401k Plan data: NATURAL CHOICE FOODS, INC. LIFE PLAN plan

NATURAL CHOICE FOODS, INC. LIFE PLAN 401k Plan overview

Plan Name	NATURAL CHOICE FOODS, INC. LIFE PLAN
Plan identification number	502

NATURAL CHOICE FOODS, INC. LIFE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

NATURAL CHOICE FOODS, INC. has sponsored the creation of one or more 401k plans.

Company Name: NATURAL CHOICE FOODS, INC.

Employer identification number (EIN): 383355157

NAIC Classification: 424400

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NATURAL CHOICE FOODS, INC. LIFE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2019-09-01 DEBORAH PHILLIPS 2021-06-03
502 2018-09-01 DEBORAH PHILLIPS 2021-06-03
502 2017-09-01 DEBORAH PHILLIPS 2021-06-03

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
502	2019-09-01	DEBORAH PHILLIPS	2021-06-03
502	2018-09-01	DEBORAH PHILLIPS	2021-06-03
502	2017-09-01	DEBORAH PHILLIPS	2021-06-03

Plan Statistics for NATURAL CHOICE FOODS, INC. LIFE PLAN

401k plan membership statisitcs for NATURAL CHOICE FOODS, INC. LIFE PLAN

Measure Date Value
2019: NATURAL CHOICE FOODS, INC. LIFE PLAN 2019 401k membership
Total participants, beginning-of-year 2019-09-01 103
Total number of active participants reported on line 7a of the Form 5500 2019-09-01 0
Number of retired or separated participants receiving benefits 2019-09-01 0
Number of other retired or separated participants entitled to future benefits 2019-09-01 0
Total of all active and inactive participants 2019-09-01 0
Number of employers contributing to the scheme 2019-09-01 0
2018: NATURAL CHOICE FOODS, INC. LIFE PLAN 2018 401k membership
Total participants, beginning-of-year 2018-09-01 107
Total number of active participants reported on line 7a of the Form 5500 2018-09-01 103
Number of retired or separated participants receiving benefits 2018-09-01 0
Number of other retired or separated participants entitled to future benefits 2018-09-01 0
Total of all active and inactive participants 2018-09-01 103
Number of employers contributing to the scheme 2018-09-01 0
2017: NATURAL CHOICE FOODS, INC. LIFE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-09-01 100
Total number of active participants reported on line 7a of the Form 5500 2017-09-01 107
Number of retired or separated participants receiving benefits 2017-09-01 0
Number of other retired or separated participants entitled to future benefits 2017-09-01 0
Total of all active and inactive participants 2017-09-01 107
Number of employers contributing to the scheme 2017-09-01 0

Measure	Date	Value
2019: NATURAL CHOICE FOODS, INC. LIFE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-09-01	103
Total number of active participants reported on line 7a of the Form 5500	2019-09-01	0
Number of retired or separated participants receiving benefits	2019-09-01	0
Number of other retired or separated participants entitled to future benefits	2019-09-01	0
Total of all active and inactive participants	2019-09-01	0
Number of employers contributing to the scheme	2019-09-01	0
2018: NATURAL CHOICE FOODS, INC. LIFE PLAN 2018 401k membership
Total participants, beginning-of-year	2018-09-01	107
Total number of active participants reported on line 7a of the Form 5500	2018-09-01	103
Number of retired or separated participants receiving benefits	2018-09-01	0
Number of other retired or separated participants entitled to future benefits	2018-09-01	0
Total of all active and inactive participants	2018-09-01	103
Number of employers contributing to the scheme	2018-09-01	0
2017: NATURAL CHOICE FOODS, INC. LIFE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-09-01	100
Total number of active participants reported on line 7a of the Form 5500	2017-09-01	107
Number of retired or separated participants receiving benefits	2017-09-01	0
Number of other retired or separated participants entitled to future benefits	2017-09-01	0
Total of all active and inactive participants	2017-09-01	107
Number of employers contributing to the scheme	2017-09-01	0

Form 5500 Responses for NATURAL CHOICE FOODS, INC. LIFE PLAN

2019: NATURAL CHOICE FOODS, INC. LIFE PLAN 2019 form 5500 responses
2019-09-01	Type of plan entity	Single employer plan
2019-09-01	This submission is the final filing	Yes
2019-09-01	Plan funding arrangement – Insurance	Yes
2019-09-01	Plan benefit arrangement – Insurance	Yes
2018: NATURAL CHOICE FOODS, INC. LIFE PLAN 2018 form 5500 responses
2018-09-01	Type of plan entity	Single employer plan
2018-09-01	Plan funding arrangement – Insurance	Yes
2018-09-01	Plan benefit arrangement – Insurance	Yes
2017: NATURAL CHOICE FOODS, INC. LIFE PLAN 2017 form 5500 responses
2017-09-01	Type of plan entity	Single employer plan
2017-09-01	First time form 5500 has been submitted	Yes
2017-09-01	Plan funding arrangement – Insurance	Yes
2017-09-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0B3BL
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0B3BL
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0B3BL
Policy instance	1

Potentially related plans

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Company Name:	NATURAL CHOICE FOODS, INC.
Employer identification number (EIN):	383355157
NAIC Classification:	424400