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| Plan Name | MCLENDON HARDWARE, INC. KAISER GROUP HEALTH PPO |
| Plan identification number | 751 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MCLENDON HARDWARE, INC. |
| Employer identification number (EIN): | 910743973 |
| NAIC Classification: | 444130 |
| NAIC Description: | Hardware Stores |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 751 | 2017-01-01 | GAIL MCLENDON | GAIL MCLENDON | 2018-07-16 |
| Measure | Date | Value |
|---|---|---|
| 2017: MCLENDON HARDWARE, INC. KAISER GROUP HEALTH PPO 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 202 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 0 |
| Total of all active and inactive participants | 2017-01-01 | 0 |
| Total participants | 2017-01-01 | 0 |
| 2017: MCLENDON HARDWARE, INC. KAISER GROUP HEALTH PPO 2017 form 5500 responses | ||
|---|---|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | Yes |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-01 | Plan is a collectively bargained plan | No |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 ) | |
| Policy contract number | 6773000 |
| Policy instance | 1 |
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