401k Plan data: NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF BRASS BALL LLC plan

NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF BRASS BALL LLC 401k Plan overview

Plan Name	NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF BRASS BALL LLC
Plan identification number	502

NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF BRASS BALL LLC Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental

401k Sponsoring company profile

BRASS BALL LLC has sponsored the creation of one or more 401k plans.

Company Name: BRASS BALL LLC

Employer identification number (EIN): 391845757

NAIC Classification: 722210
NAIC Description: Limited-Service Eating Places

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF BRASS BALL LLC

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2013-05-01 DAVID SCHWARTZ
502 2012-05-01 DAVID SCHWARTZ
502 2011-05-01 DAVID SCHWARTZ
502 2010-05-01 DAVID SCHWARTZ

Plan id#	Filing Submission Date	Name of Administrator
502	2013-05-01	DAVID SCHWARTZ
502	2012-05-01	DAVID SCHWARTZ
502	2011-05-01	DAVID SCHWARTZ
502	2010-05-01	DAVID SCHWARTZ

Plan Statistics for NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF BRASS BALL LLC

401k plan membership statisitcs for NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF BRASS BALL LLC

Measure Date Value
2013: NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF BRASS BALL LLC 2013 401k membership
Total participants, beginning-of-year 2013-05-01 3
Total number of active participants reported on line 7a of the Form 5500 2013-05-01 3
Number of retired or separated participants receiving benefits 2013-05-01 0
Number of other retired or separated participants entitled to future benefits 2013-05-01 0
Total of all active and inactive participants 2013-05-01 3
Total participants 2013-05-01 3
2012: NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF BRASS BALL LLC 2012 401k membership
Total participants, beginning-of-year 2012-05-01 3
Total number of active participants reported on line 7a of the Form 5500 2012-05-01 3
Number of retired or separated participants receiving benefits 2012-05-01 0
Number of other retired or separated participants entitled to future benefits 2012-05-01 0
Total of all active and inactive participants 2012-05-01 3
2011: NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF BRASS BALL LLC 2011 401k membership
Total participants, beginning-of-year 2011-05-01 4
Total number of active participants reported on line 7a of the Form 5500 2011-05-01 3
Number of retired or separated participants receiving benefits 2011-05-01 0
Number of other retired or separated participants entitled to future benefits 2011-05-01 0
Total of all active and inactive participants 2011-05-01 3
2010: NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF BRASS BALL LLC 2010 401k membership
Total participants, beginning-of-year 2010-05-01 5
Total number of active participants reported on line 7a of the Form 5500 2010-05-01 4
Number of retired or separated participants receiving benefits 2010-05-01 0
Number of other retired or separated participants entitled to future benefits 2010-05-01 0
Total of all active and inactive participants 2010-05-01 4

Measure	Date	Value
2013: NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF BRASS BALL LLC 2013 401k membership
Total participants, beginning-of-year	2013-05-01	3
Total number of active participants reported on line 7a of the Form 5500	2013-05-01	3
Number of retired or separated participants receiving benefits	2013-05-01	0
Number of other retired or separated participants entitled to future benefits	2013-05-01	0
Total of all active and inactive participants	2013-05-01	3
Total participants	2013-05-01	3
2012: NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF BRASS BALL LLC 2012 401k membership
Total participants, beginning-of-year	2012-05-01	3
Total number of active participants reported on line 7a of the Form 5500	2012-05-01	3
Number of retired or separated participants receiving benefits	2012-05-01	0
Number of other retired or separated participants entitled to future benefits	2012-05-01	0
Total of all active and inactive participants	2012-05-01	3
2011: NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF BRASS BALL LLC 2011 401k membership
Total participants, beginning-of-year	2011-05-01	4
Total number of active participants reported on line 7a of the Form 5500	2011-05-01	3
Number of retired or separated participants receiving benefits	2011-05-01	0
Number of other retired or separated participants entitled to future benefits	2011-05-01	0
Total of all active and inactive participants	2011-05-01	3
2010: NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF BRASS BALL LLC 2010 401k membership
Total participants, beginning-of-year	2010-05-01	5
Total number of active participants reported on line 7a of the Form 5500	2010-05-01	4
Number of retired or separated participants receiving benefits	2010-05-01	0
Number of other retired or separated participants entitled to future benefits	2010-05-01	0
Total of all active and inactive participants	2010-05-01	4

Financial Data on NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF BRASS BALL LLC

