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| Plan Name | SHILO AUTOMATIC SPRINKLER WELFARE BENEFITS PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SHILO AUTOMATIC SPRINKLER, INC. |
| Employer identification number (EIN): | 820389771 |
| NAIC Classification: | 221300 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2023-01-01 | MARK KELESKE | 2024-07-02 | ||
| 502 | 2022-01-01 | MARK KELESKE | 2023-07-17 |
| 2023: SHILO AUTOMATIC SPRINKLER WELFARE BENEFITS PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: SHILO AUTOMATIC SPRINKLER WELFARE BENEFITS 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 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) | |||||||||||||||||||||||||
| Policy contract number | GRP00006582 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) | |||||||||||||||||||||||||
| Policy contract number | GRP00006582 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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