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| Plan Name | FORCE ENVIRONMENTAL SOLUTIONS LLC LIFE INSURANCE PLAN |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | FORCE ENVIRONMENTAL SOLUTIONS, LLC |
| Employer identification number (EIN): | 833761627 |
| NAIC Classification: | 211120 |
| NAIC Description: | Crude Petroleum Extraction |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2019-11-01 | MARK STIPE | 2020-10-13 | ||
| 504 | 2018-11-01 | MARK STIPE | 2020-08-10 |
| Measure | Date | Value |
|---|---|---|
| 2019: FORCE ENVIRONMENTAL SOLUTIONS LLC LIFE INSURANCE PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-11-01 | 230 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-11-01 | 0 |
| Number of retired or separated participants receiving benefits | 2019-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-11-01 | 0 |
| Total of all active and inactive participants | 2019-11-01 | 0 |
| Number of employers contributing to the scheme | 2019-11-01 | 0 |
| 2018: FORCE ENVIRONMENTAL SOLUTIONS LLC LIFE INSURANCE PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-11-01 | 205 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-11-01 | 230 |
| Number of retired or separated participants receiving benefits | 2018-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-11-01 | 0 |
| Total of all active and inactive participants | 2018-11-01 | 230 |
| Number of employers contributing to the scheme | 2018-11-01 | 0 |
| 2019: FORCE ENVIRONMENTAL SOLUTIONS LLC LIFE INSURANCE PLAN 2019 form 5500 responses | ||
|---|---|---|
| 2019-11-01 | Type of plan entity | Single employer plan |
| 2019-11-01 | This submission is the final filing | Yes |
| 2019-11-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2019-11-01 | Plan funding arrangement – Insurance | Yes |
| 2019-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: FORCE ENVIRONMENTAL SOLUTIONS LLC LIFE INSURANCE PLAN 2018 form 5500 responses | ||
| 2018-11-01 | Type of plan entity | Single employer plan |
| 2018-11-01 | Plan funding arrangement – Insurance | Yes |
| 2018-11-01 | Plan benefit arrangement – Insurance | Yes |
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) | |||||||||||||||||||||||||||||||
| Policy contract number | G00613653 | ||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||
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| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) | |||||||||||||||||||||||||||||||
| Policy contract number | G00613653 | ||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||
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