Measure	Date	Value
2014 : NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF BRASS BALL LLC 2014 401k financial data
Total plan liabilities at end of year	2014-04-30	$0
Total plan liabilities at beginning of year	2014-04-30	$0
Total income from all sources	2014-04-30	$1,332
Expenses. Total of all expenses incurred	2014-04-30	$1,332
Benefits paid (including direct rollovers)	2014-04-30	$838
Total plan assets at end of year	2014-04-30	$0
Total plan assets at beginning of year	2014-04-30	$0
Value of fidelity bond covering the plan	2014-04-30	$1,000
Expenses. Other expenses not covered elsewhere	2014-04-30	$494
Net income (gross income less expenses)	2014-04-30	$0
Net plan assets at end of year (total assets less liabilities)	2014-04-30	$0
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	$1,332
2013 : NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF BRASS BALL LLC 2013 401k financial data
Total plan liabilities at end of year	2013-04-30	$65
Total plan liabilities at beginning of year	2013-04-30	$109
Total income from all sources	2013-04-30	$1,573
Expenses. Total of all expenses incurred	2013-04-30	$1,573
Benefits paid (including direct rollovers)	2013-04-30	$1,057
Total plan assets at end of year	2013-04-30	$65
Total plan assets at beginning of year	2013-04-30	$109
Expenses. Other expenses not covered elsewhere	2013-04-30	$516
Net income (gross income less expenses)	2013-04-30	$0
Net plan assets at end of year (total assets less liabilities)	2013-04-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-04-30	$0
Total contributions received or receivable from employer(s)	2013-04-30	$1,573
2012 : NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF BRASS BALL LLC 2012 401k financial data
Total plan liabilities at end of year	2012-04-30	$109
Total plan liabilities at beginning of year	2012-04-30	$56
Total income from all sources	2012-04-30	$1,818
Expenses. Total of all expenses incurred	2012-04-30	$1,818
Benefits paid (including direct rollovers)	2012-04-30	$1,198
Total plan assets at end of year	2012-04-30	$109
Total plan assets at beginning of year	2012-04-30	$56
Expenses. Other expenses not covered elsewhere	2012-04-30	$620
Net income (gross income less expenses)	2012-04-30	$0
Net plan assets at end of year (total assets less liabilities)	2012-04-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-04-30	$0
Total contributions received or receivable from employer(s)	2012-04-30	$1,818
2011 : NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF BRASS BALL LLC 2011 401k financial data
Total plan liabilities at end of year	2011-04-30	$56
Total plan liabilities at beginning of year	2011-04-30	$0
Total income from all sources	2011-04-30	$1,720
Expenses. Total of all expenses incurred	2011-04-30	$1,720
Benefits paid (including direct rollovers)	2011-04-30	$1,051
Total plan assets at end of year	2011-04-30	$56
Total plan assets at beginning of year	2011-04-30	$0
Expenses. Other expenses not covered elsewhere	2011-04-30	$669
Net income (gross income less expenses)	2011-04-30	$0
Net plan assets at end of year (total assets less liabilities)	2011-04-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2011-04-30	$0
Total contributions received or receivable from employer(s)	2011-04-30	$1,720

Form 5500 Responses for NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF BRASS BALL LLC

2013: NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF BRASS BALL LLC 2013 form 5500 responses
2013-05-01	Type of plan entity	Single employer plan
2013-05-01	Submission has been amended	No
2013-05-01	This submission is the final filing	No
2013-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-05-01	Plan is a collectively bargained plan	No
2013-05-01	Plan funding arrangement – Insurance	Yes
2013-05-01	Plan funding arrangement – Trust	Yes
2013-05-01	Plan benefit arrangement – Insurance	Yes
2013-05-01	Plan benefit arrangement - Trust	Yes
2012: NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF BRASS BALL LLC 2012 form 5500 responses
2012-05-01	Type of plan entity	Single employer plan
2012-05-01	Submission has been amended	No
2012-05-01	This submission is the final filing	No
2012-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-05-01	Plan is a collectively bargained plan	No
2012-05-01	Plan funding arrangement – Insurance	Yes
2012-05-01	Plan funding arrangement – Trust	Yes
2012-05-01	Plan benefit arrangement – Insurance	Yes
2012-05-01	Plan benefit arrangement - Trust	Yes
2011: NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF BRASS BALL LLC 2011 form 5500 responses
2011-05-01	Type of plan entity	Single employer plan
2011-05-01	Submission has been amended	No
2011-05-01	This submission is the final filing	No
2011-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-05-01	Plan is a collectively bargained plan	No
2011-05-01	Plan funding arrangement – Insurance	Yes
2011-05-01	Plan funding arrangement – Trust	Yes
2011-05-01	Plan benefit arrangement – Insurance	Yes
2011-05-01	Plan benefit arrangement - Trust	Yes
2010: NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF BRASS BALL LLC 2010 form 5500 responses
2010-05-01	Type of plan entity	Single employer plan
2010-05-01	First time form 5500 has been submitted	Yes
2010-05-01	Submission has been amended	No
2010-05-01	This submission is the final filing	No
2010-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-05-01	Plan is a collectively bargained plan	No
2010-05-01	Plan funding arrangement – Insurance	Yes
2010-05-01	Plan funding arrangement – Trust	Yes
2010-05-01	Plan benefit arrangement – Insurance	Yes
2010-05-01	Plan benefit arrangement - Trust	Yes

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Company Name:	BRASS BALL LLC
Employer identification number (EIN):	391845757
NAIC Classification:	722210
NAIC Description:	Limited-Service Eating Places