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MEDICAL AND DENTAL BENEFIT PLANS FOR DAVE'S KILLER BREAD 401k Plan overview

Plan NameMEDICAL AND DENTAL BENEFIT PLANS FOR DAVE'S KILLER BREAD
Plan identification number 501

MEDICAL AND DENTAL BENEFIT PLANS FOR DAVE'S KILLER BREAD Benefits

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

401k Sponsoring company profile

AVB CORP has sponsored the creation of one or more 401k plans.

Company Name:AVB CORP
Employer identification number (EIN):930984847
NAIC Classification:311800
NAIC Description: Bakeries and Tortilla Manufacturing

Additional information about AVB CORP

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 2006-05-31
Company Identification Number: P06000075149
Legal Registered Office Address: 6531 SW 13TH. STREET

MIAMI

33164

More information about AVB CORP

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDICAL AND DENTAL BENEFIT PLANS FOR DAVE'S KILLER BREAD

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-03-01GRETCHEN PETERSON
5012015-03-01GRETCHEN PETERSON
5012014-03-01GINA DELAHUNT
5012013-03-01SARA WREDE SARA WREDE2014-07-17
5012012-03-01SARA WREDE
5012011-01-01SARA WREDE

Plan Statistics for MEDICAL AND DENTAL BENEFIT PLANS FOR DAVE'S KILLER BREAD

401k plan membership statisitcs for MEDICAL AND DENTAL BENEFIT PLANS FOR DAVE'S KILLER BREAD

Measure Date Value
2016: MEDICAL AND DENTAL BENEFIT PLANS FOR DAVE'S KILLER BREAD 2016 401k membership
Total participants, beginning-of-year2016-03-01298
Total number of active participants reported on line 7a of the Form 55002016-03-010
Number of retired or separated participants receiving benefits2016-03-010
Number of other retired or separated participants entitled to future benefits2016-03-010
Total of all active and inactive participants2016-03-010
2015: MEDICAL AND DENTAL BENEFIT PLANS FOR DAVE'S KILLER BREAD 2015 401k membership
Total participants, beginning-of-year2015-03-01249
Total number of active participants reported on line 7a of the Form 55002015-03-01237
Number of retired or separated participants receiving benefits2015-03-0115
Number of other retired or separated participants entitled to future benefits2015-03-010
Total of all active and inactive participants2015-03-01252
2014: MEDICAL AND DENTAL BENEFIT PLANS FOR DAVE'S KILLER BREAD 2014 401k membership
Total participants, beginning-of-year2014-03-01232
Total number of active participants reported on line 7a of the Form 55002014-03-01242
Number of retired or separated participants receiving benefits2014-03-012
Total of all active and inactive participants2014-03-01244
Total participants2014-03-01244
2013: MEDICAL AND DENTAL BENEFIT PLANS FOR DAVE'S KILLER BREAD 2013 401k membership
Total participants, beginning-of-year2013-03-01373
Total number of active participants reported on line 7a of the Form 55002013-03-01427
Number of retired or separated participants receiving benefits2013-03-012
Number of other retired or separated participants entitled to future benefits2013-03-011
Total of all active and inactive participants2013-03-01430
Total participants2013-03-01430
2012: MEDICAL AND DENTAL BENEFIT PLANS FOR DAVE'S KILLER BREAD 2012 401k membership
Total participants, beginning-of-year2012-03-01229
Total number of active participants reported on line 7a of the Form 55002012-03-01370
Number of retired or separated participants receiving benefits2012-03-011
Number of other retired or separated participants entitled to future benefits2012-03-012
Total of all active and inactive participants2012-03-01373
Total participants2012-03-01373
2011: MEDICAL AND DENTAL BENEFIT PLANS FOR DAVE'S KILLER BREAD 2011 401k membership
Total participants, beginning-of-year2011-01-01167
Total number of active participants reported on line 7a of the Form 55002011-01-01244
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01244
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01244

