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B&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN 401k Plan overview

Plan NameB&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN
Plan identification number 009

B&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN Benefits

401k Plan TypeDefined 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.
  • 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

B&G FOODS NORTH AMERICA, INC. has sponsored the creation of one or more 401k plans.

Company Name:B&G FOODS NORTH AMERICA, INC.
Employer identification number (EIN):223640377
NAIC Classification:311900
NAIC Description: Other Food Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan B&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0092022-01-01
0092021-01-01
0092020-01-01
0092019-01-01
0092018-01-01
0092017-01-01ERIC HART

Plan Statistics for B&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN

401k plan membership statisitcs for B&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN

Measure Date Value
2022: B&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01328
Total number of active participants reported on line 7a of the Form 55002022-01-01288
Number of retired or separated participants receiving benefits2022-01-016
Number of other retired or separated participants entitled to future benefits2022-01-0145
Total of all active and inactive participants2022-01-01339
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01339
Number of participants with account balances2022-01-01224
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: B&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01305
Total number of active participants reported on line 7a of the Form 55002021-01-01300
Number of retired or separated participants receiving benefits2021-01-012
Number of other retired or separated participants entitled to future benefits2021-01-0126
Total of all active and inactive participants2021-01-01328
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01328
Number of participants with account balances2021-01-01217
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-013
2020: B&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01297
Total number of active participants reported on line 7a of the Form 55002020-01-01284
Number of retired or separated participants receiving benefits2020-01-011
Number of other retired or separated participants entitled to future benefits2020-01-0120
Total of all active and inactive participants2020-01-01305
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01305
Number of participants with account balances2020-01-01199
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: B&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01297
Total number of active participants reported on line 7a of the Form 55002019-01-01274
Number of retired or separated participants receiving benefits2019-01-012
Number of other retired or separated participants entitled to future benefits2019-01-0121
Total of all active and inactive participants2019-01-01297
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01297
Number of participants with account balances2019-01-01202
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: B&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01297
Total number of active participants reported on line 7a of the Form 55002018-01-01284
Number of retired or separated participants receiving benefits2018-01-014
Number of other retired or separated participants entitled to future benefits2018-01-019
Total of all active and inactive participants2018-01-01297
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01297
Number of participants with account balances2018-01-01184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-018
2017: B&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01284
Total number of active participants reported on line 7a of the Form 55002017-01-01290
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-016
Total of all active and inactive participants2017-01-01296
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01296
Number of participants with account balances2017-01-01196
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010

