401k Plan data: CHOMPIE'S 401(K) PLAN plan

CHOMPIE'S 401(K) PLAN 401k Plan overview

Plan Name	CHOMPIE'S 401(K) PLAN
Plan identification number	001

CHOMPIE'S 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

WEMANE, LLC has sponsored the creation of one or more 401k plans.

Company Name: WEMANE, LLC

Employer identification number (EIN): 460703104

NAIC Classification: 722511
NAIC Description: Full-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHOMPIE'S 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2020-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 SHIRLI BORENSTEIN SHIRLI BORENSTEIN 2018-09-17
001 2016-01-01 SHIRLI BORENSTEIN SHIRLI BORENSTEIN 2017-10-04
001 2015-01-01 SHIRLI BORENSTEIN SHIRLI BORENSTEIN 2016-09-28
001 2014-01-01 SHIRLI BORENSTEIN SHIRLI BORENSTEIN 2015-10-12
001 2013-01-01 SHIRLI BORENSTEIN SHIRLI BORENSTEIN 2014-09-30

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2020-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	SHIRLI BORENSTEIN	SHIRLI BORENSTEIN	2018-09-17
001	2016-01-01	SHIRLI BORENSTEIN	SHIRLI BORENSTEIN	2017-10-04
001	2015-01-01	SHIRLI BORENSTEIN	SHIRLI BORENSTEIN	2016-09-28
001	2014-01-01	SHIRLI BORENSTEIN	SHIRLI BORENSTEIN	2015-10-12
001	2013-01-01	SHIRLI BORENSTEIN	SHIRLI BORENSTEIN	2014-09-30

Plan Statistics for CHOMPIE'S 401(K) PLAN

401k plan membership statisitcs for CHOMPIE'S 401(K) PLAN

Measure Date Value
2020: CHOMPIE'S 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 234
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 0
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 0
Number of participants with account balances 2020-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: CHOMPIE'S 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 283
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 205
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 86
Total of all active and inactive participants 2019-01-01 291
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 291
Number of participants with account balances 2019-01-01 94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 2
2018: CHOMPIE'S 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 342
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 209
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 43
Total of all active and inactive participants 2018-01-01 252
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 252
Number of participants with account balances 2018-01-01 161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 16
2017: CHOMPIE'S 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 317
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 221
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 93
Total of all active and inactive participants 2017-01-01 314
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 314
Number of participants with account balances 2017-01-01 232
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 11
2016: CHOMPIE'S 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 263
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 193
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 79
Total of all active and inactive participants 2016-01-01 272
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 272
Number of participants with account balances 2016-01-01 202
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 13
2015: CHOMPIE'S 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 238
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 193
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 50
Total of all active and inactive participants 2015-01-01 243
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 243
Number of participants with account balances 2015-01-01 176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: CHOMPIE'S 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 263
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 170
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 37
Total of all active and inactive participants 2014-01-01 207
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 207
Number of participants with account balances 2014-01-01 148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: CHOMPIE'S 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 291
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 185
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 45
Total of all active and inactive participants 2013-01-01 230
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 230
Number of participants with account balances 2013-01-01 157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0

Measure	Date	Value
2020: CHOMPIE'S 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	234
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	0
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	0
Number of participants with account balances	2020-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: CHOMPIE'S 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	283
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	205
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	86
Total of all active and inactive participants	2019-01-01	291
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	291
Number of participants with account balances	2019-01-01	94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	2
2018: CHOMPIE'S 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	342
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	209
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	43
Total of all active and inactive participants	2018-01-01	252
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	252
Number of participants with account balances	2018-01-01	161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	16
2017: CHOMPIE'S 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	317
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	221
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	93
Total of all active and inactive participants	2017-01-01	314
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	314
Number of participants with account balances	2017-01-01	232
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	11
2016: CHOMPIE'S 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	263
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	193
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	79
Total of all active and inactive participants	2016-01-01	272
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	272
Number of participants with account balances	2016-01-01	202
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	13
2015: CHOMPIE'S 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	238
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	193
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	50
Total of all active and inactive participants	2015-01-01	243
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	243
Number of participants with account balances	2015-01-01	176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: CHOMPIE'S 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	263
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	170
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	37
Total of all active and inactive participants	2014-01-01	207
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	207
Number of participants with account balances	2014-01-01	148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: CHOMPIE'S 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	291
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	185
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	45
Total of all active and inactive participants	2013-01-01	230
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	230
Number of participants with account balances	2013-01-01	157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0

