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GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 401k Plan overview

Plan NameGROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC.
Plan identification number 501

GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

MODERN ITALIAN BAKERY has sponsored the creation of one or more 401k plans.

Company Name:MODERN ITALIAN BAKERY
Employer identification number (EIN):112801225
NAIC Classification:311800
NAIC Description: Bakeries and Tortilla Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-03-01
5012021-03-01
5012020-03-01
5012019-03-01
5012018-03-01
5012017-03-01DANA MURPHY
5012016-03-01DANA MURPHY
5012015-03-01DANA MURPHY
5012014-03-01DANA MURPHY
5012013-03-01KEVIN CONNORS
5012012-03-01KEVIN CONNORS
5012011-03-01KEVIN CONNORS
5012010-03-01KEVIN CONNORS

Plan Statistics for GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC.

401k plan membership statisitcs for GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC.

Measure Date Value
2022: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2022 401k membership
Total participants, beginning-of-year2022-03-01173
Total number of active participants reported on line 7a of the Form 55002022-03-01180
Total of all active and inactive participants2022-03-01180
2021: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2021 401k membership
Total participants, beginning-of-year2021-03-01175
Total number of active participants reported on line 7a of the Form 55002021-03-01173
Total of all active and inactive participants2021-03-01173
2020: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2020 401k membership
Total participants, beginning-of-year2020-03-01173
Total number of active participants reported on line 7a of the Form 55002020-03-01175
Total of all active and inactive participants2020-03-01175
2019: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2019 401k membership
Total participants, beginning-of-year2019-03-01171
Total number of active participants reported on line 7a of the Form 55002019-03-01173
Total of all active and inactive participants2019-03-01173
2018: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2018 401k membership
Total participants, beginning-of-year2018-03-01171
Total number of active participants reported on line 7a of the Form 55002018-03-01171
Total of all active and inactive participants2018-03-01171
2017: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2017 401k membership
Total participants, beginning-of-year2017-03-01168
Total number of active participants reported on line 7a of the Form 55002017-03-01171
Total of all active and inactive participants2017-03-01171
Total participants2017-03-01171
2016: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2016 401k membership
Total participants, beginning-of-year2016-03-01178
Total number of active participants reported on line 7a of the Form 55002016-03-01168
Total of all active and inactive participants2016-03-01168
Total participants2016-03-01168
2015: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2015 401k membership
Total participants, beginning-of-year2015-03-01179
Total number of active participants reported on line 7a of the Form 55002015-03-01178
Total of all active and inactive participants2015-03-01178
Total participants2015-03-01178
2014: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2014 401k membership
Total participants, beginning-of-year2014-03-01183
Total number of active participants reported on line 7a of the Form 55002014-03-01179
Total of all active and inactive participants2014-03-01179
Total participants2014-03-01179
2013: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2013 401k membership
Total participants, beginning-of-year2013-03-01175
Total number of active participants reported on line 7a of the Form 55002013-03-01183
Total of all active and inactive participants2013-03-01183
Total participants2013-03-01183
2012: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2012 401k membership
Total participants, beginning-of-year2012-03-01189
Total number of active participants reported on line 7a of the Form 55002012-03-01175
Total of all active and inactive participants2012-03-01175
Total participants2012-03-01175
2011: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2011 401k membership
Total participants, beginning-of-year2011-03-01186
Total number of active participants reported on line 7a of the Form 55002011-03-01189
Total of all active and inactive participants2011-03-01189
Total participants2011-03-01189
2010: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2010 401k membership
Total participants, beginning-of-year2010-03-01186
Total number of active participants reported on line 7a of the Form 55002010-03-01186
Total of all active and inactive participants2010-03-01186
Total participants2010-03-01186

Form 5500 Responses for GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC.

