401k Plan data: BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN plan

BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 401k Plan overview

Plan Name	BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN
Plan identification number	001

BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT 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
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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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.

401k Sponsoring company profile

BOB EVANS RESTAURANTS, LLC has sponsored the creation of one or more 401k plans.

Company Name: BOB EVANS RESTAURANTS, LLC

Employer identification number (EIN): 815225177

NAIC Classification: 722511
NAIC Description: Full-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01 VIRGINIA G. TOUR
001 2017-05-01 VIRGINIA G. TOUR VIRGINIA G. TOUR 2018-07-16

Plan Statistics for BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN

401k plan membership statisitcs for BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN

Measure Date Value
2023: BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 15,470
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 14,259
Number of retired or separated participants receiving benefits 2023-01-01 44
Number of other retired or separated participants entitled to future benefits 2023-01-01 822
Total of all active and inactive participants 2023-01-01 15,125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2023-01-01 0
Total participants 2023-01-01 15,125
Number of participants with account balances 2023-01-01 3,921
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2023-01-01 12,282
2022: BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 16,441
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 14,600
Number of retired or separated participants receiving benefits 2022-01-01 14
Number of other retired or separated participants entitled to future benefits 2022-01-01 856
Total of all active and inactive participants 2022-01-01 15,470
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 15,470
Number of participants with account balances 2022-01-01 4,252
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 24
2021: BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 15,775
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 14,264
Number of retired or separated participants receiving benefits 2021-01-01 13
Number of other retired or separated participants entitled to future benefits 2021-01-01 1,059
Total of all active and inactive participants 2021-01-01 15,336
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 15,336
Number of participants with account balances 2021-01-01 5,030
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 54
2020: BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 21,973
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 13,443
Number of retired or separated participants receiving benefits 2020-01-01 8
Number of other retired or separated participants entitled to future benefits 2020-01-01 1,541
Total of all active and inactive participants 2020-01-01 14,992
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 14,992
Number of participants with account balances 2020-01-01 6,303
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 23
2019: BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 23,349
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 19,224
Number of retired or separated participants receiving benefits 2019-01-01 6
Number of other retired or separated participants entitled to future benefits 2019-01-01 1,305
Total of all active and inactive participants 2019-01-01 20,535
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 20,535
Number of participants with account balances 2019-01-01 7,999
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 33
2018: BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 28,975
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 19,697
Number of retired or separated participants receiving benefits 2018-01-01 4
Number of other retired or separated participants entitled to future benefits 2018-01-01 2,144
Total of all active and inactive participants 2018-01-01 21,845
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 21,845
Number of participants with account balances 2018-01-01 10,938
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 37
2017: BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-05-01 23,634
Total number of active participants reported on line 7a of the Form 5500 2017-05-01 22,863
Number of retired or separated participants receiving benefits 2017-05-01 2
Number of other retired or separated participants entitled to future benefits 2017-05-01 4,469
Total of all active and inactive participants 2017-05-01 27,334
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-05-01 0
Total participants 2017-05-01 27,334
Number of participants with account balances 2017-05-01 18,051
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-05-01 8

