401k Plan data: EMBASSY 401(K) PLAN plan

EMBASSY 401(K) PLAN 401k Plan overview

Plan Name	EMBASSY 401(K) PLAN
Plan identification number	001

EMBASSY 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
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.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan covering Self-Employed individuals.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MIVILA FOODS has sponsored the creation of one or more 401k plans.

Company Name: MIVILA FOODS

Employer identification number (EIN): 221721987

NAIC Classification: 424400

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMBASSY 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01 THEODORE LAOUDIS 2024-05-14
001 2022-01-01 THEODORE LAOUDIS 2023-05-11
001 2021-01-01 THEODORE LAOUDIS 2022-06-03
001 2020-01-01 THEODORE LAOUDIS 2021-07-23
001 2019-01-01 THEODORE LAOUDIS 2020-06-30
001 2018-01-01 THEODORE LAOUDIS 2019-07-31
001 2017-01-01 THEODORE LAOUDIS 2018-10-12
001 2016-01-01 THEODORE LAOUDIS 2017-07-18
001 2015-01-01 THEODORE LAOUDIS 2016-06-24
001 2014-01-01 THEODORE LAOUDIS 2015-10-13
001 2013-01-01 THEODORE LAOUDIS 2014-07-16
001 2012-01-01 THEODORE LAOUDIS 2013-04-12
001 2011-01-01 THEODORE LAOUDIS 2012-07-19
001 2010-01-01 BEATRICE PAGAN
001 2009-01-01 BEATRICE PAGAN

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2023-01-01	THEODORE LAOUDIS	2024-05-14
001	2022-01-01	THEODORE LAOUDIS	2023-05-11
001	2021-01-01	THEODORE LAOUDIS	2022-06-03
001	2020-01-01	THEODORE LAOUDIS	2021-07-23
001	2019-01-01	THEODORE LAOUDIS	2020-06-30
001	2018-01-01	THEODORE LAOUDIS	2019-07-31
001	2017-01-01	THEODORE LAOUDIS	2018-10-12
001	2016-01-01	THEODORE LAOUDIS	2017-07-18
001	2015-01-01	THEODORE LAOUDIS	2016-06-24
001	2014-01-01	THEODORE LAOUDIS	2015-10-13
001	2013-01-01	THEODORE LAOUDIS	2014-07-16
001	2012-01-01	THEODORE LAOUDIS	2013-04-12
001	2011-01-01	THEODORE LAOUDIS	2012-07-19
001	2010-01-01	BEATRICE PAGAN
001	2009-01-01	BEATRICE PAGAN

Plan Statistics for EMBASSY 401(K) PLAN

401k plan membership statisitcs for EMBASSY 401(K) PLAN

Measure Date Value
2010: EMBASSY 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 47
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 46
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 6
Total of all active and inactive participants 2010-01-01 52
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 52
Number of participants with account balances 2010-01-01 21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: EMBASSY 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 55
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 42
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 5
Total of all active and inactive participants 2009-01-01 47
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 47
Number of participants with account balances 2009-01-01 21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2010: EMBASSY 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	47
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	46
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	6
Total of all active and inactive participants	2010-01-01	52
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	52
Number of participants with account balances	2010-01-01	21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: EMBASSY 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	55
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	42
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	5
Total of all active and inactive participants	2009-01-01	47
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	47
Number of participants with account balances	2009-01-01	21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on EMBASSY 401(K) PLAN

Measure	Date	Value
2010 : EMBASSY 401(K) PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$126,913
Expenses. Total of all expenses incurred	2010-12-31	$4,000
Benefits paid (including direct rollovers)	2010-12-31	$4,000
Total plan assets at end of year	2010-12-31	$765,024
Total plan assets at beginning of year	2010-12-31	$642,111
Total contributions received or receivable from participants	2010-12-31	$53,594
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$73,319
Net income (gross income less expenses)	2010-12-31	$122,913
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$765,024
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$642,111
Total contributions received or receivable from employer(s)	2010-12-31	$0
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0

Form 5500 Responses for EMBASSY 401(K) PLAN

2010: EMBASSY 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: EMBASSY 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )

Policy contract number

928817

Policy instance

Insurance contract or identification number	928817
Number of Individuals Covered	21
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $2,015
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $2,015
Insurance broker organization code?	4
Insurance broker name	MORGAN STANLEY SMITH BARNEY LLC

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Company Name:	MIVILA FOODS
Employer identification number (EIN):	221721987
NAIC Classification:	424400