401k Plan data: AMERICA'S PIZZA COMPANY, LLC GROUP BENEFITS PLAN plan

AMERICA'S PIZZA COMPANY, LLC GROUP BENEFITS PLAN 401k Plan overview

Plan Name	AMERICA'S PIZZA COMPANY, LLC GROUP BENEFITS PLAN
Plan identification number	503

AMERICA'S PIZZA COMPANY, LLC GROUP BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

AMERICAS PIZZA COMPANY, LLC has sponsored the creation of one or more 401k plans.

Company Name: AMERICAS PIZZA COMPANY, LLC

Employer identification number (EIN): 721415042

NAIC Classification: 722511
NAIC Description: Full-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICA'S PIZZA COMPANY, LLC GROUP BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2018-01-01
503 2018-01-01 BRENT STOLZENTHALER 2020-06-11

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
503	2018-01-01
503	2018-01-01	BRENT STOLZENTHALER	2020-06-11

Plan Statistics for AMERICA'S PIZZA COMPANY, LLC GROUP BENEFITS PLAN

401k plan membership statisitcs for AMERICA'S PIZZA COMPANY, LLC GROUP BENEFITS PLAN

Measure Date Value
2018: AMERICA'S PIZZA COMPANY, LLC GROUP BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 221
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 253
Number of retired or separated participants receiving benefits 2018-01-01 1
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 254

Measure	Date	Value
2018: AMERICA'S PIZZA COMPANY, LLC GROUP BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	221
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	253
Number of retired or separated participants receiving benefits	2018-01-01	1
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	254

Form 5500 Responses for AMERICA'S PIZZA COMPANY, LLC GROUP BENEFITS PLAN

2018: AMERICA'S PIZZA COMPANY, LLC GROUP BENEFITS PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	First time form 5500 has been submitted	Yes
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 – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

TS05942903

Policy instance

Insurance contract or identification number	TS05942903
Number of Individuals Covered	253
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $16,980
Total amount of fees paid to insurance company	USD $5,164
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	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	AD&D
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $88,490
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,274
Insurance broker organization code?	3
Amount paid for insurance broker fees	5164
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION

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Company Name:	AMERICAS PIZZA COMPANY, LLC
Employer identification number (EIN):	721415042
NAIC Classification:	722511
NAIC Description:	Full-Service Restaurants