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| Plan Name | CUBRC AND AVARINT DENTAL & VISION PLAN |
| Plan identification number | 508 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CUBRC INC |
| Employer identification number (EIN): | 222505934 |
| NAIC Classification: | 541700 |
Additional information about CUBRC INC
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 1983-12-07 |
| Company Identification Number: | 862775 |
| Legal Registered Office Address: |
4455 GENESEE STREET SUITE 106 BUFFALO United States of America (USA) 14225 |
More information about CUBRC INC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 508 | 2019-01-01 | ||||
| 508 | 2018-01-01 | TRACY GERTZ | TRACY GERTZ | 2019-07-24 |
| Measure | Date | Value |
|---|---|---|
| 2019: CUBRC AND AVARINT DENTAL & VISION PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-01-01 | 139 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 134 |
| Total of all active and inactive participants | 2019-01-01 | 134 |
| Total participants | 2019-01-01 | 134 |
| 2018: CUBRC AND AVARINT DENTAL & VISION PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-01-01 | 142 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 139 |
| Total of all active and inactive participants | 2018-01-01 | 139 |
| Total participants | 2018-01-01 | 139 |
| 2019: CUBRC AND AVARINT DENTAL & VISION 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 | Submission has been amended | No |
| 2019-01-01 | This submission is the final filing | No |
| 2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-01-01 | Plan is a collectively bargained plan | No |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: CUBRC AND AVARINT DENTAL & VISION 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 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | No |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-01 | Plan is a collectively bargained plan | No |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 00545016 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 00545016 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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