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| Plan Name | S. PITTSBURG MEDICAL PLAN |
| Plan identification number | 505 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | RENFRO LLC |
| Employer identification number (EIN): | 560375140 |
| NAIC Classification: | 313000 |
| NAIC Description: | Textile Mills |
Additional information about RENFRO LLC
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2002-09-30 |
| Company Identification Number: | 0800131089 |
| Legal Registered Office Address: |
PO BOX 908 MOUNT AIRY United States of America (USA) 27030 |
More information about RENFRO LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 505 | 2001-09-01 | SARAH MAXWELL | 2020-08-18 |
| Measure | Date | Value |
|---|---|---|
| 2001: S. PITTSBURG MEDICAL PLAN 2001 401k membership | ||
| Total participants, beginning-of-year | 2001-09-01 | 104 |
| Total number of active participants reported on line 7a of the Form 5500 | 2001-09-01 | 0 |
| Number of retired or separated participants receiving benefits | 2001-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2001-09-01 | 0 |
| Total of all active and inactive participants | 2001-09-01 | 0 |
| Number of employers contributing to the scheme | 2001-09-01 | 0 |
| 2001: S. PITTSBURG MEDICAL PLAN 2001 form 5500 responses | ||
|---|---|---|
| 2001-09-01 | Type of plan entity | Single employer plan |
| 2001-09-01 | Submission has been amended | Yes |
| 2001-09-01 | This submission is the final filing | Yes |
| 2001-09-01 | Plan funding arrangement – Insurance | Yes |
| 2001-09-01 | Plan benefit arrangement – Insurance | Yes |
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) | |||||||||||||||||||||||||
| Policy contract number | 82245 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) | |||||||||||||||||||||||||
| Policy contract number | GSL72735 | ||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||
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