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| Plan Name | PRODUCT SLINGSHOT WELFARE BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | FORECAST 3D |
| Employer identification number (EIN): | 330893794 |
| NAIC Classification: | 339900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2022-01-01 | STACEY SHAW | 2023-06-26 | ||
| 501 | 2021-01-01 | STACEY SHAW | 2022-07-21 | ||
| 501 | 2020-01-01 | STACEY SHAW | 2021-07-08 |
| 2022: PRODUCT SLINGSHOT WELFARE BENEFIT PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: PRODUCT SLINGSHOT WELFARE BENEFIT PLAN 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: PRODUCT SLINGSHOT WELFARE BENEFIT PLAN 2020 form 5500 responses | ||
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | First time form 5500 has been submitted | Yes |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||
| Policy contract number | 282840 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||
| Policy contract number | 282840 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) | |||||||||||||||||||||
| Policy contract number | E4566451 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||
| Policy contract number | 282840 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) | |||||||||||||||||||||
| Policy contract number | E4566451 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
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