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| Plan Name | INTERNATIONAL TECHNICAL COATINGS, INC. HEALTH & DENTAL PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | INTERNATIONAL TECHNICAL COATINGS, INC. |
| Employer identification number (EIN): | 860802110 |
| NAIC Classification: | 331200 |
Additional information about INTERNATIONAL TECHNICAL COATINGS, INC.
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2002-04-22 |
| Company Identification Number: | 0800077087 |
| Legal Registered Office Address: |
110 S 41ST AVE PHOENIX United States of America (USA) 85009 |
More information about INTERNATIONAL TECHNICAL COATINGS, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2017-10-01 | JUDITH FERNANDEZ | |||
| 503 | 2016-10-01 | JUDITH FERNANDEZ | |||
| 503 | 2015-10-01 | JUDITH FERNANDEZ |
| Measure | Date | Value |
|---|---|---|
| 2017: INTERNATIONAL TECHNICAL COATINGS, INC. HEALTH & DENTAL PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-10-01 | 113 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-10-01 | 124 |
| Number of retired or separated participants receiving benefits | 2017-10-01 | 2 |
| 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 | 126 |
| 2016: INTERNATIONAL TECHNICAL COATINGS, INC. HEALTH & DENTAL PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-10-01 | 120 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-10-01 | 112 |
| Number of retired or separated participants receiving benefits | 2016-10-01 | 1 |
| 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 | 113 |
| 2015: INTERNATIONAL TECHNICAL COATINGS, INC. HEALTH & DENTAL PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-10-01 | 120 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-10-01 | 118 |
| Number of retired or separated participants receiving benefits | 2015-10-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2015-10-01 | 0 |
| Total of all active and inactive participants | 2015-10-01 | 120 |
| 2017: INTERNATIONAL TECHNICAL COATINGS, INC. HEALTH & DENTAL PLAN 2017 form 5500 responses | ||
|---|---|---|
| 2017-10-01 | Type of plan entity | Single employer plan |
| 2017-10-01 | Submission has been amended | No |
| 2017-10-01 | This submission is the final filing | No |
| 2017-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-10-01 | Plan is a collectively bargained plan | No |
| 2017-10-01 | Plan funding arrangement – Insurance | Yes |
| 2017-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: INTERNATIONAL TECHNICAL COATINGS, INC. HEALTH & DENTAL PLAN 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 |
| 2015: INTERNATIONAL TECHNICAL COATINGS, INC. HEALTH & DENTAL PLAN 2015 form 5500 responses | ||
| 2015-10-01 | Type of plan entity | Single employer plan |
| 2015-10-01 | First time form 5500 has been submitted | Yes |
| 2015-10-01 | Submission has been amended | No |
| 2015-10-01 | This submission is the final filing | No |
| 2015-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-10-01 | Plan is a collectively bargained plan | No |
| 2015-10-01 | Plan funding arrangement – Insurance | Yes |
| 2015-10-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS BLUE SHIELD OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53589 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 30897 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 3334258 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| BLUE CROSS BLUE SHIELD OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53589 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 30897 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 3334258 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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