Financial Data on B&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN

Measure Date Value
2022 : B&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-655,642
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$1,127,144
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,109,700
Expenses. Certain deemed distributions of participant loans2022-12-31$5,481
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,195,002
Value of total assets at end of year2022-12-31$11,756,654
Value of total assets at beginning of year2022-12-31$13,539,440
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$11,963
Total interest from all sources2022-12-31$73,057
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$421,406
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$421,406
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$3,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$857,862
Participant contributions at end of year2022-12-31$489,176
Participant contributions at beginning of year2022-12-31$562,115
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$50,000
Other income not declared elsewhere2022-12-31$-29
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,782,786
Value of net assets at end of year (total assets less liabilities)2022-12-31$11,756,654
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$13,539,440
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$8,332,953
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$10,212,634
Interest on participant loans2022-12-31$24,431
Interest earned on other investments2022-12-31$44,310
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$328,736
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$137,308
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$137,308
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$4,316
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$2,605,789
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$2,627,383
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-2,345,078
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$287,140
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,109,700
Contract administrator fees2022-12-31$11,963
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31EISNERAMPER LLP
Accountancy firm EIN2022-12-31871363769
2021 : B&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
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$2,441,919
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$1,193,730
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,187,940
Expenses. Certain deemed distributions of participant loans2021-12-31$-7,254
Value of total corrective distributions2021-12-31$305
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,276,653
Value of total assets at end of year2021-12-31$13,539,440
Value of total assets at beginning of year2021-12-31$12,291,251
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$12,739
Total interest from all sources2021-12-31$68,135
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$625,805
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$625,805
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$3,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$866,634
Participant contributions at end of year2021-12-31$562,115
Participant contributions at beginning of year2021-12-31$432,756
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$129,858
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,248,189
Value of net assets at end of year (total assets less liabilities)2021-12-31$13,539,440
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$12,291,251
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$10,212,634
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$8,717,928
Interest on participant loans2021-12-31$25,528
Interest earned on other investments2021-12-31$42,597
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$137,308
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$204,179
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$204,179
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$10
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$2,627,383
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$2,936,388
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$471,326
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$280,161
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,187,940
Contract administrator fees2021-12-31$12,739
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31EISNERAMPER LLP
Accountancy firm EIN2021-12-31871363769
2020 : B&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$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$2,388,563
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$889,772
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$863,826
Expenses. Certain deemed distributions of participant loans2020-12-31$15,891
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$840,983
Value of total assets at end of year2020-12-31$12,291,251
Value of total assets at beginning of year2020-12-31$10,792,460
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$10,055
Total interest from all sources2020-12-31$77,620
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$297,518
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$297,518
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$3,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$732,389
Participant contributions at end of year2020-12-31$432,756
Participant contributions at beginning of year2020-12-31$438,735
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$11,561
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,498,791
Value of net assets at end of year (total assets less liabilities)2020-12-31$12,291,251
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$10,792,460
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$8,717,928
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$7,807,688
Interest on participant loans2020-12-31$26,445
Interest earned on other investments2020-12-31$50,417
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$204,179
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$277,873
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$277,873
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$758
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$2,936,388
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$2,267,622
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,172,442
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$97,033
Employer contributions (assets) at end of year2020-12-31$0
Employer contributions (assets) at beginning of year2020-12-31$542
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$863,826
Contract administrator fees2020-12-31$10,055
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31EISNERAMPER LLP
Accountancy firm EIN2020-12-31131639826
2019 : B&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at 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 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$2,163,434
Total income from all sources (including contributions)2019-12-31$2,163,434
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$407,339
Total of all expenses incurred2019-12-31$407,339
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$352,496
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$352,496
Expenses. Certain deemed distributions of participant loans2019-12-31$44,316
Expenses. Certain deemed distributions of participant loans2019-12-31$44,316
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$632,788
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$632,788
Value of total assets at end of year2019-12-31$10,792,460
Value of total assets at end of year2019-12-31$10,792,460
Value of total assets at beginning of year2019-12-31$9,036,365
Value of total assets at beginning of year2019-12-31$9,036,365
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$10,527
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$10,527
Total interest from all sources2019-12-31$70,781
Total interest from all sources2019-12-31$70,781
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$269,874
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$269,874
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$269,874
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$269,874
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$3,000,000
Value of fidelity bond cover2019-12-31$3,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$548,460
Contributions received from participants2019-12-31$548,460
Participant contributions at end of year2019-12-31$438,735
Participant contributions at end of year2019-12-31$438,735
Participant contributions at beginning of year2019-12-31$394,532
Participant contributions at beginning of year2019-12-31$394,532
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$17,401
