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| Plan Name | VOLUNTARY LIFE AND AD&D |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | ATLANTIC PIPE SERVICES, LLC |
| Employer identification number (EIN): | 814515509 |
| NAIC Classification: | 811490 |
| NAIC Description: | Other Personal and Household Goods Repair and Maintenance |
Additional information about ATLANTIC PIPE SERVICES, LLC
| Jurisdiction of Incorporation: | Florida Department of State Division of Corporations |
| Incorporation Date: | 2016-11-18 |
| Company Identification Number: | L16000212104 |
| Legal Registered Office Address: |
1420 MARTIN LUTHER KING JR BLVD SANFORD 32771 |
More information about ATLANTIC PIPE SERVICES, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2022-12-01 | CLINT BOLDT | 2024-06-24 |
| Measure | Date | Value |
|---|---|---|
| 2022: VOLUNTARY LIFE AND AD&D 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-12-01 | 120 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-12-01 | 120 |
| Number of retired or separated participants receiving benefits | 2022-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-12-01 | 0 |
| Total of all active and inactive participants | 2022-12-01 | 120 |
| Number of employers contributing to the scheme | 2022-12-01 | 0 |
| 2022: VOLUNTARY LIFE AND AD&D 2022 form 5500 responses | ||
|---|---|---|
| 2022-12-01 | Type of plan entity | Single employer plan |
| 2022-12-01 | First time form 5500 has been submitted | Yes |
| 2022-12-01 | Plan funding arrangement – Insurance | Yes |
| 2022-12-01 | Plan benefit arrangement – Insurance | Yes |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 ) | |||||||||||||||||||||||||||
| Policy contract number | 400258523 | ||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||
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