401k Plan data: B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN plan

B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN 401k Plan overview

Plan Name	B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN
Plan identification number	501

B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN Benefits

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

401k Sponsoring company profile

B. GREEN & COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name: B. GREEN & COMPANY, INC.

Employer identification number (EIN): 520336380

NAIC Classification: 445110
NAIC Description: Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-08-01
501 2021-08-01
501 2020-08-01
501 2019-08-01
501 2018-08-01
501 2017-08-01 BENJAMIN L. SIGMAN
501 2016-08-01 BEN SIGMAN
501 2015-08-01 BEN SIGMAN

Plan Statistics for B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN

401k plan membership statisitcs for B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN

Measure Date Value
2022: B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-08-01 154
Total number of active participants reported on line 7a of the Form 5500 2022-08-01 153
Number of retired or separated participants receiving benefits 2022-08-01 1
Number of other retired or separated participants entitled to future benefits 2022-08-01 0
Total of all active and inactive participants 2022-08-01 154
2021: B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-08-01 153
Total number of active participants reported on line 7a of the Form 5500 2021-08-01 153
Number of retired or separated participants receiving benefits 2021-08-01 1
Number of other retired or separated participants entitled to future benefits 2021-08-01 0
Total of all active and inactive participants 2021-08-01 154
2020: B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-08-01 168
Total number of active participants reported on line 7a of the Form 5500 2020-08-01 153
Number of retired or separated participants receiving benefits 2020-08-01 0
Number of other retired or separated participants entitled to future benefits 2020-08-01 0
Total of all active and inactive participants 2020-08-01 153
2019: B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-08-01 172
Total number of active participants reported on line 7a of the Form 5500 2019-08-01 168
Number of retired or separated participants receiving benefits 2019-08-01 0
Number of other retired or separated participants entitled to future benefits 2019-08-01 0
Total of all active and inactive participants 2019-08-01 168
2018: B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-08-01 156
Total number of active participants reported on line 7a of the Form 5500 2018-08-01 172
Number of retired or separated participants receiving benefits 2018-08-01 0
Number of other retired or separated participants entitled to future benefits 2018-08-01 0
Total of all active and inactive participants 2018-08-01 172
2017: B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-08-01 162
Total number of active participants reported on line 7a of the Form 5500 2017-08-01 156
Number of retired or separated participants receiving benefits 2017-08-01 0
Number of other retired or separated participants entitled to future benefits 2017-08-01 0
Total of all active and inactive participants 2017-08-01 156
2016: B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-08-01 167
Total number of active participants reported on line 7a of the Form 5500 2016-08-01 154
Number of retired or separated participants receiving benefits 2016-08-01 0
Number of other retired or separated participants entitled to future benefits 2016-08-01 0
Total of all active and inactive participants 2016-08-01 154
2015: B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-08-01 160
Total number of active participants reported on line 7a of the Form 5500 2015-08-01 146
Number of retired or separated participants receiving benefits 2015-08-01 0
Number of other retired or separated participants entitled to future benefits 2015-08-01 0
Total of all active and inactive participants 2015-08-01 146

