Plan Name | FAGEN, INC. WRAP DOCUMENT SUMMARY PLAN DESCRIPTION |
Plan identification number | 503 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | FAGEN, INC. |
Employer identification number (EIN): | 411604605 |
NAIC Classification: | 236200 |
Additional information about FAGEN, INC.
Jurisdiction of Incorporation: | Oregon Secretary of State Corporations Division |
Incorporation Date: | 1991-06-03 |
Company Identification Number: | 25004185 |
Legal Registered Office Address: |
53 NW TUMALO AVE BEND United States of America (USA) 97703 |
More information about FAGEN, INC.
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
---|---|---|---|---|---|
503 | 2021-01-01 | ALYSSA HAMANN | 2022-04-14 | ||
503 | 2020-01-01 | ALYSSA HAMANN | 2021-06-08 |
Measure | Date | Value |
---|---|---|
2021: FAGEN, INC. WRAP DOCUMENT SUMMARY PLAN DESCRIPTION 2021 401k membership | ||
Total participants, beginning-of-year | 2021-01-01 | 388 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 370 |
Number of retired or separated participants receiving benefits | 2021-01-01 | 5 |
Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
Total of all active and inactive participants | 2021-01-01 | 375 |
2020: FAGEN, INC. WRAP DOCUMENT SUMMARY PLAN DESCRIPTION 2020 401k membership | ||
Total participants, beginning-of-year | 2020-01-01 | 471 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 420 |
Number of retired or separated participants receiving benefits | 2020-01-01 | 3 |
Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 0 |
Total of all active and inactive participants | 2020-01-01 | 423 |
2021: FAGEN, INC. WRAP DOCUMENT SUMMARY PLAN DESCRIPTION 2021 form 5500 responses | ||
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2021-01-01 | Type of plan entity | Single employer plan |
2021-01-01 | Submission has been amended | No |
2021-01-01 | This submission is the final filing | No |
2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2021-01-01 | Plan is a collectively bargained plan | No |
2021-01-01 | Plan funding arrangement – Insurance | Yes |
2021-01-01 | Plan benefit arrangement – Insurance | Yes |
2020: FAGEN, INC. WRAP DOCUMENT SUMMARY PLAN DESCRIPTION 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 | Submission has been amended | No |
2020-01-01 | This submission is the final filing | No |
2020-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2020-01-01 | Plan is a collectively bargained plan | No |
2020-01-01 | Plan funding arrangement – Insurance | Yes |
2020-01-01 | Plan benefit arrangement – Insurance | Yes |
BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) | |||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 201296 | ||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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DELTA DENTAL OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 ) | |||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 064811 | ||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||
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BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) | |||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 201296 | ||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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DELTA DENTAL OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 ) | |||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 064811 | ||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||
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