Plan Name | EMPLOYEE HEALTH PLAN OF BREW AVENUE REFRESHMENT SVCS |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | BREW AVENUE REFRESHMENT SVCS |
Employer identification number (EIN): | 262960013 |
NAIC Classification: | 722511 |
NAIC Description: | Full-Service Restaurants |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2020-05-01 | ||||
501 | 2019-09-01 |
Measure | Date | Value |
---|---|---|
2020: EMPLOYEE HEALTH PLAN OF BREW AVENUE REFRESHMENT SVCS 2020 401k membership | ||
Total participants, beginning-of-year | 2020-05-01 | 3 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-05-01 | 2 |
Number of retired or separated participants receiving benefits | 2020-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2020-05-01 | 0 |
Total of all active and inactive participants | 2020-05-01 | 2 |
2019: EMPLOYEE HEALTH PLAN OF BREW AVENUE REFRESHMENT SVCS 2019 401k membership | ||
Total participants, beginning-of-year | 2019-09-01 | 3 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-09-01 | 3 |
Number of retired or separated participants receiving benefits | 2019-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2019-09-01 | 0 |
Total of all active and inactive participants | 2019-09-01 | 3 |
Measure | Date | Value |
---|---|---|
2021 : EMPLOYEE HEALTH PLAN OF BREW AVENUE REFRESHMENT SVCS 2021 401k financial data | ||
Total plan liabilities at beginning of year | 2021-04-30 | $0 |
Total income from all sources | 2021-04-30 | $39,360 |
Expenses. Total of all expenses incurred | 2021-04-30 | $31,475 |
Benefits paid (including direct rollovers) | 2021-04-30 | $12,003 |
Total plan assets at end of year | 2021-04-30 | $16,602 |
Total plan assets at beginning of year | 2021-04-30 | $8,717 |
Value of fidelity bond covering the plan | 2021-04-30 | $5,000 |
Expenses. Other expenses not covered elsewhere | 2021-04-30 | $19,472 |
Net income (gross income less expenses) | 2021-04-30 | $7,885 |
Net plan assets at end of year (total assets less liabilities) | 2021-04-30 | $16,602 |
Net plan assets at beginning of year (total assets less liabilities) | 2021-04-30 | $8,717 |
Total contributions received or receivable from employer(s) | 2021-04-30 | $39,360 |
2020 : EMPLOYEE HEALTH PLAN OF BREW AVENUE REFRESHMENT SVCS 2020 401k financial data | ||
Total plan liabilities at end of year | 2020-04-30 | $0 |
Total plan liabilities at beginning of year | 2020-04-30 | $0 |
Total income from all sources | 2020-04-30 | $26,174 |
Expenses. Total of all expenses incurred | 2020-04-30 | $17,457 |
Benefits paid (including direct rollovers) | 2020-04-30 | $4,351 |
Total plan assets at end of year | 2020-04-30 | $8,717 |
Total plan assets at beginning of year | 2020-04-30 | $0 |
Value of fidelity bond covering the plan | 2020-04-30 | $5,000 |
Expenses. Other expenses not covered elsewhere | 2020-04-30 | $13,106 |
Net income (gross income less expenses) | 2020-04-30 | $8,717 |
Net plan assets at end of year (total assets less liabilities) | 2020-04-30 | $8,717 |
Net plan assets at beginning of year (total assets less liabilities) | 2020-04-30 | $0 |
Total contributions received or receivable from employer(s) | 2020-04-30 | $26,174 |
2020: EMPLOYEE HEALTH PLAN OF BREW AVENUE REFRESHMENT SVCS 2020 form 5500 responses | ||
---|---|---|
2020-05-01 | Type of plan entity | Single employer plan |
2020-05-01 | Submission has been amended | No |
2020-05-01 | This submission is the final filing | No |
2020-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2020-05-01 | Plan is a collectively bargained plan | No |
2020-05-01 | Plan funding arrangement – Insurance | Yes |
2020-05-01 | Plan funding arrangement – Trust | Yes |
2020-05-01 | Plan benefit arrangement – Insurance | Yes |
2020-05-01 | Plan benefit arrangement - Trust | Yes |
2019: EMPLOYEE HEALTH PLAN OF BREW AVENUE REFRESHMENT SVCS 2019 form 5500 responses | ||
2019-09-01 | Type of plan entity | Single employer plan |
2019-09-01 | First time form 5500 has been submitted | Yes |
2019-09-01 | Submission has been amended | No |
2019-09-01 | This submission is the final filing | No |
2019-09-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2019-09-01 | Plan is a collectively bargained plan | No |
2019-09-01 | Plan funding arrangement – Insurance | Yes |
2019-09-01 | Plan funding arrangement – Trust | Yes |
2019-09-01 | Plan benefit arrangement – Insurance | Yes |
2019-09-01 | Plan benefit arrangement - Trust | Yes |
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 ) | |||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 46001 NFA 0717 | ||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 ) | |||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 46001 NFA 0717 | ||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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