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EMPLOYEE HEALTH PLAN OF JMP PIZZA INC DBA DOMINOS PIZZA 401k Plan overview

Plan NameEMPLOYEE HEALTH PLAN OF JMP PIZZA INC DBA DOMINOS PIZZA
Plan identification number 501

EMPLOYEE HEALTH PLAN OF JMP PIZZA INC DBA DOMINOS PIZZA Benefits

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

401k Sponsoring company profile

JMP PIZZA INC DBA DOMINOS PIZZA has sponsored the creation of one or more 401k plans.

Company Name:JMP PIZZA INC DBA DOMINOS PIZZA
Employer identification number (EIN):651123143
NAIC Classification:722513
NAIC Description:Limited-Service Restaurants

Additional information about JMP PIZZA INC DBA DOMINOS PIZZA

Jurisdiction of Incorporation: Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number: 87253

More information about JMP PIZZA INC DBA DOMINOS PIZZA

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE HEALTH PLAN OF JMP PIZZA INC DBA DOMINOS PIZZA

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-05-01JOE PODSEN
5012016-05-01JOE PODSEN
5012015-05-01JOE PODSEN

Plan Statistics for EMPLOYEE HEALTH PLAN OF JMP PIZZA INC DBA DOMINOS PIZZA

401k plan membership statisitcs for EMPLOYEE HEALTH PLAN OF JMP PIZZA INC DBA DOMINOS PIZZA

Measure Date Value
2017: EMPLOYEE HEALTH PLAN OF JMP PIZZA INC DBA DOMINOS PIZZA 2017 401k membership
Total participants, beginning-of-year2017-05-0128
Total number of active participants reported on line 7a of the Form 55002017-05-0127
Number of retired or separated participants receiving benefits2017-05-010
Number of other retired or separated participants entitled to future benefits2017-05-010
Total of all active and inactive participants2017-05-0127
2016: EMPLOYEE HEALTH PLAN OF JMP PIZZA INC DBA DOMINOS PIZZA 2016 401k membership
Total participants, beginning-of-year2016-05-0131
Total number of active participants reported on line 7a of the Form 55002016-05-0127
Number of retired or separated participants receiving benefits2016-05-010
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-0127
2015: EMPLOYEE HEALTH PLAN OF JMP PIZZA INC DBA DOMINOS PIZZA 2015 401k membership
Total participants, beginning-of-year2015-05-017
Total number of active participants reported on line 7a of the Form 55002015-05-0117
Number of retired or separated participants receiving benefits2015-05-010
Number of other retired or separated participants entitled to future benefits2015-05-010
Total of all active and inactive participants2015-05-0117

Financial Data on EMPLOYEE HEALTH PLAN OF JMP PIZZA INC DBA DOMINOS PIZZA

Measure Date Value
2018 : EMPLOYEE HEALTH PLAN OF JMP PIZZA INC DBA DOMINOS PIZZA 2018 401k financial data
Total plan liabilities at end of year2018-04-30$0
Total plan liabilities at beginning of year2018-04-30$0
Total income from all sources2018-04-30$33,423
Expenses. Total of all expenses incurred2018-04-30$76,834
Benefits paid (including direct rollovers)2018-04-30$56,362
Total plan assets at end of year2018-04-30$20,722
Total plan assets at beginning of year2018-04-30$64,133
Value of fidelity bond covering the plan2018-04-30$65,000
Expenses. Other expenses not covered elsewhere2018-04-30$20,472
Net income (gross income less expenses)2018-04-30$-43,411
Net plan assets at end of year (total assets less liabilities)2018-04-30$20,722
Net plan assets at beginning of year (total assets less liabilities)2018-04-30$64,133
Total contributions received or receivable from employer(s)2018-04-30$33,423
2017 : EMPLOYEE HEALTH PLAN OF JMP PIZZA INC DBA DOMINOS PIZZA 2017 401k financial data
Total plan liabilities at end of year2017-04-30$0
Total plan liabilities at beginning of year2017-04-30$0
Total income from all sources2017-04-30$99,037
Expenses. Total of all expenses incurred2017-04-30$57,144
Benefits paid (including direct rollovers)2017-04-30$953
Total plan assets at end of year2017-04-30$64,133
Total plan assets at beginning of year2017-04-30$22,240
Value of fidelity bond covering the plan2017-04-30$65,000
Expenses. Other expenses not covered elsewhere2017-04-30$56,191
Net income (gross income less expenses)2017-04-30$41,893
Net plan assets at end of year (total assets less liabilities)2017-04-30$64,133
Net plan assets at beginning of year (total assets less liabilities)2017-04-30$22,240
Total contributions received or receivable from employer(s)2017-04-30$99,037
2016 : EMPLOYEE HEALTH PLAN OF JMP PIZZA INC DBA DOMINOS PIZZA 2016 401k financial data
Total plan liabilities at end of year2016-04-30$0
Total plan liabilities at beginning of year2016-04-30$0
Total income from all sources2016-04-30$50,464
Expenses. Total of all expenses incurred2016-04-30$28,224
Benefits paid (including direct rollovers)2016-04-30$0
Total plan assets at end of year2016-04-30$22,240
Total plan assets at beginning of year2016-04-30$0
Value of fidelity bond covering the plan2016-04-30$25,000
Expenses. Other expenses not covered elsewhere2016-04-30$28,224
Net income (gross income less expenses)2016-04-30$22,240
Net plan assets at end of year (total assets less liabilities)2016-04-30$22,240
Net plan assets at beginning of year (total assets less liabilities)2016-04-30$0
Total contributions received or receivable from employer(s)2016-04-30$50,464

Form 5500 Responses for EMPLOYEE HEALTH PLAN OF JMP PIZZA INC DBA DOMINOS PIZZA

2017: EMPLOYEE HEALTH PLAN OF JMP PIZZA INC DBA DOMINOS PIZZA 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Submission has been amendedNo
2017-05-01This submission is the final filingNo
2017-05-01This return/report is a short plan year return/report (less than 12 months)No
2017-05-01Plan is a collectively bargained planNo
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan funding arrangement – TrustYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement - TrustYes
2016: EMPLOYEE HEALTH PLAN OF JMP PIZZA INC DBA DOMINOS PIZZA 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Submission has been amendedNo
2016-05-01This submission is the final filingNo
2016-05-01This return/report is a short plan year return/report (less than 12 months)No
2016-05-01Plan is a collectively bargained planNo
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – TrustYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement - TrustYes
2015: EMPLOYEE HEALTH PLAN OF JMP PIZZA INC DBA DOMINOS PIZZA 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01First time form 5500 has been submittedYes
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – TrustYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number25547 NFA 0583
Policy instance 1
Insurance contract or identification number25547 NFA 0583
Number of Individuals Covered30
Insurance policy start date2017-05-01
Insurance policy end date2017-08-31
Are there contracts with allocated funds for individual policies?0
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 $14,200
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: 00000 )
Policy contract number25547 NFA 0672
Policy instance 1
Insurance contract or identification number25547 NFA 0672
Number of Individuals Covered20
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
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 $21,033
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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