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| Plan Name | CHARLIE'S TOLEDO HEALTH PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CHARLIE'S TOLEDO, INC. |
| Employer identification number (EIN): | 341208271 |
| NAIC Classification: | 441110 |
| NAIC Description: | New Car Dealers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2016-04-01 | BARBARA EHRET | |||
| 501 | 2015-04-01 | MARTHA ASH | |||
| 501 | 2013-04-01 | MARTHA ASH | MARTHA ASH | 2014-09-26 |
| Measure | Date | Value |
|---|---|---|
| 2016: CHARLIE'S TOLEDO HEALTH PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-04-01 | 126 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-04-01 | 126 |
| Number of retired or separated participants receiving benefits | 2016-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-04-01 | 0 |
| Total of all active and inactive participants | 2016-04-01 | 126 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2016-04-01 | 0 |
| Total participants | 2016-04-01 | 126 |
| 2015: CHARLIE'S TOLEDO HEALTH PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-04-01 | 212 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-04-01 | 223 |
| Number of retired or separated participants receiving benefits | 2015-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-04-01 | 0 |
| Total of all active and inactive participants | 2015-04-01 | 223 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2015-04-01 | 0 |
| Total participants | 2015-04-01 | 223 |
| 2013: CHARLIE'S TOLEDO HEALTH PLAN 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-04-01 | 127 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-04-01 | 133 |
| Number of retired or separated participants receiving benefits | 2013-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-04-01 | 0 |
| Total of all active and inactive participants | 2013-04-01 | 133 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2013-04-01 | 0 |
| Total participants | 2013-04-01 | 133 |
| Number of participants with account balances | 2013-04-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2013-04-01 | 0 |
| Measure | Date | Value |
|---|---|---|
| 2017 : CHARLIE'S TOLEDO HEALTH PLAN 2017 401k financial data | ||
| Total unrealized appreciation/depreciation of assets | 2017-03-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-03-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-03-31 | $0 |
| Total income from all sources (including contributions) | 2017-03-31 | $0 |
| Total loss/gain on sale of assets | 2017-03-31 | $0 |
| Total of all expenses incurred | 2017-03-31 | $0 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-03-31 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-03-31 | $0 |
| Value of total assets at end of year | 2017-03-31 | $0 |
| Value of total assets at beginning of year | 2017-03-31 | $0 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-03-31 | $0 |
| Total interest from all sources | 2017-03-31 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-03-31 | $0 |
| Was this plan covered by a fidelity bond | 2017-03-31 | No |
| Value of net income/loss | 2017-03-31 | $0 |
| Value of net assets at end of year (total assets less liabilities) | 2017-03-31 | $0 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-03-31 | $0 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-03-31 | No |
| 2016: CHARLIE'S TOLEDO HEALTH PLAN 2016 form 5500 responses | ||
|---|---|---|
| 2016-04-01 | Type of plan entity | Single employer plan |
| 2016-04-01 | Submission has been amended | No |
| 2016-04-01 | This submission is the final filing | No |
| 2016-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-04-01 | Plan is a collectively bargained plan | No |
| 2016-04-01 | Plan funding arrangement – Insurance | Yes |
| 2016-04-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-04-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: CHARLIE'S TOLEDO HEALTH PLAN 2015 form 5500 responses | ||
| 2015-04-01 | Type of plan entity | Single employer plan |
| 2015-04-01 | Submission has been amended | No |
| 2015-04-01 | This submission is the final filing | No |
| 2015-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-04-01 | Plan is a collectively bargained plan | No |
| 2015-04-01 | Plan funding arrangement – Insurance | Yes |
| 2015-04-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-04-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: CHARLIE'S TOLEDO HEALTH PLAN 2013 form 5500 responses | ||
| 2013-04-01 | Type of plan entity | Single employer plan |
| 2013-04-01 | First time form 5500 has been submitted | Yes |
| 2013-04-01 | Submission has been amended | No |
| 2013-04-01 | This submission is the final filing | No |
| 2013-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-04-01 | Plan is a collectively bargained plan | No |
| 2013-04-01 | Plan funding arrangement – Insurance | Yes |
| 2013-04-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-04-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | G000ASJT | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| PARAMOUNT HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95189 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | CD0291 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | KM05454881 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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