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$17,401
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,756,095
Value of net income/loss2019-12-31$1,756,095
Value of net assets at end of year (total assets less liabilities)2019-12-31$10,792,460
Value of net assets at end of year (total assets less liabilities)2019-12-31$10,792,460
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$9,036,365
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$9,036,365
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$7,807,688
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$7,807,688
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$6,357,617
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$6,357,617
Interest on participant loans2019-12-31$21,371
Interest on participant loans2019-12-31$21,371
Interest earned on other investments2019-12-31$45,119
Interest earned on other investments2019-12-31$45,119
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$277,873
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$277,873
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$243,138
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$243,138
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$243,138
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$243,138
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$4,291
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$4,291
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$2,267,622
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$2,267,622
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$2,041,078
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,189,991
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,189,991
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$66,927
Contributions received in cash from employer2019-12-31$66,927
Employer contributions (assets) at end of year2019-12-31$542
Employer contributions (assets) at end of year2019-12-31$542
Employer contributions (assets) at beginning of year2019-12-31$0
Employer contributions (assets) at beginning of year2019-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$352,496
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$352,496
Contract administrator fees2019-12-31$10,527
Contract administrator fees2019-12-31$10,527
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31EISNER AMPER LLP
Accountancy firm name2019-12-31EISNER AMPER LLP
Accountancy firm EIN2019-12-31131639826
Accountancy firm EIN2019-12-31131639826
2018 : B&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$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$289,549
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$796,582
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$737,254
Expenses. Certain deemed distributions of participant loans2018-12-31$42,040
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$564,038
Value of total assets at end of year2018-12-31$9,036,365
Value of total assets at beginning of year2018-12-31$9,543,398
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$17,288
Total interest from all sources2018-12-31$65,050
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$300,382
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$300,382
Administrative expenses professional fees incurred2018-12-31$3,271
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$3,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31Yes
Amount of non-exempt transactions with any party-in-interest2018-12-31$1,606
Contributions received from participants2018-12-31$467,287
Participant contributions at end of year2018-12-31$394,532
Participant contributions at beginning of year2018-12-31$455,068
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$47,367
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-507,033
Value of net assets at end of year (total assets less liabilities)2018-12-31$9,036,365
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$9,543,398
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$6,357,617
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$6,809,238
Interest on participant loans2018-12-31$19,945
Interest earned on other investments2018-12-31$42,511
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$243,138
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$203,106
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$203,106
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$2,594
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$2,041,078
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$2,075,986
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-639,921
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$49,384
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$737,254
Contract administrator fees2018-12-31$14,017
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31EISNER AMPER LLP
Accountancy firm EIN2018-12-31131639826
2017 : B&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total transfer of assets to this plan2017-12-31$8,980,977
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$1,239,673
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$677,252
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$643,017
Expenses. Certain deemed distributions of participant loans2017-12-31$15,401
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$497,400
Value of total assets at end of year2017-12-31$9,543,398
Value of total assets at beginning of year2017-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$18,834
Total interest from all sources2017-12-31$26,529
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$233,424
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$233,424
Administrative expenses professional fees incurred2017-12-31$1,606
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$3,000,000
If this is an individual account plan, was there a blackout period2017-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31Yes
Amount of non-exempt transactions with any party-in-interest2017-12-31$1,606
Contributions received from participants2017-12-31$451,051
Participant contributions at end of year2017-12-31$455,068
Participant contributions at beginning of year2017-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$13,855
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$562,421
Value of net assets at end of year (total assets less liabilities)2017-12-31$9,543,398
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$6,809,238
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$0
Interest on participant loans2017-12-31$15,984
Interest earned on other investments2017-12-31$9,938
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$203,106
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$607
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$2,075,986
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$482,320
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$32,494
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$643,017
Contract administrator fees2017-12-31$17,228
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31Yes
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31EISNER AMPER LLP
Accountancy firm EIN2017-12-31131639826

Form 5500 Responses for B&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN

2022: B&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: B&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: B&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: B&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: B&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: B&G FOODS NORTH AMERICA, INC. ANKENY, IA UNION 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01First time form 5500 has been submittedYes
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number895069087
Policy instance 1
Insurance contract or identification number895069087
Number of Individuals Covered192
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number895069087
Policy instance 1
Insurance contract or identification number895069087
Number of Individuals Covered189
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number895069087
Policy instance 1
Insurance contract or identification number895069087
Number of Individuals Covered176
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number895069087
Policy instance 1
Insurance contract or identification number895069087
Number of Individuals Covered175
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number895069087
Policy instance 1
Insurance contract or identification number895069087
Number of Individuals Covered166
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number895069087
Policy instance 1
Insurance contract or identification number895069087
Number of Individuals Covered180
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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