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EMPLOYEE HEALTH PLAN OF FIRST ALBERN FOODS, LTD. 401k Plan overview

Plan NameEMPLOYEE HEALTH PLAN OF FIRST ALBERN FOODS, LTD.
Plan identification number 501

EMPLOYEE HEALTH PLAN OF FIRST ALBERN FOODS, LTD. Benefits

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

401k Sponsoring company profile

FIRST ALBERN FOODS, LTD. has sponsored the creation of one or more 401k plans.

Company Name:FIRST ALBERN FOODS, LTD.
Employer identification number (EIN):561543665
NAIC Classification:722513
NAIC Description:Limited-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE HEALTH PLAN OF FIRST ALBERN FOODS, LTD.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-05-01
5012014-05-01PHYLLIS CURTIS
5012013-05-01PHYLLIS CURTIS
5012012-05-01PHYLLIS CURTIS
5012012-04-01PHYLLIS CURTIS

Plan Statistics for EMPLOYEE HEALTH PLAN OF FIRST ALBERN FOODS, LTD.

401k plan membership statisitcs for EMPLOYEE HEALTH PLAN OF FIRST ALBERN FOODS, LTD.

Measure Date Value
2019: EMPLOYEE HEALTH PLAN OF FIRST ALBERN FOODS, LTD. 2019 401k membership
Total participants, beginning-of-year2019-05-019
Total number of active participants reported on line 7a of the Form 55002019-05-018
Number of retired or separated participants receiving benefits2019-05-010
Number of other retired or separated participants entitled to future benefits2019-05-010
Total of all active and inactive participants2019-05-018
2014: EMPLOYEE HEALTH PLAN OF FIRST ALBERN FOODS, LTD. 2014 401k membership
Total participants, beginning-of-year2014-05-0111
Total number of active participants reported on line 7a of the Form 55002014-05-0112
Number of retired or separated participants receiving benefits2014-05-010
Number of other retired or separated participants entitled to future benefits2014-05-010
Total of all active and inactive participants2014-05-0112
2013: EMPLOYEE HEALTH PLAN OF FIRST ALBERN FOODS, LTD. 2013 401k membership
Total participants, beginning-of-year2013-05-017
Total number of active participants reported on line 7a of the Form 55002013-05-018
Number of retired or separated participants receiving benefits2013-05-010
Number of other retired or separated participants entitled to future benefits2013-05-010
Total of all active and inactive participants2013-05-018
2012: EMPLOYEE HEALTH PLAN OF FIRST ALBERN FOODS, LTD. 2012 401k membership
Total participants, beginning-of-year2012-05-017
Total number of active participants reported on line 7a of the Form 55002012-05-017
Number of retired or separated participants receiving benefits2012-05-010
Number of other retired or separated participants entitled to future benefits2012-05-010
Total of all active and inactive participants2012-05-017
Total participants, beginning-of-year2012-04-017
Total number of active participants reported on line 7a of the Form 55002012-04-017
Number of retired or separated participants receiving benefits2012-04-010
Number of other retired or separated participants entitled to future benefits2012-04-010
Total of all active and inactive participants2012-04-017

Financial Data on EMPLOYEE HEALTH PLAN OF FIRST ALBERN FOODS, LTD.

