401k Plan data: CHARTER FOODS, INCORPORATED plan

CHARTER FOODS, INCORPORATED 401k Plan overview

Plan Name	CHARTER FOODS, INCORPORATED
Plan identification number	501

CHARTER FOODS, INCORPORATED Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Long-term disability cover

401k Sponsoring company profile

CHARTER FOODS, INC. has sponsored the creation of one or more 401k plans.

Company Name: CHARTER FOODS, INC.

Employer identification number (EIN): 621742741

NAIC Classification: 722513
NAIC Description: Limited-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHARTER FOODS, INCORPORATED

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2015-07-01 JUDITH MUNCY
501 2014-07-01 JUDITH MUNCY JUDITH MUNCY 2016-01-19
501 2012-07-15 KATY POTTS

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2015-07-01	JUDITH MUNCY
501	2014-07-01	JUDITH MUNCY	JUDITH MUNCY	2016-01-19
501	2012-07-15	KATY POTTS

Plan Statistics for CHARTER FOODS, INCORPORATED

401k plan membership statisitcs for CHARTER FOODS, INCORPORATED

Measure Date Value
2015: CHARTER FOODS, INCORPORATED 2015 401k membership
Total participants, beginning-of-year 2015-07-01 0
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 0
Total of all active and inactive participants 2015-07-01 0
Total participants 2015-07-01 0
2014: CHARTER FOODS, INCORPORATED 2014 401k membership
Total participants, beginning-of-year 2014-07-01 185
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 275
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 0
Total of all active and inactive participants 2014-07-01 275
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 275
Number of participants with account balances 2014-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 0
2012: CHARTER FOODS, INCORPORATED 2012 401k membership
Total participants, beginning-of-year 2012-07-15 401
Total number of active participants reported on line 7a of the Form 5500 2012-07-15 435
Number of retired or separated participants receiving benefits 2012-07-15 0
Number of other retired or separated participants entitled to future benefits 2012-07-15 0
Total of all active and inactive participants 2012-07-15 435
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-15 0
Total participants 2012-07-15 435
Number of participants with account balances 2012-07-15 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-15 0

Measure	Date	Value
2015: CHARTER FOODS, INCORPORATED 2015 401k membership
Total participants, beginning-of-year	2015-07-01	0
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	0
Total of all active and inactive participants	2015-07-01	0
Total participants	2015-07-01	0
2014: CHARTER FOODS, INCORPORATED 2014 401k membership
Total participants, beginning-of-year	2014-07-01	185
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	275
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	0
Total of all active and inactive participants	2014-07-01	275
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	275
Number of participants with account balances	2014-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	0
2012: CHARTER FOODS, INCORPORATED 2012 401k membership
Total participants, beginning-of-year	2012-07-15	401
Total number of active participants reported on line 7a of the Form 5500	2012-07-15	435
Number of retired or separated participants receiving benefits	2012-07-15	0
Number of other retired or separated participants entitled to future benefits	2012-07-15	0
Total of all active and inactive participants	2012-07-15	435
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-15	0
Total participants	2012-07-15	435
Number of participants with account balances	2012-07-15	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-15	0

Form 5500 Responses for CHARTER FOODS, INCORPORATED

2015: CHARTER FOODS, INCORPORATED 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	Yes
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2014: CHARTER FOODS, INCORPORATED 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	First time form 5500 has been submitted	Yes
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2012: CHARTER FOODS, INCORPORATED 2012 form 5500 responses
2012-07-15	Type of plan entity	Single employer plan
2012-07-15	First time form 5500 has been submitted	Yes
2012-07-15	Submission has been amended	No
2012-07-15	This submission is the final filing	No
2012-07-15	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-15	Plan is a collectively bargained plan	No
2012-07-15	Plan funding arrangement – Insurance	Yes
2012-07-15	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number	120161
Policy instance	1
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number	50000605
Policy instance	2
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number	120161
Policy instance	1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	0730084
Policy instance	2
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number	50000605
Policy instance	3

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Company Name:	CHARTER FOODS, INC.
Employer identification number (EIN):	621742741
NAIC Classification:	722513
NAIC Description:	Limited-Service Restaurants