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| Plan Name | PERSONNEL STAFFING, INC DENTAL PLAN |
| Plan identification number | 511 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | PERSONNEL STAFFING, INC. |
| Employer identification number (EIN): | 631039675 |
| NAIC Classification: | 561300 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 511 | 2020-01-01 | MIKE PURKEY | 2021-08-20 | ||
| 511 | 2019-01-01 | MIKE PURKEY | 2020-09-29 |
| Measure | Date | Value |
|---|---|---|
| 2020: PERSONNEL STAFFING, INC DENTAL PLAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-01-01 | 288 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 0 |
| Total of all active and inactive participants | 2020-01-01 | 0 |
| Number of employers contributing to the scheme | 2020-01-01 | 0 |
| 2019: PERSONNEL STAFFING, INC DENTAL PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-01-01 | 137 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 433 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
| Total of all active and inactive participants | 2019-01-01 | 433 |
| Number of employers contributing to the scheme | 2019-01-01 | 0 |
| 2020: PERSONNEL STAFFING, INC DENTAL PLAN 2020 form 5500 responses | ||
|---|---|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | This submission is the final filing | Yes |
| 2020-01-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: PERSONNEL STAFFING, INC DENTAL PLAN 2019 form 5500 responses | ||
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | First time form 5500 has been submitted | Yes |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 ) | |||||||||||||||||||||||||
| Policy contract number | ESC5699 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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| COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 ) | |||||||||||||||||||||||||
| Policy contract number | ESC5699 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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