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| Plan Name | SUTHERLANDS DENTAL PLAN |
| Plan identification number | 505 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CIMARRON LUMBER AND SUPPLY COMPANY |
| Employer identification number (EIN): | 431260576 |
| NAIC Classification: | 444110 |
| NAIC Description: | Home Centers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 505 | 2023-01-01 | Y1264991 | 2024-05-23 | Y1264991 | 2024-05-23 |
| 505 | 2022-01-01 | Y1143696 | 2023-07-20 | Y1143696 | 2023-07-20 |
| 505 | 2021-01-01 | Y1143696 | 2022-05-23 | Y1143696 | 2022-05-23 |
| 505 | 2020-01-01 | Y1143696 | 2021-05-10 | Y1143696 | 2021-05-10 |
| 505 | 2019-01-01 | Y1143696 | 2020-07-15 | ||
| 505 | 2018-01-01 | Y1143696 | 2019-08-08 |
| 2023: SUTHERLANDS DENTAL PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: SUTHERLANDS DENTAL 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: SUTHERLANDS DENTAL 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: SUTHERLANDS DENTAL PLAN 2020 form 5500 responses | ||
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: SUTHERLANDS DENTAL PLAN 2019 form 5500 responses | ||
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: SUTHERLANDS DENTAL PLAN 2018 form 5500 responses | ||
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | First time form 5500 has been submitted | Yes |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||
| Policy contract number | 1080076 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||
| Policy contract number | 1080076 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| |||||||||||||||||||
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||
| Policy contract number | 1080076 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||
| Policy contract number | 1080076 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||
| Policy contract number | 1080076 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||
| Policy contract number | 1080076 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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