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MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameMILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN
Plan identification number 501

MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

MILITARY DELI & BAKERY SERVICES INC has sponsored the creation of one or more 401k plans.

Company Name:MILITARY DELI & BAKERY SERVICES INC
Employer identification number (EIN):954598949
NAIC Classification:722514
NAIC Description:Cafeterias, Grill Buffets, and Buffets

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012019-01-01
5012018-01-01GARY SCHINDLER2019-10-14
5012017-01-01
5012016-01-01GARY SCHINDLER, DIR OF BUS MGMT
5012015-01-01GARY SCHINDLER, DIR OF BUS MGMT
5012014-01-01KIRSTEN SHEHEE, HR DIRECTOR
5012013-01-01GARY SCHINDLER, DIR. OF BUS. MGMT.
5012012-01-01GARY SCHINDLER, DIR. OF BUS. MGMT.
5012011-01-01GARY SCHINDLER DIR OF BUS MGMT
5012009-01-01GARY SCHINDLER DIR OF BUS MGMT
5012009-01-01GARY SCHINDLER DIR OF BUS MGMT
5012009-01-01GARY SCHINDLER DIR OF BUS MGMT

Plan Statistics for MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN

401k plan membership statisitcs for MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN

Measure Date Value
2023: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01279
Total number of active participants reported on line 7a of the Form 55002023-01-01300
Number of retired or separated participants receiving benefits2023-01-014
Total of all active and inactive participants2023-01-01304
2022: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01304
Total number of active participants reported on line 7a of the Form 55002022-01-01279
Total of all active and inactive participants2022-01-01279
2021: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01331
Total number of active participants reported on line 7a of the Form 55002021-01-01304
Total of all active and inactive participants2021-01-01304
2020: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01352
Total number of active participants reported on line 7a of the Form 55002020-01-01331
Total of all active and inactive participants2020-01-01331
2019: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01358
Total number of active participants reported on line 7a of the Form 55002019-01-01352
Total of all active and inactive participants2019-01-01352
Total participants2019-01-01352
2018: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01377
Total number of active participants reported on line 7a of the Form 55002018-01-01358
Total of all active and inactive participants2018-01-01358
2017: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01452
Total number of active participants reported on line 7a of the Form 55002017-01-01377
Total of all active and inactive participants2017-01-01377
2016: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01596
Total number of active participants reported on line 7a of the Form 55002016-01-01452
Total of all active and inactive participants2016-01-01452
Total participants2016-01-01452
2015: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01768
Total number of active participants reported on line 7a of the Form 55002015-01-01596
Total of all active and inactive participants2015-01-01596
Total participants2015-01-010
2014: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01729
Total number of active participants reported on line 7a of the Form 55002014-01-01768
Total of all active and inactive participants2014-01-01768
Total participants2014-01-010
2013: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01856
Total number of active participants reported on line 7a of the Form 55002013-01-01729
Total of all active and inactive participants2013-01-01729
Total participants2013-01-010
2012: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01861
Total number of active participants reported on line 7a of the Form 55002012-01-01856
Total of all active and inactive participants2012-01-01856
Total participants2012-01-010
2011: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01853
Total number of active participants reported on line 7a of the Form 55002011-01-01861
Total of all active and inactive participants2011-01-01861
Total participants2011-01-01861
2009: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01847
Total number of active participants reported on line 7a of the Form 55002009-01-01818
Total of all active and inactive participants2009-01-01818
Total participants2009-01-01818

