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| Plan Name | GODSHALL'S QUALITY MEATS, INC. GROUP HEALTH PLAN |
| Plan identification number | 510 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | GODSHALL'S QUALITY MEATS, INC. |
| Employer identification number (EIN): | 232267598 |
| NAIC Classification: | 311610 |
| NAIC Description: | Animal Slaughtering and Processing |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 510 | 2015-05-01 | WENDY FONDA | |||
| 510 | 2015-05-01 | WENDY FONDA | |||
| 510 | 2014-05-01 | WENDY FONDA |
| Measure | Date | Value |
|---|---|---|
| 2015: GODSHALL'S QUALITY MEATS, INC. GROUP HEALTH PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-05-01 | 182 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-05-01 | 179 |
| Number of retired or separated participants receiving benefits | 2015-05-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2015-05-01 | 0 |
| Total of all active and inactive participants | 2015-05-01 | 181 |
| 2014: GODSHALL'S QUALITY MEATS, INC. GROUP HEALTH PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-05-01 | 138 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-05-01 | 174 |
| Number of retired or separated participants receiving benefits | 2014-05-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2014-05-01 | 10 |
| Total of all active and inactive participants | 2014-05-01 | 185 |
| Total participants | 2014-05-01 | 185 |
| 2015: GODSHALL'S QUALITY MEATS, INC. GROUP HEALTH PLAN 2015 form 5500 responses | ||
|---|---|---|
| 2015-05-01 | Type of plan entity | Single employer plan |
| 2015-05-01 | Submission has been amended | No |
| 2015-05-01 | This submission is the final filing | No |
| 2015-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-05-01 | Plan is a collectively bargained plan | No |
| 2015-05-01 | Plan funding arrangement – Insurance | Yes |
| 2015-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: GODSHALL'S QUALITY MEATS, INC. GROUP HEALTH PLAN 2014 form 5500 responses | ||
| 2014-05-01 | Type of plan entity | Single employer plan |
| 2014-05-01 | First time form 5500 has been submitted | Yes |
| 2014-05-01 | Submission has been amended | No |
| 2014-05-01 | This submission is the final filing | No |
| 2014-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-05-01 | Plan is a collectively bargained plan | No |
| 2014-05-01 | Plan funding arrangement – Insurance | Yes |
| 2014-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 76613 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 76613 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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