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| Plan Name | BASIC LIFE |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CLOUDBOLT SOFTWARE |
| Employer identification number (EIN): | 455531017 |
| NAIC Classification: | 541511 |
| NAIC Description: | Custom Computer Programming Services |
Additional information about CLOUDBOLT SOFTWARE
| Jurisdiction of Incorporation: | State of Delaware Division of Corporations |
| Incorporation Date: | |
| Company Identification Number: | 5165486 |
More information about CLOUDBOLT SOFTWARE
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2021-01-01 | YESSENIA ALVAREZ | 2022-11-30 | ||
| 501 | 2020-11-01 | YESSENIA ALVAREZ | 2021-10-04 |
| Measure | Date | Value |
|---|---|---|
| 2021: BASIC LIFE 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-01-01 | 91 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 97 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
| Total of all active and inactive participants | 2021-01-01 | 97 |
| Number of employers contributing to the scheme | 2021-01-01 | 0 |
| 2020: BASIC LIFE 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-11-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-11-01 | 104 |
| Number of retired or separated participants receiving benefits | 2020-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-11-01 | 0 |
| Total of all active and inactive participants | 2020-11-01 | 104 |
| Number of employers contributing to the scheme | 2020-11-01 | 0 |
| 2021: BASIC LIFE 2021 form 5500 responses | ||
|---|---|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Submission has been amended | Yes |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: BASIC LIFE 2020 form 5500 responses | ||
| 2020-11-01 | Type of plan entity | Single employer plan |
| 2020-11-01 | First time form 5500 has been submitted | Yes |
| 2020-11-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2020-11-01 | Plan funding arrangement – Insurance | Yes |
| 2020-11-01 | Plan benefit arrangement – Insurance | Yes |
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||||||||||||||||||
| Policy contract number | 1100339 | ||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||
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| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||||||||||||||||||
| Policy contract number | 1100339 | ||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||
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