Financial Data on MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN

Measure Date Value
2023 : MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2023 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$121,886
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$217,180
Total income from all sources (including contributions)2023-12-31$1,848,926
Total of all expenses incurred2023-12-31$2,294,145
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$1,990,438
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$1,848,926
Value of total assets at end of year2023-12-31$357,061
Value of total assets at beginning of year2023-12-31$897,574
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$303,707
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$500,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$193,567
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$7,854
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-12-31$41,846
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-12-31$37,140
Administrative expenses (other) incurred2023-12-31$7,180
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$-445,219
Value of net assets at end of year (total assets less liabilities)2023-12-31$235,175
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$680,394
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-12-31$213,414
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-12-31$774,464
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-12-31$774,464
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$432,756
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$1,647,505
Employer contributions (assets) at end of year2023-12-31$143,647
Employer contributions (assets) at beginning of year2023-12-31$123,110
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$1,557,682
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32023-12-31No
Liabilities. Value of benefit claims payable at end of year2023-12-31$80,040
Liabilities. Value of benefit claims payable at beginning of year2023-12-31$180,040
Did the plan have assets held for investment2023-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31CITRIN COOPERMAN & COMPANY, LLP
Accountancy firm EIN2023-12-31222428965
2022 : MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$217,180
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$166,581
Total income from all sources (including contributions)2022-12-31$1,820,889
Total of all expenses incurred2022-12-31$1,768,280
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,694,685
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,820,889
Value of total assets at end of year2022-12-31$897,574
Value of total assets at beginning of year2022-12-31$794,366
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$73,595
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$19,595
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$233,320
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$14,350
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$37,140
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$46,198
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$52,609
Value of net assets at end of year (total assets less liabilities)2022-12-31$680,394
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$627,785
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$774,464
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$642,734
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$642,734
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$586,346
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$1,587,569
Employer contributions (assets) at end of year2022-12-31$123,110
Employer contributions (assets) at beginning of year2022-12-31$137,282
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,108,339
Contract administrator fees2022-12-31$54,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Liabilities. Value of benefit claims payable at end of year2022-12-31$180,040
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$120,383
Did the plan have assets held for investment2022-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31CITRIN, COOPERMAN & COMPANY, LLP
Accountancy firm EIN2022-12-31222428965
2021 : MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$166,581
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$116,618
Total income from all sources (including contributions)2021-12-31$2,210,340
Total of all expenses incurred2021-12-31$2,165,976
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$2,088,638
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,210,340
Value of total assets at end of year2021-12-31$794,366
Value of total assets at beginning of year2021-12-31$700,039
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$77,338
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$23,338
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$265,922
Participant contributions at end of year2021-12-31$14,350
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$46,198
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$66,860
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$44,364
Value of net assets at end of year (total assets less liabilities)2021-12-31$627,785
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$583,421
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$642,734
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$543,823
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$543,823
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$650,492
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$1,944,418
Employer contributions (assets) at end of year2021-12-31$137,282
Employer contributions (assets) at beginning of year2021-12-31$156,216
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,438,146
Contract administrator fees2021-12-31$54,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Liabilities. Value of benefit claims payable at end of year2021-12-31$120,383
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$49,758
Did the plan have assets held for investment2021-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31CITRIN,COOPERMAN & COMPANY, LLP
Accountancy firm EIN2021-12-31222428965
2020 : MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$116,618
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$100,162
Total income from all sources (including contributions)2020-12-31$2,279,545
Total of all expenses incurred2020-12-31$2,321,286
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$2,245,691
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$2,279,545
Value of total assets at end of year2020-12-31$700,039
Value of total assets at beginning of year2020-12-31$725,324
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$75,595
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$21,340
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$248,966
Participant contributions at beginning of year2020-12-31$8,316
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$66,860
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$74,492
Administrative expenses (other) incurred2020-12-31$255
Liabilities. Value of operating payables at beginning of year2020-12-31$25,670
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-41,741
Value of net assets at end of year (total assets less liabilities)2020-12-31$583,421
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$625,162
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$543,823
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$541,427
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$541,427
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$642,524
