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EMPLOYEE HEALTH PLAN OF SUNBURST RESTAURANT, INC. 401k Plan overview

Plan NameEMPLOYEE HEALTH PLAN OF SUNBURST RESTAURANT, INC.
Plan identification number 501

EMPLOYEE HEALTH PLAN OF SUNBURST RESTAURANT, INC. Benefits

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

401k Sponsoring company profile

SUNBURST RESTAURANT, INC. has sponsored the creation of one or more 401k plans.

Company Name:SUNBURST RESTAURANT, INC.
Employer identification number (EIN):593612563
NAIC Classification:722511
NAIC Description:Full-Service Restaurants

Additional information about SUNBURST RESTAURANT, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 1999-09-29
Company Identification Number: P99000086992
Legal Registered Office Address: 2457 CARE DRIVE, SUITE 102

TALLAHASSEE

32308

More information about SUNBURST RESTAURANT, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE HEALTH PLAN OF SUNBURST RESTAURANT, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012014-05-01KRISTIN CAMPBELL
5012013-05-01KRISTIN CAMPBELL

Plan Statistics for EMPLOYEE HEALTH PLAN OF SUNBURST RESTAURANT, INC.

401k plan membership statisitcs for EMPLOYEE HEALTH PLAN OF SUNBURST RESTAURANT, INC.

Measure Date Value
2014: EMPLOYEE HEALTH PLAN OF SUNBURST RESTAURANT, INC. 2014 401k membership
Total participants, beginning-of-year2014-05-013
Total number of active participants reported on line 7a of the Form 55002014-05-010
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 participants2014-05-010
2013: EMPLOYEE HEALTH PLAN OF SUNBURST RESTAURANT, INC. 2013 401k membership
Total participants, beginning-of-year2013-05-012
Total number of active participants reported on line 7a of the Form 55002013-05-013
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 participants2013-05-013

Financial Data on EMPLOYEE HEALTH PLAN OF SUNBURST RESTAURANT, INC.

Measure Date Value
2015 : EMPLOYEE HEALTH PLAN OF SUNBURST RESTAURANT, INC. 2015 401k financial data
Total plan liabilities at end of year2015-04-30$0
Total plan liabilities at beginning of year2015-04-30$396
Total income from all sources2015-04-30$14,150
Expenses. Total of all expenses incurred2015-04-30$14,150
Benefits paid (including direct rollovers)2015-04-30$5,717
Total plan assets at end of year2015-04-30$0
Total plan assets at beginning of year2015-04-30$396
Value of fidelity bond covering the plan2015-04-30$10,000
Expenses. Other expenses not covered elsewhere2015-04-30$8,433
Net income (gross income less expenses)2015-04-30$0
Net plan assets at end of year (total assets less liabilities)2015-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2015-04-30$0
Total contributions received or receivable from employer(s)2015-04-30$14,150
2014 : EMPLOYEE HEALTH PLAN OF SUNBURST RESTAURANT, INC. 2014 401k financial data
Total plan liabilities at end of year2014-04-30$396
Total plan liabilities at beginning of year2014-04-30$0
Total income from all sources2014-04-30$10,746
Expenses. Total of all expenses incurred2014-04-30$10,746
Benefits paid (including direct rollovers)2014-04-30$4,210
Total plan assets at end of year2014-04-30$396
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$6,536
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$10,746

Form 5500 Responses for EMPLOYEE HEALTH PLAN OF SUNBURST RESTAURANT, INC.

2014: EMPLOYEE HEALTH PLAN OF SUNBURST RESTAURANT, INC. 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 SUNBURST RESTAURANT, INC. 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 number29526 NFA 0525
Policy instance 1
Insurance contract or identification number29526 NFA 0525
Number of Individuals Covered0
Insurance policy start date2014-11-01
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 $5,899
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 number29526 NFA 0525
Policy instance 1
Insurance contract or identification number29526 NFA 0525
Number of Individuals Covered7
Insurance policy start date2013-11-01
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 $4,558
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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