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EMPLOYEE HEALTH PLAN OF WATERVILLE BURGER CORP 401k Plan overview

Plan NameEMPLOYEE HEALTH PLAN OF WATERVILLE BURGER CORP
Plan identification number 501

EMPLOYEE HEALTH PLAN OF WATERVILLE BURGER CORP Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental

401k Sponsoring company profile

WATERVILLE BURGER CORP has sponsored the creation of one or more 401k plans.

Company Name:WATERVILLE BURGER CORP
Employer identification number (EIN):060990186
NAIC Classification:722513
NAIC Description:Limited-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE HEALTH PLAN OF WATERVILLE BURGER CORP

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-05-01LAURIE PALMER
5012016-05-01LAURIE PALMER
5012015-05-01LAURIE PALMER
5012014-05-01LAURIE PALMER
5012013-05-01LAURIE PALMER

Plan Statistics for EMPLOYEE HEALTH PLAN OF WATERVILLE BURGER CORP

401k plan membership statisitcs for EMPLOYEE HEALTH PLAN OF WATERVILLE BURGER CORP

Measure Date Value
2017: EMPLOYEE HEALTH PLAN OF WATERVILLE BURGER CORP 2017 401k membership
Total participants, beginning-of-year2017-05-0111
Total number of active participants reported on line 7a of the Form 55002017-05-019
Number of retired or separated participants receiving benefits2017-05-010
Number of other retired or separated participants entitled to future benefits2017-05-010
Total of all active and inactive participants2017-05-019
2016: EMPLOYEE HEALTH PLAN OF WATERVILLE BURGER CORP 2016 401k membership
Total participants, beginning-of-year2016-05-0110
Total number of active participants reported on line 7a of the Form 55002016-05-0111
Number of retired or separated participants receiving benefits2016-05-010
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-0111
2015: EMPLOYEE HEALTH PLAN OF WATERVILLE BURGER CORP 2015 401k membership
Total participants, beginning-of-year2015-05-0113
Total number of active participants reported on line 7a of the Form 55002015-05-018
Number of retired or separated participants receiving benefits2015-05-010
Number of other retired or separated participants entitled to future benefits2015-05-010
Total of all active and inactive participants2015-05-018
2014: EMPLOYEE HEALTH PLAN OF WATERVILLE BURGER CORP 2014 401k membership
Total participants, beginning-of-year2014-05-0114
Total number of active participants reported on line 7a of the Form 55002014-05-0111
Number of retired or separated participants receiving benefits2014-05-010
Number of other retired or separated participants entitled to future benefits2014-05-010
Total of all active and inactive participants2014-05-0111
2013: EMPLOYEE HEALTH PLAN OF WATERVILLE BURGER CORP 2013 401k membership
Total participants, beginning-of-year2013-05-017
Total number of active participants reported on line 7a of the Form 55002013-05-0111
Number of retired or separated participants receiving benefits2013-05-010
Number of other retired or separated participants entitled to future benefits2013-05-010
Total of all active and inactive participants2013-05-0111

