERVICES, LLC DENTAL 2019 form 5500 responses | ||
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2019-10-01 | Type of plan entity | Single employer plan |
2019-10-01 | Plan funding arrangement – Insurance | Yes |
2019-10-01 | Plan benefit arrangement – Insurance | Yes |
2017: CHURCHILL ADMINISTRATIVE SERVICES, LLC DENTAL 2017 form 5500 responses | ||
2017-10-01 | Type of plan entity | Single employer plan |
2017-10-01 | Plan funding arrangement – Insurance | Yes |
2017-10-01 | Plan benefit arrangement – Insurance | Yes |
2016: CHURCHILL ADMINISTRATIVE SERVICES, LLC DENTAL 2016 form 5500 responses | ||
2016-10-01 | Type of plan entity | Single employer plan |
2016-10-01 | Submission has been amended | No |
2016-10-01 | This submission is the final filing | No |
2016-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2016-10-01 | Plan is a collectively bargained plan | No |
2016-10-01 | Plan funding arrangement – Insurance | Yes |
2016-10-01 | Plan benefit arrangement – Insurance | Yes |
2016-05-01 | Type of plan entity | Single employer plan |
2016-05-01 | Submission has been amended | No |
2016-05-01 | This submission is the final filing | No |
2016-05-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2016-05-01 | Plan is a collectively bargained plan | No |
2016-05-01 | Plan funding arrangement – Insurance | Yes |
2016-05-01 | Plan benefit arrangement – Insurance | Yes |
2015: CHURCHILL ADMINISTRATIVE SERVICES, LLC DENTAL 2015 form 5500 responses | ||
2015-05-01 | Type of plan entity | Single employer plan |
2015-05-01 | First time form 5500 has been submitted | Yes |
2015-05-01 | Submission has been amended | No |
2015-05-01 | This submission is the final filing | No |
2015-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2015-05-01 | Plan is a collectively bargained plan | No |
2015-05-01 | Plan funding arrangement – Insurance | Yes |
2015-05-01 | Plan benefit arrangement – Insurance | Yes |
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 219572 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | KM05712605 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | KM05712605 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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