401k Plan data: BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN plan

BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN 401k Plan overview

Plan Name	BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN
Plan identification number	001

BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

BELLAVANCE BEVERAGE CO., LLC has sponsored the creation of one or more 401k plans.

Company Name: BELLAVANCE BEVERAGE CO., LLC

Employer identification number (EIN): 020108350

NAIC Classification: 424800

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 JOSEPH BELLAVANCE 2023-10-03 JOSEPH BELLAVANCE 2023-10-03
001 2021-01-01 JOSEPH BELLAVANCE 2022-10-12 JOSEPH BELLAVANCE 2022-10-12
001 2020-01-01 JOSEPH BELLAVANCE 2021-09-14 JOSEPH BELLAVANCE 2021-09-14
001 2019-01-01 JOSEPH BELLAVANCE 2020-08-25 JOSEPH BELLAVANCE 2020-08-25
001 2018-01-01 JOSEPH BELLAVANCE 2019-10-15 JOSEPH BELLAVANCE 2019-10-15
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01
001 2013-01-01
001 2012-01-01 TROY KOLDEN 2013-05-24
001 2011-01-01 TROY KOLDEN 2012-03-21
001 2010-01-01 TROY KOLDEN 2011-03-31

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	JOSEPH BELLAVANCE	2023-10-03	JOSEPH BELLAVANCE	2023-10-03
001	2021-01-01	JOSEPH BELLAVANCE	2022-10-12	JOSEPH BELLAVANCE	2022-10-12
001	2020-01-01	JOSEPH BELLAVANCE	2021-09-14	JOSEPH BELLAVANCE	2021-09-14
001	2019-01-01	JOSEPH BELLAVANCE	2020-08-25	JOSEPH BELLAVANCE	2020-08-25
001	2018-01-01	JOSEPH BELLAVANCE	2019-10-15	JOSEPH BELLAVANCE	2019-10-15
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01
001	2013-01-01
001	2012-01-01	TROY KOLDEN	2013-05-24
001	2011-01-01	TROY KOLDEN	2012-03-21
001	2010-01-01	TROY KOLDEN	2011-03-31

Plan Statistics for BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN

401k plan membership statisitcs for BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN

Measure Date Value
2022: BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 209
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 108
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 73
Total of all active and inactive participants 2022-01-01 181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 181
Number of participants with account balances 2022-01-01 181
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 16
2021: BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 197
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 116
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 85
Total of all active and inactive participants 2021-01-01 201
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 201
Number of participants with account balances 2021-01-01 201
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 11
2020: BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 200
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 115
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 72
Total of all active and inactive participants 2020-01-01 187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 187
Number of participants with account balances 2020-01-01 187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 10
2019: BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 193
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 112
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 83
Total of all active and inactive participants 2019-01-01 195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 195
Number of participants with account balances 2019-01-01 195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 15
2018: BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 133
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 105
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 66
Total of all active and inactive participants 2018-01-01 171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 171
Number of participants with account balances 2018-01-01 171
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 9

Measure	Date	Value
2022: BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	209
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	108
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	73
Total of all active and inactive participants	2022-01-01	181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	181
Number of participants with account balances	2022-01-01	181
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	16
2021: BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	197
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	116
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	85
Total of all active and inactive participants	2021-01-01	201
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	201
Number of participants with account balances	2021-01-01	201
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	11
2020: BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	200
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	115
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	72
Total of all active and inactive participants	2020-01-01	187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	187
Number of participants with account balances	2020-01-01	187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	10
2019: BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	193
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	112
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	83
Total of all active and inactive participants	2019-01-01	195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	195
Number of participants with account balances	2019-01-01	195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	15
2018: BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	133
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	105
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	66
Total of all active and inactive participants	2018-01-01	171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	171
Number of participants with account balances	2018-01-01	171
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	9

