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NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF STEBERN, INC. 401k Plan overview

Plan NameNFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF STEBERN, INC.
Plan identification number 502

NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF STEBERN, INC. Benefits

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

401k Sponsoring company profile

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

Company Name:STEBERN, INC.
Employer identification number (EIN):611067327
NAIC Classification:722513
NAIC Description:Limited-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF STEBERN, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022014-05-01TAWAN SIEBELS
5022013-05-01TAWAN SIEBELS
5022012-05-01TAWAN SIEBELS
5022011-05-01TAWAN SIEBELS
5022010-05-01TAWAN SIEBELS

Plan Statistics for NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF STEBERN, INC.

401k plan membership statisitcs for NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF STEBERN, INC.

Measure Date Value
2014: NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF STEBERN, INC. 2014 401k membership
Total participants, beginning-of-year2014-05-0130
Total number of active participants reported on line 7a of the Form 55002014-05-0118
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 participants2014-05-0118
2013: NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF STEBERN, INC. 2013 401k membership
Total participants, beginning-of-year2013-05-0133
Total number of active participants reported on line 7a of the Form 55002013-05-0130
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 participants2013-05-0130
2012: NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF STEBERN, INC. 2012 401k membership
Total participants, beginning-of-year2012-05-018
Total number of active participants reported on line 7a of the Form 55002012-05-018
Number of retired or separated participants receiving benefits2012-05-010
Number of other retired or separated participants entitled to future benefits2012-05-010
Total of all active and inactive participants2012-05-018
2011: NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF STEBERN, INC. 2011 401k membership
Total participants, beginning-of-year2011-05-0110
Total number of active participants reported on line 7a of the Form 55002011-05-018
Number of retired or separated participants receiving benefits2011-05-010
Number of other retired or separated participants entitled to future benefits2011-05-010
Total of all active and inactive participants2011-05-018
2010: NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF STEBERN, INC. 2010 401k membership
Total participants, beginning-of-year2010-05-0114
Total number of active participants reported on line 7a of the Form 55002010-05-0110
Number of retired or separated participants receiving benefits2010-05-010
Number of other retired or separated participants entitled to future benefits2010-05-010
Total of all active and inactive participants2010-05-0110

Financial Data on NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF STEBERN, INC.

Measure Date Value
2015 : NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF STEBERN, INC. 2015 401k financial data
Total plan liabilities at end of year2015-04-30$0
Total plan liabilities at beginning of year2015-04-30$1,859
Total income from all sources2015-04-30$85,860
Expenses. Total of all expenses incurred2015-04-30$99,071
Benefits paid (including direct rollovers)2015-04-30$47,859
Total plan assets at end of year2015-04-30$0
Total plan assets at beginning of year2015-04-30$15,070
Value of fidelity bond covering the plan2015-04-30$10,000
Expenses. Other expenses not covered elsewhere2015-04-30$51,212
Net income (gross income less expenses)2015-04-30$-13,211
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$13,211
Total contributions received or receivable from employer(s)2015-04-30$85,860
2014 : NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF STEBERN, INC. 2014 401k financial data
Total plan liabilities at end of year2014-04-30$1,859
Total plan liabilities at beginning of year2014-04-30$174
Total income from all sources2014-04-30$47,406
Expenses. Total of all expenses incurred2014-04-30$39,919
Benefits paid (including direct rollovers)2014-04-30$6,160
Total plan assets at end of year2014-04-30$15,070
Total plan assets at beginning of year2014-04-30$5,898
Value of fidelity bond covering the plan2014-04-30$25,000
Expenses. Other expenses not covered elsewhere2014-04-30$33,759
Net income (gross income less expenses)2014-04-30$7,487
Net plan assets at end of year (total assets less liabilities)2014-04-30$13,211
Net plan assets at beginning of year (total assets less liabilities)2014-04-30$5,724
Total contributions received or receivable from employer(s)2014-04-30$47,406
2013 : NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF STEBERN, INC. 2013 401k financial data
Total plan liabilities at end of year2013-04-30$174
Total plan liabilities at beginning of year2013-04-30$180
Total income from all sources2013-04-30$5,258
Expenses. Total of all expenses incurred2013-04-30$3,507
Benefits paid (including direct rollovers)2013-04-30$1,782
Total plan assets at end of year2013-04-30$5,898
Total plan assets at beginning of year2013-04-30$4,153
Expenses. Other expenses not covered elsewhere2013-04-30$1,725
Net income (gross income less expenses)2013-04-30$1,751
Net plan assets at end of year (total assets less liabilities)2013-04-30$5,724
Net plan assets at beginning of year (total assets less liabilities)2013-04-30$3,973
Total contributions received or receivable from employer(s)2013-04-30$5,258
2012 : NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF STEBERN, INC. 2012 401k financial data
Total plan liabilities at end of year2012-04-30$180
Total plan liabilities at beginning of year2012-04-30$0
Total income from all sources2012-04-30$6,397
Expenses. Total of all expenses incurred2012-04-30$4,218
Benefits paid (including direct rollovers)2012-04-30$2,037
Total plan assets at end of year2012-04-30$4,153
Total plan assets at beginning of year2012-04-30$1,794
Expenses. Other expenses not covered elsewhere2012-04-30$2,181
Net income (gross income less expenses)2012-04-30$2,179
Net plan assets at end of year (total assets less liabilities)2012-04-30$3,973
Net plan assets at beginning of year (total assets less liabilities)2012-04-30$1,794
Total contributions received or receivable from employer(s)2012-04-30$6,397
2011 : NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF STEBERN, INC. 2011 401k financial data
Total income from all sources2011-04-30$5,535
Expenses. Total of all expenses incurred2011-04-30$3,741
Benefits paid (including direct rollovers)2011-04-30$1,620
Total plan assets at end of year2011-04-30$1,794
Expenses. Other expenses not covered elsewhere2011-04-30$2,121
Net income (gross income less expenses)2011-04-30$1,794
Net plan assets at end of year (total assets less liabilities)2011-04-30$1,794
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$5,535

