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EMPLOYEE HEALTH PLAN OF BREW AVENUE REFRESHMENT SVCS 401k Plan overview

Plan NameEMPLOYEE HEALTH PLAN OF BREW AVENUE REFRESHMENT SVCS
Plan identification number 501

EMPLOYEE HEALTH PLAN OF BREW AVENUE REFRESHMENT SVCS Benefits

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

401k Sponsoring company profile

BREW AVENUE REFRESHMENT SVCS has sponsored the creation of one or more 401k plans.

Company Name:BREW AVENUE REFRESHMENT SVCS
Employer identification number (EIN):262960013
NAIC Classification:722511
NAIC Description:Full-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE HEALTH PLAN OF BREW AVENUE REFRESHMENT SVCS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-05-01
5012019-09-01

Plan Statistics for EMPLOYEE HEALTH PLAN OF BREW AVENUE REFRESHMENT SVCS

401k plan membership statisitcs for EMPLOYEE HEALTH PLAN OF BREW AVENUE REFRESHMENT SVCS

Measure Date Value
2020: EMPLOYEE HEALTH PLAN OF BREW AVENUE REFRESHMENT SVCS 2020 401k membership
Total participants, beginning-of-year2020-05-013
Total number of active participants reported on line 7a of the Form 55002020-05-012
Number of retired or separated participants receiving benefits2020-05-010
Number of other retired or separated participants entitled to future benefits2020-05-010
Total of all active and inactive participants2020-05-012
2019: EMPLOYEE HEALTH PLAN OF BREW AVENUE REFRESHMENT SVCS 2019 401k membership
Total participants, beginning-of-year2019-09-013
Total number of active participants reported on line 7a of the Form 55002019-09-013
Number of retired or separated participants receiving benefits2019-09-010
Number of other retired or separated participants entitled to future benefits2019-09-010
Total of all active and inactive participants2019-09-013

Financial Data on EMPLOYEE HEALTH PLAN OF BREW AVENUE REFRESHMENT SVCS

Measure Date Value
2021 : EMPLOYEE HEALTH PLAN OF BREW AVENUE REFRESHMENT SVCS 2021 401k financial data
Total plan liabilities at beginning of year2021-04-30$0
Total income from all sources2021-04-30$39,360
Expenses. Total of all expenses incurred2021-04-30$31,475
Benefits paid (including direct rollovers)2021-04-30$12,003
Total plan assets at end of year2021-04-30$16,602
Total plan assets at beginning of year2021-04-30$8,717
Value of fidelity bond covering the plan2021-04-30$5,000
Expenses. Other expenses not covered elsewhere2021-04-30$19,472
Net income (gross income less expenses)2021-04-30$7,885
Net plan assets at end of year (total assets less liabilities)2021-04-30$16,602
Net plan assets at beginning of year (total assets less liabilities)2021-04-30$8,717
Total contributions received or receivable from employer(s)2021-04-30$39,360
2020 : EMPLOYEE HEALTH PLAN OF BREW AVENUE REFRESHMENT SVCS 2020 401k financial data
Total plan liabilities at end of year2020-04-30$0
Total plan liabilities at beginning of year2020-04-30$0
Total income from all sources2020-04-30$26,174
Expenses. Total of all expenses incurred2020-04-30$17,457
Benefits paid (including direct rollovers)2020-04-30$4,351
Total plan assets at end of year2020-04-30$8,717
Total plan assets at beginning of year2020-04-30$0
Value of fidelity bond covering the plan2020-04-30$5,000
Expenses. Other expenses not covered elsewhere2020-04-30$13,106
Net income (gross income less expenses)2020-04-30$8,717
Net plan assets at end of year (total assets less liabilities)2020-04-30$8,717
Net plan assets at beginning of year (total assets less liabilities)2020-04-30$0
Total contributions received or receivable from employer(s)2020-04-30$26,174

Form 5500 Responses for EMPLOYEE HEALTH PLAN OF BREW AVENUE REFRESHMENT SVCS

2020: EMPLOYEE HEALTH PLAN OF BREW AVENUE REFRESHMENT SVCS 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Submission has been amendedNo
2020-05-01This submission is the final filingNo
2020-05-01This return/report is a short plan year return/report (less than 12 months)No
2020-05-01Plan is a collectively bargained planNo
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan funding arrangement – TrustYes
2020-05-01Plan benefit arrangement – InsuranceYes
2020-05-01Plan benefit arrangement - TrustYes
2019: EMPLOYEE HEALTH PLAN OF BREW AVENUE REFRESHMENT SVCS 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01First time form 5500 has been submittedYes
2019-09-01Submission has been amendedNo
2019-09-01This submission is the final filingNo
2019-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-09-01Plan is a collectively bargained planNo
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan funding arrangement – TrustYes
2019-09-01Plan benefit arrangement – InsuranceYes
2019-09-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number46001 NFA 0717
Policy instance 1
Insurance contract or identification number46001 NFA 0717
Number of Individuals Covered5
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Are there contracts with allocated funds for individual policies?0
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 BenefitYes
Dental Insurance Welfare BenefitYes
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 $16,358
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 number46001 NFA 0717
Policy instance 1
Insurance contract or identification number46001 NFA 0717
Number of Individuals Covered6
Insurance policy start date2019-09-01
Insurance policy end date2020-04-30
Are there contracts with allocated funds for individual policies?0
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 BenefitYes
Dental Insurance Welfare BenefitYes
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 $10,893
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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