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ANDRE BOUDIN BAKERIES INC. HEALTH REIMBURSEMENT ARRANGEMENT FOR SFHCSO 401k Plan overview

Plan NameANDRE BOUDIN BAKERIES INC. HEALTH REIMBURSEMENT ARRANGEMENT FOR SFHCSO
Plan identification number 504

ANDRE BOUDIN BAKERIES INC. HEALTH REIMBURSEMENT ARRANGEMENT FOR SFHCSO Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Other welfare benefit cover

401k Sponsoring company profile

ANDRE BOUDIN BAKERIES INC has sponsored the creation of one or more 401k plans.

Company Name:ANDRE BOUDIN BAKERIES INC
Employer identification number (EIN):941428386
NAIC Classification:445291
NAIC Description:Baked Goods Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANDRE BOUDIN BAKERIES INC. HEALTH REIMBURSEMENT ARRANGEMENT FOR SFHCSO

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042015-04-01SHONN TOM
5042015-04-01MATT DOWLING2019-12-20
5042014-01-01SHONN TOM
5042013-01-01SHONN TOM
5042012-01-01SHONN TOM
5042011-01-01JONATHAN GOLOGORSKY
5042010-01-01JONATHAN GOLOGORSKY
5042009-01-01RON MACCARONE

Plan Statistics for ANDRE BOUDIN BAKERIES INC. HEALTH REIMBURSEMENT ARRANGEMENT FOR SFHCSO

401k plan membership statisitcs for ANDRE BOUDIN BAKERIES INC. HEALTH REIMBURSEMENT ARRANGEMENT FOR SFHCSO

Measure Date Value
2015: ANDRE BOUDIN BAKERIES INC. HEALTH REIMBURSEMENT ARRANGEMENT FOR SFHCSO 2015 401k membership
Total participants, beginning-of-year2015-04-01444
Total number of active participants reported on line 7a of the Form 55002015-04-01422
Number of retired or separated participants receiving benefits2015-04-010
Number of other retired or separated participants entitled to future benefits2015-04-010
Total of all active and inactive participants2015-04-01422
Total participants2015-04-01422
Number of employers contributing to the scheme2015-04-010
2014: ANDRE BOUDIN BAKERIES INC. HEALTH REIMBURSEMENT ARRANGEMENT FOR SFHCSO 2014 401k membership
Total participants, beginning-of-year2014-01-01393
Total number of active participants reported on line 7a of the Form 55002014-01-01444
Total of all active and inactive participants2014-01-01444
Total participants2014-01-01444
2013: ANDRE BOUDIN BAKERIES INC. HEALTH REIMBURSEMENT ARRANGEMENT FOR SFHCSO 2013 401k membership
Total participants, beginning-of-year2013-01-01217
Total number of active participants reported on line 7a of the Form 55002013-01-01393
Total of all active and inactive participants2013-01-01393
Total participants2013-01-01393
2012: ANDRE BOUDIN BAKERIES INC. HEALTH REIMBURSEMENT ARRANGEMENT FOR SFHCSO 2012 401k membership
Total participants, beginning-of-year2012-01-01117
Total number of active participants reported on line 7a of the Form 55002012-01-01217
Total of all active and inactive participants2012-01-01217
Total participants2012-01-01217
2011: ANDRE BOUDIN BAKERIES INC. HEALTH REIMBURSEMENT ARRANGEMENT FOR SFHCSO 2011 401k membership
Total participants, beginning-of-year2011-01-01125
Total number of active participants reported on line 7a of the Form 55002011-01-01117
Total of all active and inactive participants2011-01-01117
Total participants2011-01-01117
2010: ANDRE BOUDIN BAKERIES INC. HEALTH REIMBURSEMENT ARRANGEMENT FOR SFHCSO 2010 401k membership
Total participants, beginning-of-year2010-01-01105
Total number of active participants reported on line 7a of the Form 55002010-01-01125
Total of all active and inactive participants2010-01-01125
Total participants2010-01-01125
2009: ANDRE BOUDIN BAKERIES INC. HEALTH REIMBURSEMENT ARRANGEMENT FOR SFHCSO 2009 401k membership
Total participants, beginning-of-year2009-01-01111
Total number of active participants reported on line 7a of the Form 55002009-01-01107
Total of all active and inactive participants2009-01-01107
Total participants2009-01-01107

Form 5500 Responses for ANDRE BOUDIN BAKERIES INC. HEALTH REIMBURSEMENT ARRANGEMENT FOR SFHCSO

2015: ANDRE BOUDIN BAKERIES INC. HEALTH REIMBURSEMENT ARRANGEMENT FOR SFHCSO 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – General assets of the sponsorYes
2015-04-01Plan benefit arrangement – General assets of the sponsorYes
2014: ANDRE BOUDIN BAKERIES INC. HEALTH REIMBURSEMENT ARRANGEMENT FOR SFHCSO 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: ANDRE BOUDIN BAKERIES INC. HEALTH REIMBURSEMENT ARRANGEMENT FOR SFHCSO 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: ANDRE BOUDIN BAKERIES INC. HEALTH REIMBURSEMENT ARRANGEMENT FOR SFHCSO 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: ANDRE BOUDIN BAKERIES INC. HEALTH REIMBURSEMENT ARRANGEMENT FOR SFHCSO 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: ANDRE BOUDIN BAKERIES INC. HEALTH REIMBURSEMENT ARRANGEMENT FOR SFHCSO 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: ANDRE BOUDIN BAKERIES INC. HEALTH REIMBURSEMENT ARRANGEMENT FOR SFHCSO 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

DISCOVERY BENEFITS (National Association of Insurance Commissioners NAIC id number: 54121 )
Policy contract number14175
Policy instance 1
Insurance contract or identification number14175
Number of Individuals Covered125
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedHEALTH REIMBURSEMENT ARRANGEMENT (HRA)
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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