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BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan NameBURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN
Plan identification number 503

BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

BURLINGTON DRUG COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name:BURLINGTON DRUG COMPANY, INC.
Employer identification number (EIN):030355423
NAIC Classification:325410

Additional information about BURLINGTON DRUG COMPANY, INC.

Jurisdiction of Incorporation: Vermont Secretary of State Corporations Division
Incorporation Date: 1998-01-01
Company Identification Number: 117348
Legal Registered Office Address: 17 G W TATRO DR

JEFFERSONVILLE
United States of America (USA)
05464

More information about BURLINGTON DRUG COMPANY, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032015-10-01MARIA M. BURNS MARIA M. BURNS2016-12-30
5032014-10-012016-02-19
5032014-10-012016-02-18
5032014-10-01MARIA M. BURNS MARIA M. BURNS2016-11-03
5032013-10-01MARIA M. BURNS MARIA M. BURNS2015-03-21
5032012-10-01MARIA M. BURNS MARIA M. BURNS2014-04-29
5032011-10-01MARIA M. BURNS MARIA M. BURNS2013-04-24
5032010-10-01MARIA M. BURNS MARIA M. BURNS2012-04-27
5032009-10-01MARIA M. BURNS MARIA M. BURNS2011-04-18

Plan Statistics for BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN

Measure Date Value
2015: BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-0196
Total number of active participants reported on line 7a of the Form 55002015-10-0198
Total of all active and inactive participants2015-10-0198
2014: BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01101
Total number of active participants reported on line 7a of the Form 55002014-10-01100
Total of all active and inactive participants2014-10-01100
2013: BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-0198
Total number of active participants reported on line 7a of the Form 55002013-10-0193
Total of all active and inactive participants2013-10-0193
2012: BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-01103
Total number of active participants reported on line 7a of the Form 55002012-10-0195
Total of all active and inactive participants2012-10-0195
2011: BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-01102
Total number of active participants reported on line 7a of the Form 55002011-10-01105
Number of retired or separated participants receiving benefits2011-10-010
Number of other retired or separated participants entitled to future benefits2011-10-010
Total of all active and inactive participants2011-10-01105
2010: BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-10-01103
Total number of active participants reported on line 7a of the Form 55002010-10-01107
Number of retired or separated participants receiving benefits2010-10-010
Number of other retired or separated participants entitled to future benefits2010-10-010
Total of all active and inactive participants2010-10-01107
2009: BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01108
Total number of active participants reported on line 7a of the Form 55002009-10-01106
Number of retired or separated participants receiving benefits2009-10-010
Number of other retired or separated participants entitled to future benefits2009-10-010
Total of all active and inactive participants2009-10-01106

Financial Data on BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN

Measure Date Value
2016 : BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN 2016 401k financial data
Total income from all sources2016-09-30$0
Expenses. Total of all expenses incurred2016-09-30$0
Value of fidelity bond covering the plan2016-09-30$500,000
Net income (gross income less expenses)2016-09-30$0
Net plan assets at end of year (total assets less liabilities)2016-09-30$0
Net plan assets at beginning of year (total assets less liabilities)2016-09-30$0
2015 : BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN 2015 401k financial data
Total income from all sources2015-09-30$0
Expenses. Total of all expenses incurred2015-09-30$0
Value of fidelity bond covering the plan2015-09-30$500,000
Net income (gross income less expenses)2015-09-30$0
Net plan assets at end of year (total assets less liabilities)2015-09-30$0
Net plan assets at beginning of year (total assets less liabilities)2015-09-30$0
2014 : BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN 2014 401k financial data
Total income from all sources2014-09-30$0
Expenses. Total of all expenses incurred2014-09-30$0
Value of fidelity bond covering the plan2014-09-30$500,000
Net income (gross income less expenses)2014-09-30$0
Net plan assets at end of year (total assets less liabilities)2014-09-30$0
Net plan assets at beginning of year (total assets less liabilities)2014-09-30$0
2013 : BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN 2013 401k financial data
Total income from all sources2013-09-30$0
Expenses. Total of all expenses incurred2013-09-30$0
Value of fidelity bond covering the plan2013-09-30$500,000
Net income (gross income less expenses)2013-09-30$0
Net plan assets at end of year (total assets less liabilities)2013-09-30$0
Net plan assets at beginning of year (total assets less liabilities)2013-09-30$0
2012 : BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN 2012 401k financial data
Total income from all sources2012-09-30$0
Expenses. Total of all expenses incurred2012-09-30$0
Total plan assets at beginning of year2012-09-30$0
Value of fidelity bond covering the plan2012-09-30$500,000
Net income (gross income less expenses)2012-09-30$0
Net plan assets at end of year (total assets less liabilities)2012-09-30$0
Net plan assets at beginning of year (total assets less liabilities)2012-09-30$0
2011 : BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN 2011 401k financial data
Total income from all sources2011-09-30$0
Expenses. Total of all expenses incurred2011-09-30$0
Total plan assets at beginning of year2011-09-30$0
Value of fidelity bond covering the plan2011-09-30$500,000
Net income (gross income less expenses)2011-09-30$0
Net plan assets at end of year (total assets less liabilities)2011-09-30$0
Net plan assets at beginning of year (total assets less liabilities)2011-09-30$0

