| Plan Name | AMPLIFYBIO LIFE AND DISABILITY BENEFIT PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | AMPLIFYBIO |
| Employer identification number (EIN): | 862301671 |
| NAIC Classification: | 541700 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2023-01-01 | JEVE WILLIS | 2024-10-01 | ||
| 502 | 2022-05-01 | JEVE WILLIS | 2023-10-11 | ||
| 502 | 2021-05-01 | JEVE WILLIS | 2023-01-30 |
| 2023: AMPLIFYBIO LIFE AND DISABILITY BENEFIT PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: AMPLIFYBIO LIFE AND DISABILITY BENEFIT PLAN 2022 form 5500 responses | ||
| 2022-05-01 | Type of plan entity | Single employer plan |
| 2022-05-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2022-05-01 | Plan funding arrangement – Insurance | Yes |
| 2022-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: AMPLIFYBIO LIFE AND DISABILITY BENEFIT PLAN 2021 form 5500 responses | ||
| 2021-05-01 | Type of plan entity | Single employer plan |
| 2021-05-01 | First time form 5500 has been submitted | Yes |
| 2021-05-01 | Plan funding arrangement – Insurance | Yes |
| 2021-05-01 | Plan benefit arrangement – Insurance | Yes |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||
| Policy contract number | 5977754 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
| |||||||||||||||||||||||||
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||
| Policy contract number | 5977754 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||
| Policy contract number | 5977754 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||