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ADAMS FOODMART, INC., EMPLOYEE BENEFIT FUND AND TRUST 401k Plan overview

Plan NameADAMS FOODMART, INC., EMPLOYEE BENEFIT FUND AND TRUST
Plan identification number 501

ADAMS FOODMART, INC., EMPLOYEE BENEFIT FUND AND TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance

401k Sponsoring company profile

ADAMS FOODMART, INC. has sponsored the creation of one or more 401k plans.

Company Name:ADAMS FOODMART, INC.
Employer identification number (EIN):330731589
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ADAMS FOODMART, INC., EMPLOYEE BENEFIT FUND AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012014-01-01DAVID FENSLER
5012013-01-01DAVID FENSLER
5012012-01-01DAVID FENSLER
5012011-01-01DAVID FENSLER
5012010-01-01DAVID FENSLER

Plan Statistics for ADAMS FOODMART, INC., EMPLOYEE BENEFIT FUND AND TRUST

401k plan membership statisitcs for ADAMS FOODMART, INC., EMPLOYEE BENEFIT FUND AND TRUST

Measure Date Value
2014: ADAMS FOODMART, INC., EMPLOYEE BENEFIT FUND AND TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-010
Total of all active and inactive participants2014-01-010
Total participants2014-01-010
2013: ADAMS FOODMART, INC., EMPLOYEE BENEFIT FUND AND TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-011
Total number of active participants reported on line 7a of the Form 55002013-01-011
Total of all active and inactive participants2013-01-011
Total participants2013-01-010
2012: ADAMS FOODMART, INC., EMPLOYEE BENEFIT FUND AND TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-011
Total number of active participants reported on line 7a of the Form 55002012-01-011
Total of all active and inactive participants2012-01-011
Total participants2012-01-010
2011: ADAMS FOODMART, INC., EMPLOYEE BENEFIT FUND AND TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-011
Total number of active participants reported on line 7a of the Form 55002011-01-011
Total of all active and inactive participants2011-01-011
Total participants2011-01-011
2010: ADAMS FOODMART, INC., EMPLOYEE BENEFIT FUND AND TRUST 2010 401k membership
Total participants, beginning-of-year2010-01-011
Total number of active participants reported on line 7a of the Form 55002010-01-011
Total of all active and inactive participants2010-01-011
Total participants2010-01-011

