401k Plan data: BEYEL BROTHERS INC./FLORIDA BLUE plan

BEYEL BROTHERS INC./FLORIDA BLUE 401k Plan overview

Plan Name	BEYEL BROTHERS INC./FLORIDA BLUE
Plan identification number	501

BEYEL BROTHERS INC./FLORIDA BLUE Benefits

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

401k Sponsoring company profile

BEYEL BROTHERS, INC. has sponsored the creation of one or more 401k plans.

Company Name: BEYEL BROTHERS, INC.

Employer identification number (EIN): 592937835

NAIC Classification: 238900

Additional information about BEYEL BROTHERS, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 1989-02-03

Company Identification Number: K63291

Legal Registered Office Address: 550 CIDCO RD.

COCOA

32926

More information about BEYEL BROTHERS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BEYEL BROTHERS INC./FLORIDA BLUE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2019-01-01

Plan Statistics for BEYEL BROTHERS INC./FLORIDA BLUE

401k plan membership statisitcs for BEYEL BROTHERS INC./FLORIDA BLUE

Measure Date Value
2019: BEYEL BROTHERS INC./FLORIDA BLUE 2019 401k membership
Total participants, beginning-of-year 2019-01-01 89
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 146
Total of all active and inactive participants 2019-01-01 146
Total participants 2019-01-01 146

Measure	Date	Value
2019: BEYEL BROTHERS INC./FLORIDA BLUE 2019 401k membership
Total participants, beginning-of-year	2019-01-01	89
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	146
Total of all active and inactive participants	2019-01-01	146
Total participants	2019-01-01	146

Form 5500 Responses for BEYEL BROTHERS INC./FLORIDA BLUE

2019: BEYEL BROTHERS INC./FLORIDA BLUE 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	First time form 5500 has been submitted	Yes
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )

Policy contract number

46378

Policy instance

Insurance contract or identification number	46378
Number of Individuals Covered	146
Insurance policy start date	2019-03-01
Insurance policy end date	2020-02-29
Total amount of commissions paid to insurance broker	USD $57,957
Total amount of fees paid to insurance company	USD $57,957
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $57,957
Insurance broker organization code?	3

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Company Name:	BEYEL BROTHERS, INC.
Employer identification number (EIN):	592937835
NAIC Classification:	238900

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	1989-02-03
Company Identification Number:	K63291
Legal Registered Office Address:	550 CIDCO RD. COCOA 32926