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BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 401k Plan overview

Plan NameBROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN
Plan identification number 504

BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

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

Company Name:BROOKSHIRE BROTHERS INC
Employer identification number (EIN):752692839
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042023-04-30CLAY OLIVER2024-09-03 CLAY OLIVER2024-09-03
5042022-05-01CLAY OLIVER2023-09-19 CLAY OLIVER2023-09-19
5042021-04-25CLAY OLIVER2022-09-28 CLAY OLIVER2022-09-28
5042020-04-26CLAY OLIVER2021-08-30 CLAY OLIVER2021-08-30
5042019-04-28
5042019-04-28CLAY OLIVER2020-09-09 CLAY OLIVER2020-09-09
5042018-04-29CLAY OLIVER2020-09-09 CLAY OLIVER2020-09-09
5042017-04-29
5042016-04-30CLAY OLIVER CLAY OLIVER2017-06-15
5042015-04-26CLAY OLIVER CLAY OLIVER2016-05-20
5042015-04-26CLAY OLIVER CLAY OLIVER2017-06-15
5042014-04-27CLAY OLIVER CLAY OLIVER2015-11-24
5042010-04-25CLAY OLIVER
5042009-04-26JERRY JOHNSON
5042009-04-26JERRY JOHNSON

Plan Statistics for BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN

401k plan membership statisitcs for BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN

Measure Date Value
2023: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year2023-04-305,666
Total number of active participants reported on line 7a of the Form 55002023-04-305,642
Number of retired or separated participants receiving benefits2023-04-300
Total of all active and inactive participants2023-04-305,642
2022: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-05-015,823
Total number of active participants reported on line 7a of the Form 55002022-05-015,666
Number of retired or separated participants receiving benefits2022-05-010
Total of all active and inactive participants2022-05-015,666
2021: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-255,818
Total number of active participants reported on line 7a of the Form 55002021-04-255,822
Number of retired or separated participants receiving benefits2021-04-251
Total of all active and inactive participants2021-04-255,823
2020: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-265,598
Total number of active participants reported on line 7a of the Form 55002020-04-265,818
Number of retired or separated participants receiving benefits2020-04-260
Total of all active and inactive participants2020-04-265,818
2019: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-285,352
Total number of active participants reported on line 7a of the Form 55002019-04-285,598
Number of retired or separated participants receiving benefits2019-04-280
Total of all active and inactive participants2019-04-285,598
2018: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-295,590
Total number of active participants reported on line 7a of the Form 55002018-04-295,352
Number of retired or separated participants receiving benefits2018-04-290
Total of all active and inactive participants2018-04-295,352
2017: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-295,689
Total number of active participants reported on line 7a of the Form 55002017-04-295,590
Number of retired or separated participants receiving benefits2017-04-290
Total of all active and inactive participants2017-04-295,590
2016: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-306,088
Total number of active participants reported on line 7a of the Form 55002016-04-305,689
Number of retired or separated participants receiving benefits2016-04-300
Total of all active and inactive participants2016-04-305,689
2015: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-266,642
Total number of active participants reported on line 7a of the Form 55002015-04-266,419
Number of retired or separated participants receiving benefits2015-04-260
Number of other retired or separated participants entitled to future benefits2015-04-260
Total of all active and inactive participants2015-04-266,419
2014: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-276,010
Total number of active participants reported on line 7a of the Form 55002014-04-276,642
Number of retired or separated participants receiving benefits2014-04-270
Number of other retired or separated participants entitled to future benefits2014-04-270
Total of all active and inactive participants2014-04-276,642
2010: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-04-255,839
Total number of active participants reported on line 7a of the Form 55002010-04-255,788
Total of all active and inactive participants2010-04-255,788
Total participants2010-04-255,788
2009: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-266,406
Total number of active participants reported on line 7a of the Form 55002009-04-265,839
Total of all active and inactive participants2009-04-265,839
Total participants2009-04-265,839

