Z CORPORATION, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan MEDICAL/DENTAL BENEFIT PLAN OF Z, INC. DBA PAUL'S MARKET
401k plan membership statisitcs for MEDICAL/DENTAL BENEFIT PLAN OF Z, INC. DBA PAUL'S MARKET
| Measure | Date | Value |
|---|
| 2016: MEDICAL/DENTAL BENEFIT PLAN OF Z, INC. DBA PAUL'S MARKET 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-04-01 | 196 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-04-01 | 0 |
| Number of retired or separated participants receiving benefits | 2016-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-04-01 | 0 |
| Total of all active and inactive participants | 2016-04-01 | 0 |
| 2015: MEDICAL/DENTAL BENEFIT PLAN OF Z, INC. DBA PAUL'S MARKET 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-04-01 | 187 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-04-01 | 196 |
| Number of retired or separated participants receiving benefits | 2015-04-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2015-04-01 | 0 |
| Total of all active and inactive participants | 2015-04-01 | 197 |
| 2014: MEDICAL/DENTAL BENEFIT PLAN OF Z, INC. DBA PAUL'S MARKET 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-04-01 | 200 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-04-01 | 187 |
| Number of retired or separated participants receiving benefits | 2014-04-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2014-04-01 | 0 |
| Total of all active and inactive participants | 2014-04-01 | 189 |
| 2013: MEDICAL/DENTAL BENEFIT PLAN OF Z, INC. DBA PAUL'S MARKET 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-04-01 | 213 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-04-01 | 200 |
| Number of retired or separated participants receiving benefits | 2013-04-01 | 1 |
| Total of all active and inactive participants | 2013-04-01 | 201 |
| 2012: MEDICAL/DENTAL BENEFIT PLAN OF Z, INC. DBA PAUL'S MARKET 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-04-01 | 217 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-04-01 | 213 |
| Number of retired or separated participants receiving benefits | 2012-04-01 | 0 |
| Total of all active and inactive participants | 2012-04-01 | 213 |
| Total participants, beginning-of-year | 2012-01-01 | 204 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 217 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 1 |
| Total of all active and inactive participants | 2012-01-01 | 218 |
| 2011: MEDICAL/DENTAL BENEFIT PLAN OF Z, INC. DBA PAUL'S MARKET 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 292 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 204 |
| Total of all active and inactive participants | 2011-01-01 | 204 |
| 2010: MEDICAL/DENTAL BENEFIT PLAN OF Z, INC. DBA PAUL'S MARKET 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-01-01 | 306 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 292 |
| Total of all active and inactive participants | 2010-01-01 | 292 |
| 2009: MEDICAL/DENTAL BENEFIT PLAN OF Z, INC. DBA PAUL'S MARKET 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 343 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 306 |
| Total of all active and inactive participants | 2009-01-01 | 306 |
| Measure | Date | Value |
|---|
| 2010 : MEDICAL/DENTAL BENEFIT PLAN OF Z, INC. DBA PAUL'S MARKET 2010 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $127,190 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $103,566 |
| Total income from all sources (including contributions) | 2010-12-31 | $1,132,531 |
| Total of all expenses incurred | 2010-12-31 | $1,156,585 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $1,036,542 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $1,132,531 |
| Value of total assets at end of year | 2010-12-31 | $102,216 |
| Value of total assets at beginning of year | 2010-12-31 | $102,646 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $120,043 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-12-31 | No |
| Was this plan covered by a fidelity bond | 2010-12-31 | Yes |
| Value of fidelity bond cover | 2010-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2010-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
| Contributions received from participants | 2010-12-31 | $503,461 |
| Participant contributions at end of year | 2010-12-31 | $38,514 |
| Participant contributions at beginning of year | 2010-12-31 | $37,843 |
| Assets. Other investments not covered elsewhere at end of year | 2010-12-31 | $62,000 |
| Assets. Other investments not covered elsewhere at beginning of year | 2010-12-31 | $62,000 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2010-12-31 | $8,406 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2010-12-31 | $1,702 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2010-12-31 | $2,803 |
