401k Plan data: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN plan

KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 401k Plan overview

Plan Name	KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN
Plan identification number	501

KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision

401k Sponsoring company profile

KUCKENBECKER INCORPORATED has sponsored the creation of one or more 401k plans.

Company Name: KUCKENBECKER INCORPORATED

Employer identification number (EIN): 941510370

NAIC Classification: 453990

Additional information about KUCKENBECKER INCORPORATED

Jurisdiction of Incorporation: California Department of State

Incorporation Date:

Company Identification Number: C0410686

More information about KUCKENBECKER INCORPORATED

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-01-01
501 2022-01-01 ROSLYNN KUCKENBECKER
501 2021-01-01
501 2021-01-01 RICHARD KUCKENBECKER
501 2020-01-01
501 2019-01-01
501 2018-01-01
501 2017-01-01 RICHARD KUCKENBECKER RICHARD KUCKENBECKER 2018-07-26
501 2016-01-01 RICHARD KUCKENBECKER RICHARD KUCKENBECKER 2017-07-27
501 2015-01-01 RICHARD KUCKENBECKER RICHARD KUCKENBECKER 2016-07-20
501 2014-01-01 RICHARD KUCKENBECKER RICHARD KUCKENBECKER 2015-07-22
501 2013-01-01 RICHARD KUCKENBECKER RICHARD KUCKENBECKER 2014-06-23
501 2012-01-01 RICHARD KUCKENBECKER RICHARD KUCKENBECKER 2013-05-15
501 2011-01-01 RICHARD KUCKENBECKER RICHARD KUCKENBECKER 2012-07-30
501 2010-01-01 RICHARD KUCKENBECKER RICHARD KUCKENBECKER 2011-08-02
501 2009-01-01 RICHARD KUCKENBECKER RICHARD KUCKENBECKER 2010-06-07

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2022-01-01
501	2022-01-01	ROSLYNN KUCKENBECKER
501	2021-01-01
501	2021-01-01	RICHARD KUCKENBECKER
501	2020-01-01
501	2019-01-01
501	2018-01-01
501	2017-01-01	RICHARD KUCKENBECKER	RICHARD KUCKENBECKER	2018-07-26
501	2016-01-01	RICHARD KUCKENBECKER	RICHARD KUCKENBECKER	2017-07-27
501	2015-01-01	RICHARD KUCKENBECKER	RICHARD KUCKENBECKER	2016-07-20
501	2014-01-01	RICHARD KUCKENBECKER	RICHARD KUCKENBECKER	2015-07-22
501	2013-01-01	RICHARD KUCKENBECKER	RICHARD KUCKENBECKER	2014-06-23
501	2012-01-01	RICHARD KUCKENBECKER	RICHARD KUCKENBECKER	2013-05-15
501	2011-01-01	RICHARD KUCKENBECKER	RICHARD KUCKENBECKER	2012-07-30
501	2010-01-01	RICHARD KUCKENBECKER	RICHARD KUCKENBECKER	2011-08-02
501	2009-01-01	RICHARD KUCKENBECKER	RICHARD KUCKENBECKER	2010-06-07

Plan Statistics for KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN

401k plan membership statisitcs for KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN

