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| Plan Name | DJ&A PC |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | DJ&A, P.C. |
| Employer identification number (EIN): | 810524186 |
| NAIC Classification: | 541330 |
| NAIC Description: | Engineering Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2022-06-15 | MICHELLE HALLEY | 2023-10-13 |
| 2022: DJ&A PC 2022 form 5500 responses | ||
|---|---|---|
| 2022-06-15 | Type of plan entity | Single employer plan |
| 2022-06-15 | First time form 5500 has been submitted | Yes |
| 2022-06-15 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2022-06-15 | Plan funding arrangement – Insurance | Yes |
| 2022-06-15 | Plan benefit arrangement – Insurance | Yes |
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||||
| Policy contract number | 1111633 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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