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EMPLOYEE HEALTH PLAN OF CAMMILLERI HOLDINGS 401k Plan overview

Plan NameEMPLOYEE HEALTH PLAN OF CAMMILLERI HOLDINGS
Plan identification number 502

EMPLOYEE HEALTH PLAN OF CAMMILLERI HOLDINGS Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental

401k Sponsoring company profile

CAMMILLERI HOLDINGS has sponsored the creation of one or more 401k plans.

Company Name:CAMMILLERI HOLDINGS
Employer identification number (EIN):161533430
NAIC Classification:722513
NAIC Description:Limited-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE HEALTH PLAN OF CAMMILLERI HOLDINGS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022015-05-01JAMES CAMMILLERI
5022014-05-01JAMES CAMMILLERI
5022013-05-01JAMES CAMMILLERI

Plan Statistics for EMPLOYEE HEALTH PLAN OF CAMMILLERI HOLDINGS

401k plan membership statisitcs for EMPLOYEE HEALTH PLAN OF CAMMILLERI HOLDINGS

Measure Date Value
2015: EMPLOYEE HEALTH PLAN OF CAMMILLERI HOLDINGS 2015 401k membership
Total participants, beginning-of-year2015-05-016
Total number of active participants reported on line 7a of the Form 55002015-05-015
Number of retired or separated participants receiving benefits2015-05-010
Number of other retired or separated participants entitled to future benefits2015-05-010
Total of all active and inactive participants2015-05-015
2014: EMPLOYEE HEALTH PLAN OF CAMMILLERI HOLDINGS 2014 401k membership
Total participants, beginning-of-year2014-05-015
Total number of active participants reported on line 7a of the Form 55002014-05-016
Number of retired or separated participants receiving benefits2014-05-010
Number of other retired or separated participants entitled to future benefits2014-05-010
Total of all active and inactive participants2014-05-016
2013: EMPLOYEE HEALTH PLAN OF CAMMILLERI HOLDINGS 2013 401k membership
Total participants, beginning-of-year2013-05-014
Total number of active participants reported on line 7a of the Form 55002013-05-013
Number of retired or separated participants receiving benefits2013-05-010
Number of other retired or separated participants entitled to future benefits2013-05-010
Total of all active and inactive participants2013-05-013

Financial Data on EMPLOYEE HEALTH PLAN OF CAMMILLERI HOLDINGS

Measure Date Value
2016 : EMPLOYEE HEALTH PLAN OF CAMMILLERI HOLDINGS 2016 401k financial data
Total plan liabilities at end of year2016-04-30$0
Total plan liabilities at beginning of year2016-04-30$0
Total income from all sources2016-04-30$26,215
Expenses. Total of all expenses incurred2016-04-30$26,215
Benefits paid (including direct rollovers)2016-04-30$8,978
Total plan assets at end of year2016-04-30$0
Total plan assets at beginning of year2016-04-30$0
Value of fidelity bond covering the plan2016-04-30$5,000
Expenses. Other expenses not covered elsewhere2016-04-30$17,237
Net income (gross income less expenses)2016-04-30$0
Net plan assets at end of year (total assets less liabilities)2016-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2016-04-30$0
Total contributions received or receivable from employer(s)2016-04-30$26,215
2015 : EMPLOYEE HEALTH PLAN OF CAMMILLERI HOLDINGS 2015 401k financial data
Total plan liabilities at end of year2015-04-30$0
Total plan liabilities at beginning of year2015-04-30$257
Total income from all sources2015-04-30$31,544
Expenses. Total of all expenses incurred2015-04-30$33,225
Benefits paid (including direct rollovers)2015-04-30$14,680
Total plan assets at end of year2015-04-30$0
Total plan assets at beginning of year2015-04-30$1,938
Value of fidelity bond covering the plan2015-04-30$10,000
Expenses. Other expenses not covered elsewhere2015-04-30$18,545
Net income (gross income less expenses)2015-04-30$-1,681
Net plan assets at end of year (total assets less liabilities)2015-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2015-04-30$1,681
Total contributions received or receivable from employer(s)2015-04-30$31,544
2014 : EMPLOYEE HEALTH PLAN OF CAMMILLERI HOLDINGS 2014 401k financial data
Total plan liabilities at end of year2014-04-30$257
Total plan liabilities at beginning of year2014-04-30$0
Total income from all sources2014-04-30$14,596
Expenses. Total of all expenses incurred2014-04-30$12,915
Benefits paid (including direct rollovers)2014-04-30$3,455
Total plan assets at end of year2014-04-30$1,938
Total plan assets at beginning of year2014-04-30$0
Value of fidelity bond covering the plan2014-04-30$10,000
Expenses. Other expenses not covered elsewhere2014-04-30$9,460
Net income (gross income less expenses)2014-04-30$1,681
Net plan assets at end of year (total assets less liabilities)2014-04-30$1,681
Net plan assets at beginning of year (total assets less liabilities)2014-04-30$0
Total contributions received or receivable from employer(s)2014-04-30$14,596

Form 5500 Responses for EMPLOYEE HEALTH PLAN OF CAMMILLERI HOLDINGS

2015: EMPLOYEE HEALTH PLAN OF CAMMILLERI HOLDINGS 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – TrustYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement - TrustYes
2014: EMPLOYEE HEALTH PLAN OF CAMMILLERI HOLDINGS 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Submission has been amendedNo
2014-05-01This submission is the final filingNo
2014-05-01This return/report is a short plan year return/report (less than 12 months)No
2014-05-01Plan is a collectively bargained planNo
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan funding arrangement – TrustYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement - TrustYes
2013: EMPLOYEE HEALTH PLAN OF CAMMILLERI HOLDINGS 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01First time form 5500 has been submittedYes
2013-05-01Submission has been amendedNo
2013-05-01This submission is the final filingNo
2013-05-01This return/report is a short plan year return/report (less than 12 months)No
2013-05-01Plan is a collectively bargained planNo
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan funding arrangement – TrustYes
2013-05-01Plan benefit arrangement – InsuranceYes
2013-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number14410 NFA 0240
Policy instance 1
Insurance contract or identification number14410 NFA 0240
Number of Individuals Covered6
Insurance policy start date2015-06-01
Insurance policy end date2016-04-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $10,621
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number14410 NFA 0240
Policy instance 1
Insurance contract or identification number14410 NFA 0240
Number of Individuals Covered11
Insurance policy start date2014-06-01
Insurance policy end date2015-04-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $12,800
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number14410 NFA 0240
Policy instance 1
Insurance contract or identification number14410 NFA 0240
Number of Individuals Covered5
Insurance policy start date2013-06-01
Insurance policy end date2014-04-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $5,817
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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