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| Plan Name | FAT QUARTER SHOP, LLC HEALTH AND WELFARE PLAN |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | FAT QUARTER SHOP LLC |
| Employer identification number (EIN): | 900292949 |
| NAIC Classification: | 451130 |
| NAIC Description: | Sewing, Needlework, and Piece Goods Stores |
Additional information about FAT QUARTER SHOP LLC
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2004-02-24 |
| Company Identification Number: | 0800307402 |
| Legal Registered Office Address: |
425 PLUM CREEK MEADOWS KYLE United States of America (USA) 78640 |
More information about FAT QUARTER SHOP LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2022-09-01 | MELISSA BARLOW | 2023-12-15 | ||
| 504 | 2021-09-01 | MELISSA BARLOW | 2023-02-15 |
| 2022: FAT QUARTER SHOP, LLC HEALTH AND WELFARE PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-09-01 | Type of plan entity | Single employer plan |
| 2022-09-01 | Plan funding arrangement – Insurance | Yes |
| 2022-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: FAT QUARTER SHOP, LLC HEALTH AND WELFARE PLAN 2021 form 5500 responses | ||
| 2021-09-01 | Type of plan entity | Single employer plan |
| 2021-09-01 | First time form 5500 has been submitted | Yes |
| 2021-09-01 | Plan funding arrangement – Insurance | Yes |
| 2021-09-01 | Plan benefit arrangement – Insurance | Yes |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 894976G |
| Policy instance | 1 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |
| Policy contract number | 176212 |
| Policy instance | 2 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 894976G |
| Policy instance | 1 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |
| Policy contract number | 176212 |
| Policy instance | 2 |
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