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| Plan Name | LIFE INSURANCE AND EMPLOYEE WEEKLY INDEMNITY PLAN |
| Plan identification number | 524 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | WORTHEN INDUSTRIES, INC. |
| Employer identification number (EIN): | 020505077 |
| NAIC Classification: | 325200 |
Additional information about WORTHEN INDUSTRIES, INC.
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 1999-03-01 |
| Company Identification Number: | 0012536006 |
| Legal Registered Office Address: |
3 E SPIT BROOK RD NASHUA United States of America (USA) 03060 |
More information about WORTHEN INDUSTRIES, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 524 | 2009-05-01 | EILEEN MORIN | 2010-10-08 | ||
| 524 | 2009-05-01 | EILEEN MORIN |
| Measure | Date | Value |
|---|---|---|
| 2009: LIFE INSURANCE AND EMPLOYEE WEEKLY INDEMNITY PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-05-01 | 69 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-05-01 | 66 |
| Total of all active and inactive participants | 2009-05-01 | 66 |
| Total participants | 2009-05-01 | 66 |
| 2009: LIFE INSURANCE AND EMPLOYEE WEEKLY INDEMNITY PLAN 2009 form 5500 responses | ||
|---|---|---|
| 2009-05-01 | Type of plan entity | Single employer plan |
| 2009-05-01 | Submission has been amended | No |
| 2009-05-01 | This submission is the final filing | No |
| 2009-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-05-01 | Plan is a collectively bargained plan | No |
| 2009-05-01 | Plan funding arrangement – Insurance | Yes |
| 2009-05-01 | Plan benefit arrangement – Insurance | Yes |
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