Financial Data on BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN

Measure	Date	Value
2022 : BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources (including contributions)	2022-12-31	$-2,141,012
Total of all expenses incurred	2022-12-31	$2,046,946
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$1,969,718
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$805,313
Value of total assets at end of year	2022-12-31	$18,496,716
Value of total assets at beginning of year	2022-12-31	$22,684,674
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$77,228
Total interest from all sources	2022-12-31	$55,549
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$275,012
Assets. Other investments not covered elsewhere at beginning of year	2022-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$16,129
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2022-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-4,187,958
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$18,496,716
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$22,684,674
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$77,228
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$17,226,504
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$21,494,323
Interest earned on other investments	2022-12-31	$55,549
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$756,040
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$795,957
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-3,001,874
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$514,172
Employer contributions (assets) at end of year	2022-12-31	$514,172
Employer contributions (assets) at beginning of year	2022-12-31	$394,394
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$1,969,718
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	CARON + BLETZER, PLLC
Accountancy firm EIN	2022-12-31	043499945
2021 : BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN 2021 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$3,250,328
Total of all expenses incurred	2021-12-31	$2,494,900
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$2,397,967
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$642,767
Value of total assets at end of year	2021-12-31	$22,684,674
Value of total assets at beginning of year	2021-12-31	$21,929,246
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$96,933
Total interest from all sources	2021-12-31	$31,595
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$0
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$248,373
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$755,428
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$22,684,674
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$21,929,246
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$96,933
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$21,494,323
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$20,451,606
Interest earned on other investments	2021-12-31	$31,595
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$795,957
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$896,301
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$2,575,966
Net investment gain/loss from pooled separate accounts	2021-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$394,394
Employer contributions (assets) at end of year	2021-12-31	$394,394
Employer contributions (assets) at beginning of year	2021-12-31	$581,339
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$2,397,967
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	CARON + BLETZER, PLLC
Accountancy firm EIN	2021-12-31	043499945
2020 : BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$3,345,438
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$449,530
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$368,144
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$857,925
Value of total assets at end of year	2020-12-31	$21,929,246
Value of total assets at beginning of year	2020-12-31	$19,033,338
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$81,386
Total interest from all sources	2020-12-31	$32,324
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$398,159
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$398,159
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$225,075
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$51,511
Administrative expenses (other) incurred	2020-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$2,895,908
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$21,929,246
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$19,033,338
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$81,386
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$20,451,606
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$17,794,377
Interest earned on other investments	2020-12-31	$32,324
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$896,301
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$841,718
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$2,057,030
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$581,339
Employer contributions (assets) at end of year	2020-12-31	$581,339
Employer contributions (assets) at beginning of year	2020-12-31	$397,243
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$368,144
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	CARON + BLETZER, PLLC
Accountancy firm EIN	2020-12-31	043499945
2019 : BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$3,786,934
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$1,031,804
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$971,020
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$602,712
Value of total assets at end of year	2019-12-31	$19,033,338
Value of total assets at beginning of year	2019-12-31	$16,278,208
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$60,784
Total interest from all sources	2019-12-31	$34,855
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$619,404
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$619,404
Administrative expenses professional fees incurred	2019-12-31	$0
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$182,698
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$10,307
Administrative expenses (other) incurred	2019-12-31	$60,784
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$2,755,130
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$19,033,338
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$16,278,208
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$17,794,377
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$15,118,554
Income. Interest from loans (other than to participants)	2019-12-31	$0
Interest earned on other investments	2019-12-31	$34,855
Value of interest in common/collective trusts at beginning of year	2019-12-31	$6,599
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$841,718
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$794,169
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$2,529,963
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$409,707
Employer contributions (assets) at end of year	2019-12-31	$397,243
Employer contributions (assets) at beginning of year	2019-12-31	$358,886
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$971,020
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	CARON & BLETZER PLLC
Accountancy firm EIN	2019-12-31	043499945
2018 : BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$-605,957
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$1,611,315
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$1,580,253
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$501,925
Value of total assets at end of year	2018-12-31	$16,278,208
Value of total assets at beginning of year	2018-12-31	$18,495,480
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$31,062
Total interest from all sources	2018-12-31	$5,405
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$373,832
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$373,832
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$143,039
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$0
Other income not declared elsewhere	2018-12-31	$38,115
Administrative expenses (other) incurred	2018-12-31	$31,062
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Income. Non cash contributions	2018-12-31	$0
Value of net income/loss	2018-12-31	$-2,217,272
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$16,278,208
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$18,495,480
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$15,118,554
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$17,471,237
Interest earned on other investments	2018-12-31	$5,405
Value of interest in common/collective trusts at end of year	2018-12-31	$6,599
Value of interest in common/collective trusts at beginning of year	2018-12-31	$7,033
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$794,169
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$795,710
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-1,525,234
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$358,886
Employer contributions (assets) at end of year	2018-12-31	$358,886
Employer contributions (assets) at beginning of year	2018-12-31	$221,500
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$1,580,253
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	CARON & BLETZER PLLC
Accountancy firm EIN	2018-12-31	043499945

Form 5500 Responses for BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN

2022: BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: BELLAVANCE BEVERAGE CO., INC. PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

512643-000

Policy instance

Insurance contract or identification number	512643-000
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

512643-000

Policy instance

Insurance contract or identification number	512643-000
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Insurance broker organization code?	5

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

512643-000

Policy instance

Insurance contract or identification number	512643-000
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $9,228
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Amount paid for insurance broker fees	9228
Insurance broker organization code?	5

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

512643-000

Policy instance

Insurance contract or identification number	512643-000
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $8,605
Amount paid for insurance broker fees	8605
Insurance broker organization code?	5

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

512643-000

Policy instance

Insurance contract or identification number	512643-000
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of fees paid to insurance company	USD $8,355
Amount paid for insurance broker fees	6199
Insurance broker organization code?	5

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Company Name:	BELLAVANCE BEVERAGE CO., LLC
Employer identification number (EIN):	020108350
NAIC Classification:	424800