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$2,030,579
Employer contributions (assets) at end of year2020-12-31$156,216
Employer contributions (assets) at beginning of year2020-12-31$175,581
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$1,603,167
Contract administrator fees2020-12-31$54,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Liabilities. Value of benefit claims payable at end of year2020-12-31$49,758
Did the plan have assets held for investment2020-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31CITRIN,COOPERMAN & COMPANY, LLP
Accountancy firm EIN2020-12-31222428965
2019 : MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$100,162
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$100,162
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$207,039
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$207,039
Total income from all sources (including contributions)2019-12-31$2,440,467
Total income from all sources (including contributions)2019-12-31$2,440,467
Total of all expenses incurred2019-12-31$2,051,558
Total of all expenses incurred2019-12-31$2,051,558
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,981,367
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,981,367
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,440,467
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,440,467
Value of total assets at end of year2019-12-31$725,324
Value of total assets at end of year2019-12-31$725,324
Value of total assets at beginning of year2019-12-31$443,292
Value of total assets at beginning of year2019-12-31$443,292
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$70,191
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$70,191
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$12,830
Administrative expenses professional fees incurred2019-12-31$12,830
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$249,382
Contributions received from participants2019-12-31$249,382
Participant contributions at end of year2019-12-31$8,316
Participant contributions at end of year2019-12-31$8,316
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$74,492
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$74,492
Administrative expenses (other) incurred2019-12-31$3,361
Administrative expenses (other) incurred2019-12-31$3,361
Liabilities. Value of operating payables at end of year2019-12-31$25,670
Liabilities. Value of operating payables at end of year2019-12-31$25,670
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$388,909
Value of net income/loss2019-12-31$388,909
Value of net assets at end of year (total assets less liabilities)2019-12-31$625,162
Value of net assets at end of year (total assets less liabilities)2019-12-31$625,162
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$236,253
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$236,253
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$541,427
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$541,427
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$275,654
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$275,654
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$275,654
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$275,654
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$776,764
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$776,764
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$2,191,085
Contributions received in cash from employer2019-12-31$2,191,085
Employer contributions (assets) at end of year2019-12-31$175,581
Employer contributions (assets) at end of year2019-12-31$175,581
Employer contributions (assets) at beginning of year2019-12-31$167,638
Employer contributions (assets) at beginning of year2019-12-31$167,638
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,204,603
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,204,603
Contract administrator fees2019-12-31$54,000
Contract administrator fees2019-12-31$54,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Liabilities. Value of benefit claims payable at end of year2019-12-31$0
Liabilities. Value of benefit claims payable at end of year2019-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$207,039
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$207,039
Did the plan have assets held for investment2019-12-31No
Did the plan have assets held for investment2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31CITRIN,COOPERMAN & COMPANY, LLP
Accountancy firm name2019-12-31CITRIN,COOPERMAN & COMPANY, LLP
Accountancy firm EIN2019-12-31222428965
Accountancy firm EIN2019-12-31222428965
2018 : MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$207,039
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$410,395
Total income from all sources (including contributions)2018-12-31$2,168,845
Total of all expenses incurred2018-12-31$2,291,188
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$2,220,765
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$2,168,845
Value of total assets at end of year2018-12-31$443,292
Value of total assets at beginning of year2018-12-31$768,991
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$70,423
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$14,500
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$208,776
Administrative expenses (other) incurred2018-12-31$1,923
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-122,343
Value of net assets at end of year (total assets less liabilities)2018-12-31$236,253
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$358,596
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$275,654
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$768,991
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$768,991
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$890,656
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$1,960,069
Employer contributions (assets) at end of year2018-12-31$167,638
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,330,109
Contract administrator fees2018-12-31$54,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Liabilities. Value of benefit claims payable at end of year2018-12-31$207,039
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$410,395
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31RUBINO & COMPANY, CHARTERED
Accountancy firm EIN2018-12-31521186096
2017 : MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$410,395
Total income from all sources (including contributions)2017-12-31$2,463,749
Total of all expenses incurred2017-12-31$2,719,739
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$2,644,401
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$2,463,749
Value of total assets at end of year2017-12-31$770,916
Value of total assets at beginning of year2017-12-31$616,511
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$75,338
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$188,249
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$1,925
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$40,842
Administrative expenses (other) incurred2017-12-31$75,338
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-255,990
Value of net assets at end of year (total assets less liabilities)2017-12-31$360,521
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$616,511
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$768,991
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$575,669
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$575,669
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$1,026,195
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$2,275,500
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,618,206