Form 5500 Responses for MEDICAL AND DENTAL BENEFIT PLANS FOR DAVE'S KILLER BREAD

2016: MEDICAL AND DENTAL BENEFIT PLANS FOR DAVE'S KILLER BREAD 2016 form 5500 responses
2016-03-01Type of plan entitySingle employer plan
2016-03-01Submission has been amendedNo
2016-03-01This submission is the final filingYes
2016-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-03-01Plan is a collectively bargained planNo
2016-03-01Plan funding arrangement – InsuranceYes
2016-03-01Plan funding arrangement – General assets of the sponsorYes
2016-03-01Plan benefit arrangement – InsuranceYes
2016-03-01Plan benefit arrangement – General assets of the sponsorYes
2015: MEDICAL AND DENTAL BENEFIT PLANS FOR DAVE'S KILLER BREAD 2015 form 5500 responses
2015-03-01Type of plan entitySingle employer plan
2015-03-01Submission has been amendedNo
2015-03-01This submission is the final filingNo
2015-03-01This return/report is a short plan year return/report (less than 12 months)No
2015-03-01Plan is a collectively bargained planNo
2015-03-01Plan funding arrangement – InsuranceYes
2015-03-01Plan funding arrangement – General assets of the sponsorYes
2015-03-01Plan benefit arrangement – InsuranceYes
2015-03-01Plan benefit arrangement – General assets of the sponsorYes
2014: MEDICAL AND DENTAL BENEFIT PLANS FOR DAVE'S KILLER BREAD 2014 form 5500 responses
2014-03-01Type of plan entitySingle employer plan
2014-03-01First time form 5500 has been submittedYes
2014-03-01Submission has been amendedNo
2014-03-01This submission is the final filingNo
2014-03-01This return/report is a short plan year return/report (less than 12 months)No
2014-03-01Plan is a collectively bargained planNo
2014-03-01Plan funding arrangement – InsuranceYes
2014-03-01Plan benefit arrangement – InsuranceYes
2013: MEDICAL AND DENTAL BENEFIT PLANS FOR DAVE'S KILLER BREAD 2013 form 5500 responses
2013-03-01Type of plan entitySingle employer plan
2013-03-01First time form 5500 has been submittedYes
2013-03-01Submission has been amendedNo
2013-03-01This submission is the final filingNo
2013-03-01This return/report is a short plan year return/report (less than 12 months)No
2013-03-01Plan is a collectively bargained planNo
2013-03-01Plan funding arrangement – InsuranceYes
2013-03-01Plan benefit arrangement – InsuranceYes
2012: MEDICAL AND DENTAL BENEFIT PLANS FOR DAVE'S KILLER BREAD 2012 form 5500 responses
2012-03-01Type of plan entitySingle employer plan
2012-03-01First time form 5500 has been submittedYes
2012-03-01Submission has been amendedNo
2012-03-01This submission is the final filingNo
2012-03-01This return/report is a short plan year return/report (less than 12 months)No
2012-03-01Plan is a collectively bargained planNo
2012-03-01Plan funding arrangement – InsuranceYes
2012-03-01Plan benefit arrangement – InsuranceYes
2011: MEDICAL AND DENTAL BENEFIT PLANS FOR DAVE'S KILLER BREAD 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01First time form 5500 has been submittedYes
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number16923
Policy instance 1
Insurance contract or identification number16923
Number of Individuals Covered416
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $60,601
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
Dental Insurance Welfare BenefitYes
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 $2,030,893
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $46,561
Insurance broker organization code?3
Insurance broker nameMERCER HEALTH AND BENEFITS, LLC
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number16923
Policy instance 1
Insurance contract or identification number16923
Number of Individuals Covered448
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $44,036
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
Dental Insurance Welfare BenefitYes
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 $1,485,312
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $44,036
Amount paid for insurance broker fees0
Insurance broker nameMONTGOMERY & GRAHAM, INC
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number16923
Policy instance 1
Insurance contract or identification number16923
Number of Individuals Covered430
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $36,839
Total amount of fees paid to insurance companyUSD $106,150
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 BenefitYes
Dental Insurance Welfare BenefitYes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,839
Amount paid for insurance broker fees1061
Additional information about fees paid to insurance brokerBONUS
Insurance broker nameMONTGOMERY & GRAHAM, INC
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number16923
Policy instance 1
Insurance contract or identification number16923
Number of Individuals Covered370
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $31,729
Total amount of fees paid to insurance companyUSD $725
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,454
Insurance broker nameMONTGOMERY & GRAHAM, INC.
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number16923
Policy instance 1
Insurance contract or identification number16923
Number of Individuals Covered244
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $19,539
Total amount of fees paid to insurance companyUSD $19,539
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number16923
Policy instance 1
Insurance contract or identification number16923
Number of Individuals Covered167
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $11,376
Total amount of fees paid to insurance companyUSD $11,376
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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