401k Plan data: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN plan

MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN
Plan identification number	501

MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision

401k Sponsoring company profile

MANITO SUPER 1 FOODS has sponsored the creation of one or more 401k plans.

Company Name: MANITO SUPER 1 FOODS

Employer identification number (EIN): 820439518

NAIC Classification: 445110
NAIC Description: Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-01-01 MARK GOODWIN 2023-07-25
501 2021-01-01 MARK GOODWIN 2022-05-25
501 2020-01-01 SUSAN IRVING 2021-05-10
501 2019-01-01 SUSAN IRVING 2020-06-15
501 2018-01-01
501 2017-01-01
501 2016-01-01 SUSAN IRVING
501 2015-01-01
501 2014-01-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2022-01-01	MARK GOODWIN	2023-07-25
501	2021-01-01	MARK GOODWIN	2022-05-25
501	2020-01-01	SUSAN IRVING	2021-05-10
501	2019-01-01	SUSAN IRVING	2020-06-15
501	2018-01-01
501	2017-01-01
501	2016-01-01	SUSAN IRVING
501	2015-01-01
501	2014-01-01

Plan Statistics for MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN

401k plan membership statisitcs for MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN

Measure Date Value
2022: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 441
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 441
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 441
Number of employers contributing to the scheme 2022-01-01 0
2021: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 441
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 441
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 441
Number of employers contributing to the scheme 2021-01-01 0
2020: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 441
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 441
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 441
Number of employers contributing to the scheme 2020-01-01 0
2019: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 441
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 441
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 441
Number of employers contributing to the scheme 2019-01-01 0
2018: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 431
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 441
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 2018-01-01 441
Number of employers contributing to the scheme 2018-01-01 0
2017: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 415
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 448
Number of retired or separated participants receiving benefits 2017-01-01 2
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 450
2016: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 415
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 421
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 2016-01-01 421
2015: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 401
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 415
Total of all active and inactive participants 2015-01-01 415
2014: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 414
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 401
Total of all active and inactive participants 2014-01-01 401

Measure	Date	Value
2022: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	441
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	441
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	441
Number of employers contributing to the scheme	2022-01-01	0
2021: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	441
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	441
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	441
Number of employers contributing to the scheme	2021-01-01	0
2020: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	441
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	441
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	441
Number of employers contributing to the scheme	2020-01-01	0
2019: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	441
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	441
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	441
Number of employers contributing to the scheme	2019-01-01	0
2018: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	431
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	441
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	441
Number of employers contributing to the scheme	2018-01-01	0
2017: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	415
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	448
Number of retired or separated participants receiving benefits	2017-01-01	2
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	450
2016: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	415
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	421
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	421
2015: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	401
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	415
Total of all active and inactive participants	2015-01-01	415
2014: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	414
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	401
Total of all active and inactive participants	2014-01-01	401

Form 5500 Responses for MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN

2022: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
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 – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: MANITO SUPER 1 FOODS WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	First time form 5500 has been submitted	Yes
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

BLUE CROSS OF IDAHO HEALTH SERVICE INC. (National Association of Insurance Commissioners NAIC id number: 60095 )

Policy contract number

10020142

Policy instance

Insurance contract or identification number	10020142
Number of Individuals Covered	927
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $77,908
Total amount of fees paid to insurance company	USD $5,464
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $77,908
Amount paid for insurance broker fees	5464
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3
Insurance broker name	SCOTT BURKHARDT

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Company Name:	MANITO SUPER 1 FOODS
Employer identification number (EIN):	820439518
NAIC Classification:	445110
NAIC Description:	Supermarkets and Other Grocery (except Convenience) Stores