Measure	Date	Value
2023: BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	15,470
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	14,259
Number of retired or separated participants receiving benefits	2023-01-01	44
Number of other retired or separated participants entitled to future benefits	2023-01-01	822
Total of all active and inactive participants	2023-01-01	15,125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2023-01-01	0
Total participants	2023-01-01	15,125
Number of participants with account balances	2023-01-01	3,921
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2023-01-01	12,282
2022: BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	16,441
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	14,600
Number of retired or separated participants receiving benefits	2022-01-01	14
Number of other retired or separated participants entitled to future benefits	2022-01-01	856
Total of all active and inactive participants	2022-01-01	15,470
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	15,470
Number of participants with account balances	2022-01-01	4,252
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	24
2021: BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	15,775
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	14,264
Number of retired or separated participants receiving benefits	2021-01-01	13
Number of other retired or separated participants entitled to future benefits	2021-01-01	1,059
Total of all active and inactive participants	2021-01-01	15,336
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	15,336
Number of participants with account balances	2021-01-01	5,030
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	54
2020: BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	21,973
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	13,443
Number of retired or separated participants receiving benefits	2020-01-01	8
Number of other retired or separated participants entitled to future benefits	2020-01-01	1,541
Total of all active and inactive participants	2020-01-01	14,992
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	14,992
Number of participants with account balances	2020-01-01	6,303
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	23
2019: BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	23,349
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	19,224
Number of retired or separated participants receiving benefits	2019-01-01	6
Number of other retired or separated participants entitled to future benefits	2019-01-01	1,305
Total of all active and inactive participants	2019-01-01	20,535
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	20,535
Number of participants with account balances	2019-01-01	7,999
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	33
2018: BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	28,975
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	19,697
Number of retired or separated participants receiving benefits	2018-01-01	4
Number of other retired or separated participants entitled to future benefits	2018-01-01	2,144
Total of all active and inactive participants	2018-01-01	21,845
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	21,845
Number of participants with account balances	2018-01-01	10,938
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	37
2017: BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-05-01	23,634
Total number of active participants reported on line 7a of the Form 5500	2017-05-01	22,863
Number of retired or separated participants receiving benefits	2017-05-01	2
Number of other retired or separated participants entitled to future benefits	2017-05-01	4,469
Total of all active and inactive participants	2017-05-01	27,334
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-05-01	0
Total participants	2017-05-01	27,334
Number of participants with account balances	2017-05-01	18,051
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-05-01	8

