 |
|
|
|
| Plan Name | OLYMPIC SPORT AND SPINE VISION |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | OLYMPIC SPORTS & SPINE PLLC |
| Employer identification number (EIN): | 822950138 |
| NAIC Classification: | 621340 |
| NAIC Description: | Offices of Physical, Occupational and Speech Therapists, and Audiologists |
Additional information about OLYMPIC SPORTS & SPINE PLLC
| Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
| Incorporation Date: | 2017-09-22 |
| Company Identification Number: | 604171643 |
| Legal Registered Office Address: |
6625 WAGNER WAY STE 203 GIG HARBOR United States of America (USA) 983358392 |
More information about OLYMPIC SPORTS & SPINE PLLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2023-01-01 | BRIAN THACKER | 2024-04-16 | ||
| 502 | 2022-01-01 | TIFFANY GUTIERREZ | 2023-04-26 | ||
| 502 | 2021-01-01 | BRIAN THACKER | 2022-07-12 | ||
| 502 | 2020-01-01 | BEVERLY BALTAZAR | 2022-03-30 | ||
| 502 | 2019-01-01 | BEVERLY BALTAZAR | 2022-03-30 | ||
| 502 | 2018-04-01 | BEVERLY BALTAZAR | 2022-03-30 |
| 2023: OLYMPIC SPORT AND SPINE VISION 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: OLYMPIC SPORT AND SPINE VISION 2022 form 5500 responses | ||
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: OLYMPIC SPORT AND SPINE VISION 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: OLYMPIC SPORT AND SPINE VISION 2020 form 5500 responses | ||
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: OLYMPIC SPORT AND SPINE VISION 2019 form 5500 responses | ||
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: OLYMPIC SPORT AND SPINE VISION 2018 form 5500 responses | ||
| 2018-04-01 | Type of plan entity | Single employer plan |
| 2018-04-01 | First time form 5500 has been submitted | Yes |
| 2018-04-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2018-04-01 | Plan funding arrangement – Insurance | Yes |
| 2018-04-01 | Plan benefit arrangement – Insurance | Yes |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 ) | |||||||||||||||||||
| Policy contract number | 30100942 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| |||||||||||||||||||
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 ) | |||||||||||||||||||
| Policy contract number | 30100942 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| |||||||||||||||||||
| PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 ) | |||||||||||||||||||
| Policy contract number | 4016310 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 ) | |||||||||||||||||||
| Policy contract number | 4016310 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) | |||||||||||||||||||
| Policy contract number | GRP00004507 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping | |
| | |
|