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| Plan Name | DAVID PERI FAMILY FARMS |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | PERI & SONS FARMS |
| Employer identification number (EIN): | 260534273 |
| NAIC Classification: | 111210 |
| NAIC Description: | Vegetable and Melon Farming |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2017-08-01 | SADIE POURFATHI | 2019-05-21 | ||
| 501 | 2016-08-01 | SADIE POURFATHI | 2019-05-22 | ||
| 501 | 2015-08-01 | SADIE POURFATHI |
| Measure | Date | Value |
|---|---|---|
| 2017: DAVID PERI FAMILY FARMS 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-08-01 | 169 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-08-01 | 180 |
| Number of retired or separated participants receiving benefits | 2017-08-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2017-08-01 | 0 |
| Total of all active and inactive participants | 2017-08-01 | 182 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2017-08-01 | 0 |
| Number of participants with account balances | 2017-08-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2017-08-01 | 0 |
| 2016: DAVID PERI FAMILY FARMS 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-08-01 | 116 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-08-01 | 169 |
| Number of retired or separated participants receiving benefits | 2016-08-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2016-08-01 | 0 |
| Total of all active and inactive participants | 2016-08-01 | 171 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2016-08-01 | 0 |
| Number of participants with account balances | 2016-08-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2016-08-01 | 0 |
| 2015: DAVID PERI FAMILY FARMS 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-08-01 | 98 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-08-01 | 114 |
| Number of retired or separated participants receiving benefits | 2015-08-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2015-08-01 | 0 |
| Total of all active and inactive participants | 2015-08-01 | 116 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2015-08-01 | 0 |
| Number of participants with account balances | 2015-08-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2015-08-01 | 0 |
| 2017: DAVID PERI FAMILY FARMS 2017 form 5500 responses | ||
|---|---|---|
| 2017-08-01 | Type of plan entity | Single employer plan |
| 2017-08-01 | Submission has been amended | No |
| 2017-08-01 | This submission is the final filing | No |
| 2017-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-08-01 | Plan is a collectively bargained plan | No |
| 2017-08-01 | Plan funding arrangement – Insurance | Yes |
| 2017-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: DAVID PERI FAMILY FARMS 2016 form 5500 responses | ||
| 2016-08-01 | Type of plan entity | Single employer plan |
| 2016-08-01 | Submission has been amended | No |
| 2016-08-01 | This submission is the final filing | No |
| 2016-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-08-01 | Plan is a collectively bargained plan | No |
| 2016-08-01 | Plan funding arrangement – Insurance | Yes |
| 2016-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: DAVID PERI FAMILY FARMS 2015 form 5500 responses | ||
| 2015-08-01 | Type of plan entity | Single employer plan |
| 2015-08-01 | Submission has been amended | No |
| 2015-08-01 | This submission is the final filing | No |
| 2015-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-08-01 | Plan is a collectively bargained plan | No |
| 2015-08-01 | Plan funding arrangement – Insurance | Yes |
| 2015-08-01 | Plan benefit arrangement – Insurance | Yes |
| C.A.S. TPA (National Association of Insurance Commissioners NAIC id number: ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 21489974 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | CL171265 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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