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EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN 401k Plan overview

Plan NameEMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN
Plan identification number 502

EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

EMPLOYEE OWNED BRANDS, INC. has sponsored the creation of one or more 401k plans.

Company Name:EMPLOYEE OWNED BRANDS, INC.
Employer identification number (EIN):420990485
NAIC Classification:333310

Additional information about EMPLOYEE OWNED BRANDS, INC.

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities
Incorporation Date: 1971-12-23
Company Identification Number: 011396
Legal Registered Office Address: 505 5TH AVE STE 729

DES MOINES
United States of America (USA)
50309

More information about EMPLOYEE OWNED BRANDS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01KENNETH F. FELDMANN2023-05-30
5022021-01-01KENNETH F. FELDMANN2022-05-24
5022020-01-01KENNETH F FELDMANN2021-06-28
5022019-01-01KENNETH F. FELDMANN2020-05-05
5022018-01-01
5022017-01-01
5022016-01-01KENNETH F FELDMANN
5022015-01-01KENNETH F FELDMANN
5022015-01-01
5022014-01-01KENNETH F. FELDMANN
5022013-01-01KENNETH F. FELDMANN
5022012-01-01KENNETH F. FELDMANN
5022011-01-01KENNETH F. FELDMANN
5022009-01-01FRANK D. FRITZ FRANK D. FRITZ2010-08-23

Plan Statistics for EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN

401k plan membership statisitcs for EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN

Measure Date Value
2022: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01713
Total number of active participants reported on line 7a of the Form 55002022-01-01717
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01717
2021: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01640
Total number of active participants reported on line 7a of the Form 55002021-01-01713
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01713
2020: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01704
Total number of active participants reported on line 7a of the Form 55002020-01-01827
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01827
2019: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01631
Total number of active participants reported on line 7a of the Form 55002019-01-01704
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01704
2018: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01599
Total number of active participants reported on line 7a of the Form 55002018-01-01639
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01639
2017: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01556
Total number of active participants reported on line 7a of the Form 55002017-01-01599
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01599
2016: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01453
Total number of active participants reported on line 7a of the Form 55002016-01-01556
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01556
2015: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01638
Total number of active participants reported on line 7a of the Form 55002015-01-01613
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01613
2014: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01621
Total number of active participants reported on line 7a of the Form 55002014-01-01637
Number of retired or separated participants receiving benefits2014-01-011
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01638
2013: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01196
Total number of active participants reported on line 7a of the Form 55002013-01-01266
Number of retired or separated participants receiving benefits2013-01-015
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01271
2012: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01282
Total number of active participants reported on line 7a of the Form 55002012-01-01187
Number of retired or separated participants receiving benefits2012-01-018
Number of other retired or separated participants entitled to future benefits2012-01-011
Total of all active and inactive participants2012-01-01196
2011: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01574
Total number of active participants reported on line 7a of the Form 55002011-01-01272
Number of retired or separated participants receiving benefits2011-01-018
Number of other retired or separated participants entitled to future benefits2011-01-012
Total of all active and inactive participants2011-01-01282
2009: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01515
Total number of active participants reported on line 7a of the Form 55002009-01-01392
Number of retired or separated participants receiving benefits2009-01-0119
Number of other retired or separated participants entitled to future benefits2009-01-016
Total of all active and inactive participants2009-01-01417

Form 5500 Responses for EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN

2022: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS 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 – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS 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 – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS 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 – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS 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 – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS 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 – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
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 – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: EMPLOYEE OWNED BRANDS, INC. EMPLOYEE HEALTH BENEFITS PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

DEAN HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 96156 )
Policy contract number14SIND0
Policy instance 1
Insurance contract or identification number14SIND0
Number of Individuals Covered417
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $45,929
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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?No
Health Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $1,829,152
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $45,929
Insurance broker organization code?3
Insurance broker nameMERCER HEALTH AND BENEFITS, LLC

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