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Plan Name | PACE-OMATIC INC, HEALTH AND WELFARE PLAN |
Plan identification number | 503 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | PACE-O-MATIC INC. |
Employer identification number (EIN): | 830332804 |
NAIC Classification: | 335100 |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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503 | 2021-01-01 | TONY BRZEZICKI | 2022-10-06 | ||
503 | 2021-01-01 | TONY BRZEZICKI | 2023-09-14 | ||
503 | 2020-01-01 | TONY BRZEZICKI | 2022-10-06 |
Measure | Date | Value |
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2021: PACE-OMATIC INC, HEALTH AND WELFARE PLAN 2021 401k membership | ||
Total participants, beginning-of-year | 2021-01-01 | 128 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 0 |
Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
Total of all active and inactive participants | 2021-01-01 | 0 |
Number of employers contributing to the scheme | 2021-01-01 | 0 |
2020: PACE-OMATIC INC, HEALTH AND WELFARE PLAN 2020 401k membership | ||
Total participants, beginning-of-year | 2020-01-01 | 112 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 112 |
Number of retired or separated participants receiving benefits | 2020-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 0 |
Total of all active and inactive participants | 2020-01-01 | 112 |
Number of employers contributing to the scheme | 2020-01-01 | 0 |
2021: PACE-OMATIC INC, HEALTH AND WELFARE PLAN 2021 form 5500 responses | ||
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2021-01-01 | Type of plan entity | Single employer plan |
2021-01-01 | Submission has been amended | Yes |
2021-01-01 | This submission is the final filing | Yes |
2021-01-01 | Plan funding arrangement – Insurance | Yes |
2021-01-01 | Plan benefit arrangement – Insurance | Yes |
2020: PACE-OMATIC INC, HEALTH AND WELFARE PLAN 2020 form 5500 responses | ||
2020-01-01 | Type of plan entity | Single employer plan |
2020-01-01 | First time form 5500 has been submitted | Yes |
2020-01-01 | Plan funding arrangement – Insurance | Yes |
2020-01-01 | Plan benefit arrangement – Insurance | Yes |
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |||||||||||||||||||||||||||||||||||||||||
Policy contract number | 165096 | ||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |||||||||||||||||||||||||||||||||||||||||
Policy contract number | 165096 | ||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |||||||||||||||||||||||||||||||||||||||||
Policy contract number | 1605096 | ||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||
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