| Administrative expenses (other) incurred | 2010-12-31 | $25,128 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Value of net income/loss | 2010-12-31 | $-24,054 |
| Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $-24,974 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $-920 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2010-12-31 | $307,833 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2010-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
| Contributions received in cash from employer | 2010-12-31 | $620,664 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2010-12-31 | $728,709 |
| Contract administrator fees | 2010-12-31 | $94,915 |
| Liabilities. Value of benefit claims payable at end of year | 2010-12-31 | $127,190 |
| Liabilities. Value of benefit claims payable at beginning of year | 2010-12-31 | $103,566 |
| Did the plan have assets held for investment | 2010-12-31 | No |
| 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 | 2010-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Unqualified |
| Accountancy firm name | 2010-12-31 | RIPLEY DOORN & COMPANY, P.L.L.C. |
| Accountancy firm EIN | 2010-12-31 | 820476132 |
| 2016: MEDICAL/DENTAL BENEFIT PLAN OF Z, INC. DBA PAUL'S MARKET 2016 form 5500 responses |
|---|
| 2016-04-01 | Type of plan entity | Single employer plan |
| 2016-04-01 | This submission is the final filing | Yes |
| 2016-04-01 | Plan funding arrangement – Insurance | Yes |
| 2016-04-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-04-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: MEDICAL/DENTAL BENEFIT PLAN OF Z, INC. DBA PAUL'S MARKET 2015 form 5500 responses |
|---|
| 2015-04-01 | Type of plan entity | Single employer plan |
| 2015-04-01 | Plan funding arrangement – Insurance | Yes |
| 2015-04-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-04-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: MEDICAL/DENTAL BENEFIT PLAN OF Z, INC. DBA PAUL'S MARKET 2014 form 5500 responses |
|---|
| 2014-04-01 | Type of plan entity | Single employer plan |
| 2014-04-01 | Plan funding arrangement – Insurance | Yes |
| 2014-04-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-04-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: MEDICAL/DENTAL BENEFIT PLAN OF Z, INC. DBA PAUL'S MARKET 2013 form 5500 responses |
|---|
| 2013-04-01 | Type of plan entity | Single employer plan |
| 2013-04-01 | Plan funding arrangement – Insurance | Yes |
| 2013-04-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-04-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: MEDICAL/DENTAL BENEFIT PLAN OF Z, INC. DBA PAUL'S MARKET 2012 form 5500 responses |
|---|
| 2012-04-01 | Type of plan entity | Single employer plan |
| 2012-04-01 | Plan funding arrangement – Insurance | Yes |
| 2012-04-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-04-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: MEDICAL/DENTAL BENEFIT PLAN OF Z, INC. DBA PAUL'S MARKET 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2010: MEDICAL/DENTAL BENEFIT PLAN OF Z, INC. DBA PAUL'S MARKET 2010 form 5500 responses |
|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan funding arrangement – Trust | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement - Trust | Yes |
| 2009: MEDICAL/DENTAL BENEFIT PLAN OF Z, INC. DBA PAUL'S MARKET 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
| NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 ) |
| Policy contract number | 947-1806 |
| Policy instance | 2 |
| Insurance contract or identification number | 947-1806 | | Number of Individuals Covered | 287 | | Insurance policy start date | 2015-10-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $1,444 | | Other welfare benefits provided | ORGAN TRANSPLANT | | Welfare Benefit Premiums Paid to Carrier | USD $14,440 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,444 | | Insurance broker organization code? | 3 | | Insurance broker name | LEFTLANE, INC. |
|
| NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 ) |
| Policy contract number | 947-1160 |
| Policy instance | 1 |
| Insurance contract or identification number | 947-1160 | | Number of Individuals Covered | 287 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2016-05-31 | | Total amount of commissions paid to insurance broker | USD $1,315 | | Other welfare benefits provided | ORGAN TRANSPLANT | | Welfare Benefit Premiums Paid to Carrier | USD $13,154 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,315 | | Insurance broker organization code? | 3 | | Insurance broker name | SHEFFIELD, OLSON & MCQUEEN |
|
| NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 ) |
| Policy contract number | 947-0061 |
| Policy instance | 1 |
