401k Plan data: FOOD MANAGEMENT INVESTORS, INC. GROUP BENEFIT PLAN plan

FOOD MANAGEMENT INVESTORS, INC. GROUP BENEFIT PLAN 401k Plan overview

Plan Name	FOOD MANAGEMENT INVESTORS, INC. GROUP BENEFIT PLAN
Plan identification number	501

FOOD MANAGEMENT INVESTORS, INC. GROUP BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Vision

401k Sponsoring company profile

FOOD MANAGEMENT INVESTORS, INC. DBA CULTIVATE SOLUTIONS has sponsored the creation of one or more 401k plans.

Company Name: FOOD MANAGEMENT INVESTORS, INC. DBA CULTIVATE SOLUTIONS

Employer identification number (EIN): 450417148

NAIC Classification: 541600

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FOOD MANAGEMENT INVESTORS, INC. GROUP BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-08-01 LEAH BJERKLIE 2024-12-11 LEAH BJERKLIE 2024-12-11
501 2022-08-01 TADD DEMARS 2024-02-06
501 2021-08-01 TADD DEMARS 2023-02-27
501 2020-08-01 TADD DEMARS 2022-02-25
501 2019-08-01 TADD DEMARS 2021-04-26
501 2018-08-01 TADD DEMARS 2020-04-01
501 2017-08-01
501 2016-08-01
501 2015-08-01
501 2014-08-01
501 2013-08-01
501 2012-08-01 ROBERT LAMONT
501 2011-08-01 ROBERT LAMONT
501 2010-08-01 ROBERT LAMONT
501 2009-08-01 ROBERT LAMONT

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-08-01	LEAH BJERKLIE	2024-12-11	LEAH BJERKLIE	2024-12-11
501	2022-08-01	TADD DEMARS	2024-02-06
501	2021-08-01	TADD DEMARS	2023-02-27
501	2020-08-01	TADD DEMARS	2022-02-25
501	2019-08-01	TADD DEMARS	2021-04-26
501	2018-08-01	TADD DEMARS	2020-04-01
501	2017-08-01
501	2016-08-01
501	2015-08-01
501	2014-08-01
501	2013-08-01
501	2012-08-01	ROBERT LAMONT
501	2011-08-01	ROBERT LAMONT
501	2010-08-01	ROBERT LAMONT
501	2009-08-01	ROBERT LAMONT

