| Plan Name | SECOND SIGHT MEDICAL PRODUCTS, INC. DBA SECOND SIGHT WELFARE BENEFITS PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | SECOND SIGHT MEDICAL PRODUCTS, INC. DBA SECOND SIGHT |
| Employer identification number (EIN): | 020692322 |
| NAIC Classification: | 541700 |
Additional information about SECOND SIGHT MEDICAL PRODUCTS, INC. DBA SECOND SIGHT
| Jurisdiction of Incorporation: | California Department of State |
| Incorporation Date: | 2003-05-22 |
| Company Identification Number: | C2536744 |
| Legal Registered Office Address: |
12744 San Fernando Road, Bldg. 3 Sylmar United States of America (USA) 91342 |
More information about SECOND SIGHT MEDICAL PRODUCTS, INC. DBA SECOND SIGHT
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2016-01-01 | JANELLA QUINTERO | |||
| 501 | 2015-01-01 | JANELLA QUINTERO | |||
| 501 | 2015-01-01 | JANELLA QUINTERO | |||
| 501 | 2014-01-01 | JANELLA QUINTERO |
| 2016: SECOND SIGHT MEDICAL PRODUCTS, INC. DBA SECOND SIGHT WELFARE BENEFITS PLAN 2016 form 5500 responses | ||
|---|---|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Submission has been amended | No |
| 2016-01-01 | This submission is the final filing | No |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-01-01 | Plan is a collectively bargained plan | No |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: SECOND SIGHT MEDICAL PRODUCTS, INC. DBA SECOND SIGHT WELFARE BENEFITS PLAN 2015 form 5500 responses | ||
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | Yes |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: SECOND SIGHT MEDICAL PRODUCTS, INC. DBA SECOND SIGHT WELFARE BENEFITS PLAN 2014 form 5500 responses | ||
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | First time form 5500 has been submitted | Yes |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 ) | |
| Policy contract number | W0053645 |
| Policy instance | 1 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 00453118 |
| Policy instance | 2 |
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 152151 |
| Policy instance | 1 |
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) | |
| Policy contract number | 152151 |
| Policy instance | 2 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 00453118 |
| Policy instance | 3 |