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| Plan Name | BRENK BROTHERS INC MEDICAL PLAN |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | BRENK BROTHERS, INC. |
| Employer identification number (EIN): | 411643597 |
| NAIC Classification: | 332700 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2022-01-01 | ||||
| 504 | 2021-01-01 | ||||
| 504 | 2021-01-01 | ||||
| 504 | 2020-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2022: BRENK BROTHERS INC MEDICAL PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-01-01 | 112 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 113 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 2 |
| Total of all active and inactive participants | 2022-01-01 | 115 |
| Total participants | 2022-01-01 | 115 |
| 2021: BRENK BROTHERS INC MEDICAL PLAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-01-01 | 112 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 112 |
| Total of all active and inactive participants | 2021-01-01 | 112 |
| Total participants | 2021-01-01 | 112 |
| 2020: BRENK BROTHERS INC MEDICAL PLAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-01-01 | 128 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 112 |
| Total of all active and inactive participants | 2020-01-01 | 112 |
| Total participants | 2020-01-01 | 112 |
| 2022: BRENK BROTHERS INC MEDICAL PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | This submission is the final filing | Yes |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: BRENK BROTHERS INC MEDICAL PLAN 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Submission has been amended | Yes |
| 2021-01-01 | This submission is the final filing | Yes |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: BRENK BROTHERS INC MEDICAL 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 |
| MEDICA (National Association of Insurance Commissioners NAIC id number: 12459 ) | |||||||||||||||||||||||
| Policy contract number | 305374 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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| MEDICA (National Association of Insurance Commissioners NAIC id number: 12459 ) | |||||||||||||||||||||||
| Policy contract number | 305374 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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| MEDICA (National Association of Insurance Commissioners NAIC id number: 12459 ) | |||||||||||||||||||||||
| Policy contract number | 305374 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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