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Liabilities. Value of benefit claims payable at end of year2017-12-31$410,395
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31RUBINO & COMPANY, CHARTERED
Accountancy firm EIN2017-12-31521186096
2016 : MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2016 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$625,191
Total income from all sources (including contributions)2016-12-31$2,726,660
Total of all expenses incurred2016-12-31$3,073,115
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$2,722,612
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$2,726,120
Value of total assets at end of year2016-12-31$616,511
Value of total assets at beginning of year2016-12-31$1,588,157
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$350,503
Total interest from all sources2016-12-31$540
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$11,500
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$207,025
Participant contributions at beginning of year2016-12-31$18,439
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$40,842
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$27,079
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$610,086
Administrative expenses (other) incurred2016-12-31$3,280
Liabilities. Value of operating payables at beginning of year2016-12-31$15,105
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-346,455
Value of net assets at end of year (total assets less liabilities)2016-12-31$616,511
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$962,966
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in common/collective trusts at end of year2016-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$575,669
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$1,258,676
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$1,258,676
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$540
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$2,722,612
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$2,519,095
Employer contributions (assets) at beginning of year2016-12-31$283,963
Contract administrator fees2016-12-31$335,723
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31KING, SHORES & PRESTON CPAS
Accountancy firm EIN2016-12-31541643141
2015 : MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$625,191
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$561,929
Total income from all sources (including contributions)2015-12-31$2,967,417
Total of all expenses incurred2015-12-31$2,862,897
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$2,560,647
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$2,967,323
Value of total assets at end of year2015-12-31$1,588,157
Value of total assets at beginning of year2015-12-31$1,420,375
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$302,250
Total interest from all sources2015-12-31$94
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$9,500
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$375,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$208,912
Participant contributions at end of year2015-12-31$18,439
Participant contributions at beginning of year2015-12-31$5,223
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$27,079
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$80,101
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$610,086
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$557,843
Administrative expenses (other) incurred2015-12-31$3,000
Liabilities. Value of operating payables at end of year2015-12-31$15,105
Liabilities. Value of operating payables at beginning of year2015-12-31$4,086
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$104,520
Value of net assets at end of year (total assets less liabilities)2015-12-31$962,966
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$858,446
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in common/collective trusts at end of year2015-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$1,258,676
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$1,139,069
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$1,139,069
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$94
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$2,560,647
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$2,758,411
Employer contributions (assets) at end of year2015-12-31$283,963
Employer contributions (assets) at beginning of year2015-12-31$195,982
Contract administrator fees2015-12-31$289,750
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31KING, SHORES & PRESTON CPAS
Accountancy firm EIN2015-12-31541643141
2014 : MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$561,929
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$113,569
Total income from all sources (including contributions)2014-12-31$2,147,495
Total of all expenses incurred2014-12-31$2,889,065
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$2,876,565
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$2,147,369
Value of total assets at end of year2014-12-31$1,420,375
Value of total assets at beginning of year2014-12-31$1,713,585
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$12,500
Total interest from all sources2014-12-31$126
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$9,500
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$350,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$64,103
Participant contributions at end of year2014-12-31$5,223
Participant contributions at beginning of year2014-12-31$2,174
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$80,101
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$557,843
Administrative expenses (other) incurred2014-12-31$3,000
Liabilities. Value of operating payables at end of year2014-12-31$4,086
Liabilities. Value of operating payables at beginning of year2014-12-31$42,722
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-741,570
Value of net assets at end of year (total assets less liabilities)2014-12-31$858,446
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,600,016
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in common/collective trusts at end of year2014-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$1,139,069
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$1,552,456
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$1,552,456
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$126
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$2,844,071
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$2,083,266
Employer contributions (assets) at end of year2014-12-31$195,982
Employer contributions (assets) at beginning of year2014-12-31$158,955
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$32,494
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$70,847
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31KING, SHORES & PRESTON CPAS
Accountancy firm EIN2014-12-31541643141
2013 : MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$113,569
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$124,863
Total income from all sources (including contributions)2013-12-31$1,335,303
Total of all expenses incurred2013-12-31$1,511,117
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,071,425
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,335,132
Value of total assets at end of year2013-12-31$1,713,585
Value of total assets at beginning of year2013-12-31$1,900,693
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$439,692
Total interest from all sources2013-12-31$171
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$9,500
