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EBG, LLC D. B. A. EATZIS MARKET AND BAKERY STD AND LTD PLAN 401k Plan overview

Plan NameEBG, LLC D. B. A. EATZIS MARKET AND BAKERY STD AND LTD PLAN
Plan identification number 505

EBG, LLC D. B. A. EATZIS MARKET AND BAKERY STD AND LTD PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

EBG, LLC D.B.A. EATZIS MARKET AND BAKERY has sponsored the creation of one or more 401k plans.

Company Name:EBG, LLC D.B.A. EATZIS MARKET AND BAKERY
Employer identification number (EIN):205862855
NAIC Classification:311800
NAIC Description: Bakeries and Tortilla Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EBG, LLC D. B. A. EATZIS MARKET AND BAKERY STD AND LTD PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052018-01-01LAURA MCLAND2019-09-25
5052018-01-01LINDA CONNELLY2020-10-09
5052017-01-01
5052016-01-01KRISTIE TALBERT

Plan Statistics for EBG, LLC D. B. A. EATZIS MARKET AND BAKERY STD AND LTD PLAN

401k plan membership statisitcs for EBG, LLC D. B. A. EATZIS MARKET AND BAKERY STD AND LTD PLAN

Measure Date Value
2018: EBG, LLC D. B. A. EATZIS MARKET AND BAKERY STD AND LTD PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01102
Total number of active participants reported on line 7a of the Form 55002018-01-0190
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0190
Number of employers contributing to the scheme2018-01-010
2017: EBG, LLC D. B. A. EATZIS MARKET AND BAKERY STD AND LTD PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01104
Total number of active participants reported on line 7a of the Form 55002017-01-01102
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 participants2017-01-01102
2016: EBG, LLC D. B. A. EATZIS MARKET AND BAKERY STD AND LTD PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01100
Total number of active participants reported on line 7a of the Form 55002016-01-01104
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 participants2016-01-01104

Form 5500 Responses for EBG, LLC D. B. A. EATZIS MARKET AND BAKERY STD AND LTD PLAN

2018: EBG, LLC D. B. A. EATZIS MARKET AND BAKERY STD AND LTD PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: EBG, LLC D. B. A. EATZIS MARKET AND BAKERY STD AND LTD PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: EBG, LLC D. B. A. EATZIS MARKET AND BAKERY STD AND LTD PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01First time form 5500 has been submittedYes
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 benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number304459
Policy instance 1
Insurance contract or identification number304459
Number of Individuals Covered90
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $3,824
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,588
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,824
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number304459
Policy instance 1
Insurance contract or identification number304459
Number of Individuals Covered102
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $4,643
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $31,016
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,643
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC

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