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ANGEL FOOD LLC EMPLOYER HEALTH AND WELFARE BENEFIT PLAN 401k Plan overview

Plan NameANGEL FOOD LLC EMPLOYER HEALTH AND WELFARE BENEFIT PLAN
Plan identification number 501

ANGEL FOOD LLC EMPLOYER HEALTH AND WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

ANGEL FOOD LLC has sponsored the creation of one or more 401k plans.

Company Name:ANGEL FOOD LLC
Employer identification number (EIN):043794891
NAIC Classification:722511
NAIC Description:Full-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANGEL FOOD LLC EMPLOYER HEALTH AND WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-01-01ALLYSON JOSSEL2020-10-02
5012017-01-01
5012016-01-01
5012015-01-01ALLYSON JOSSEL

Plan Statistics for ANGEL FOOD LLC EMPLOYER HEALTH AND WELFARE BENEFIT PLAN

401k plan membership statisitcs for ANGEL FOOD LLC EMPLOYER HEALTH AND WELFARE BENEFIT PLAN

Measure Date Value
2019: ANGEL FOOD LLC EMPLOYER HEALTH AND WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01173
Total number of active participants reported on line 7a of the Form 55002019-01-01181
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01181
Number of employers contributing to the scheme2019-01-010
2017: ANGEL FOOD LLC EMPLOYER HEALTH AND WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01145
Total number of active participants reported on line 7a of the Form 55002017-01-01149
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01149
2016: ANGEL FOOD LLC EMPLOYER HEALTH AND WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01117
Total number of active participants reported on line 7a of the Form 55002016-01-01145
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01145
2015: ANGEL FOOD LLC EMPLOYER HEALTH AND WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0187
Total number of active participants reported on line 7a of the Form 55002015-01-01125
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01125

Financial Data on ANGEL FOOD LLC EMPLOYER HEALTH AND WELFARE BENEFIT PLAN

Measure Date Value
2015 : ANGEL FOOD LLC EMPLOYER HEALTH AND WELFARE BENEFIT PLAN 2015 401k financial data
Total income from all sources2015-12-31$281,563
Expenses. Total of all expenses incurred2015-12-31$281,563
Benefits paid (including direct rollovers)2015-12-31$107,264
Expenses. Other expenses not covered elsewhere2015-12-31$119,505
Net income (gross income less expenses)2015-12-31$0
Net plan assets at end of year (total assets less liabilities)2015-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$0
Total contributions received or receivable from employer(s)2015-12-31$281,563
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$54,794

Form 5500 Responses for ANGEL FOOD LLC EMPLOYER HEALTH AND WELFARE BENEFIT PLAN

2019: ANGEL FOOD LLC EMPLOYER HEALTH AND WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: ANGEL FOOD LLC EMPLOYER HEALTH AND WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: ANGEL FOOD LLC EMPLOYER HEALTH AND WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: ANGEL FOOD LLC EMPLOYER HEALTH AND WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01First time form 5500 has been submittedYes
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement - TrustYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number207065
Policy instance 1
PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 )
Policy contract number17806
Policy instance 2
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number19186
Policy instance 3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number207065
Policy instance 1
PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 )
Policy contract number17806
Policy instance 2
BENEFIT RISK MANAGEMENT SERVICES (National Association of Insurance Commissioners NAIC id number: 95763 )
Policy contract number00
Policy instance 1

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