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$345,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$79,965
Participant contributions at end of year2013-12-31$2,174
Participant contributions at beginning of year2013-12-31$6,435
Administrative expenses (other) incurred2013-12-31$92,282
Liabilities. Value of operating payables at end of year2013-12-31$42,722
Liabilities. Value of operating payables at beginning of year2013-12-31$26,646
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-175,814
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,600,016
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,775,830
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in common/collective trusts at end of year2013-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$1,552,456
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$1,767,461
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$1,767,461
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$171
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$1,255,167
Employer contributions (assets) at end of year2013-12-31$158,955
Employer contributions (assets) at beginning of year2013-12-31$126,797
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$1,071,425
Contract administrator fees2013-12-31$337,910
Liabilities. Value of benefit claims payable at end of year2013-12-31$70,847
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$98,217
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31KING, SHORES & PRESTON CPAS
Accountancy firm EIN2013-12-31541643141
2012 : MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$124,863
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$191,419
Total income from all sources (including contributions)2012-12-31$1,729,443
Total of all expenses incurred2012-12-31$1,603,531
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,134,311
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,729,291
Value of total assets at end of year2012-12-31$1,900,693
Value of total assets at beginning of year2012-12-31$1,841,337
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$469,220
Total interest from all sources2012-12-31$152
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$7,763
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$325,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$85,579
Participant contributions at end of year2012-12-31$6,435
Participant contributions at beginning of year2012-12-31$8,185
Administrative expenses (other) incurred2012-12-31$94,047
Liabilities. Value of operating payables at end of year2012-12-31$26,646
Liabilities. Value of operating payables at beginning of year2012-12-31$40,604
Total non interest bearing cash at beginning of year2012-12-31$1,682,031
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$125,912
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,775,830
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,649,918
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in common/collective trusts at end of year2012-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$1,767,461
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$152
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$1,643,712
Employer contributions (assets) at end of year2012-12-31$126,797
Employer contributions (assets) at beginning of year2012-12-31$151,121
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,134,311
Contract administrator fees2012-12-31$367,410
Liabilities. Value of benefit claims payable at end of year2012-12-31$98,217
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$150,815
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31KING, SHORES & PRESTON CPAS
Accountancy firm EIN2012-12-31541643141
2011 : MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$191,419
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$196,779
Total income from all sources (including contributions)2011-12-31$1,739,731
Total of all expenses incurred2011-12-31$1,524,291
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$1,059,365
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,739,731
Value of total assets at end of year2011-12-31$1,841,337
Value of total assets at beginning of year2011-12-31$1,631,257
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$464,926
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$7,500
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$287,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$92,171
Participant contributions at end of year2011-12-31$8,185
Participant contributions at beginning of year2011-12-31$7,880
Administrative expenses (other) incurred2011-12-31$89,084
Liabilities. Value of operating payables at end of year2011-12-31$40,604
Liabilities. Value of operating payables at beginning of year2011-12-31$37,122
Total non interest bearing cash at end of year2011-12-31$1,682,031
Total non interest bearing cash at beginning of year2011-12-31$1,476,216
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$215,440
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,649,918
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,434,478
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$1,647,560
Employer contributions (assets) at end of year2011-12-31$151,121
Employer contributions (assets) at beginning of year2011-12-31$147,161
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$1,059,365
Contract administrator fees2011-12-31$368,342
Liabilities. Value of benefit claims payable at end of year2011-12-31$150,815
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$159,657
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31KING, SHORES & PRESTON CPAS
Accountancy firm EIN2011-12-31541643141
2010 : MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$196,779
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$115,362
Total income from all sources (including contributions)2010-12-31$1,655,710
Total of all expenses incurred2010-12-31$1,462,639
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,006,333
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,655,710
Value of total assets at end of year2010-12-31$1,631,257
Value of total assets at beginning of year2010-12-31$1,356,769
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$456,306
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$5,000
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$271,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$93,765
Participant contributions at end of year2010-12-31$7,880
Participant contributions at beginning of year2010-12-31$6,035
Administrative expenses (other) incurred2010-12-31$79,590
Liabilities. Value of operating payables at end of year2010-12-31$37,122
Liabilities. Value of operating payables at beginning of year2010-12-31$29,080
Total non interest bearing cash at end of year2010-12-31$1,476,216
Total non interest bearing cash at beginning of year2010-12-31$1,211,371
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$193,071
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,434,478
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,241,407
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$43,232
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$1,561,945
Employer contributions (assets) at end of year2010-12-31$147,161
Employer contributions (assets) at beginning of year2010-12-31$139,363
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$963,101
Contract administrator fees2010-12-31$371,716
Liabilities. Value of benefit claims payable at end of year2010-12-31$159,657
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$86,282
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31COLE & KING, LLC
Accountancy firm EIN2010-12-31541643141

