401k Plan data: BENEFIT PROVIDERS MULTIPLE EMPLOYER RETIREMENT PLAN

BENEFIT PROVIDERS MULTIPLE EMPLOYER RETIREMENT PLAN - TRIBECA OVEN INC 401k Plan overview

Plan Name	BENEFIT PROVIDERS MULTIPLE EMPLOYER RETIREMENT PLAN - TRIBECA OVEN INC
Plan identification number	333

BENEFIT PROVIDERS MULTIPLE EMPLOYER RETIREMENT PLAN - TRIBECA OVEN INC Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

TRIBECA OVEN, INC. has sponsored the creation of one or more 401k plans.

Company Name: TRIBECA OVEN, INC.

Employer identification number (EIN): 133474532

NAIC Classification: 445291
NAIC Description: Baked Goods Stores

Additional information about TRIBECA OVEN, INC.

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1988-05-25

Company Identification Number: 1264470

Legal Registered Office Address: 111 EIGHTH AVENUE
NEW YORK
NEW YORK
United States of America (USA)
10011

More information about TRIBECA OVEN, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BENEFIT PROVIDERS MULTIPLE EMPLOYER RETIREMENT PLAN - TRIBECA OVEN INC

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
333 2014-01-01 JUSTIN GRUBBS JUSTIN GRUBBS 2017-03-30
333 2014-01-01 JUSTIN GRUBBS JUSTIN GRUBBS 2018-08-06
333 2013-01-01 AL BRAZINSKAS AL BRAZINSKAS 2014-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
333	2014-01-01	JUSTIN GRUBBS	JUSTIN GRUBBS	2017-03-30
333	2014-01-01	JUSTIN GRUBBS	JUSTIN GRUBBS	2018-08-06
333	2013-01-01	AL BRAZINSKAS	AL BRAZINSKAS	2014-10-15

Plan Statistics for BENEFIT PROVIDERS MULTIPLE EMPLOYER RETIREMENT PLAN - TRIBECA OVEN INC

401k plan membership statisitcs for BENEFIT PROVIDERS MULTIPLE EMPLOYER RETIREMENT PLAN - TRIBECA OVEN INC

Measure Date Value
2014: BENEFIT PROVIDERS MULTIPLE EMPLOYER RETIREMENT PLAN - TRIBECA OVEN INC 2014 401k membership
Total participants, beginning-of-year 2014-01-01 235
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
2013: BENEFIT PROVIDERS MULTIPLE EMPLOYER RETIREMENT PLAN - TRIBECA OVEN INC 2013 401k membership
Total participants, beginning-of-year 2013-01-01 219
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 214
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 21
Total of all active and inactive participants 2013-01-01 235
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 235
Number of participants with account balances 2013-01-01 79
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0

Measure	Date	Value
2014: BENEFIT PROVIDERS MULTIPLE EMPLOYER RETIREMENT PLAN - TRIBECA OVEN INC 2014 401k membership
Total participants, beginning-of-year	2014-01-01	235
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
2013: BENEFIT PROVIDERS MULTIPLE EMPLOYER RETIREMENT PLAN - TRIBECA OVEN INC 2013 401k membership
Total participants, beginning-of-year	2013-01-01	219
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	214
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	21
Total of all active and inactive participants	2013-01-01	235
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	235
Number of participants with account balances	2013-01-01	79
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0

