401k Plan data: DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN plan

DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN 401k Plan overview

Plan Name	DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN
Plan identification number	520

DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Vision Other welfare benefit cover

401k Sponsoring company profile

DAYBREAK FOODS, INC. has sponsored the creation of one or more 401k plans.

Company Name: DAYBREAK FOODS, INC.

Employer identification number (EIN): 391052651

NAIC Classification: 311500
NAIC Description: Dairy Product Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
520 2014-10-01 MARY DREWEK
520 2013-10-01 HERMANN RICHARD HERMANN RICHARD 2015-04-28
520 2012-10-01 HERMANN RICHARD HERMANN RICHARD 2014-04-14
520 2011-01-01 HERMANN RICHARD HERMANN RICHARD 2013-04-08
520 2010-01-01 RICHARD HERMANN
520 2009-01-01 RICHARD HERMANN RICHARD HERMANN 2010-07-14
520 2008-01-01

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
520	2014-10-01	MARY DREWEK
520	2013-10-01	HERMANN RICHARD	HERMANN RICHARD	2015-04-28
520	2012-10-01	HERMANN RICHARD	HERMANN RICHARD	2014-04-14
520	2011-01-01	HERMANN RICHARD	HERMANN RICHARD	2013-04-08
520	2010-01-01	RICHARD HERMANN
520	2009-01-01	RICHARD HERMANN	RICHARD HERMANN	2010-07-14
520	2008-01-01

Plan Statistics for DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN

401k plan membership statisitcs for DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN

Measure Date Value
2014: DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 245
Total of all active and inactive participants 2014-10-01 0
Total participants 2014-10-01 0
2013: DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 241
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 245
Total of all active and inactive participants 2013-10-01 245
Total participants 2013-10-01 245
2012: DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 224
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 241
Total of all active and inactive participants 2012-10-01 241
Total participants 2012-10-01 241
2011: DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 188
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 224
Total of all active and inactive participants 2011-01-01 224
Total participants 2011-01-01 224
2010: DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 201
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 190
Total of all active and inactive participants 2010-01-01 190
Total participants 2010-01-01 190
2009: DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 186
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 201
Total of all active and inactive participants 2009-01-01 201
Total participants 2009-01-01 201

Measure	Date	Value
2014: DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	245
Total of all active and inactive participants	2014-10-01	0
Total participants	2014-10-01	0
2013: DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	241
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	245
Total of all active and inactive participants	2013-10-01	245
Total participants	2013-10-01	245
2012: DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	224
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	241
Total of all active and inactive participants	2012-10-01	241
Total participants	2012-10-01	241
2011: DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	188
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	224
Total of all active and inactive participants	2011-01-01	224
Total participants	2011-01-01	224
2010: DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	201
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	190
Total of all active and inactive participants	2010-01-01	190
Total participants	2010-01-01	190
2009: DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	186
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	201
Total of all active and inactive participants	2009-01-01	201
Total participants	2009-01-01	201

Form 5500 Responses for DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN

2014: DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Mulitple employer plan
2014-10-01	Submission has been amended	No
2014-10-01	This submission is the final filing	Yes
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	No
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement – Insurance	Yes
2013: DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Mulitple employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2012: DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Mulitple employer plan
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	No
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes
2011: DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Mulitple employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Mulitple 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)	Yes
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: DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Mulitple 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
2008: DAYBREAK FOODS, INC. MEDICAL BENEFITS PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Mulitple employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No

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Company Name:	DAYBREAK FOODS, INC.
Employer identification number (EIN):	391052651
NAIC Classification:	311500
NAIC Description:	Dairy Product Manufacturing