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| Plan Name | FOURPOINT ENERGY, LLC WELFARE BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | UNBRIDLED RESOURCES, LLC |
| Employer identification number (EIN): | 464003189 |
| NAIC Classification: | 211120 |
| NAIC Description: | Crude Petroleum Extraction |
Additional information about UNBRIDLED RESOURCES, LLC
| Jurisdiction of Incorporation: | Colorado Department of State |
| Incorporation Date: | 2013-10-30 |
| Company Identification Number: | 20131628220 |
| Legal Registered Office Address: |
100 St. Paul Street Suite 400 Denver United States of America (USA) 80206 |
More information about UNBRIDLED RESOURCES, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2017-02-01 | BRITTANY BROWNRIGG | |||
| 501 | 2017-02-01 |
| 2017: FOURPOINT ENERGY, LLC WELFARE BENEFIT PLAN 2017 form 5500 responses | ||
|---|---|---|
| 2017-02-01 | Type of plan entity | Single employer plan |
| 2017-02-01 | First time form 5500 has been submitted | Yes |
| 2017-02-01 | Submission has been amended | No |
| 2017-02-01 | This submission is the final filing | No |
| 2017-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-02-01 | Plan is a collectively bargained plan | No |
| 2017-02-01 | Plan funding arrangement – Insurance | Yes |
| 2017-02-01 | Plan benefit arrangement – Insurance | Yes |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | KM05551802 |
| Policy instance | 1 |
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