Financial Data on BENEFIT PROVIDERS MULTIPLE EMPLOYER RETIREMENT PLAN - TRIBECA OVEN INC

Measure	Date	Value
2014 : BENEFIT PROVIDERS MULTIPLE EMPLOYER RETIREMENT PLAN - TRIBECA OVEN INC 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-11-02	$0
Total transfer of assets from this plan	2014-11-02	$804,209
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-11-02	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-11-02	$0
Total income from all sources (including contributions)	2014-11-02	$110,816
Total loss/gain on sale of assets	2014-11-02	$0
Total of all expenses incurred	2014-11-02	$384,196
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-11-02	$384,196
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-11-02	$78,840
Value of total assets at end of year	2014-11-02	$0
Value of total assets at beginning of year	2014-11-02	$1,077,589
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-11-02	$0
Total interest from all sources	2014-11-02	$1,772
Total dividends received (eg from common stock, registered investment company shares)	2014-11-02	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-11-02	No
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2014-11-02	$0
Was this plan covered by a fidelity bond	2014-11-02	Yes
Value of fidelity bond cover	2014-11-02	$500,000
If this is an individual account plan, was there a blackout period	2014-11-02	No
Were there any nonexempt tranactions with any party-in-interest	2014-11-02	No
Contributions received from participants	2014-11-02	$37,067
Participant contributions at end of year	2014-11-02	$0
Participant contributions at beginning of year	2014-11-02	$36,907
Income. Received or receivable in cash from other sources (including rollovers)	2014-11-02	$31,574
Total non interest bearing cash at end of year	2014-11-02	$0
Total non interest bearing cash at beginning of year	2014-11-02	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-11-02	No
Value of net income/loss	2014-11-02	$-273,380
Value of net assets at end of year (total assets less liabilities)	2014-11-02	$0
Value of net assets at beginning of year (total assets less liabilities)	2014-11-02	$1,077,589
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-11-02	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-11-02	No
Were any leases to which the plan was party in default or uncollectible	2014-11-02	No
Interest on participant loans	2014-11-02	$1,772
Value of interest in master investment trust accounts at end of year	2014-11-02	$0
Value of interest in master investment trust accounts at beginning of year	2014-11-02	$1,037,027
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-11-02	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-11-02	$3,655
Net investment gain/loss from pooled separate accounts	2014-11-02	$30,204
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-11-02	No
Was there a failure to transmit to the plan any participant contributions	2014-11-02	No
Has the plan failed to provide any benefit when due under the plan	2014-11-02	No
Contributions received in cash from employer	2014-11-02	$10,199
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-11-02	$384,196
Did the plan have assets held for investment	2014-11-02	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-11-02	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-11-02	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-11-02	Yes
Opinion of an independent qualified public accountant for this plan	2014-11-02	Disclaimer
Accountancy firm name	2014-11-02	G. R. RUSH AND COMPANY, PLLC
Accountancy firm EIN	2014-11-02	274282217
2013 : BENEFIT PROVIDERS MULTIPLE EMPLOYER RETIREMENT PLAN - TRIBECA OVEN INC 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$280,689
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$44,833
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$44,833
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$143,033
Value of total assets at end of year	2013-12-31	$1,077,589
Value of total assets at beginning of year	2013-12-31	$841,733
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$0
Total interest from all sources	2013-12-31	$1,569
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$115,796
Participant contributions at end of year	2013-12-31	$36,907
Participant contributions at beginning of year	2013-12-31	$25,654
Total non interest bearing cash at end of year	2013-12-31	$0
Total non interest bearing cash at beginning of year	2013-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$235,856
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$1,077,589
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$841,733
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in pooled separate accounts at end of year	2013-12-31	$1,037,027
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$812,918
Interest on participant loans	2013-12-31	$1,569
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$3,655
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$3,161
Net investment gain/loss from pooled separate accounts	2013-12-31	$136,087
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$27,237
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$44,833
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No

Form 5500 Responses for BENEFIT PROVIDERS MULTIPLE EMPLOYER RETIREMENT PLAN - TRIBECA OVEN INC

2014: BENEFIT PROVIDERS MULTIPLE EMPLOYER RETIREMENT PLAN - TRIBECA OVEN INC 2014 form 5500 responses
2014-01-01	Type of plan entity	Mulitple employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-01-01	Plan is a collectively bargained plan	No
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: BENEFIT PROVIDERS MULTIPLE EMPLOYER RETIREMENT PLAN - TRIBECA OVEN INC 2013 form 5500 responses
2013-01-01	Type of plan entity	Mulitple employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
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

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

72408

Policy instance

Insurance contract or identification number	72408
Number of Individuals Covered	0
Insurance policy start date	2014-01-01
Insurance policy end date	2014-11-02
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

72408

Policy instance

Insurance contract or identification number	72408
Number of Individuals Covered	79
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	TRIBECA OVEN, INC.
Employer identification number (EIN):	133474532
NAIC Classification:	445291
NAIC Description:	Baked Goods Stores

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1988-05-25
Company Identification Number:	1264470
Legal Registered Office Address:	111 EIGHTH AVENUE NEW YORK NEW YORK United States of America (USA) 10011