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| Plan Name | EYE-FI DENTAL PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | EYE-FI |
| Employer identification number (EIN): | 880508032 |
| NAIC Classification: | 335900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2022-06-01 | ANGI BREWER | 2023-12-08 | ||
| 503 | 2018-06-01 | CHARLES MALLON, CFO | 2019-12-11 |
| Measure | Date | Value |
|---|---|---|
| 2022: EYE-FI DENTAL PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-06-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-06-01 | 109 |
| Number of retired or separated participants receiving benefits | 2022-06-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-06-01 | 0 |
| Total of all active and inactive participants | 2022-06-01 | 109 |
| Number of employers contributing to the scheme | 2022-06-01 | 0 |
| 2018: EYE-FI DENTAL PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-06-01 | 106 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-06-01 | 93 |
| Number of retired or separated participants receiving benefits | 2018-06-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-06-01 | 0 |
| Total of all active and inactive participants | 2018-06-01 | 93 |
| Number of employers contributing to the scheme | 2018-06-01 | 0 |
| 2022: EYE-FI DENTAL PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-06-01 | Type of plan entity | Single employer plan |
| 2022-06-01 | Plan funding arrangement – Insurance | Yes |
| 2022-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: EYE-FI DENTAL PLAN 2018 form 5500 responses | ||
| 2018-06-01 | Type of plan entity | Single employer plan |
| 2018-06-01 | First time form 5500 has been submitted | Yes |
| 2018-06-01 | Plan funding arrangement – Insurance | Yes |
| 2018-06-01 | Plan benefit arrangement – Insurance | Yes |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||||||
| Policy contract number | 5390130 | ||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||
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| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 ) | |||||||||||||||||||||||||||||
| Policy contract number | 1D037389 | ||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||
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