Measure Date Value
2022: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 7
Total of all active and inactive participants 2022-01-01 7
Total participants 2022-01-01 7
2021: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 9
Total of all active and inactive participants 2021-01-01 9
Total participants 2021-01-01 9
2020: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 7
Total of all active and inactive participants 2020-01-01 7
Total participants 2020-01-01 7
2019: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 14
Total of all active and inactive participants 2019-01-01 14
Total participants 2019-01-01 14
Number of participants with account balances 2019-01-01 0
2018: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 14
Total of all active and inactive participants 2018-01-01 14
Total participants 2018-01-01 14
2017: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 16
Total of all active and inactive participants 2017-01-01 16
Total participants 2017-01-01 16
2016: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 13
Total of all active and inactive participants 2016-01-01 13
Total participants 2016-01-01 13
2015: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 18
Total of all active and inactive participants 2015-01-01 18
Total participants 2015-01-01 0
2014: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 17
Total of all active and inactive participants 2014-01-01 17
Total participants 2014-01-01 0
2013: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 12
Total of all active and inactive participants 2013-01-01 12
Total participants 2013-01-01 0
2012: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 15
Total of all active and inactive participants 2012-01-01 15
Total participants 2012-01-01 0
2011: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 11
Total of all active and inactive participants 2011-01-01 11
Total participants 2011-01-01 11
2010: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 13
Total of all active and inactive participants 2010-01-01 13
Total participants 2010-01-01 13
2009: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 10
Total of all active and inactive participants 2009-01-01 10
Total participants 2009-01-01 10

Measure	Date	Value
2022: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	7
Total of all active and inactive participants	2022-01-01	7
Total participants	2022-01-01	7
2021: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	9
Total of all active and inactive participants	2021-01-01	9
Total participants	2021-01-01	9
2020: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	7
Total of all active and inactive participants	2020-01-01	7
Total participants	2020-01-01	7
2019: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	14
Total of all active and inactive participants	2019-01-01	14
Total participants	2019-01-01	14
Number of participants with account balances	2019-01-01	0
2018: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	14
Total of all active and inactive participants	2018-01-01	14
Total participants	2018-01-01	14
2017: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	16
Total of all active and inactive participants	2017-01-01	16
Total participants	2017-01-01	16
2016: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	13
Total of all active and inactive participants	2016-01-01	13
Total participants	2016-01-01	13
2015: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	18
Total of all active and inactive participants	2015-01-01	18
Total participants	2015-01-01	0
2014: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	17
Total of all active and inactive participants	2014-01-01	17
Total participants	2014-01-01	0
2013: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	12
Total of all active and inactive participants	2013-01-01	12
Total participants	2013-01-01	0
2012: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	15
Total of all active and inactive participants	2012-01-01	15
Total participants	2012-01-01	0
2011: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	11
Total of all active and inactive participants	2011-01-01	11
Total participants	2011-01-01	11
2010: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	13
Total of all active and inactive participants	2010-01-01	13
Total participants	2010-01-01	13
2009: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	10
Total of all active and inactive participants	2009-01-01	10
Total participants	2009-01-01	10

