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| Plan Name | COUGHLAN COMPANIES LLC GROUP VISION PLAN |
| Plan identification number | 505 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | COUGHLAN COMPANIES LLC |
| Employer identification number (EIN): | 824045107 |
| NAIC Classification: | 212390 |
| NAIC Description: | Other Nonmetallic Mineral Mining and Quarrying |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 505 | 2019-01-01 | ||||
| 505 | 2018-01-01 | MARY JOHNSON | MARY JOHNSON | 2019-06-26 |
| Measure | Date | Value |
|---|---|---|
| 2019: COUGHLAN COMPANIES LLC GROUP VISION PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-01-01 | 116 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 0 |
| Total of all active and inactive participants | 2019-01-01 | 0 |
| 2018: COUGHLAN COMPANIES LLC GROUP VISION PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-01-01 | 108 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 108 |
| Total of all active and inactive participants | 2018-01-01 | 108 |
| 2019: COUGHLAN COMPANIES LLC GROUP VISION PLAN 2019 form 5500 responses | ||
|---|---|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | This submission is the final filing | Yes |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: COUGHLAN COMPANIES LLC GROUP VISION PLAN 2018 form 5500 responses | ||
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | First time form 5500 has been submitted | Yes |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 5947252 |
| Policy instance | 1 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 5947252 |
| Policy instance | 1 |
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