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| Plan Name | CARPET TECH, LTD VISION PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CARPET TECH |
| Employer identification number (EIN): | 202295071 |
| NAIC Classification: | 561740 |
| NAIC Description: | Carpet and Upholstery Cleaning Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2023-03-01 | JAMARA RODRIGUEZ | 2024-09-24 |
| Measure | Date | Value |
|---|---|---|
| 2023: CARPET TECH, LTD VISION PLAN 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-03-01 | 136 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-03-01 | 130 |
| Number of retired or separated participants receiving benefits | 2023-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2023-03-01 | 0 |
| Total of all active and inactive participants | 2023-03-01 | 130 |
| 2023: CARPET TECH, LTD VISION PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-03-01 | Type of plan entity | Single employer plan |
| 2023-03-01 | First time form 5500 has been submitted | Yes |
| 2023-03-01 | Submission has been amended | No |
| 2023-03-01 | This submission is the final filing | No |
| 2023-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2023-03-01 | Plan is a collectively bargained plan | No |
| 2023-03-01 | Plan funding arrangement – Insurance | Yes |
| 2023-03-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-03-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| BLOCK VISION (National Association of Insurance Commissioners NAIC id number: 95387 ) | |||||||||||||||||||||||||||||||||||
| Policy contract number | 333840 | ||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||
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