| Insurance contract or identification number | 947-0061 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $1,348 | | Other welfare benefits provided | ORGAN TRANSPLANT | | Welfare Benefit Premiums Paid to Carrier | USD $13,484 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,348 | | Insurance broker organization code? | 3 | | Insurance broker name | SHEFFIELD, OLSON & MCQUEEN |
|
| NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 ) |
| Policy contract number | 947-0288 |
| Policy instance | 2 |
| Insurance contract or identification number | 947-0288 | | Number of Individuals Covered | 190 | | Insurance policy start date | 2014-10-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $1,267 | | Other welfare benefits provided | ORGAN TRANSPLANT | | Welfare Benefit Premiums Paid to Carrier | USD $12,674 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,267 | | Insurance broker organization code? | 3 | | Insurance broker name | LEFTLANE, INC. |
|
| NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 ) |
| Policy contract number | 949-6125 |
| Policy instance | 1 |
| Insurance contract or identification number | 949-6125 | | Number of Individuals Covered | 176 | | Insurance policy start date | 2013-04-01 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $2,424 | | Other welfare benefits provided | ORGAN TRANSPLANT | | Welfare Benefit Premiums Paid to Carrier | USD $24,241 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,424 | | Insurance broker organization code? | 3 | | Insurance broker name | SHEFFIELD, OLSON & MCQUEEN |
|
| NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 ) |
| Policy contract number | 949-0978 |
| Policy instance | 1 |
| Insurance contract or identification number | 949-0978 | | Number of Individuals Covered | 181 | | Insurance policy start date | 2012-04-01 | | Insurance policy end date | 2013-03-31 | | Total amount of commissions paid to insurance broker | USD $2,804 | | Other welfare benefits provided | ORGAN TRANSPLANT | | Welfare Benefit Premiums Paid to Carrier | USD $28,038 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,804 | | Insurance broker organization code? | 3 | | Insurance broker name | SHEFFIELD, OLSON & MCQUEEN |
|
| NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 ) |
| Policy contract number | 949-0978 |
| Policy instance | 1 |
| Insurance contract or identification number | 949-0978 | | Number of Individuals Covered | 189 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-03-31 | | Total amount of commissions paid to insurance broker | USD $549 | | Other welfare benefits provided | ORGAN TRANSPLANT | | Welfare Benefit Premiums Paid to Carrier | USD $5,494 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 ) |
| Policy contract number | 949-0061 |
| Policy instance | 1 |
| Insurance contract or identification number | 949-0061 | | Number of Individuals Covered | 179 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $2,173 | | Other welfare benefits provided | ORGAN TRANSPLANT | | Welfare Benefit Premiums Paid to Carrier | USD $21,730 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| REGENCE BLUESHIELD OF IDAHO (National Association of Insurance Commissioners NAIC id number: 60131 ) |
| Policy contract number | 60021146 |
| Policy instance | 1 |
| Insurance contract or identification number | 60021146 | | Number of Individuals Covered | 193 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $25,128 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $222,183 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $25,128 | | Insurance broker organization code? | 3 | | Insurance broker name | CORNILLES FINANCIAL SERVICES, LLC |
|
| WILLAMETTE DENTAL OF IDAHO, INC. (National Association of Insurance Commissioners NAIC id number: 95819 ) |
| Policy contract number | Z1867 |
| Policy instance | 2 |
| Insurance contract or identification number | Z1867 | | Number of Individuals Covered | 139 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $3,483 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $69,746 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,483 | | Insurance broker organization code? | 3 | | Insurance broker name | WILLAMETTE DENTAL |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 585751 |
| Policy instance | 3 |
| Insurance contract or identification number | 585751 | | Number of Individuals Covered | 336 | | Insurance policy start date | 2009-05-01 | | Insurance policy end date | 2010-05-01 | | Total amount of commissions paid to insurance broker | USD $2,045 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD | | Welfare Benefit Premiums Paid to Carrier | USD $15,904 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,045 | | Insurance broker organization code? | 3 | | Insurance broker name | CORNILLES FINANCIAL SERVICES, LLC |
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