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| Plan Name | TEXAN ALLERGY VISION BENEFIT PLAN |
| Plan identification number | 506 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | ASPIRE ALLERGY & SINUS |
| Employer identification number (EIN): | 462952579 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
Additional information about ASPIRE ALLERGY & SINUS
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2013-06-10 |
| Company Identification Number: | 0801798367 |
| Legal Registered Office Address: |
5929 BALCONES DR STE 200 AUSTIN United States of America (USA) 78731 |
More information about ASPIRE ALLERGY & SINUS
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 506 | 2019-01-01 | KELSEY HAMILTON | 2020-06-17 | ||
| 506 | 2019-01-01 | KELSEY HAMILTON | 2021-07-28 |
| Measure | Date | Value |
|---|---|---|
| 2019: TEXAN ALLERGY VISION BENEFIT PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-01-01 | 73 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 97 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
| Total of all active and inactive participants | 2019-01-01 | 98 |
| Number of employers contributing to the scheme | 2019-01-01 | 0 |
| 2019: TEXAN ALLERGY VISION BENEFIT PLAN 2019 form 5500 responses | ||
|---|---|---|
| 2019-01-01 | Type of plan entity | Mulitple employer plan |
| 2019-01-01 | First time form 5500 has been submitted | Yes |
| 2019-01-01 | Submission has been amended | Yes |
| 2019-01-01 | This submission is the final filing | Yes |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) | |||||||||||||||||||||||||
| Policy contract number | F015348 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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