Form 5500 Responses for BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN

2015: BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN 2015 form 5500 responses
2015-10-01Type of plan entityMulti-employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – General assets of the sponsorYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – General assets of the sponsorYes
2014: BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN 2014 form 5500 responses
2014-10-01Type of plan entityMulti-employer plan
2014-10-01Submission has been amendedYes
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – General assets of the sponsorYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – General assets of the sponsorYes
2013: BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN 2013 form 5500 responses
2013-10-01Type of plan entityMulti-employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – General assets of the sponsorYes
2013-10-01Plan benefit arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – General assets of the sponsorYes
2012: BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN 2012 form 5500 responses
2012-10-01Type of plan entityMulti-employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – General assets of the sponsorYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – General assets of the sponsorYes
2011: BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN 2011 form 5500 responses
2011-10-01Type of plan entityMulti-employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan funding arrangement – General assets of the sponsorYes
2011-10-01Plan benefit arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – General assets of the sponsorYes
2010: BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN 2010 form 5500 responses
2010-10-01Type of plan entityMulti-employer plan
2010-10-01Submission has been amendedNo
2010-10-01This submission is the final filingNo
2010-10-01This return/report is a short plan year return/report (less than 12 months)No
2010-10-01Plan is a collectively bargained planNo
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan funding arrangement – General assets of the sponsorYes
2010-10-01Plan benefit arrangement – InsuranceYes
2010-10-01Plan benefit arrangement – General assets of the sponsorYes
2009: BURLINGTON DRUG COMPANY EMPLOYEE BENEFIT PLAN 2009 form 5500 responses
2009-10-01Type of plan entityMulti-employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan funding arrangement – General assets of the sponsorYes
2009-10-01Plan benefit arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract number0
Policy instance 1
Insurance contract or identification number0
Number of Individuals Covered98
Insurance policy start date2015-10-01
Insurance policy end date2016-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $62,681
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 $132,842
Amount paid for insurance broker fees50031
Additional information about fees paid to insurance brokerCONTRACT ADMINISTRATION
Insurance broker organization code?5
Insurance broker nameNORTHERN BENEFITS UNLIMITED
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract number0
Policy instance 1
Insurance contract or identification number0
Number of Individuals Covered100
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $68,378
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 $157,683
Amount paid for insurance broker fees55012
Additional information about fees paid to insurance brokerCONTRACT ADMINISTRATION
Insurance broker organization code?5
Insurance broker nameNORTHERN BENEFITS UNLIMITED
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number0
Policy instance 1
Insurance contract or identification number0
Number of Individuals Covered93
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $64,221
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 $162,323
Amount paid for insurance broker fees51213
Additional information about fees paid to insurance brokerCONTRACT ADMINISTRATION
Insurance broker organization code?5
Insurance broker nameNORTHERN BENEFITS UNLIMITED
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number0
Policy instance 1
Insurance contract or identification number0
Number of Individuals Covered95
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $62,113
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 $148,622
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees49105
Additional information about fees paid to insurance brokerCONTRACT ADMINISTRATION
Insurance broker organization code?5
Insurance broker nameNORTHERN BENEFITS UNLIMITED
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number0
Policy instance 1
Insurance contract or identification number0
Number of Individuals Covered105
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $61,350
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 $146,922
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number0
Policy instance 1
Insurance contract or identification number0
Number of Individuals Covered103
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $62,183
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 $131,329

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