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| Plan Name | SCHWAZZE BASIC HEALTH PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SCHWAZZE/TWO JS LLC |
| Employer identification number (EIN): | 814156671 |
| NAIC Classification: | 444200 |
| NAIC Description: | Lawn and Garden Equipment and Supplies Stores |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2022-01-01 | DAN BONACH | 2023-09-14 |
| 2022: SCHWAZZE BASIC HEALTH PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | First time form 5500 has been submitted | Yes |
| 2022-01-01 | This submission is the final filing | Yes |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||||
| Policy contract number | 628952 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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