| Plan Name | EMPLOYEE HEALTH PLAN OF MABAM ENTERPRISES |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | MABAM ENTERPRISES |
| Employer identification number (EIN): | 341733393 |
| NAIC Classification: | 722511 |
| NAIC Description: | Full-Service Restaurants |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2023-05-01 | MATT PIPOLY | |||
| 502 | 2022-05-01 | ||||
| 502 | 2022-05-01 | ROBERT PIPOLY |
| Measure | Date | Value |
|---|---|---|
| 2023 : EMPLOYEE HEALTH PLAN OF MABAM ENTERPRISES 2023 401k financial data | ||
| Total income from all sources | 2023-04-30 | $1,745 |
| Expenses. Total of all expenses incurred | 2023-04-30 | $1,745 |
| Benefits paid (including direct rollovers) | 2023-04-30 | $1,089 |
| Value of fidelity bond covering the plan | 2023-04-30 | $2,000 |
| Expenses. Other expenses not covered elsewhere | 2023-04-30 | $656 |
| Net income (gross income less expenses) | 2023-04-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2023-04-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2023-04-30 | $0 |
| Total contributions received or receivable from employer(s) | 2023-04-30 | $1,745 |
| 2022: EMPLOYEE HEALTH PLAN OF MABAM ENTERPRISES 2022 form 5500 responses | ||
|---|---|---|
| 2022-05-01 | Type of plan entity | Single employer plan |
| 2022-05-01 | Submission has been amended | No |
| 2022-05-01 | This submission is the final filing | No |
| 2022-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-05-01 | Plan is a collectively bargained plan | No |
| 2022-05-01 | Plan funding arrangement – Insurance | Yes |
| 2022-05-01 | Plan funding arrangement – Trust | Yes |
| 2022-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-05-01 | Plan benefit arrangement - Trust | Yes |
| NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 ) | |
| Policy contract number | 11111NFA0017 |
| Policy instance | 1 |