Financial Data on BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN

Measure	Date	Value
2023 : BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets	2023-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-12-31	$0
Total income from all sources (including contributions)	2023-12-31	$18,088,700
Total loss/gain on sale of assets	2023-12-31	$0
Total of all expenses incurred	2023-12-31	$9,702,755
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2023-12-31	$9,549,767
Value of total corrective distributions	2023-12-31	$32,708
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2023-12-31	$4,851,870
Value of total assets at end of year	2023-12-31	$98,223,710
Value of total assets at beginning of year	2023-12-31	$89,837,765
Total of administrative expenses incurred including professional, contract, advisory and management fees	2023-12-31	$120,280
Total interest from all sources	2023-12-31	$302,289
Total dividends received (eg from common stock, registered investment company shares)	2023-12-31	$882,066
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2023-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2023-12-31	$882,066
Was this plan covered by a fidelity bond	2023-12-31	Yes
Value of fidelity bond cover	2023-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2023-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2023-12-31	No
Contributions received from participants	2023-12-31	$4,413,868
Income. Received or receivable in cash from other sources (including rollovers)	2023-12-31	$107,694
Other income not declared elsewhere	2023-12-31	$17,338
Administrative expenses (other) incurred	2023-12-31	$978
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2023-12-31	No
Value of net income/loss	2023-12-31	$8,385,945
Value of net assets at end of year (total assets less liabilities)	2023-12-31	$98,223,710
Value of net assets at beginning of year (total assets less liabilities)	2023-12-31	$89,837,765
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2023-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2023-12-31	No
Were any leases to which the plan was party in default or uncollectible	2023-12-31	No
Investment advisory and management fees	2023-12-31	$60,000
Value of interest in registered invesment companies (eg mutual funds) at end of year	2023-12-31	$52,726,481
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2023-12-31	$51,911,852
Value of interest in pooled separate accounts at end of year	2023-12-31	$30,859,318
Value of interest in pooled separate accounts at beginning of year	2023-12-31	$21,751,703
Interest earned on other investments	2023-12-31	$302,289
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2023-12-31	$14,637,884
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2023-12-31	$16,174,210
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2023-12-31	$9,594,222
Net investment gain/loss from pooled separate accounts	2023-12-31	$2,440,915
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2023-12-31	No
Was there a failure to transmit to the plan any participant contributions	2023-12-31	No
Has the plan failed to provide any benefit when due under the plan	2023-12-31	No
Contributions received in cash from employer	2023-12-31	$330,308
Employer contributions (assets) at end of year	2023-12-31	$27
Employer contributions (assets) at beginning of year	2023-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2023-12-31	$9,549,767
Contract administrator fees	2023-12-31	$42,802
Did the plan have assets held for investment	2023-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2023-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2023-12-31	No
Opinion of an independent qualified public accountant for this plan	2023-12-31	Unqualified
Accountancy firm name	2023-12-31	PLANTE & MORAN, PLLC
Accountancy firm EIN	2023-12-31	381357951
2022 : BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-10,844,082
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$11,167,170
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$10,758,101
Value of total corrective distributions	2022-12-31	$43,451
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$5,342,738
Value of total assets at end of year	2022-12-31	$89,837,765
Value of total assets at beginning of year	2022-12-31	$111,849,017
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$365,618
Total interest from all sources	2022-12-31	$274,014
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$802,695
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$802,695
Administrative expenses professional fees incurred	2022-12-31	$15,800
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$4,937,345
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$22,974
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-22,011,252
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$89,837,765
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$111,849,017
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$90,000
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$51,911,852
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$67,401,193
Value of interest in pooled separate accounts at end of year	2022-12-31	$21,751,703
Value of interest in pooled separate accounts at beginning of year	2022-12-31	$27,104,160
Interest earned on other investments	2022-12-31	$274,014
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$16,174,210
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$17,343,664
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-13,379,843
Net investment gain/loss from pooled separate accounts	2022-12-31	$-3,883,686
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$382,419
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$10,758,101
Contract administrator fees	2022-12-31	$259,818
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	PLANTE & MORAN, PLLC
Accountancy firm EIN	2022-12-31	381357951
2021 : BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$16,580,495
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$13,530,823
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$13,155,999
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$5,246,190
Value of total assets at end of year	2021-12-31	$111,849,017
Value of total assets at beginning of year	2021-12-31	$108,799,345
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$374,824
Total interest from all sources	2021-12-31	$332,889
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$877,291
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$877,291
Administrative expenses professional fees incurred	2021-12-31	$15,800
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$4,948,834
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$172,252
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$3,049,672
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$111,849,017
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$108,799,345
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$29,306
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$67,401,193
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$57,225,522
Value of interest in pooled separate accounts at end of year	2021-12-31	$27,104,160
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$23,045,157
Interest earned on other investments	2021-12-31	$332,889
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$17,343,664
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$28,528,666
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$10,231,630
Net investment gain/loss from pooled separate accounts	2021-12-31	$-107,505
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$125,104
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$13,155,999
Contract administrator fees	2021-12-31	$329,718
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	PLANTE & MORAN, PLLC
Accountancy firm EIN	2021-12-31	381357951
2020 : BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$19,633,440
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$18,553,154
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$18,146,701
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$4,852,649
Value of total assets at end of year	2020-12-31	$108,799,345
Value of total assets at beginning of year	2020-12-31	$107,719,059
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$406,453
Total interest from all sources	2020-12-31	$545,655
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$530,895
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$530,895
Administrative expenses professional fees incurred	2020-12-31	$406,453
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$4,524,095
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$50,613
Other income not declared elsewhere	2020-12-31	$-7,515
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$1,080,286
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$108,799,345
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$107,719,059
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$57,225,522
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$56,060,613
Value of interest in pooled separate accounts at end of year	2020-12-31	$23,045,157
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$23,314,399
Interest earned on other investments	2020-12-31	$545,655
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$28,528,666
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$28,344,047
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$12,017,434
Net investment gain/loss from pooled separate accounts	2020-12-31	$1,694,322
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$277,941
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$18,146,701
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	PLANTE & MORAN, PLLC
Accountancy firm EIN	2020-12-31	381357951
2019 : BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$25,027,287
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$14,406,170
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$13,746,439
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$7,373,605
Value of total assets at end of year	2019-12-31	$107,719,059
Value of total assets at beginning of year	2019-12-31	$97,097,942
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$659,731
Total interest from all sources	2019-12-31	$608,879
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$735,816
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$735,816
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$6,239,735
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$232,538
Other income not declared elsewhere	2019-12-31	$53,154
Administrative expenses (other) incurred	2019-12-31	$659,731
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$10,621,117
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$107,719,059
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$97,097,942
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$56,060,613
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$70,976,403
Value of interest in pooled separate accounts at end of year	2019-12-31	$23,314,399
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$0
Interest earned on other investments	2019-12-31	$608,879
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$28,344,047
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$26,121,539
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$13,990,216
Net investment gain/loss from pooled separate accounts	2019-12-31	$2,265,617
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$901,332
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$13,746,439
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	PLANTE & MORAN, LLP
Accountancy firm EIN	2019-12-31	381357951
2018 : BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$5,518,691
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$16,313,163
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$15,366,385
Value of total corrective distributions	2018-12-31	$1,333
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$9,430,876
Value of total assets at end of year	2018-12-31	$97,097,942
Value of total assets at beginning of year	2018-12-31	$107,892,414
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$945,445
Total interest from all sources	2018-12-31	$561,059
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$1,543,225
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$1,543,225
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$7,576,717
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$303,816
Administrative expenses (other) incurred	2018-12-31	$945,445
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-10,794,472
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$97,097,942
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$107,892,414
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$70,976,403
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$79,892,945
Interest earned on other investments	2018-12-31	$561,059
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$26,121,539
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$27,999,469
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-6,016,469
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$1,550,343
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$15,366,385
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	PLANTE & MORAN, LLP
Accountancy firm EIN	2018-12-31	381357951
2017 : BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total transfer of assets to this plan	2017-12-31	$102,903,083
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$12,875,495
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$7,886,164
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$7,187,212
Value of total corrective distributions	2017-12-31	$7,915
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$8,025,478
Value of total assets at end of year	2017-12-31	$107,892,414
Value of total assets at beginning of year	2017-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$691,037
Total interest from all sources	2017-12-31	$216,989
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$769,653
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$769,653
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$6,233,214
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$99,661
Administrative expenses (other) incurred	2017-12-31	$691,037
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$4,989,331
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$107,892,414
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$79,892,945
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$0
Interest earned on other investments	2017-12-31	$216,989
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$27,999,469
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$3,863,375
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$1,692,603
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$7,187,212
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	PLANTE & MORAN, LLP
Accountancy firm EIN	2017-12-31	381357951

