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Plan Name | MOM'S ORGANIC MARKET MEDICAL PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | MOMS ORGANIC MARKET |
Employer identification number (EIN): | 300079838 |
NAIC Classification: | 445299 |
NAIC Description: | All Other Specialty Food Stores |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2014-09-01 | GLORIA GARBER | |||
501 | 2013-09-01 | GLORIA GARBER | |||
501 | 2012-09-01 | MOLLY VLHOV |
Measure | Date | Value |
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2014: MOM'S ORGANIC MARKET MEDICAL PLAN 2014 401k membership | ||
Total participants, beginning-of-year | 2014-09-01 | 302 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-09-01 | 284 |
Number of retired or separated participants receiving benefits | 2014-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2014-09-01 | 0 |
Total of all active and inactive participants | 2014-09-01 | 284 |
2013: MOM'S ORGANIC MARKET MEDICAL PLAN 2013 401k membership | ||
Total participants, beginning-of-year | 2013-09-01 | 213 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-09-01 | 233 |
Number of retired or separated participants receiving benefits | 2013-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2013-09-01 | 0 |
Total of all active and inactive participants | 2013-09-01 | 233 |
2012: MOM'S ORGANIC MARKET MEDICAL PLAN 2012 401k membership | ||
Total participants, beginning-of-year | 2012-09-01 | 135 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-09-01 | 159 |
Number of retired or separated participants receiving benefits | 2012-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2012-09-01 | 0 |
Total of all active and inactive participants | 2012-09-01 | 159 |
2014: MOM'S ORGANIC MARKET MEDICAL PLAN 2014 form 5500 responses | ||
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2014-09-01 | Type of plan entity | Single employer plan |
2014-09-01 | Submission has been amended | No |
2014-09-01 | This submission is the final filing | No |
2014-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2014-09-01 | Plan is a collectively bargained plan | No |
2014-09-01 | Plan funding arrangement – Insurance | Yes |
2014-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2014-09-01 | Plan benefit arrangement – Insurance | Yes |
2014-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2013: MOM'S ORGANIC MARKET MEDICAL PLAN 2013 form 5500 responses | ||
2013-09-01 | Type of plan entity | Single employer plan |
2013-09-01 | Submission has been amended | No |
2013-09-01 | This submission is the final filing | No |
2013-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2013-09-01 | Plan is a collectively bargained plan | No |
2013-09-01 | Plan funding arrangement – Insurance | Yes |
2013-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2013-09-01 | Plan benefit arrangement – Insurance | Yes |
2013-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2012: MOM'S ORGANIC MARKET MEDICAL PLAN 2012 form 5500 responses | ||
2012-09-01 | Type of plan entity | Single employer plan |
2012-09-01 | First time form 5500 has been submitted | Yes |
2012-09-01 | Submission has been amended | No |
2012-09-01 | This submission is the final filing | No |
2012-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2012-09-01 | Plan is a collectively bargained plan | No |
2012-09-01 | Plan funding arrangement – Insurance | Yes |
2012-09-01 | Plan benefit arrangement – Insurance | Yes |
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 00424952 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | VARIOUS | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 00424952 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | VARIOUS | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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CAREFIRST BLUECHOICE (National Association of Insurance Commissioners NAIC id number: 96202 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 0NJN | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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