2022: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2022 form 5500 responses
2022-03-01Type of plan entitySingle employer plan
2022-03-01Plan funding arrangement – InsuranceYes
2022-03-01Plan benefit arrangement – InsuranceYes
2021: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2021 form 5500 responses
2021-03-01Type of plan entitySingle employer plan
2021-03-01Plan funding arrangement – InsuranceYes
2021-03-01Plan benefit arrangement – InsuranceYes
2020: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2020 form 5500 responses
2020-03-01Type of plan entitySingle employer plan
2020-03-01Plan funding arrangement – InsuranceYes
2020-03-01Plan benefit arrangement – InsuranceYes
2019: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2019 form 5500 responses
2019-03-01Type of plan entitySingle employer plan
2019-03-01Plan funding arrangement – InsuranceYes
2019-03-01Plan benefit arrangement – InsuranceYes
2018: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2018 form 5500 responses
2018-03-01Type of plan entitySingle employer plan
2018-03-01Plan funding arrangement – InsuranceYes
2018-03-01Plan benefit arrangement – InsuranceYes
2017: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2017 form 5500 responses
2017-03-01Type of plan entitySingle employer plan
2017-03-01Plan funding arrangement – InsuranceYes
2017-03-01Plan benefit arrangement – InsuranceYes
2016: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2016 form 5500 responses
2016-03-01Type of plan entitySingle employer plan
2016-03-01Plan funding arrangement – InsuranceYes
2016-03-01Plan benefit arrangement – InsuranceYes
2015: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2015 form 5500 responses
2015-03-01Type of plan entitySingle employer plan
2015-03-01Plan funding arrangement – InsuranceYes
2015-03-01Plan benefit arrangement – InsuranceYes
2014: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2014 form 5500 responses
2014-03-01Type of plan entitySingle employer plan
2014-03-01Plan funding arrangement – InsuranceYes
2014-03-01Plan benefit arrangement – InsuranceYes
2013: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2013 form 5500 responses
2013-03-01Type of plan entitySingle employer plan
2013-03-01Plan funding arrangement – InsuranceYes
2013-03-01Plan benefit arrangement – InsuranceYes
2012: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2012 form 5500 responses
2012-03-01Type of plan entitySingle employer plan
2012-03-01Plan funding arrangement – InsuranceYes
2012-03-01Plan benefit arrangement – InsuranceYes
2011: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2011 form 5500 responses
2011-03-01Type of plan entitySingle employer plan
2011-03-01Plan funding arrangement – InsuranceYes
2011-03-01Plan benefit arrangement – InsuranceYes
2010: GROUP LIFE AND AD&D FOR EMPLOYEES OF MODERN ITALIAN BAKERY OF WEST BABYLON, INC. 2010 form 5500 responses
2010-03-01Type of plan entitySingle employer plan
2010-03-01Plan funding arrangement – InsuranceYes
2010-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number454962
Policy instance 1
Insurance contract or identification number454962
Number of Individuals Covered180
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $507
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,071
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $507
Insurance broker organization code?3
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number454962
Policy instance 1
Insurance contract or identification number454962
Number of Individuals Covered173
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $546
Total amount of fees paid to insurance companyUSD $68
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,455
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $546
Amount paid for insurance broker fees68
Insurance broker organization code?3
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number454962
Policy instance 1
Insurance contract or identification number454962
Number of Individuals Covered175
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $462
Total amount of fees paid to insurance companyUSD $58
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,465
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $462
Amount paid for insurance broker fees58
Insurance broker organization code?3
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number454962
Policy instance 1
Insurance contract or identification number454962
Number of Individuals Covered173
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $565
Total amount of fees paid to insurance companyUSD $71
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $6,074
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $565
Amount paid for insurance broker fees71
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number454962
Policy instance 1
Insurance contract or identification number454962
Number of Individuals Covered171
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $451
Total amount of fees paid to insurance companyUSD $56
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,333
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $451
Amount paid for insurance broker fees56
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number454962
Policy instance 1
Insurance contract or identification number454962
Number of Individuals Covered178
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $547
Total amount of fees paid to insurance companyUSD $68
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,460
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $547
Amount paid for insurance broker fees68
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number454962
Policy instance 1
Insurance contract or identification number454962
Number of Individuals Covered179
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $437
Total amount of fees paid to insurance companyUSD $55
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $6,077
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $437
Amount paid for insurance broker fees55
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number454962
Policy instance 1
Insurance contract or identification number454962
Number of Individuals Covered183
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $461
Total amount of fees paid to insurance companyUSD $58
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,503
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $461
Amount paid for insurance broker fees58
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number454962
Policy instance 1
Insurance contract or identification number454962
Number of Individuals Covered175
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $557
Total amount of fees paid to insurance companyUSD $10
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEALTH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,532
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $557
Amount paid for insurance broker fees10
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number454962
Policy instance 1
Insurance contract or identification number454962
Number of Individuals Covered189
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Total amount of commissions paid to insurance brokerUSD $527
Total amount of fees paid to insurance companyUSD $60
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,270
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number454962
Policy instance 1
Insurance contract or identification number454962
Number of Individuals Covered186
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $486
Total amount of fees paid to insurance companyUSD $61
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,865
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $486
Amount paid for insurance broker fees61
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION PAID
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.

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