MEDICAL PLAN 401k Plan overview

MEDICAL PLAN Benefits

401k Sponsoring company profile

Company Name:	M.J. SHERIDAN INC.
Employer identification number (EIN):	760243183
NAIC Classification:	237310
NAIC Description:	Highway, Street, and Bridge Construction

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
504	2022-10-01	DEBBIE BEARD	2024-01-11
504	2021-10-01	DEBBIE BEARD	2023-10-17
504	2020-10-01	DEBBIE BEARD	2022-04-26
504	2018-10-01	DEBBIE BEARD	2020-04-07

Form 5500 Responses for MEDICAL PLAN

Insurance Providers Used on plan

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• MEDICAL PLAN FOR EMPLOYEES OF BENNETT LUMBER PRODUCTS, INC [EIN = 910726966]
• MEDICAL PLAN FOR PRE-MEDICARE RETIREES [EIN = 510392463]
• MEDICAL PLAN FOR ACTIVE HOURLY ROME DIVISION EMPLOYEES OF REVERE COPPER PRODUCTS, INC. [EIN = 161146203]
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• MEDICAL PLAN FOR THE EMPLOYEES OF KUAKINI HEALTH SYSTEM [EIN = 990225140]
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• MEDICAL PLAN [EIN = 264622348]
• MEDICAL PLAN FOR THE EMPLOYEES OF HIE HOLDINGS, INC. [EIN = 990311680]
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• MEDICAL PLAN OF HOFFMANN-LA ROCHE INC. [EIN = 220994270]
• MEDICAL PLAN FOR RETIRED HOURLY-PAID EMPLOYEES OF NUCLEAR OPERATIONS GROUP, INC.-BARBERTON [EIN = 261523776]
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• MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL [EIN = 130590970]
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• MEDICAL PLAN FOR THE EMPLOYEES OF KENTUCKY MEDICAL INVESTORS, LLC [EIN = 720920293]
• MEDICAL PLAN PREFERREDONE [EIN = 411410768]
• MEDICAL PLAN FOR THE EMPLOYEES OF THE DOLAN COMPANY [EIN = 411980186]
• MEDICAL PLAN [EIN = 264451080]
• MEDICAL PLAN FOR EMPLOYEES [EIN = 990248793]
• MEDICAL PLAN [EIN = 741142852]
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• MEDICAL PLAN FOR EMPLOYEES OF GULF CHEMICAL & METALLURICAL CORP. [EIN = 760083600]
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• MEDICAL PLAN FOR SANESE SERVICES ASSOCIATES [EIN = 430914545]
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