Financial Data on CHOMPIE'S 401(K) PLAN

Measure	Date	Value
2020 : CHOMPIE'S 401(K) PLAN 2020 401k financial data
Total income from all sources (including contributions)	2020-08-31	$57,710
Total of all expenses incurred	2020-08-31	$971,456
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-08-31	$957,030
Expenses. Certain deemed distributions of participant loans	2020-08-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-08-31	$47,677
Value of total assets at end of year	2020-08-31	$0
Value of total assets at beginning of year	2020-08-31	$913,746
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-08-31	$14,426
Total interest from all sources	2020-08-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2020-08-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-08-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2020-08-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2020-08-31	$0
Was this plan covered by a fidelity bond	2020-08-31	Yes
Value of fidelity bond cover	2020-08-31	$75,000
If this is an individual account plan, was there a blackout period	2020-08-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-08-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-08-31	No
Contributions received from participants	2020-08-31	$47,677
Participant contributions at end of year	2020-08-31	$0
Participant contributions at beginning of year	2020-08-31	$0
Participant contributions at end of year	2020-08-31	$0
Participant contributions at beginning of year	2020-08-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-08-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-08-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-08-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-08-31	No
Value of net income/loss	2020-08-31	$-913,746
Value of net assets at end of year (total assets less liabilities)	2020-08-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2020-08-31	$913,746
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-08-31	No
Were any leases to which the plan was party in default or uncollectible	2020-08-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-08-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-08-31	$913,746
Interest on participant loans	2020-08-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-08-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2020-08-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-08-31	$10,033
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-08-31	No
Was there a failure to transmit to the plan any participant contributions	2020-08-31	No
Has the plan failed to provide any benefit when due under the plan	2020-08-31	No
Contributions received in cash from employer	2020-08-31	$0
Employer contributions (assets) at end of year	2020-08-31	$0
Employer contributions (assets) at beginning of year	2020-08-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-08-31	$957,030
Contract administrator fees	2020-08-31	$14,426
Did the plan have assets held for investment	2020-08-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-08-31	Yes
Opinion of an independent qualified public accountant for this plan	2020-08-31	Disclaimer
Accountancy firm name	2020-08-31	MANSPERGER, PATTERSON & MCMULLIN
Accountancy firm EIN	2020-08-31	860751928
2019 : CHOMPIE'S 401(K) PLAN 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$273,011
Total of all expenses incurred	2019-12-31	$63,030
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$43,500
Expenses. Certain deemed distributions of participant loans	2019-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$124,784
Value of total assets at end of year	2019-12-31	$921,039
Value of total assets at beginning of year	2019-12-31	$711,058
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$19,530
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$0
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$100,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$103,876
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$5
Other income not declared elsewhere	2019-12-31	$2,154
Total non interest bearing cash at end of year	2019-12-31	$7,293
Total non interest bearing cash at beginning of year	2019-12-31	$6,530
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$209,981
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$921,039
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$711,058
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$6,189
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$913,746
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$704,528
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$146,073
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$20,903
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$43,500
Contract administrator fees	2019-12-31	$13,341
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	MANSPERGER, PATTERSON & MCMULLIN
Accountancy firm EIN	2019-12-31	860751928
2018 : CHOMPIE'S 401(K) PLAN 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$102,390
Total of all expenses incurred	2018-12-31	$139,716
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$110,464
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$148,285
Value of total assets at end of year	2018-12-31	$711,058
Value of total assets at beginning of year	2018-12-31	$748,384
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$29,252
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$75,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$106,015
Other income not declared elsewhere	2018-12-31	$2,039
Total non interest bearing cash at end of year	2018-12-31	$6,530
Total non interest bearing cash at beginning of year	2018-12-31	$1,373
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-37,326
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$711,058
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$748,384
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$439
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$704,528
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$747,011
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-47,934
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$42,270
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$110,464
Contract administrator fees	2018-12-31	$28,813
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	MANSPERGER, PATTERSON & MCMULLIN
Accountancy firm EIN	2018-12-31	860751928
2017 : CHOMPIE'S 401(K) PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$242,695
Total of all expenses incurred	2017-12-31	$53,960
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$33,982
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$143,125
Value of total assets at end of year	2017-12-31	$748,384
Value of total assets at beginning of year	2017-12-31	$559,649
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$19,978
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$75,000
If this is an individual account plan, was there a blackout period	2017-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$105,534
Other income not declared elsewhere	2017-12-31	$1,732
Total non interest bearing cash at end of year	2017-12-31	$1,373
Total non interest bearing cash at beginning of year	2017-12-31	$296
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$188,735
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$748,384
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$559,649
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$747,011
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$559,353
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$97,838
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$37,591
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$33,982
Contract administrator fees	2017-12-31	$19,978
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-12-31	Yes
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	MANSPERGER, PATTERSON & MCMULLIN
Accountancy firm EIN	2017-12-31	860751928
2016 : CHOMPIE'S 401(K) PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$143,790
Total of all expenses incurred	2016-12-31	$57,259
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$41,073
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$108,273
Value of total assets at end of year	2016-12-31	$559,649
Value of total assets at beginning of year	2016-12-31	$473,118
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$16,186
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$75,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$88,196
Total non interest bearing cash at end of year	2016-12-31	$296
Total non interest bearing cash at beginning of year	2016-12-31	$115
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$86,531
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$559,649
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$473,118
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$559,353
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$473,003
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$35,517
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$20,077
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$41,073
Contract administrator fees	2016-12-31	$16,186
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	MANSPERGER, PATTERSON & MCMULLIN
Accountancy firm EIN	2016-12-31	860751928
2015 : CHOMPIE'S 401(K) PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$81,806
Total of all expenses incurred	2015-12-31	$34,003
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$19,464
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$88,417
Value of total assets at end of year	2015-12-31	$473,118
Value of total assets at beginning of year	2015-12-31	$425,315
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$14,539
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$50,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$88,417
Total non interest bearing cash at end of year	2015-12-31	$115
Total non interest bearing cash at beginning of year	2015-12-31	$125
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$47,803
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$473,118
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$425,315
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$473,003
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$425,190
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-6,611
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$19,464
Contract administrator fees	2015-12-31	$14,539
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	MANSPERGER, PATTERSON & MCMULLIN
Accountancy firm EIN	2015-12-31	860751928
2014 : CHOMPIE'S 401(K) PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$191,085
Total of all expenses incurred	2014-12-31	$38,009
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$23,798
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$167,511
Value of total assets at end of year	2014-12-31	$425,315
Value of total assets at beginning of year	2014-12-31	$272,239
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$14,211
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$50,000
If this is an individual account plan, was there a blackout period	2014-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$67,131
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$100,380
Total non interest bearing cash at end of year	2014-12-31	$125
Total non interest bearing cash at beginning of year	2014-12-31	$272,239
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$153,076
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$425,315
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$272,239
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$425,190
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$23,574
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$23,798
Contract administrator fees	2014-12-31	$14,211
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2014-12-31	Yes
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	MANSPERGER, PATTERSON & MCMULLIN
Accountancy firm EIN	2014-12-31	860751928
2013 : CHOMPIE'S 401(K) PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$111,055
Total of all expenses incurred	2013-12-31	$49,635
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$42,833
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$66,073
Value of total assets at end of year	2013-12-31	$272,239
Value of total assets at beginning of year	2013-12-31	$210,819
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$6,802
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$25,000
If this is an individual account plan, was there a blackout period	2013-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$66,073
Total non interest bearing cash at end of year	2013-12-31	$272,239
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$61,420
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$272,239
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$210,819
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$210,819
Net investment gain/loss from pooled separate accounts	2013-12-31	$44,982
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$42,833
Contract administrator fees	2013-12-31	$6,802
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	Yes
Did the plan have assets held for investment	2013-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	SCHMIDT WESTERGARD & CO., PLLC
Accountancy firm EIN	2013-12-31	860271207

