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| Plan Name | NATIONAL ELECTROSTATICS CORP. EMPLOYEE WELFARE BENEFITS PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | NATIONAL ELECTROSTATICS CORP. |
| Employer identification number (EIN): | 391051063 |
| NAIC Classification: | 335900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2014-12-01 | GEORGE KLODY | |||
| 501 | 2013-12-01 | GEORGE KLODY |
| 2014: NATIONAL ELECTROSTATICS CORP. EMPLOYEE WELFARE BENEFITS PLAN 2014 form 5500 responses | ||
|---|---|---|
| 2014-12-01 | Type of plan entity | Single employer plan |
| 2014-12-01 | Submission has been amended | No |
| 2014-12-01 | This submission is the final filing | No |
| 2014-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-12-01 | Plan is a collectively bargained plan | No |
| 2014-12-01 | Plan funding arrangement – Insurance | Yes |
| 2014-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: NATIONAL ELECTROSTATICS CORP. EMPLOYEE WELFARE BENEFITS PLAN 2013 form 5500 responses | ||
| 2013-12-01 | Type of plan entity | Single employer plan |
| 2013-12-01 | First time form 5500 has been submitted | Yes |
| 2013-12-01 | Submission has been amended | No |
| 2013-12-01 | This submission is the final filing | No |
| 2013-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-12-01 | Plan is a collectively bargained plan | No |
| 2013-12-01 | Plan funding arrangement – Insurance | Yes |
| 2013-12-01 | Plan benefit arrangement – Insurance | Yes |
| GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN (National Association of Insurance Commissioners NAIC id number: 95311 ) | |
| Policy contract number | 398 |
| Policy instance | 2 |
| AMERICAN DENTAL PLAN OF WISCONSIN, INC. (National Association of Insurance Commissioners NAIC id number: 0000 ) | |
| Policy contract number | 73 |
| Policy instance | 1 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |
| Policy contract number | G000AS7J |
| Policy instance | 3 |
| AMERICAN DENTAL PLAN OF WISCONSIN, INC. (National Association of Insurance Commissioners NAIC id number: 0000 ) | |
| Policy contract number | 73 |
| Policy instance | 2 |
| GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN (National Association of Insurance Commissioners NAIC id number: 95311 ) | |
| Policy contract number | 398 |
| Policy instance | 1 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |
| Policy contract number | 10014145 |
| Policy instance | 3 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |
| Policy contract number | G000AS7J |
| Policy instance | 4 |
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