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| Plan Name | CHAMPION CITY TRANSIT MANAGEMENT, INC. LIFE AND ADD BENEFIT PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CHAMPION CITY TRANSIT MANAGEMENT, INC. |
| Employer identification number (EIN): | 823478577 |
| NAIC Classification: | 485990 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2021-09-01 | MARIA SAMEIRO | 2022-11-23 | ||
| 503 | 2020-09-01 | MARIA F. SAMEIRO | 2021-12-21 | ||
| 503 | 2019-09-01 | MARIA F. SAMEIRO | 2020-12-10 | ||
| 503 | 2018-09-01 | MARIA F. SAMEIRO | 2020-01-27 | ||
| 503 | 2017-09-01 |
| 2021: CHAMPION CITY TRANSIT MANAGEMENT, INC. LIFE AND ADD BENEFIT PLAN 2021 form 5500 responses | ||
|---|---|---|
| 2021-09-01 | Type of plan entity | Single employer plan |
| 2021-09-01 | Plan funding arrangement – Insurance | Yes |
| 2021-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: CHAMPION CITY TRANSIT MANAGEMENT, INC. LIFE AND ADD BENEFIT PLAN 2020 form 5500 responses | ||
| 2020-09-01 | Type of plan entity | Single employer plan |
| 2020-09-01 | Plan funding arrangement – Insurance | Yes |
| 2020-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: CHAMPION CITY TRANSIT MANAGEMENT, INC. LIFE AND ADD BENEFIT PLAN 2019 form 5500 responses | ||
| 2019-09-01 | Type of plan entity | Single employer plan |
| 2019-09-01 | Plan funding arrangement – Insurance | Yes |
| 2019-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: CHAMPION CITY TRANSIT MANAGEMENT, INC. LIFE AND ADD BENEFIT PLAN 2018 form 5500 responses | ||
| 2018-09-01 | Type of plan entity | Single employer plan |
| 2018-09-01 | Plan funding arrangement – Insurance | Yes |
| 2018-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: CHAMPION CITY TRANSIT MANAGEMENT, INC. LIFE AND ADD BENEFIT PLAN 2017 form 5500 responses | ||
| 2017-09-01 | Type of plan entity | Single employer plan |
| 2017-09-01 | Plan funding arrangement – Insurance | Yes |
| 2017-09-01 | Plan benefit arrangement – Insurance | Yes |
| MONY (National Association of Insurance Commissioners NAIC id number: 78077 ) | |
| Policy contract number | 7529 |
| Policy instance | 1 |
| MONY (National Association of Insurance Commissioners NAIC id number: 78077 ) | |
| Policy contract number | 007529 |
| Policy instance | 1 |
| COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 ) | |
| Policy contract number | 9612578365001 |
| Policy instance | 1 |
| COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 ) | |
| Policy contract number | 9612578365 000 |
| Policy instance | 1 |
| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) | |
| Policy contract number | 0101707400 |
| Policy instance | 1 |
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