Financial Data on ADAMS FOODMART, INC., EMPLOYEE BENEFIT FUND AND TRUST

Measure Date Value
2014 : ADAMS FOODMART, INC., EMPLOYEE BENEFIT FUND AND TRUST 2014 401k financial data
Total plan liabilities at end of year2014-12-31$7,897
Total plan liabilities at beginning of year2014-12-31$6,000
Total income from all sources2014-12-31$297
Expenses. Total of all expenses incurred2014-12-31$7,897
Total plan assets at end of year2014-12-31$7,897
Total plan assets at beginning of year2014-12-31$13,600
Expenses. Other expenses not covered elsewhere2014-12-31$7,897
Other income received2014-12-31$297
Net income (gross income less expenses)2014-12-31$-7,600
Net plan assets at end of year (total assets less liabilities)2014-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$7,600
2013 : ADAMS FOODMART, INC., EMPLOYEE BENEFIT FUND AND TRUST 2013 401k financial data
Total plan liabilities at end of year2013-12-31$6,000
Total plan liabilities at beginning of year2013-12-31$1,500
Total income from all sources2013-12-31$5,078
Expenses. Total of all expenses incurred2013-12-31$4,500
Total plan assets at end of year2013-12-31$13,600
Total plan assets at beginning of year2013-12-31$8,522
Expenses. Other expenses not covered elsewhere2013-12-31$4,500
Other income received2013-12-31$578
Net income (gross income less expenses)2013-12-31$578
Net plan assets at end of year (total assets less liabilities)2013-12-31$7,600
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$7,022
Total contributions received or receivable from employer(s)2013-12-31$4,500
2012 : ADAMS FOODMART, INC., EMPLOYEE BENEFIT FUND AND TRUST 2012 401k financial data
Total plan liabilities at end of year2012-12-31$1,500
Total plan liabilities at beginning of year2012-12-31$1,500
Total income from all sources2012-12-31$7,022
Total plan assets at end of year2012-12-31$8,522
Total plan assets at beginning of year2012-12-31$1,500
Other income received2012-12-31$7,022
Net income (gross income less expenses)2012-12-31$7,022
Net plan assets at end of year (total assets less liabilities)2012-12-31$7,022
2011 : ADAMS FOODMART, INC., EMPLOYEE BENEFIT FUND AND TRUST 2011 401k financial data
Total plan liabilities at end of year2011-12-31$1,500
Total plan liabilities at beginning of year2011-12-31$1,500
Total income from all sources2011-12-31$1,500
Expenses. Total of all expenses incurred2011-12-31$1,500
Total plan assets at end of year2011-12-31$1,500
Total plan assets at beginning of year2011-12-31$1,500
Expenses. Other expenses not covered elsewhere2011-12-31$1,500
Total contributions received or receivable from employer(s)2011-12-31$1,500
2010 : ADAMS FOODMART, INC., EMPLOYEE BENEFIT FUND AND TRUST 2010 401k financial data
Total plan liabilities at end of year2010-12-31$1,500
Total income from all sources2010-12-31$1,500
Expenses. Total of all expenses incurred2010-12-31$1,500
Total plan assets at end of year2010-12-31$1,500
Expenses. Other expenses not covered elsewhere2010-12-31$1,500
Total contributions received or receivable from employer(s)2010-12-31$1,500

Form 5500 Responses for ADAMS FOODMART, INC., EMPLOYEE BENEFIT FUND AND TRUST

2014: ADAMS FOODMART, INC., EMPLOYEE BENEFIT FUND AND TRUST 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01This submission is the final filingYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: ADAMS FOODMART, INC., EMPLOYEE BENEFIT FUND AND TRUST 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: ADAMS FOODMART, INC., EMPLOYEE BENEFIT FUND AND TRUST 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: ADAMS FOODMART, INC., EMPLOYEE BENEFIT FUND AND TRUST 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: ADAMS FOODMART, INC., EMPLOYEE BENEFIT FUND AND TRUST 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LAFAYETTE LIFE (National Association of Insurance Commissioners NAIC id number: 65242 )
Policy contract numberA 0903403
Policy instance 1
Insurance contract or identification numberA 0903403
Insurance policy start date2013-03-28
Insurance policy end date2014-03-28
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?4
Insurance broker nameDENNIS WILSON
LAFAYETTE LIFE (National Association of Insurance Commissioners NAIC id number: 65242 )
Policy contract numberA 0903403
Policy instance 1
Insurance contract or identification numberA 0903403
Number of Individuals Covered1
Insurance policy start date2013-03-28
Insurance policy end date2014-03-28
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?4
Insurance broker nameDENNIS WILSON
LAFAYETTE LIFE (National Association of Insurance Commissioners NAIC id number: 65242 )
Policy contract numberA 0903403
Policy instance 1
Insurance contract or identification numberA 0903403
Number of Individuals Covered1
Insurance policy start date2012-03-28
Insurance policy end date2013-03-25
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker namePETER MCDOWELL
LAFAYETTE LIFE (National Association of Insurance Commissioners NAIC id number: 65242 )
Policy contract numberA 0903403
Policy instance 1
Insurance contract or identification numberA 0903403
Number of Individuals Covered1
Insurance policy start date2011-03-03
Insurance policy end date2012-03-02
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LAFAYETTE LIFE (National Association of Insurance Commissioners NAIC id number: 65242 )
Policy contract numberA 0903403
Policy instance 1
Insurance contract or identification numberA 0903403
Number of Individuals Covered1
Insurance policy start date2010-03-03
Insurance policy end date2011-03-02
Total amount of commissions paid to insurance brokerUSD $1,297
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $324
Insurance broker organization code?4
Insurance broker nameDENNIS WILSON

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