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| Plan Name | SPARK FUN ELECTRONICS INC MEDICAL PLAN |
| Plan identification number | 506 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SPARK FUN ELECTRONICS INC |
| Employer identification number (EIN): | 201617837 |
| NAIC Classification: | 454110 |
| NAIC Description: | Electronic Shopping and Mail-Order Houses |
Additional information about SPARK FUN ELECTRONICS INC
| Jurisdiction of Incorporation: | Colorado Department of State |
| Incorporation Date: | 2004-09-17 |
| Company Identification Number: | 20041325710 |
| Legal Registered Office Address: |
6333 Dry Creek Pkwy Niwot United States of America (USA) 80503 |
More information about SPARK FUN ELECTRONICS INC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 506 | 2019-01-01 | KRISTEN MOOREFIELD | 2020-08-18 | ||
| 506 | 2018-01-01 | KRISTEN MOOREFIELD | 2019-09-27 |
| 2019: SPARK FUN ELECTRONICS INC MEDICAL PLAN 2019 form 5500 responses | ||
|---|---|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: SPARK FUN ELECTRONICS INC MEDICAL PLAN 2018 form 5500 responses | ||
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | First time form 5500 has been submitted | Yes |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| BETA HEALTH ALPHA DENTAL PLAN (National Association of Insurance Commissioners NAIC id number: 45411 ) | |
| Policy contract number | GP00013801 |
| Policy instance | 1 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |
| Policy contract number | 10158420 |
| Policy instance | 2 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 5319111 |
| Policy instance | 3 |
| BETA HEALTH ASSOCIATION, INC. (National Association of Insurance Commissioners NAIC id number: 81300 ) | |
| Policy contract number | GP00013801 |
| Policy instance | 2 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 5319111 |
| Policy instance | 1 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |
| Policy contract number | 10158420 |
| Policy instance | 3 |
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