Form 5500 Responses for BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN

2023: BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	No
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan funding arrangement – Trust	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement - Trust	Yes
2022: BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT 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 – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: BOB EVANS RESTAURANTS, LLC 401(K) RETIREMENT PLAN 2017 form 5500 responses
2017-05-01	Type of plan entity	Single employer plan
2017-05-01	First time form 5500 has been submitted	Yes
2017-05-01	Submission has been amended	No
2017-05-01	This submission is the final filing	No
2017-05-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-05-01	Plan is a collectively bargained plan	No
2017-05-01	Plan funding arrangement – Insurance	Yes
2017-05-01	Plan funding arrangement – Trust	Yes
2017-05-01	Plan benefit arrangement – Insurance	Yes
2017-05-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

556628-01

Policy instance

Insurance contract or identification number	556628-01
Number of Individuals Covered	3851
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

075052

Policy instance

Insurance contract or identification number	075052
Number of Individuals Covered	15470
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

075052

Policy instance

Insurance contract or identification number	075052
Number of Individuals Covered	15336
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

075052

Policy instance

Insurance contract or identification number	075052
Number of Individuals Covered	14992
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

075052

Policy instance

Insurance contract or identification number	075052
Number of Individuals Covered	20535
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

075052

Policy instance

Insurance contract or identification number	075052
Number of Individuals Covered	21845
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

075052

Policy instance

Insurance contract or identification number	075052
Number of Individuals Covered	27334
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	BOB EVANS RESTAURANTS, LLC
Employer identification number (EIN):	815225177
NAIC Classification:	722511
NAIC Description:	Full-Service Restaurants