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CHURCHILL ADMINISTRATIVE SERVICES, LLC DENTAL 401k Plan overview

Plan NameCHURCHILL ADMINISTRATIVE SERVICES, LLC DENTAL
Plan identification number 504

CHURCHILL ADMINISTRATIVE SERVICES, LLC DENTAL Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

CHURCHILL ADMINISTRATIVE SERVICES, LLC has sponsored the creation of one or more 401k plans.

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: 1132 GLADE RD

COLLEYVILLE
United States of America (USA)
76034

More information about CHURCHILL ADMINISTRATIVE SERVICES, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHURCHILL ADMINISTRATIVE SERVICES, LLC DENTAL

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042019-10-01SANDY KLIDAS2021-07-13
5042017-10-01SANDY KLIDAS2019-06-20
5042016-10-01SANDY KLIDAS
5042016-05-01SANDY KLIDAS SANDY KLIDAS2017-05-18
5042015-05-012016-10-26
5042015-05-01BRADLEY E. FORSLUND

Form 5500 Responses for CHURCHILL ADMINISTRATIVE SERVICES, LLC DENTAL

2019: CHURCHILL ADMINISTRATIVE SERVICES, LLC DENTAL 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2017: CHURCHILL ADMINISTRATIVE SERVICES, LLC DENTAL 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2016: CHURCHILL ADMINISTRATIVE SERVICES, LLC DENTAL 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-05-01Type of plan entitySingle employer plan
2016-05-01Submission has been amendedNo
2016-05-01This submission is the final filingNo
2016-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-05-01Plan is a collectively bargained planNo
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan benefit arrangement – InsuranceYes
2015: CHURCHILL ADMINISTRATIVE SERVICES, LLC DENTAL 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01First time form 5500 has been submittedYes
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number219572
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05712605
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05712605
Policy instance 1

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