Form 5500 Responses for NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF STEBERN, INC.

2014: NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF STEBERN, 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: NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF STEBERN, INC. 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
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
2012: NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF STEBERN, INC. 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Submission has been amendedNo
2012-05-01This submission is the final filingNo
2012-05-01This return/report is a short plan year return/report (less than 12 months)No
2012-05-01Plan is a collectively bargained planNo
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan funding arrangement – TrustYes
2012-05-01Plan benefit arrangement – InsuranceYes
2012-05-01Plan benefit arrangement - TrustYes
2011: NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF STEBERN, INC. 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Submission has been amendedNo
2011-05-01This submission is the final filingNo
2011-05-01This return/report is a short plan year return/report (less than 12 months)No
2011-05-01Plan is a collectively bargained planNo
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan funding arrangement – TrustYes
2011-05-01Plan benefit arrangement – InsuranceYes
2011-05-01Plan benefit arrangement - TrustYes
2010: NFA HEALTH PLUS EMPLOYEE HEALTH PLAN OF STEBERN, INC. 2010 form 5500 responses
2010-05-01Type of plan entitySingle employer plan
2010-05-01First time form 5500 has been submittedYes
2010-05-01Submission has been amendedNo
2010-05-01This submission is the final filingNo
2010-05-01This return/report is a short plan year return/report (less than 12 months)No
2010-05-01Plan is a collectively bargained planNo
2010-05-01Plan funding arrangement – InsuranceYes
2010-05-01Plan funding arrangement – TrustYes
2010-05-01Plan benefit arrangement – InsuranceYes
2010-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number14160 NFA 0538
Policy instance 1
Insurance contract or identification number14160 NFA 0538
Number of Individuals Covered19
Insurance policy start date2014-12-01
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 $38,807
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 number14160 NFA 0538
Policy instance 1
Insurance contract or identification number14160 NFA 0538
Number of Individuals Covered30
Insurance policy start date2013-12-01
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 $19,336
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 number14160 NFA 0196
Policy instance 1
Insurance contract or identification number14160 NFA 0196
Number of Individuals Covered12
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
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 $1,249
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 number14160 NFA 0196
Policy instance 1
Insurance contract or identification number14160 NFA 0196
Number of Individuals Covered12
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
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 $1,570
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 number14160 NFA 0196
Policy instance 1
Insurance contract or identification number14160 NFA 0196
Number of Individuals Covered14
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
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 $1,564
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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