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INDUSTRIAL SCREEN & MAINTENANCE 401k Plan overview

Plan NameINDUSTRIAL SCREEN & MAINTENANCE
Plan identification number 501

INDUSTRIAL SCREEN & MAINTENANCE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

INDUSTRIAL SCREEN & MAINTENANCE has sponsored the creation of one or more 401k plans.

Company Name:INDUSTRIAL SCREEN & MAINTENANCE
Employer identification number (EIN):520909648
NAIC Classification:339900

Additional information about INDUSTRIAL SCREEN & MAINTENANCE

Jurisdiction of Incorporation: Wyoming Corporations Division
Incorporation Date: 1971-07-15
Company Identification Number: 000113715
Legal Registered Office Address: PO Box 373

Casper
United States of America (USA)
82602

More information about INDUSTRIAL SCREEN & MAINTENANCE

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INDUSTRIAL SCREEN & MAINTENANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-01-01
5012018-01-01MICHELLE HALL
5012017-01-01MICHELLE HALL

Plan Statistics for INDUSTRIAL SCREEN & MAINTENANCE

401k plan membership statisitcs for INDUSTRIAL SCREEN & MAINTENANCE

Measure Date Value
2019: INDUSTRIAL SCREEN & MAINTENANCE 2019 401k membership
Total participants, beginning-of-year2019-01-0147
Total number of active participants reported on line 7a of the Form 55002019-01-0141
Total of all active and inactive participants2019-01-0141
Total participants2019-01-0141
2018: INDUSTRIAL SCREEN & MAINTENANCE 2018 401k membership
Total participants, beginning-of-year2018-01-0128
Total number of active participants reported on line 7a of the Form 55002018-01-0133
Total of all active and inactive participants2018-01-0133
Total participants2018-01-0133
2017: INDUSTRIAL SCREEN & MAINTENANCE 2017 401k membership
Total participants, beginning-of-year2017-01-0139
Total number of active participants reported on line 7a of the Form 55002017-01-0138
Total of all active and inactive participants2017-01-0138
Total participants2017-01-0138

Form 5500 Responses for INDUSTRIAL SCREEN & MAINTENANCE

2019: INDUSTRIAL SCREEN & MAINTENANCE 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: INDUSTRIAL SCREEN & MAINTENANCE 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01First time form 5500 has been submittedYes
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: INDUSTRIAL SCREEN & MAINTENANCE 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01First time form 5500 has been submittedYes
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00619506
Policy instance 1
Insurance contract or identification number00619506
Number of Individuals Covered41
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,770

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