| Plan Name | TRAVIS PATTERN & FOUNDRY INC EMPLOYEE HEALTH BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | TRAVIS INDUSTRIES, INC. |
| Employer identification number (EIN): | 911403129 |
| NAIC Classification: | 332900 |
Additional information about TRAVIS INDUSTRIES, INC.
| Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
| Incorporation Date: | 1988-03-08 |
| Company Identification Number: | 601073429 |
| Legal Registered Office Address: |
1413 E HAWTHORNE RD SPOKANE United States of America (USA) 992183100 |
More information about TRAVIS INDUSTRIES, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2021-08-01 | SCOTT CHAFFIN | 2022-12-19 | ||
| 501 | 2020-08-01 | SCOTT CHAFFIN | 2022-02-07 | SCOTT CHAFFIN | 2022-02-07 |
| 501 | 2019-08-01 | SCOTT CHAFFIN | 2021-05-12 | SCOTT CHAFFIN | 2021-05-12 |
| 501 | 2018-08-01 | SCOTT CHAFFIN | 2019-11-18 | SCOTT CHAFFIN | 2019-11-18 |
| 501 | 2017-08-01 | ||||
| 501 | 2016-08-01 | ||||
| 501 | 2015-08-01 | ||||
| 501 | 2014-08-01 | ||||
| 501 | 2013-08-01 | JIM CLAY | |||
| 501 | 2012-08-01 | MARY WRIGHT | MARY WRIGHT | 2014-06-06 | |
| 501 | 2011-08-01 | MARY WRIGHT | 2013-06-14 | MARY WRIGHT | 2014-05-30 |
| 501 | 2010-08-01 | MARY WRIGHT | |||
| 501 | 2009-08-01 | TRAVIS GARSKE |
| 2021: TRAVIS PATTERN & FOUNDRY INC EMPLOYEE HEALTH BENEFIT PLAN 2021 form 5500 responses | ||
|---|---|---|
| 2021-08-01 | Type of plan entity | Single employer plan |
| 2021-08-01 | This submission is the final filing | Yes |
| 2021-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: TRAVIS PATTERN & FOUNDRY INC EMPLOYEE HEALTH BENEFIT PLAN 2020 form 5500 responses | ||
| 2020-08-01 | Type of plan entity | Single employer plan |
| 2020-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: TRAVIS PATTERN & FOUNDRY INC EMPLOYEE HEALTH BENEFIT PLAN 2019 form 5500 responses | ||
| 2019-08-01 | Type of plan entity | Single employer plan |
| 2019-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: TRAVIS PATTERN & FOUNDRY INC EMPLOYEE HEALTH BENEFIT PLAN 2018 form 5500 responses | ||
| 2018-08-01 | Type of plan entity | Single employer plan |
| 2018-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: TRAVIS PATTERN & FOUNDRY INC EMPLOYEE HEALTH BENEFIT PLAN 2017 form 5500 responses | ||
| 2017-08-01 | Type of plan entity | Single employer plan |
| 2017-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: TRAVIS PATTERN & FOUNDRY INC EMPLOYEE HEALTH BENEFIT PLAN 2016 form 5500 responses | ||
| 2016-08-01 | Type of plan entity | Single employer plan |
| 2016-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: TRAVIS PATTERN & FOUNDRY INC EMPLOYEE HEALTH BENEFIT PLAN 2015 form 5500 responses | ||
| 2015-08-01 | Type of plan entity | Single employer plan |
| 2015-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: TRAVIS PATTERN & FOUNDRY INC EMPLOYEE HEALTH BENEFIT PLAN 2014 form 5500 responses | ||
| 2014-08-01 | Type of plan entity | Single employer plan |
| 2014-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: TRAVIS PATTERN & FOUNDRY INC EMPLOYEE HEALTH BENEFIT PLAN 2013 form 5500 responses | ||
| 2013-08-01 | Type of plan entity | Single employer plan |
| 2013-08-01 | Submission has been amended | No |
| 2013-08-01 | This submission is the final filing | No |
| 2013-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-08-01 | Plan is a collectively bargained plan | No |
| 2013-08-01 | Plan funding arrangement – Insurance | Yes |
| 2013-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: TRAVIS PATTERN & FOUNDRY INC EMPLOYEE HEALTH BENEFIT PLAN 2012 form 5500 responses | ||
| 2012-08-01 | Type of plan entity | Single employer plan |
| 2012-08-01 | Submission has been amended | No |
| 2012-08-01 | This submission is the final filing | No |
| 2012-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-08-01 | Plan is a collectively bargained plan | No |
| 2012-08-01 | Plan funding arrangement – Insurance | Yes |
| 2012-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: TRAVIS PATTERN & FOUNDRY INC EMPLOYEE HEALTH BENEFIT PLAN 2011 form 5500 responses | ||
| 2011-08-01 | Type of plan entity | Single employer plan |
| 2011-08-01 | Submission has been amended | No |
| 2011-08-01 | This submission is the final filing | No |
| 2011-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-08-01 | Plan is a collectively bargained plan | No |
| 2011-08-01 | Plan funding arrangement – Insurance | Yes |
| 2011-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: TRAVIS PATTERN & FOUNDRY INC EMPLOYEE HEALTH BENEFIT PLAN 2010 form 5500 responses | ||
| 2010-08-01 | Type of plan entity | Single employer plan |
| 2010-08-01 | Submission has been amended | No |
| 2010-08-01 | This submission is the final filing | No |
| 2010-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-08-01 | Plan is a collectively bargained plan | No |
| 2010-08-01 | Plan funding arrangement – Insurance | Yes |
| 2010-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: TRAVIS PATTERN & FOUNDRY INC EMPLOYEE HEALTH BENEFIT PLAN 2009 form 5500 responses | ||
| 2009-08-01 | Type of plan entity | Single employer plan |
| 2009-08-01 | Plan funding arrangement – Insurance | Yes |
| 2009-08-01 | Plan benefit arrangement – Insurance | Yes |
| FIRST CHOICE HEALTH EAP (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | TF104 |
| Policy instance | 1 |
| FIRST CHOICE HEALTH EAP (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | TF104 |
| Policy instance | 1 |
| FIRST CHOICE HEALTH EAP (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | TF104 |
| Policy instance | 1 |
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) | |
| Policy contract number | HCL17848 |
| Policy instance | 1 |