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| Plan Name | TIGER SANITATION INC HEALTH BENEFITS PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | TIGER SANITATION, LLC |
| Employer identification number (EIN): | 710885851 |
| NAIC Classification: | 562000 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2015-10-01 | ||||
| 501 | 2014-10-01 | HEATHER RAKOWITZ | HEATHER RAKOWITZ | 2016-03-26 | |
| 501 | 2013-10-01 | HEATHER RAKOWITZ | HEATHER RAKOWITZ | 2015-07-10 |
| Measure | Date | Value |
|---|---|---|
| 2015: TIGER SANITATION INC HEALTH BENEFITS PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-10-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-10-01 | 0 |
| Number of retired or separated participants receiving benefits | 2015-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-10-01 | 0 |
| Total of all active and inactive participants | 2015-10-01 | 0 |
| 2014: TIGER SANITATION INC HEALTH BENEFITS PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-10-01 | 123 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-10-01 | 126 |
| Number of retired or separated participants receiving benefits | 2014-10-01 | 0 |
| Total of all active and inactive participants | 2014-10-01 | 126 |
| Total participants | 2014-10-01 | 126 |
| 2013: TIGER SANITATION INC HEALTH BENEFITS PLAN 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-10-01 | 110 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-10-01 | 95 |
| Number of retired or separated participants receiving benefits | 2013-10-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2013-10-01 | 0 |
| Total of all active and inactive participants | 2013-10-01 | 96 |
| Total participants | 2013-10-01 | 96 |
| 2015: TIGER SANITATION INC HEALTH BENEFITS PLAN 2015 form 5500 responses | ||
|---|---|---|
| 2015-10-01 | Type of plan entity | Single employer plan |
| 2015-10-01 | Submission has been amended | No |
| 2015-10-01 | This submission is the final filing | Yes |
| 2015-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-10-01 | Plan is a collectively bargained plan | No |
| 2015-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: TIGER SANITATION INC HEALTH BENEFITS PLAN 2014 form 5500 responses | ||
| 2014-10-01 | Type of plan entity | Single employer plan |
| 2014-10-01 | Submission has been amended | No |
| 2014-10-01 | This submission is the final filing | No |
| 2014-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-10-01 | Plan is a collectively bargained plan | No |
| 2014-10-01 | Plan funding arrangement – Insurance | Yes |
| 2014-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: TIGER SANITATION INC HEALTH BENEFITS PLAN 2013 form 5500 responses | ||
| 2013-10-01 | Type of plan entity | Single employer plan |
| 2013-10-01 | First time form 5500 has been submitted | Yes |
| 2013-10-01 | Submission has been amended | No |
| 2013-10-01 | This submission is the final filing | No |
| 2013-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-10-01 | Plan is a collectively bargained plan | No |
| 2013-10-01 | Plan funding arrangement – Insurance | Yes |
| 2013-10-01 | Plan benefit arrangement – Insurance | Yes |
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 548732 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 548732 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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