Financial Data on EMPLOYEE HEALTH PLAN OF WATERVILLE BURGER CORP

Measure Date Value
2018 : EMPLOYEE HEALTH PLAN OF WATERVILLE BURGER CORP 2018 401k financial data
Total plan liabilities at end of year2018-04-30$0
Total plan liabilities at beginning of year2018-04-30$0
Total income from all sources2018-04-30$18,072
Expenses. Total of all expenses incurred2018-04-30$21,838
Benefits paid (including direct rollovers)2018-04-30$10,744
Total plan assets at end of year2018-04-30$3,254
Total plan assets at beginning of year2018-04-30$7,020
Value of fidelity bond covering the plan2018-04-30$10,000
Expenses. Other expenses not covered elsewhere2018-04-30$11,094
Net income (gross income less expenses)2018-04-30$-3,766
Net plan assets at end of year (total assets less liabilities)2018-04-30$3,254
Net plan assets at beginning of year (total assets less liabilities)2018-04-30$7,020
Total contributions received or receivable from employer(s)2018-04-30$18,072
2017 : EMPLOYEE HEALTH PLAN OF WATERVILLE BURGER CORP 2017 401k financial data
Total plan liabilities at end of year2017-04-30$0
Total plan liabilities at beginning of year2017-04-30$0
Total income from all sources2017-04-30$44,503
Expenses. Total of all expenses incurred2017-04-30$46,850
Benefits paid (including direct rollovers)2017-04-30$19,069
Total plan assets at end of year2017-04-30$7,020
Total plan assets at beginning of year2017-04-30$9,367
Value of fidelity bond covering the plan2017-04-30$10,000
Expenses. Other expenses not covered elsewhere2017-04-30$27,781
Net income (gross income less expenses)2017-04-30$-2,347
Net plan assets at end of year (total assets less liabilities)2017-04-30$7,020
Net plan assets at beginning of year (total assets less liabilities)2017-04-30$9,367
Total contributions received or receivable from employer(s)2017-04-30$44,503
2016 : EMPLOYEE HEALTH PLAN OF WATERVILLE BURGER CORP 2016 401k financial data
Total plan liabilities at end of year2016-04-30$0
Total plan liabilities at beginning of year2016-04-30$0
Total income from all sources2016-04-30$45,088
Expenses. Total of all expenses incurred2016-04-30$52,970
Benefits paid (including direct rollovers)2016-04-30$24,339
Total plan assets at end of year2016-04-30$9,367
Total plan assets at beginning of year2016-04-30$17,249
Value of fidelity bond covering the plan2016-04-30$15,000
Expenses. Other expenses not covered elsewhere2016-04-30$28,631
Net income (gross income less expenses)2016-04-30$-7,882
Net plan assets at end of year (total assets less liabilities)2016-04-30$9,367
Net plan assets at beginning of year (total assets less liabilities)2016-04-30$17,249
Total contributions received or receivable from employer(s)2016-04-30$45,088
2015 : EMPLOYEE HEALTH PLAN OF WATERVILLE BURGER CORP 2015 401k financial data
Total plan liabilities at end of year2015-04-30$0
Total plan liabilities at beginning of year2015-04-30$662
Total income from all sources2015-04-30$62,493
Expenses. Total of all expenses incurred2015-04-30$50,566
Benefits paid (including direct rollovers)2015-04-30$12,713
Total plan assets at end of year2015-04-30$17,249
Total plan assets at beginning of year2015-04-30$5,984
Value of fidelity bond covering the plan2015-04-30$10,000
Expenses. Other expenses not covered elsewhere2015-04-30$37,853
Net income (gross income less expenses)2015-04-30$11,927
Net plan assets at end of year (total assets less liabilities)2015-04-30$17,249
Net plan assets at beginning of year (total assets less liabilities)2015-04-30$5,322
Total contributions received or receivable from employer(s)2015-04-30$62,493
2014 : EMPLOYEE HEALTH PLAN OF WATERVILLE BURGER CORP 2014 401k financial data
Total plan liabilities at end of year2014-04-30$662
Total plan liabilities at beginning of year2014-04-30$0
Total income from all sources2014-04-30$40,848
Expenses. Total of all expenses incurred2014-04-30$35,526
Benefits paid (including direct rollovers)2014-04-30$7,470
Total plan assets at end of year2014-04-30$5,984
Total plan assets at beginning of year2014-04-30$0
Value of fidelity bond covering the plan2014-04-30$10,000
Expenses. Other expenses not covered elsewhere2014-04-30$28,056
Net income (gross income less expenses)2014-04-30$5,322
Net plan assets at end of year (total assets less liabilities)2014-04-30$5,322
Net plan assets at beginning of year (total assets less liabilities)2014-04-30$0
Total contributions received or receivable from employer(s)2014-04-30$40,848

Form 5500 Responses for EMPLOYEE HEALTH PLAN OF WATERVILLE BURGER CORP

2017: EMPLOYEE HEALTH PLAN OF WATERVILLE BURGER CORP 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Submission has been amendedNo
2017-05-01This submission is the final filingNo
2017-05-01This return/report is a short plan year return/report (less than 12 months)No
2017-05-01Plan is a collectively bargained planNo
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan funding arrangement – TrustYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement - TrustYes
2016: EMPLOYEE HEALTH PLAN OF WATERVILLE BURGER CORP 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Submission has been amendedNo
2016-05-01This submission is the final filingNo
2016-05-01This return/report is a short plan year return/report (less than 12 months)No
2016-05-01Plan is a collectively bargained planNo
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – TrustYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement - TrustYes
2015: EMPLOYEE HEALTH PLAN OF WATERVILLE BURGER CORP 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – TrustYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement - TrustYes
2014: EMPLOYEE HEALTH PLAN OF WATERVILLE BURGER CORP 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Submission has been amendedNo
2014-05-01This submission is the final filingNo
2014-05-01This return/report is a short plan year return/report (less than 12 months)No
2014-05-01Plan is a collectively bargained planNo
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan funding arrangement – TrustYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement - TrustYes
2013: EMPLOYEE HEALTH PLAN OF WATERVILLE BURGER CORP 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01First time form 5500 has been submittedYes
2013-05-01Submission has been amendedNo
2013-05-01This submission is the final filingNo
2013-05-01This return/report is a short plan year return/report (less than 12 months)No
2013-05-01Plan is a collectively bargained planNo
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan funding arrangement – TrustYes
2013-05-01Plan benefit arrangement – InsuranceYes
2013-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number14290 NFA 0514
Policy instance 1
Insurance contract or identification number14290 NFA 0514
Number of Individuals Covered11
Insurance policy start date2017-05-01
Insurance policy end date2017-11-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,318
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number14290 NFA 0514
Policy instance 1
Insurance contract or identification number14290 NFA 0514
Number of Individuals Covered14
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $18,293
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number14290 NFA 0514
Policy instance 1
Insurance contract or identification number14290 NFA 0514
Number of Individuals Covered20
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $25,460
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number14290 NFA 0514
Policy instance 1
Insurance contract or identification number14290 NFA 0514
Number of Individuals Covered16
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $16,713
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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