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| Plan Name | NEW DAIRY ALABAMA HEALTH AND WELFARE PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | NEW DAIRY ALABAMA |
| Employer identification number (EIN): | 851834994 |
| NAIC Classification: | 311500 |
| NAIC Description: | Dairy Product Manufacturing |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2020-07-20 | BRICE COLEMAN | 2021-02-08 |
| Measure | Date | Value |
|---|---|---|
| 2020: NEW DAIRY ALABAMA HEALTH AND WELFARE PLAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-07-20 | 94 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-07-20 | 94 |
| Number of retired or separated participants receiving benefits | 2020-07-20 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-07-20 | 0 |
| Total of all active and inactive participants | 2020-07-20 | 94 |
| Number of employers contributing to the scheme | 2020-07-20 | 0 |
| 2020: NEW DAIRY ALABAMA HEALTH AND WELFARE PLAN 2020 form 5500 responses | ||
|---|---|---|
| 2020-07-20 | Type of plan entity | Single employer plan |
| 2020-07-20 | First time form 5500 has been submitted | Yes |
| 2020-07-20 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2020-07-20 | Plan is a collectively bargained plan | Yes |
| 2020-07-20 | Plan funding arrangement – Insurance | Yes |
| 2020-07-20 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) | |||||||||||||||||||
| Policy contract number | 26224 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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