Form 5500 Responses for CHOMPIE'S 401(K) PLAN

2020: CHOMPIE'S 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	Yes
2020-01-01	This submission is the final filing	Yes
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: CHOMPIE'S 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: CHOMPIE'S 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: CHOMPIE'S 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: CHOMPIE'S 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: CHOMPIE'S 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: CHOMPIE'S 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Mulitple employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: CHOMPIE'S 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Mulitple employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

112821

Policy instance

Insurance contract or identification number	112821
Number of Individuals Covered	0
Insurance policy start date	2020-01-01
Insurance policy end date	2020-08-17
Total amount of fees paid to insurance company	USD $1,891
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	1578
Additional information about fees paid to insurance broker	TPA FEES
Insurance broker organization code?	5
Total amount of commissions paid to insurance broker	USD $0

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

112821

Policy instance

Insurance contract or identification number	112821
Number of Individuals Covered	291
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $405
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	405
Additional information about fees paid to insurance broker	ADMINISTRATION FEES
Insurance broker organization code?	5

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

112821

Policy instance

Insurance contract or identification number	112821
Number of Individuals Covered	161
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $5,880
Total amount of fees paid to insurance company	USD $393
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,940
Insurance broker organization code?	3
Amount paid for insurance broker fees	393
Additional information about fees paid to insurance broker	ADMINISTRATION

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

112821

Policy instance

Insurance contract or identification number	112821
Number of Individuals Covered	232
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $4,857
Total amount of fees paid to insurance company	USD $325
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,429
Insurance broker organization code?	3
Amount paid for insurance broker fees	325
Additional information about fees paid to insurance broker	ADMINISTRATION AND SERVICES
Insurance broker name	SUNWEST PENSIONS

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

112821

Policy instance

Insurance contract or identification number	112821
Number of Individuals Covered	176
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $3,364
Total amount of fees paid to insurance company	USD $415
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,682
Insurance broker organization code?	3
Amount paid for insurance broker fees	415
Additional information about fees paid to insurance broker	ADMINISTRATION
Insurance broker name	SUNWEST PENSIONS

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

112821

Policy instance

Insurance contract or identification number	112821
Number of Individuals Covered	148
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $6,522
Total amount of fees paid to insurance company	USD $1,327
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,261
Insurance broker organization code?	3
Amount paid for insurance broker fees	1327
Additional information about fees paid to insurance broker	ADMINISTRATION
Insurance broker name	SUNWEST PENSIONS

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

91641743

Policy instance

Insurance contract or identification number	91641743
Number of Individuals Covered	157
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $486
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $243
Insurance broker organization code?	3
Insurance broker name	JANSON, CFP CLAYTON M

Potentially related plans

CHOMPIE'S 401(K) PLAN [EIN = 860346290]

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Company Name:	WEMANE, LLC
Employer identification number (EIN):	460703104
NAIC Classification:	722511
NAIC Description:	Full-Service Restaurants