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TIJUANA FLATS RESTAURANTS, LLC LONG-TERM DISABILITY PLAN 401k Plan overview

Plan NameTIJUANA FLATS RESTAURANTS, LLC LONG-TERM DISABILITY PLAN
Plan identification number 507

TIJUANA FLATS RESTAURANTS, LLC LONG-TERM DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Long-term disability cover
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

TIJUANA FLATS RESTAURANTS, LLC has sponsored the creation of one or more 401k plans.

Company Name:TIJUANA FLATS RESTAURANTS, LLC
Employer identification number (EIN):474472442
NAIC Classification:722300
NAIC Description: Special Food Services

Additional information about TIJUANA FLATS RESTAURANTS, LLC

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 2015-07-01
Company Identification Number: L15000114299
Legal Registered Office Address: 2300 MAITLAND CENTER PKWY

MAITLAND

32751

More information about TIJUANA FLATS RESTAURANTS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TIJUANA FLATS RESTAURANTS, LLC LONG-TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072020-07-01CHRISTINE FIELDS2021-11-23
5072019-07-01CHRISTINE FIELDS2021-01-20
5072018-07-01CHRISTINE FIELDS2020-01-10
5072017-07-01
5072016-07-01

Plan Statistics for TIJUANA FLATS RESTAURANTS, LLC LONG-TERM DISABILITY PLAN

401k plan membership statisitcs for TIJUANA FLATS RESTAURANTS, LLC LONG-TERM DISABILITY PLAN

Measure Date Value
2020: TIJUANA FLATS RESTAURANTS, LLC LONG-TERM DISABILITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-0177
Total number of active participants reported on line 7a of the Form 55002020-07-0179
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-010
Total of all active and inactive participants2020-07-0179
Number of employers contributing to the scheme2020-07-010
2019: TIJUANA FLATS RESTAURANTS, LLC LONG-TERM DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01434
Total number of active participants reported on line 7a of the Form 55002019-07-01331
Number of retired or separated participants receiving benefits2019-07-011
Number of other retired or separated participants entitled to future benefits2019-07-010
Total of all active and inactive participants2019-07-01332
Number of employers contributing to the scheme2019-07-010
2018: TIJUANA FLATS RESTAURANTS, LLC LONG-TERM DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01423
Total number of active participants reported on line 7a of the Form 55002018-07-01432
Number of retired or separated participants receiving benefits2018-07-013
Number of other retired or separated participants entitled to future benefits2018-07-010
Total of all active and inactive participants2018-07-01435
Number of employers contributing to the scheme2018-07-010
2017: TIJUANA FLATS RESTAURANTS, LLC LONG-TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01130
Total number of active participants reported on line 7a of the Form 55002017-07-01120
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-01120
2016: TIJUANA FLATS RESTAURANTS, LLC LONG-TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01110
Total number of active participants reported on line 7a of the Form 55002016-07-01119
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-01119

Form 5500 Responses for TIJUANA FLATS RESTAURANTS, LLC LONG-TERM DISABILITY PLAN

2020: TIJUANA FLATS RESTAURANTS, LLC LONG-TERM DISABILITY PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: TIJUANA FLATS RESTAURANTS, LLC LONG-TERM DISABILITY PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: TIJUANA FLATS RESTAURANTS, LLC LONG-TERM DISABILITY PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: TIJUANA FLATS RESTAURANTS, LLC LONG-TERM DISABILITY PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: TIJUANA FLATS RESTAURANTS, LLC LONG-TERM DISABILITY PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01First time form 5500 has been submittedYes
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUPROASV2
Policy instance 1
Insurance contract or identification numberGUPROASV2
Number of Individuals Covered91
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $4,192
Total amount of fees paid to insurance companyUSD $2,041
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,948
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,192
Amount paid for insurance broker fees2041
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUPROASV2
Policy instance 1
Insurance contract or identification numberGUPROASV2
Number of Individuals Covered84
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $3,760
Total amount of fees paid to insurance companyUSD $1,471
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $25,066
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,760
Amount paid for insurance broker fees1471
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUPROASV2
Policy instance 1
Insurance contract or identification numberGUPROASV2
Number of Individuals Covered101
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $3,286
Total amount of fees paid to insurance companyUSD $1,778
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,909
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,286
Amount paid for insurance broker fees1778
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUPROASV2
Policy instance 1
Insurance contract or identification numberGUPROASV2
Number of Individuals Covered118
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $3,708
Total amount of fees paid to insurance companyUSD $1,298
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,722
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,708
Amount paid for insurance broker fees1298
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameDIGITAL INSURANCE, INC.

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