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NATURAL CHOICE FOODS, INC. LIFE PLAN 401k Plan overview

Plan NameNATURAL CHOICE FOODS, INC. LIFE PLAN
Plan identification number 502

NATURAL CHOICE FOODS, INC. LIFE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

NATURAL CHOICE FOODS, INC. has sponsored the creation of one or more 401k plans.

Company Name:NATURAL CHOICE FOODS, INC.
Employer identification number (EIN):383355157
NAIC Classification:424400

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NATURAL CHOICE FOODS, INC. LIFE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022019-09-01DEBORAH PHILLIPS2021-06-03
5022018-09-01DEBORAH PHILLIPS2021-06-03
5022017-09-01DEBORAH PHILLIPS2021-06-03

Plan Statistics for NATURAL CHOICE FOODS, INC. LIFE PLAN

401k plan membership statisitcs for NATURAL CHOICE FOODS, INC. LIFE PLAN

Measure Date Value
2019: NATURAL CHOICE FOODS, INC. LIFE PLAN 2019 401k membership
Total participants, beginning-of-year2019-09-01103
Total number of active participants reported on line 7a of the Form 55002019-09-010
Number of retired or separated participants receiving benefits2019-09-010
Number of other retired or separated participants entitled to future benefits2019-09-010
Total of all active and inactive participants2019-09-010
Number of employers contributing to the scheme2019-09-010
2018: NATURAL CHOICE FOODS, INC. LIFE PLAN 2018 401k membership
Total participants, beginning-of-year2018-09-01107
Total number of active participants reported on line 7a of the Form 55002018-09-01103
Number of retired or separated participants receiving benefits2018-09-010
Number of other retired or separated participants entitled to future benefits2018-09-010
Total of all active and inactive participants2018-09-01103
Number of employers contributing to the scheme2018-09-010
2017: NATURAL CHOICE FOODS, INC. LIFE PLAN 2017 401k membership
Total participants, beginning-of-year2017-09-01100
Total number of active participants reported on line 7a of the Form 55002017-09-01107
Number of retired or separated participants receiving benefits2017-09-010
Number of other retired or separated participants entitled to future benefits2017-09-010
Total of all active and inactive participants2017-09-01107
Number of employers contributing to the scheme2017-09-010

Form 5500 Responses for NATURAL CHOICE FOODS, INC. LIFE PLAN

2019: NATURAL CHOICE FOODS, INC. LIFE PLAN 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01This submission is the final filingYes
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan benefit arrangement – InsuranceYes
2018: NATURAL CHOICE FOODS, INC. LIFE PLAN 2018 form 5500 responses
2018-09-01Type of plan entitySingle employer plan
2018-09-01Plan funding arrangement – InsuranceYes
2018-09-01Plan benefit arrangement – InsuranceYes
2017: NATURAL CHOICE FOODS, INC. LIFE PLAN 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01First time form 5500 has been submittedYes
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0B3BL
Policy instance 1
Insurance contract or identification numberGLUG0B3BL
Number of Individuals Covered150
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $756
Total amount of fees paid to insurance companyUSD $286
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $7,560
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $756
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerOTHER COMPENSATION
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0B3BL
Policy instance 1
Insurance contract or identification numberGLUG0B3BL
Number of Individuals Covered103
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $622
Total amount of fees paid to insurance companyUSD $399
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $6,220
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $622
Amount paid for insurance broker fees399
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0B3BL
Policy instance 1
Insurance contract or identification numberGLUG0B3BL
Number of Individuals Covered107
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $656
Total amount of fees paid to insurance companyUSD $327
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $6,564
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $656
Amount paid for insurance broker fees327
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3

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