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| Plan Name | KIMBRELL'S LIFE INSURANCE PLAN |
| Plan identification number | 510 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | FURNITURE DISTRIBUTORS, INC. |
| Employer identification number (EIN): | 560526767 |
| NAIC Classification: | 442110 |
| NAIC Description: | Furniture Stores |
Additional information about FURNITURE DISTRIBUTORS, INC.
| Jurisdiction of Incorporation: | Florida Department of State Division of Corporations |
| Incorporation Date: | 1987-06-29 |
| Company Identification Number: | J81073 |
| Legal Registered Office Address: |
11509 SILK OAK LANE JACKSONVILLE 32223 |
More information about FURNITURE DISTRIBUTORS, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 510 | 2016-05-01 | MICHAEL O'LOUGHLIN | |||
| 510 | 2015-05-01 | MICHAEL O'LOUGHLIN | |||
| 510 | 2014-05-01 | KEN THORNBURG | |||
| 510 | 2014-05-01 | KEN THORNBURG |
| 2016: KIMBRELL'S LIFE INSURANCE PLAN 2016 form 5500 responses | ||
|---|---|---|
| 2016-05-01 | Type of plan entity | Single employer plan |
| 2016-05-01 | This submission is the final filing | Yes |
| 2016-05-01 | Plan funding arrangement – Insurance | Yes |
| 2016-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: KIMBRELL'S LIFE INSURANCE PLAN 2015 form 5500 responses | ||
| 2015-05-01 | Type of plan entity | Single employer plan |
| 2015-05-01 | Plan funding arrangement – Insurance | Yes |
| 2015-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: KIMBRELL'S LIFE INSURANCE PLAN 2014 form 5500 responses | ||
| 2014-05-01 | Type of plan entity | Single employer plan |
| 2014-05-01 | First time form 5500 has been submitted | Yes |
| 2014-05-01 | Submission has been amended | No |
| 2014-05-01 | This submission is the final filing | No |
| 2014-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-05-01 | Plan is a collectively bargained plan | No |
| 2014-05-01 | Plan funding arrangement – Insurance | Yes |
| 2014-05-01 | Plan benefit arrangement – Insurance | Yes |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |
| Policy contract number | GLUG0AIZD |
| Policy instance | 1 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |
| Policy contract number | GVTL0AIZD |
| Policy instance | 2 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |
| Policy contract number | GLUG0AIZD |
| Policy instance | 1 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |
| Policy contract number | GLUG0AIZD |
| Policy instance | 1 |
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