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| Plan Name | CHURCHILL ADMINISTRATIVE SERVICES, LLC LONG TERM DISABILITY |
| Plan identification number | 506 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CHURCHILL ADMINISTRATIVE SERVICES, LLC |
| Employer identification number (EIN): | 811093064 |
| NAIC Classification: | 531110 |
| NAIC Description: | Lessors of Residential Buildings and Dwellings |
Additional information about CHURCHILL ADMINISTRATIVE SERVICES, LLC
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2016-01-08 |
| Company Identification Number: | 0802365326 |
| Legal Registered Office Address: |
5605 N MACARTHUR BLVD STE 580 IRVING United States of America (USA) 75038 |
More information about CHURCHILL ADMINISTRATIVE SERVICES, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 506 | 2019-10-01 | SANDY KLIDAS | 2021-07-13 | ||
| 506 | 2017-10-01 | SANDY KLIDAS | 2019-06-20 | ||
| 506 | 2016-10-01 | SANDY KLIDAS | |||
| 506 | 2016-05-01 | SANDY KLIDAS | SANDY KLIDAS | 2017-05-18 | |
| 506 | 2015-05-01 | 2016-10-26 | |||
| 506 | 2015-05-01 | BRADLEY E. FORSLUND |
| Measure | Date | Value |
|---|---|---|
| 2019: CHURCHILL ADMINISTRATIVE SERVICES, LLC LONG TERM DISABILITY 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-10-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-10-01 | 76 |
| Number of retired or separated participants receiving benefits | 2019-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-10-01 | 0 |
| Total of all active and inactive participants | 2019-10-01 | 76 |
| Number of employers contributing to the scheme | 2019-10-01 | 0 |
| 2017: CHURCHILL ADMINISTRATIVE SERVICES, LLC LONG TERM DISABILITY 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-10-01 | 128 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-10-01 | 88 |
| Number of retired or separated participants receiving benefits | 2017-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-10-01 | 0 |
| Total of all active and inactive participants | 2017-10-01 | 88 |
| Number of employers contributing to the scheme | 2017-10-01 | 0 |
| 2016: CHURCHILL ADMINISTRATIVE SERVICES, LLC LONG TERM DISABILITY 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-10-01 | 119 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-10-01 | 128 |
| Number of retired or separated participants receiving benefits | 2016-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-10-01 | 0 |
| Total of all active and inactive participants | 2016-10-01 | 128 |
| Total participants, beginning-of-year | 2016-05-01 | 120 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-05-01 | 119 |
| Number of retired or separated participants receiving benefits | 2016-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-05-01 | 0 |
| Total of all active and inactive participants | 2016-05-01 | 119 |
| 2015: CHURCHILL ADMINISTRATIVE SERVICES, LLC LONG TERM DISABILITY 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-05-01 | 105 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-05-01 | 120 |
| Number of retired or separated participants receiving benefits | 2015-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-05-01 | 0 |
| Total of all active and inactive participants | 2015-05-01 | 120 |
| 2019: CHURCHILL ADMINISTRATIVE SERVICES, LLC LONG TERM DISABILITY 2019 form 5500 responses | ||
|---|---|---|
| 2019-10-01 | Type of plan entity | Single employer plan |
| 2019-10-01 | Plan funding arrangement – Insurance | Yes |
| 2019-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: CHURCHILL ADMINISTRATIVE SERVICES, LLC LONG TERM DISABILITY 2017 form 5500 responses | ||
| 2017-10-01 | Type of plan entity | Single employer plan |
| 2017-10-01 | Plan funding arrangement – Insurance | Yes |
| 2017-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: CHURCHILL ADMINISTRATIVE SERVICES, LLC LONG TERM DISABILITY 2016 form 5500 responses | ||
| 2016-10-01 | Type of plan entity | Single employer plan |
| 2016-10-01 | Submission has been amended | No |
| 2016-10-01 | This submission is the final filing | No |
| 2016-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-10-01 | Plan is a collectively bargained plan | No |
| 2016-10-01 | Plan funding arrangement – Insurance | Yes |
| 2016-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-05-01 | Type of plan entity | Single employer plan |
| 2016-05-01 | Submission has been amended | No |
| 2016-05-01 | This submission is the final filing | No |
| 2016-05-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2016-05-01 | Plan is a collectively bargained plan | No |
| 2016-05-01 | Plan funding arrangement – Insurance | Yes |
| 2016-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: CHURCHILL ADMINISTRATIVE SERVICES, LLC LONG TERM DISABILITY 2015 form 5500 responses | ||
| 2015-05-01 | Type of plan entity | Single employer plan |
| 2015-05-01 | First time form 5500 has been submitted | Yes |
| 2015-05-01 | Submission has been amended | No |
| 2015-05-01 | This submission is the final filing | No |
| 2015-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-05-01 | Plan is a collectively bargained plan | No |
| 2015-05-01 | Plan funding arrangement – Insurance | Yes |
| 2015-05-01 | Plan benefit arrangement – Insurance | Yes |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | GLTD0BPXN | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | F024714 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | GLTD0APGT | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | GLTD0APGT | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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