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| Plan Name | JOHANNESON'S INC. LIFE AND AD&D |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | JND HOLDINGS, INC. |
| Employer identification number (EIN): | 811397745 |
| NAIC Classification: | 445110 |
| NAIC Description: | Supermarkets and Other Grocery (except Convenience) Stores |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2023-01-01 | WAYNE MAISH | 2024-05-01 | ||
| 502 | 2023-01-01 | WAYNE MAISH | 2024-06-28 | ||
| 502 | 2022-01-01 | WAYNE MAISH | 2023-08-21 |
| Measure | Date | Value |
|---|---|---|
| 2023: JOHANNESON'S INC. LIFE AND AD&D 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-01-01 | 159 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 154 |
| Number of retired or separated participants receiving benefits | 2023-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2023-01-01 | 0 |
| Total of all active and inactive participants | 2023-01-01 | 154 |
| Number of employers contributing to the scheme | 2023-01-01 | 0 |
| 2022: JOHANNESON'S INC. LIFE AND AD&D 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-01-01 | 214 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 159 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
| Total of all active and inactive participants | 2022-01-01 | 159 |
| Number of employers contributing to the scheme | 2022-01-01 | 0 |
| 2023: JOHANNESON'S INC. LIFE AND AD&D 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Submission has been amended | Yes |
| 2023-01-01 | This submission is the final filing | Yes |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: JOHANNESON'S INC. LIFE AND AD&D 2022 form 5500 responses | ||
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||||
| Policy contract number | 1135865 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||||
| Policy contract number | 1135865 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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