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MELLOW MUSHROOM PIZZA BAKERS MEDOVA LIFESTYLE HEALTH PLAN 401k Plan overview

Plan NameMELLOW MUSHROOM PIZZA BAKERS MEDOVA LIFESTYLE HEALTH PLAN
Plan identification number 502

MELLOW MUSHROOM PIZZA BAKERS MEDOVA LIFESTYLE HEALTH PLAN Benefits

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

401k Sponsoring company profile

MOMELLOW LLC has sponsored the creation of one or more 401k plans.

Company Name:MOMELLOW LLC
Employer identification number (EIN):465317932
NAIC Classification:722515
NAIC Description:Snack and Nonalcoholic Beverage Bars

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MELLOW MUSHROOM PIZZA BAKERS MEDOVA LIFESTYLE HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01ROBERT MOORE2023-12-04
5022021-01-01ROBERT MOORE2022-09-28

Financial Data on MELLOW MUSHROOM PIZZA BAKERS MEDOVA LIFESTYLE HEALTH PLAN

Measure Date Value
2022 : MELLOW MUSHROOM PIZZA BAKERS MEDOVA LIFESTYLE HEALTH PLAN 2022 401k financial data
Total transfers to/from plan in this plan year2022-09-300
Total liabilities as of the end of the plan year2022-09-300
Total liabilities as of the beginning of the plan year2022-09-300
Total expenses incurred by plan in this plan year2022-09-3056
Net assets as of the end of the plan year2022-09-30132
Total assets as of the beginning of the plan year2022-09-300
Value of plan covered by a fidelity bond2022-09-30500000
Participant contributions to plan in this plan year2022-09-300
Other expenses paid from plan in this plan year2022-09-3056
Other contributions to plan in this plan year2022-09-30188
Other income to plan in this plan year2022-09-300
Plan net income in this plan year2022-09-30132
Net assets as of the end of the plan year2022-09-30132
Net assets as of the beginning of the plan year2022-09-300
Employer contributions to plan in this plan year2022-09-300
Expensese paid to adminstrative service provicers from plan in this plan year2022-09-300

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