Financial Data on KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN

Measure	Date	Value
2022 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2022 401k financial data
Total income from all sources	2022-12-31	$17,411
Expenses. Total of all expenses incurred	2022-12-31	$17,411
Benefits paid (including direct rollovers)	2022-12-31	$17,411
Total plan assets at end of year	2022-12-31	$0
Total contributions received or receivable from participants	2022-12-31	$17,411
2021 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$23,385
Expenses. Total of all expenses incurred	2021-12-31	$23,385
Benefits paid (including direct rollovers)	2021-12-31	$23,385
Total contributions received or receivable from participants	2021-12-31	$23,385
2020 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$26,737
Expenses. Total of all expenses incurred	2020-12-31	$26,737
Benefits paid (including direct rollovers)	2020-12-31	$26,737
Total contributions received or receivable from participants	2020-12-31	$26,737
2019 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$30,189
Expenses. Total of all expenses incurred	2019-12-31	$30,189
Benefits paid (including direct rollovers)	2019-12-31	$30,189
Total contributions received or receivable from participants	2019-12-31	$30,189
2018 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$26,478
Expenses. Total of all expenses incurred	2018-12-31	$26,478
Benefits paid (including direct rollovers)	2018-12-31	$26,478
Total contributions received or receivable from participants	2018-12-31	$26,478
2017 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$25,154
Expenses. Total of all expenses incurred	2017-12-31	$25,154
Benefits paid (including direct rollovers)	2017-12-31	$25,154
Total contributions received or receivable from participants	2017-12-31	$25,154
2016 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$26,834
Expenses. Total of all expenses incurred	2016-12-31	$26,834
Benefits paid (including direct rollovers)	2016-12-31	$26,834
Total contributions received or receivable from participants	2016-12-31	$26,834
2015 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$20,557
Expenses. Total of all expenses incurred	2015-12-31	$20,557
Benefits paid (including direct rollovers)	2015-12-31	$20,557
Total contributions received or receivable from participants	2015-12-31	$20,557
2014 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$20,557
Expenses. Total of all expenses incurred	2014-12-31	$20,557
Benefits paid (including direct rollovers)	2014-12-31	$20,557
Total contributions received or receivable from participants	2014-12-31	$20,557
2013 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$13,393
Expenses. Total of all expenses incurred	2013-12-31	$13,393
Benefits paid (including direct rollovers)	2013-12-31	$13,393
Total contributions received or receivable from participants	2013-12-31	$13,393
2012 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$18,101
Expenses. Total of all expenses incurred	2012-12-31	$18,101
Benefits paid (including direct rollovers)	2012-12-31	$18,101
Total contributions received or receivable from participants	2012-12-31	$18,101
2011 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$14,643
Expenses. Total of all expenses incurred	2011-12-31	$14,643
Benefits paid (including direct rollovers)	2011-12-31	$14,643
Total contributions received or receivable from participants	2011-12-31	$14,643
2010 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$13,356
Expenses. Total of all expenses incurred	2010-12-31	$13,356
Benefits paid (including direct rollovers)	2010-12-31	$13,356
Total contributions received or receivable from participants	2010-12-31	$13,356

Form 5500 Responses for KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN

2022: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	This submission is the final filing	Yes
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 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 funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 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 funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 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 funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NATIONAL GUARDIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

Policy instance

Number of Individuals Covered	5
Insurance policy start date	2021-06-01
Insurance policy end date	2022-06-01
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NATIONAL GUARDIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

Policy instance

Number of Individuals Covered	5
Insurance policy start date	2021-06-01
Insurance policy end date	2022-06-01
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITED AGRICULTURAL EMPLOYEE WELFARE BENEFIT PLAN & TRUST (National Association of Insurance Commissioners NAIC id number: )

Policy contract number

Policy instance

Number of Individuals Covered	6
Insurance policy start date	2021-06-01
Insurance policy end date	2022-06-01
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NATIONAL GUARDIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

Policy instance

NATIONAL GUARDIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

Policy instance

UNITED AGRICULTURAL EMPLOYEE WELFARE BENEFIT PLAN & TRUST (National Association of Insurance Commissioners NAIC id number: )

Policy contract number

Policy instance

NATIONAL GUARDIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

Policy instance

NATIONAL GUARDIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

Policy instance

UNITED AGRICULTURAL EMPLOYEE WELFARE BENEFIT PLAN & TRUST (National Association of Insurance Commissioners NAIC id number: )

Policy contract number

Policy instance

NATIONAL GUARDIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

Policy instance

NATIONAL GUARDIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

Policy instance

UNITED AGRICULTURAL EMPLOYEE WELFARE BENEFIT PLAN & TRUST (National Association of Insurance Commissioners NAIC id number: )

Policy contract number

Policy instance

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

Policy instance

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

Policy instance

WESTERN GROWERS INS. CO. (National Association of Insurance Commissioners NAIC id number: 29947 )

Policy contract number

Policy instance

PHILADELPHIA AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67784 )

Policy contract number

1G2453

Policy instance

CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )

Policy contract number

W00827641000

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00458255-0000

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00458255-0000

Policy instance

Potentially related plans

KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN [EIN = 941663069]

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Company Name:	KUCKENBECKER INCORPORATED
Employer identification number (EIN):	941510370
NAIC Classification:	453990

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:
Company Identification Number:	C0410686