Measure Date Value
2020 : EMPLOYEE HEALTH PLAN OF FIRST ALBERN FOODS, LTD. 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$58,215
Expenses. Total of all expenses incurred2020-04-30$58,215
Benefits paid (including direct rollovers)2020-04-30$27,934
Total plan assets at end of year2020-04-30$0
Total plan assets at beginning of year2020-04-30$0
Value of fidelity bond covering the plan2020-04-30$10,000
Expenses. Other expenses not covered elsewhere2020-04-30$30,281
Net income (gross income less expenses)2020-04-30$0
Net plan assets at end of year (total assets less liabilities)2020-04-30$0
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$58,215
2015 : EMPLOYEE HEALTH PLAN OF FIRST ALBERN FOODS, LTD. 2015 401k financial data
Total plan liabilities at end of year2015-04-30$0
Total plan liabilities at beginning of year2015-04-30$641
Total income from all sources2015-04-30$60,225
Expenses. Total of all expenses incurred2015-04-30$60,225
Benefits paid (including direct rollovers)2015-04-30$26,164
Total plan assets at end of year2015-04-30$0
Total plan assets at beginning of year2015-04-30$641
Value of fidelity bond covering the plan2015-04-30$10,000
Expenses. Other expenses not covered elsewhere2015-04-30$34,061
Net income (gross income less expenses)2015-04-30$0
Net plan assets at end of year (total assets less liabilities)2015-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2015-04-30$0
Total contributions received or receivable from employer(s)2015-04-30$60,225
2014 : EMPLOYEE HEALTH PLAN OF FIRST ALBERN FOODS, LTD. 2014 401k financial data
Total plan liabilities at end of year2014-04-30$641
Total plan liabilities at beginning of year2014-04-30$153
Total income from all sources2014-04-30$40,556
Expenses. Total of all expenses incurred2014-04-30$47,282
Benefits paid (including direct rollovers)2014-04-30$22,149
Total plan assets at end of year2014-04-30$641
Total plan assets at beginning of year2014-04-30$6,879
Value of fidelity bond covering the plan2014-04-30$10,000
Expenses. Other expenses not covered elsewhere2014-04-30$25,133
Net income (gross income less expenses)2014-04-30$-6,726
Net plan assets at end of year (total assets less liabilities)2014-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2014-04-30$6,726
Total contributions received or receivable from employer(s)2014-04-30$40,556
2013 : EMPLOYEE HEALTH PLAN OF FIRST ALBERN FOODS, LTD. 2013 401k financial data
Total plan liabilities at end of year2013-04-30$153
Total plan liabilities at beginning of year2013-04-30$1,577
Total income from all sources2013-04-30$34,261
Expenses. Total of all expenses incurred2013-04-30$28,813
Benefits paid (including direct rollovers)2013-04-30$10,985
Total plan assets at end of year2013-04-30$6,879
Total plan assets at beginning of year2013-04-30$2,855
Expenses. Other expenses not covered elsewhere2013-04-30$17,828
Net income (gross income less expenses)2013-04-30$5,448
Net plan assets at end of year (total assets less liabilities)2013-04-30$6,726
Net plan assets at beginning of year (total assets less liabilities)2013-04-30$1,278
Total contributions received or receivable from employer(s)2013-04-30$34,261
2012 : EMPLOYEE HEALTH PLAN OF FIRST ALBERN FOODS, LTD. 2012 401k financial data
Total plan liabilities at end of year2012-04-30$1,577
Total plan liabilities at beginning of year2012-04-30$0
Total income from all sources2012-04-30$2,855
Expenses. Total of all expenses incurred2012-04-30$1,577
Benefits paid (including direct rollovers)2012-04-30$205
Total plan assets at end of year2012-04-30$2,855
Total plan assets at beginning of year2012-04-30$0
Expenses. Other expenses not covered elsewhere2012-04-30$1,372
Net income (gross income less expenses)2012-04-30$1,278
Net plan assets at end of year (total assets less liabilities)2012-04-30$1,278
Net plan assets at beginning of year (total assets less liabilities)2012-04-30$0
Total contributions received or receivable from employer(s)2012-04-30$2,855

Form 5500 Responses for EMPLOYEE HEALTH PLAN OF FIRST ALBERN FOODS, LTD.

2019: EMPLOYEE HEALTH PLAN OF FIRST ALBERN FOODS, LTD. 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Submission has been amendedNo
2019-05-01This submission is the final filingNo
2019-05-01This return/report is a short plan year return/report (less than 12 months)No
2019-05-01Plan is a collectively bargained planNo
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan funding arrangement – TrustYes
2019-05-01Plan benefit arrangement – InsuranceYes
2019-05-01Plan benefit arrangement - TrustYes
2014: EMPLOYEE HEALTH PLAN OF FIRST ALBERN FOODS, LTD. 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Submission has been amendedNo
2014-05-01This submission is the final filingNo
2014-05-01This return/report is a short plan year return/report (less than 12 months)No
2014-05-01Plan is a collectively bargained planNo
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan funding arrangement – TrustYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement - TrustYes
2013: EMPLOYEE HEALTH PLAN OF FIRST ALBERN FOODS, LTD. 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Submission has been amendedNo
2013-05-01This submission is the final filingNo
2013-05-01This return/report is a short plan year return/report (less than 12 months)No
2013-05-01Plan is a collectively bargained planNo
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan funding arrangement – TrustYes
2013-05-01Plan benefit arrangement – InsuranceYes
2013-05-01Plan benefit arrangement - TrustYes
2012: EMPLOYEE HEALTH PLAN OF FIRST ALBERN FOODS, LTD. 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Submission has been amendedNo
2012-05-01This submission is the final filingNo
2012-05-01This return/report is a short plan year return/report (less than 12 months)No
2012-05-01Plan is a collectively bargained planNo
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan funding arrangement – TrustYes
2012-05-01Plan benefit arrangement – InsuranceYes
2012-05-01Plan benefit arrangement - TrustYes
2012-04-01Type of plan entitySingle employer plan
2012-04-01First time form 5500 has been submittedYes
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan funding arrangement – TrustYes
2012-04-01Plan benefit arrangement – InsuranceYes
2012-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number31040 NFA 0486
Policy instance 1
Insurance contract or identification number31040 NFA 0486
Number of Individuals Covered10
Insurance policy start date2019-05-01
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 $24,700
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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