Form 5500 Responses for BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN

2023: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2023 form 5500 responses
2023-04-30Type of plan entitySingle employer plan
2023-04-30Submission has been amendedNo
2023-04-30This submission is the final filingNo
2023-04-30This return/report is a short plan year return/report (less than 12 months)Yes
2023-04-30Plan is a collectively bargained planNo
2023-04-30Plan funding arrangement – General assets of the sponsorYes
2023-04-30Plan benefit arrangement – General assets of the sponsorYes
2022: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Submission has been amendedNo
2022-05-01This submission is the final filingNo
2022-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-05-01Plan is a collectively bargained planNo
2022-05-01Plan funding arrangement – General assets of the sponsorYes
2022-05-01Plan benefit arrangement – General assets of the sponsorYes
2021: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2021 form 5500 responses
2021-04-25Type of plan entitySingle employer plan
2021-04-25Submission has been amendedNo
2021-04-25This submission is the final filingNo
2021-04-25This return/report is a short plan year return/report (less than 12 months)No
2021-04-25Plan is a collectively bargained planNo
2021-04-25Plan funding arrangement – General assets of the sponsorYes
2021-04-25Plan benefit arrangement – General assets of the sponsorYes
2020: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2020 form 5500 responses
2020-04-26Type of plan entitySingle employer plan
2020-04-26Submission has been amendedNo
2020-04-26This submission is the final filingNo
2020-04-26This return/report is a short plan year return/report (less than 12 months)Yes
2020-04-26Plan is a collectively bargained planNo
2020-04-26Plan funding arrangement – General assets of the sponsorYes
2020-04-26Plan benefit arrangement – General assets of the sponsorYes
2019: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2019 form 5500 responses
2019-04-28Type of plan entitySingle employer plan
2019-04-28Submission has been amendedNo
2019-04-28This submission is the final filingNo
2019-04-28This return/report is a short plan year return/report (less than 12 months)Yes
2019-04-28Plan is a collectively bargained planNo
2019-04-28Plan funding arrangement – General assets of the sponsorYes
2019-04-28Plan benefit arrangement – General assets of the sponsorYes
2018: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2018 form 5500 responses
2018-04-29Type of plan entitySingle employer plan
2018-04-29Submission has been amendedYes
2018-04-29This submission is the final filingNo
2018-04-29This return/report is a short plan year return/report (less than 12 months)Yes
2018-04-29Plan is a collectively bargained planNo
2018-04-29Plan funding arrangement – General assets of the sponsorYes
2018-04-29Plan benefit arrangement – General assets of the sponsorYes
2017: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2017 form 5500 responses
2017-04-29Type of plan entitySingle employer plan
2017-04-29Submission has been amendedNo
2017-04-29This submission is the final filingNo
2017-04-29This return/report is a short plan year return/report (less than 12 months)No
2017-04-29Plan is a collectively bargained planNo
2017-04-29Plan funding arrangement – General assets of the sponsorYes
2017-04-29Plan benefit arrangement – General assets of the sponsorYes
2016: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2016 form 5500 responses
2016-04-30Type of plan entitySingle employer plan
2016-04-30Submission has been amendedNo
2016-04-30This submission is the final filingNo
2016-04-30This return/report is a short plan year return/report (less than 12 months)No
2016-04-30Plan is a collectively bargained planNo
2016-04-30Plan funding arrangement – General assets of the sponsorYes
2016-04-30Plan benefit arrangement – General assets of the sponsorYes
2015: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2015 form 5500 responses
2015-04-26Type of plan entitySingle employer plan
2015-04-26Submission has been amendedNo
2015-04-26This submission is the final filingNo
2015-04-26This return/report is a short plan year return/report (less than 12 months)No
2015-04-26Plan is a collectively bargained planNo
2015-04-26Plan funding arrangement – General assets of the sponsorYes
2015-04-26Plan benefit arrangement – General assets of the sponsorYes
2014: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2014 form 5500 responses
2014-04-27Type of plan entitySingle employer plan
2014-04-27Submission has been amendedNo
2014-04-27This submission is the final filingNo
2014-04-27This return/report is a short plan year return/report (less than 12 months)No
2014-04-27Plan is a collectively bargained planNo
2014-04-27Plan funding arrangement – General assets of the sponsorYes
2014-04-27Plan benefit arrangement – General assets of the sponsorYes
2010: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2010 form 5500 responses
2010-04-25Type of plan entitySingle employer plan
2010-04-25Plan funding arrangement – InsuranceYes
2010-04-25Plan funding arrangement – General assets of the sponsorYes
2010-04-25Plan benefit arrangement – InsuranceYes
2010-04-25Plan benefit arrangement – General assets of the sponsorYes
2009: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2009 form 5500 responses
2009-04-26Type of plan entitySingle employer plan
2009-04-26This return/report is a short plan year return/report (less than 12 months)Yes
2009-04-26Plan funding arrangement – General assets of the sponsorYes
2009-04-26Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

NORTH AMERICAN SPECIALTY INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 29874 )
Policy contract numberEPG0000012-01
Policy instance 1
Insurance contract or identification numberEPG0000012-01
Number of Individuals Covered5788
Welfare Benefit Premiums Paid to CarrierUSD $154,884
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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