401k Plan data: WILSON FARMS DENTAL PLAN plan

WILSON FARMS DENTAL PLAN 401k Plan overview

Plan Name	WILSON FARMS DENTAL PLAN
Plan identification number	502

WILSON FARMS DENTAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

WILSON FARMS, INC. has sponsored the creation of one or more 401k plans.

Company Name: WILSON FARMS, INC.

Employer identification number (EIN): 202443902

NAIC Classification: 445120
NAIC Description: Convenience Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WILSON FARMS DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2012-01-01 DONALD CRIMMEN
502 2011-01-01 DONALD CRIMMEN
502 2009-01-01 MR. JOHN GRACE
502 2006-07-01 MR. JOHN GRACE
502 2005-07-01 MR. JOHN GRACE

Plan id#	Filing Submission Date	Name of Administrator
502	2012-01-01	DONALD CRIMMEN
502	2011-01-01	DONALD CRIMMEN
502	2009-01-01	MR. JOHN GRACE
502	2006-07-01	MR. JOHN GRACE
502	2005-07-01	MR. JOHN GRACE

Plan Statistics for WILSON FARMS DENTAL PLAN

401k plan membership statisitcs for WILSON FARMS DENTAL PLAN

Measure Date Value
2012: WILSON FARMS DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 422
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 93
Total of all active and inactive participants 2012-01-01 93
Total participants 2012-01-01 93
2011: WILSON FARMS DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 422
Total of all active and inactive participants 2011-01-01 422
Total participants 2011-01-01 422
2009: WILSON FARMS DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 546
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 503
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 503
Total participants 2009-01-01 503
2006: WILSON FARMS DENTAL PLAN 2006 401k membership
Total participants, beginning-of-year 2006-07-01 531
Total number of active participants reported on line 7a of the Form 5500 2006-07-01 518
Number of retired or separated participants receiving benefits 2006-07-01 0
Number of other retired or separated participants entitled to future benefits 2006-07-01 0
Total of all active and inactive participants 2006-07-01 518
Total participants 2006-07-01 518
2005: WILSON FARMS DENTAL PLAN 2005 401k membership
Total participants, beginning-of-year 2005-07-01 591
Total number of active participants reported on line 7a of the Form 5500 2005-07-01 531
Number of retired or separated participants receiving benefits 2005-07-01 0
Number of other retired or separated participants entitled to future benefits 2005-07-01 0
Total of all active and inactive participants 2005-07-01 531
Total participants 2005-07-01 531

Measure	Date	Value
2012: WILSON FARMS DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	422
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	93
Total of all active and inactive participants	2012-01-01	93
Total participants	2012-01-01	93
2011: WILSON FARMS DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	422
Total of all active and inactive participants	2011-01-01	422
Total participants	2011-01-01	422
2009: WILSON FARMS DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	546
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	503
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	503
Total participants	2009-01-01	503
2006: WILSON FARMS DENTAL PLAN 2006 401k membership
Total participants, beginning-of-year	2006-07-01	531
Total number of active participants reported on line 7a of the Form 5500	2006-07-01	518
Number of retired or separated participants receiving benefits	2006-07-01	0
Number of other retired or separated participants entitled to future benefits	2006-07-01	0
Total of all active and inactive participants	2006-07-01	518
Total participants	2006-07-01	518
2005: WILSON FARMS DENTAL PLAN 2005 401k membership
Total participants, beginning-of-year	2005-07-01	591
Total number of active participants reported on line 7a of the Form 5500	2005-07-01	531
Number of retired or separated participants receiving benefits	2005-07-01	0
Number of other retired or separated participants entitled to future benefits	2005-07-01	0
Total of all active and inactive participants	2005-07-01	531
Total participants	2005-07-01	531

Form 5500 Responses for WILSON FARMS DENTAL PLAN

2012: WILSON FARMS DENTAL PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: WILSON FARMS DENTAL PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: WILSON FARMS DENTAL PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2006: WILSON FARMS DENTAL PLAN 2006 form 5500 responses
2006-07-01	Type of plan entity	Single employer plan
2006-07-01	Plan funding arrangement – Insurance	Yes
2006-07-01	Plan benefit arrangement – Insurance	Yes
2005: WILSON FARMS DENTAL PLAN 2005 form 5500 responses
2005-07-01	Type of plan entity	Single employer plan
2005-07-01	First time form 5500 has been submitted	Yes
2005-07-01	Plan funding arrangement – Insurance	Yes
2005-07-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	WILSON FARMS, INC.
Employer identification number (EIN):	202443902
NAIC Classification:	445120
NAIC Description:	Convenience Stores