Form 5500 Responses for FOOD MANAGEMENT INVESTORS, INC. GROUP BENEFIT PLAN

2023: FOOD MANAGEMENT INVESTORS, INC. GROUP BENEFIT PLAN 2023 form 5500 responses
2023-08-01	Type of plan entity	Multi-employer plan
2023-08-01	Plan is a collectively bargained plan	Yes
2023-08-01	Plan funding arrangement – Insurance	Yes
2023-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-08-01	Plan benefit arrangement – Insurance	Yes
2023-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2022: FOOD MANAGEMENT INVESTORS, INC. GROUP BENEFIT PLAN 2022 form 5500 responses
2022-08-01	Type of plan entity	Multi-employer plan
2022-08-01	Plan is a collectively bargained plan	Yes
2022-08-01	Plan funding arrangement – Insurance	Yes
2022-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-08-01	Plan benefit arrangement – Insurance	Yes
2022-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: FOOD MANAGEMENT INVESTORS, INC. GROUP BENEFIT PLAN 2021 form 5500 responses
2021-08-01	Type of plan entity	Multi-employer plan
2021-08-01	Plan is a collectively bargained plan	Yes
2021-08-01	Plan funding arrangement – Insurance	Yes
2021-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-08-01	Plan benefit arrangement – Insurance	Yes
2021-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: FOOD MANAGEMENT INVESTORS, INC. GROUP BENEFIT PLAN 2020 form 5500 responses
2020-08-01	Type of plan entity	Multi-employer plan
2020-08-01	Plan is a collectively bargained plan	Yes
2020-08-01	Plan funding arrangement – Insurance	Yes
2020-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-08-01	Plan benefit arrangement – Insurance	Yes
2020-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: FOOD MANAGEMENT INVESTORS, INC. GROUP BENEFIT PLAN 2019 form 5500 responses
2019-08-01	Type of plan entity	Multi-employer plan
2019-08-01	Plan is a collectively bargained plan	Yes
2019-08-01	Plan funding arrangement – Insurance	Yes
2019-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-08-01	Plan benefit arrangement – Insurance	Yes
2019-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: FOOD MANAGEMENT INVESTORS, INC. GROUP BENEFIT PLAN 2018 form 5500 responses
2018-08-01	Type of plan entity	Multi-employer plan
2018-08-01	Plan is a collectively bargained plan	Yes
2018-08-01	Plan funding arrangement – Insurance	Yes
2018-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-08-01	Plan benefit arrangement – Insurance	Yes
2018-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: FOOD MANAGEMENT INVESTORS, INC. GROUP BENEFIT PLAN 2017 form 5500 responses
2017-08-01	Type of plan entity	Multi-employer plan
2017-08-01	Plan is a collectively bargained plan	Yes
2017-08-01	Plan funding arrangement – Insurance	Yes
2017-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-08-01	Plan benefit arrangement – Insurance	Yes
2017-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: FOOD MANAGEMENT INVESTORS, INC. GROUP BENEFIT PLAN 2016 form 5500 responses
2016-08-01	Type of plan entity	Multi-employer plan
2016-08-01	Plan is a collectively bargained plan	Yes
2016-08-01	Plan funding arrangement – Insurance	Yes
2016-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-08-01	Plan benefit arrangement – Insurance	Yes
2016-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: FOOD MANAGEMENT INVESTORS, INC. GROUP BENEFIT PLAN 2015 form 5500 responses
2015-08-01	Type of plan entity	Multi-employer plan
2015-08-01	Plan is a collectively bargained plan	Yes
2015-08-01	Plan funding arrangement – Insurance	Yes
2015-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-08-01	Plan benefit arrangement – Insurance	Yes
2015-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: FOOD MANAGEMENT INVESTORS, INC. GROUP BENEFIT PLAN 2014 form 5500 responses
2014-08-01	Type of plan entity	Multi-employer plan
2014-08-01	Plan is a collectively bargained plan	Yes
2014-08-01	Plan funding arrangement – Insurance	Yes
2014-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-08-01	Plan benefit arrangement – Insurance	Yes
2014-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: FOOD MANAGEMENT INVESTORS, INC. GROUP BENEFIT PLAN 2013 form 5500 responses
2013-08-01	Type of plan entity	Multi-employer plan
2013-08-01	Plan is a collectively bargained plan	Yes
2013-08-01	Plan funding arrangement – Insurance	Yes
2013-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-08-01	Plan benefit arrangement – Insurance	Yes
2013-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: FOOD MANAGEMENT INVESTORS, INC. GROUP BENEFIT PLAN 2012 form 5500 responses
2012-08-01	Type of plan entity	Multi-employer plan
2012-08-01	Plan is a collectively bargained plan	Yes
2012-08-01	Plan funding arrangement – Insurance	Yes
2012-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-08-01	Plan benefit arrangement – Insurance	Yes
2012-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: FOOD MANAGEMENT INVESTORS, INC. GROUP BENEFIT PLAN 2011 form 5500 responses
2011-08-01	Type of plan entity	Multi-employer plan
2011-08-01	Plan is a collectively bargained plan	Yes
2011-08-01	Plan funding arrangement – Insurance	Yes
2011-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-08-01	Plan benefit arrangement – Insurance	Yes
2011-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: FOOD MANAGEMENT INVESTORS, INC. GROUP BENEFIT PLAN 2010 form 5500 responses
2010-08-01	Type of plan entity	Multi-employer plan
2010-08-01	Plan is a collectively bargained plan	Yes
2010-08-01	Plan funding arrangement – Insurance	Yes
2010-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-08-01	Plan benefit arrangement – Insurance	Yes
2010-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: FOOD MANAGEMENT INVESTORS, INC. GROUP BENEFIT PLAN 2009 form 5500 responses
2009-08-01	Type of plan entity	Multi-employer plan
2009-08-01	This submission is the final filing	No
2009-08-01	Plan is a collectively bargained plan	Yes
2009-08-01	Plan funding arrangement – Insurance	Yes
2009-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-08-01	Plan benefit arrangement – Insurance	Yes
2009-08-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )

Policy contract number

208017

Policy instance

Insurance contract or identification number	208017
Number of Individuals Covered	269
Insurance policy start date	2023-08-01
Insurance policy end date	2024-07-31
Total amount of commissions paid to insurance broker	USD $19,930
Total amount of fees paid to insurance company	USD $0
Welfare Benefit Premiums Paid to Carrier	USD $604,690
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )

Policy contract number

208017

Policy instance

BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )

Policy contract number

208017

Policy instance

BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )

Policy contract number

208017

Policy instance

BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )

Policy contract number

19219

Policy instance

BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )

Policy contract number

208017

Policy instance

BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )

Policy contract number

19219

Policy instance

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Company Name:	FOOD MANAGEMENT INVESTORS, INC. DBA CULTIVATE SOLUTIONS
Employer identification number (EIN):	450417148
NAIC Classification:	541600