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Plan Name | URBAN ALCHEMY DENTAL PLAN |
Plan identification number | 502 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | URBAN ALCHEMY |
Employer identification number (EIN): | 825408579 |
NAIC Classification: | 813000 |
NAIC Description: | Religious, Grantmaking, Civic, Professional, and Similar Organizations |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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502 | 2021-09-01 | ANN KWON | 2023-06-08 |
Measure | Date | Value |
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2021: URBAN ALCHEMY DENTAL PLAN 2021 401k membership | ||
Total participants, beginning-of-year | 2021-09-01 | 362 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-09-01 | 0 |
Number of retired or separated participants receiving benefits | 2021-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2021-09-01 | 0 |
Total of all active and inactive participants | 2021-09-01 | 0 |
Number of employers contributing to the scheme | 2021-09-01 | 0 |
2021: URBAN ALCHEMY DENTAL PLAN 2021 form 5500 responses | ||
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2021-09-01 | Type of plan entity | Single employer plan |
2021-09-01 | This submission is the final filing | Yes |
2021-09-01 | Plan funding arrangement – Insurance | Yes |
2021-09-01 | Plan benefit arrangement – Insurance | Yes |
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||||||
Policy contract number | 21408 | ||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||
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VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||||||
Policy contract number | 30106027 | ||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||
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