Measure	Date	Value
2022: B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-08-01	154
Total number of active participants reported on line 7a of the Form 5500	2022-08-01	153
Number of retired or separated participants receiving benefits	2022-08-01	1
Number of other retired or separated participants entitled to future benefits	2022-08-01	0
Total of all active and inactive participants	2022-08-01	154
2021: B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-08-01	153
Total number of active participants reported on line 7a of the Form 5500	2021-08-01	153
Number of retired or separated participants receiving benefits	2021-08-01	1
Number of other retired or separated participants entitled to future benefits	2021-08-01	0
Total of all active and inactive participants	2021-08-01	154
2020: B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-08-01	168
Total number of active participants reported on line 7a of the Form 5500	2020-08-01	153
Number of retired or separated participants receiving benefits	2020-08-01	0
Number of other retired or separated participants entitled to future benefits	2020-08-01	0
Total of all active and inactive participants	2020-08-01	153
2019: B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-08-01	172
Total number of active participants reported on line 7a of the Form 5500	2019-08-01	168
Number of retired or separated participants receiving benefits	2019-08-01	0
Number of other retired or separated participants entitled to future benefits	2019-08-01	0
Total of all active and inactive participants	2019-08-01	168
2018: B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-08-01	156
Total number of active participants reported on line 7a of the Form 5500	2018-08-01	172
Number of retired or separated participants receiving benefits	2018-08-01	0
Number of other retired or separated participants entitled to future benefits	2018-08-01	0
Total of all active and inactive participants	2018-08-01	172
2017: B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-08-01	162
Total number of active participants reported on line 7a of the Form 5500	2017-08-01	156
Number of retired or separated participants receiving benefits	2017-08-01	0
Number of other retired or separated participants entitled to future benefits	2017-08-01	0
Total of all active and inactive participants	2017-08-01	156
2016: B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-08-01	167
Total number of active participants reported on line 7a of the Form 5500	2016-08-01	154
Number of retired or separated participants receiving benefits	2016-08-01	0
Number of other retired or separated participants entitled to future benefits	2016-08-01	0
Total of all active and inactive participants	2016-08-01	154
2015: B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-08-01	160
Total number of active participants reported on line 7a of the Form 5500	2015-08-01	146
Number of retired or separated participants receiving benefits	2015-08-01	0
Number of other retired or separated participants entitled to future benefits	2015-08-01	0
Total of all active and inactive participants	2015-08-01	146

Form 5500 Responses for B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN

2022: B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN 2022 form 5500 responses
2022-08-01	Type of plan entity	Single employer plan
2022-08-01	Submission has been amended	No
2022-08-01	This submission is the final filing	No
2022-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-08-01	Plan is a collectively bargained plan	No
2022-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN 2021 form 5500 responses
2021-08-01	Type of plan entity	Single employer plan
2021-08-01	Submission has been amended	No
2021-08-01	This submission is the final filing	No
2021-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-08-01	Plan is a collectively bargained plan	No
2021-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN 2020 form 5500 responses
2020-08-01	Type of plan entity	Single employer plan
2020-08-01	Submission has been amended	No
2020-08-01	This submission is the final filing	No
2020-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-08-01	Plan is a collectively bargained plan	No
2020-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN 2019 form 5500 responses
2019-08-01	Type of plan entity	Single employer plan
2019-08-01	Submission has been amended	No
2019-08-01	This submission is the final filing	No
2019-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-08-01	Plan is a collectively bargained plan	No
2019-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN 2018 form 5500 responses
2018-08-01	Type of plan entity	Single employer plan
2018-08-01	Submission has been amended	No
2018-08-01	This submission is the final filing	No
2018-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-08-01	Plan is a collectively bargained plan	No
2018-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN 2017 form 5500 responses
2017-08-01	Type of plan entity	Single employer plan
2017-08-01	Submission has been amended	No
2017-08-01	This submission is the final filing	No
2017-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-08-01	Plan is a collectively bargained plan	No
2017-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN 2016 form 5500 responses
2016-08-01	Type of plan entity	Single employer plan
2016-08-01	Submission has been amended	No
2016-08-01	This submission is the final filing	No
2016-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-08-01	Plan is a collectively bargained plan	No
2016-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: B. GREEN & COMPANY, INC. SECTION 105 HEALTH REIMBURSEMENT PLAN 2015 form 5500 responses
2015-08-01	Type of plan entity	Single employer plan
2015-08-01	First time form 5500 has been submitted	Yes
2015-08-01	Submission has been amended	No
2015-08-01	This submission is the final filing	No
2015-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-08-01	Plan is a collectively bargained plan	No
2015-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-08-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	B. GREEN & COMPANY, INC.
Employer identification number (EIN):	520336380
NAIC Classification:	445110
NAIC Description:	Supermarkets and Other Grocery (except Convenience) Stores