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| Plan Name | SOUTH ATLANTIC SERVICES, INC. VISION EMPLOYEE BENEFIT PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SOUTH ATLANTIC SERVICES, INC. |
| Employer identification number (EIN): | 560956028 |
| NAIC Classification: | 813000 |
| NAIC Description: | Religious, Grantmaking, Civic, Professional, and Similar Organizations |
Additional information about SOUTH ATLANTIC SERVICES, INC.
| Jurisdiction of Incorporation: | Florida Department of State Division of Corporations |
| Incorporation Date: | 1999-08-23 |
| Company Identification Number: | P99000076793 |
| Legal Registered Office Address: |
2727 WEST FLETCHER AVE TAMPA 33618 |
More information about SOUTH ATLANTIC SERVICES, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2017-08-01 | ||||
| 503 | 2016-08-01 | ||||
| 503 | 2016-08-01 | NICOLE GRINDSTAFF | 2018-02-19 | ||
| 503 | 2016-08-01 | NICOLE GRINDSTAFF | 2018-02-19 |
| Measure | Date | Value |
|---|---|---|
| 2017: SOUTH ATLANTIC SERVICES, INC. VISION EMPLOYEE BENEFIT PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-08-01 | 144 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-08-01 | 0 |
| Number of retired or separated participants receiving benefits | 2017-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-08-01 | 0 |
| Total of all active and inactive participants | 2017-08-01 | 0 |
| Number of employers contributing to the scheme | 2017-08-01 | 0 |
| 2016: SOUTH ATLANTIC SERVICES, INC. VISION EMPLOYEE BENEFIT PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-08-01 | 138 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-08-01 | 133 |
| Number of retired or separated participants receiving benefits | 2016-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-08-01 | 0 |
| Total of all active and inactive participants | 2016-08-01 | 133 |
| 2017: SOUTH ATLANTIC SERVICES, INC. VISION EMPLOYEE BENEFIT PLAN 2017 form 5500 responses | ||
|---|---|---|
| 2017-08-01 | Type of plan entity | Single employer plan |
| 2017-08-01 | This submission is the final filing | Yes |
| 2017-08-01 | Plan funding arrangement – Insurance | Yes |
| 2017-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: SOUTH ATLANTIC SERVICES, INC. VISION EMPLOYEE BENEFIT PLAN 2016 form 5500 responses | ||
| 2016-08-01 | Type of plan entity | Single employer plan |
| 2016-08-01 | First time form 5500 has been submitted | Yes |
| 2016-08-01 | Submission has been amended | No |
| 2016-08-01 | This submission is the final filing | No |
| 2016-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-08-01 | Plan is a collectively bargained plan | No |
| 2016-08-01 | Plan funding arrangement – Insurance | Yes |
| 2016-08-01 | Plan benefit arrangement – Insurance | Yes |
| BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 ) | |||||||||||||||||||
| Policy contract number | V76525 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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