401k Plan data: AMICI DELLA VERNA INC 401(K) PLAN plan

AMICI DELLA VERNA INC 401(K) PLAN 401k Plan overview

Plan Name	AMICI DELLA VERNA INC 401(K) PLAN
Plan identification number	001

AMICI DELLA VERNA INC 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

AMICI DELLA VERNA INC has sponsored the creation of one or more 401k plans.

Company Name: AMICI DELLA VERNA INC

Employer identification number (EIN): 812738463

NAIC Classification: 722511
NAIC Description: Full-Service Restaurants

Additional information about AMICI DELLA VERNA INC

Jurisdiction of Incorporation: Colorado Department of State

Incorporation Date: 2016-05-24

Company Identification Number: 20161364913

Legal Registered Office Address: 8663 N. Pinewood Ct

Castle Rock
United States of America (USA)
80108

More information about AMICI DELLA VERNA INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMICI DELLA VERNA INC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-01-01 KELLY BUMANN
001 2018-01-01
001 2017-01-01 KELLY BUMANN
001 2016-01-01 KELLY BUMANN

Plan Statistics for AMICI DELLA VERNA INC 401(K) PLAN

401k plan membership statisitcs for AMICI DELLA VERNA INC 401(K) PLAN

Measure Date Value
2018: AMICI DELLA VERNA INC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 2
Number of retired or separated participants receiving benefits 2018-01-01 0
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 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 2
Number of participants with account balances 2018-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: AMICI DELLA VERNA INC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 2
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 2
Number of participants with account balances 2017-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: AMICI DELLA VERNA INC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 2
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 2
Number of participants with account balances 2016-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0

Measure	Date	Value
2018: AMICI DELLA VERNA INC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	2
Number of retired or separated participants receiving benefits	2018-01-01	0
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	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	2
Number of participants with account balances	2018-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: AMICI DELLA VERNA INC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	2
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	2
Number of participants with account balances	2017-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: AMICI DELLA VERNA INC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	2
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	2
Number of participants with account balances	2016-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0

Financial Data on AMICI DELLA VERNA INC 401(K) PLAN

Measure	Date	Value
2018 : AMICI DELLA VERNA INC 401(K) PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$0
Expenses. Total of all expenses incurred	2018-12-31	$0
Total plan assets at end of year	2018-12-31	$564,980
Total plan assets at beginning of year	2018-12-31	$564,980
Other income received	2018-12-31	$-564,980
Net income (gross income less expenses)	2018-12-31	$0
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$564,980
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$564,980
Assets. Value of employer securities	2018-12-31	$564,980
2017 : AMICI DELLA VERNA INC 401(K) PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$315,000
Expenses. Total of all expenses incurred	2017-12-31	$20
Total plan assets at end of year	2017-12-31	$564,980
Total plan assets at beginning of year	2017-12-31	$250,000
Contributions received from other sources (not participants or employers)	2017-12-31	$315,000
Net income (gross income less expenses)	2017-12-31	$314,980
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$564,980
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$250,000
Assets. Value of employer securities	2017-12-31	$564,980
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$20
2016 : AMICI DELLA VERNA INC 401(K) PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$250,000
Expenses. Total of all expenses incurred	2016-12-31	$0
Benefits paid (including direct rollovers)	2016-12-31	$0
Total plan assets at end of year	2016-12-31	$250,000
Total plan assets at beginning of year	2016-12-31	$0
Total contributions received or receivable from participants	2016-12-31	$0
Contributions received from other sources (not participants or employers)	2016-12-31	$250,000
Other income received	2016-12-31	$0
Net income (gross income less expenses)	2016-12-31	$250,000
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$250,000
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$0
Assets. Value of employer securities	2016-12-31	$250,000
Total contributions received or receivable from employer(s)	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$0

Form 5500 Responses for AMICI DELLA VERNA INC 401(K) PLAN

2018: AMICI DELLA VERNA INC 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
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 – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: AMICI DELLA VERNA INC 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: AMICI DELLA VERNA INC 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	First time form 5500 has been submitted	Yes
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	AMICI DELLA VERNA INC
Employer identification number (EIN):	812738463
NAIC Classification:	722511
NAIC Description:	Full-Service Restaurants

Jurisdiction of Incorporation:	Colorado Department of State
Incorporation Date:	2016-05-24
Company Identification Number:	20161364913
Legal Registered Office Address:	8663 N. Pinewood Ct Castle Rock United States of America (USA) 80108

Plan id#	Filing Submission Date	Name of Administrator
001	2018-01-01	KELLY BUMANN
001	2018-01-01
001	2017-01-01	KELLY BUMANN
001	2016-01-01	KELLY BUMANN