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| Plan Name | LEWIS COUNTY/MASON COUNTY FOREST PRODUCTS,LLC HEALTH AND WELFARE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | LONG BELL VENTURES, LLC DBA LEWIS COUNTY |
| Employer identification number (EIN): | 412027393 |
| NAIC Classification: | 113210 |
| NAIC Description: | Forest Nurseries and Gathering of Forest Products |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2010-04-01 | KARISSA ALESKUS | KARISSA ALESKUS | 2011-05-25 | |
| 501 | 2009-04-01 | KARISSA ALESKUS | KARISSA ALESKUS | 2010-11-15 |
| Measure | Date | Value |
|---|---|---|
| 2010: LEWIS COUNTY/MASON COUNTY FOREST PRODUCTS,LLC HEALTH AND WELFARE PLAN 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-04-01 | 125 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-04-01 | 0 |
| Total of all active and inactive participants | 2010-04-01 | 0 |
| 2009: LEWIS COUNTY/MASON COUNTY FOREST PRODUCTS,LLC HEALTH AND WELFARE PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-04-01 | 92 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-04-01 | 125 |
| Total of all active and inactive participants | 2009-04-01 | 125 |
| 2010: LEWIS COUNTY/MASON COUNTY FOREST PRODUCTS,LLC HEALTH AND WELFARE PLAN 2010 form 5500 responses | ||
|---|---|---|
| 2010-04-01 | Type of plan entity | Single employer plan |
| 2010-04-01 | This submission is the final filing | Yes |
| 2010-04-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2010-04-01 | Plan funding arrangement – Insurance | Yes |
| 2010-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: LEWIS COUNTY/MASON COUNTY FOREST PRODUCTS,LLC HEALTH AND WELFARE PLAN 2009 form 5500 responses | ||
| 2009-04-01 | Type of plan entity | Single employer plan |
| 2009-04-01 | Plan funding arrangement – Insurance | Yes |
| 2009-04-01 | Plan benefit arrangement – Insurance | Yes |
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