Form 5500 Responses for MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN

2023: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: MILITARY DELI & BAKERY SERVICE, INC. HEALTH AND WELFARE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number304841
Policy instance 2
Insurance contract or identification number304841
Number of Individuals Covered304
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $52,040
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-202489
Policy instance 1
Insurance contract or identification numberUNI-202489
Number of Individuals Covered299
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $90,992
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $290,528
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number304841
Policy instance 2
Insurance contract or identification number304841
Number of Individuals Covered282
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $39,196
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-202489
Policy instance 1
Insurance contract or identification numberUNI-202489
Number of Individuals Covered290
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $87,982
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $289,345
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $72,138
Amount paid for insurance broker fees0
Insurance broker organization code?3
U. S. BEHAVIORAL HEALTH PLAN, CALIFORNIA DBA OPTUMHEALTH (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number15315
Policy instance 3
Insurance contract or identification number15315
Number of Individuals Covered270
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $3,486
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number304841
Policy instance 2
Insurance contract or identification number304841
Number of Individuals Covered293
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $50,193
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-202489
Policy instance 1
Insurance contract or identification numberUNI-202489
Number of Individuals Covered286
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $94,328
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $301,252
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $76,750
Amount paid for insurance broker fees0
Insurance broker organization code?6
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number304841
Policy instance 2
Insurance contract or identification number304841
Number of Individuals Covered317
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $52,335
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract number5367
Policy instance 1
Insurance contract or identification number5367
Number of Individuals Covered343
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $106,216
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $376,859
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $87,373
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number304841
Policy instance 2
Insurance contract or identification number304841
Number of Individuals Covered344
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $60,436
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberN/A
Policy instance 1
Insurance contract or identification numberN/A
Number of Individuals Covered349
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $124,911
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $478,824
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $100,970
Insurance broker organization code?3
Amount paid for insurance broker fees0
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberGP-500B
Policy instance 2
Insurance contract or identification numberGP-500B
Number of Individuals Covered479
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $130,505
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,372,810
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $98,685
Insurance broker organization code?3
Insurance broker nameTHE BOON INSURANCE AGENCY, INC.
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberTRUSTIL
Policy instance 1
Insurance contract or identification numberTRUSTIL
Number of Individuals Covered598
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $5,625
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $33,088
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,625
Insurance broker organization code?3
Insurance broker nameTHE BOON INSURANCE AGENCY, INC.
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberTRUSTIL
Policy instance 1
Insurance contract or identification numberTRUSTIL
Number of Individuals Covered768
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $418,969
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,793,129
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $323,939
Insurance broker organization code?3
Insurance broker nameCHRIS CAVENESS
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS010990-09
Policy instance 1
Insurance contract or identification numberUS010990-09
Number of Individuals Covered741
Insurance policy start date2010-01-01
Insurance policy end date2010-06-30
Total amount of fees paid to insurance companyUSD $43,232
Welfare Benefit Premiums Paid to CarrierUSD $43,232
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees43232
Additional information about fees paid to insurance brokerREINSURANCE PREMIUMS/STOP LOSS INSURANCE
Insurance broker organization code?3
Insurance broker nameSCOTT EASTLAND

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