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| Plan Name | QUALITY BEVERAGE BRANDS EMPLOYEE MEDICAL PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | QUALITY BEVERAGE BRANDS, LLC |
| Employer identification number (EIN): | 562012112 |
| NAIC Classification: | 312110 |
| NAIC Description: | Soft Drink and Ice Manufacturing |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2016-05-01 | TOMMY PAGE | |||
| 501 | 2016-05-01 | TOMMY PAGE |
| Measure | Date | Value |
|---|---|---|
| 2016: QUALITY BEVERAGE BRANDS EMPLOYEE MEDICAL PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-05-01 | 205 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-05-01 | 206 |
| Number of retired or separated participants receiving benefits | 2016-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-05-01 | 0 |
| Total of all active and inactive participants | 2016-05-01 | 206 |
| 2016: QUALITY BEVERAGE BRANDS EMPLOYEE MEDICAL PLAN 2016 form 5500 responses | ||
|---|---|---|
| 2016-05-01 | Type of plan entity | Single employer plan |
| 2016-05-01 | Submission has been amended | Yes |
| 2016-05-01 | Plan funding arrangement – Insurance | Yes |
| 2016-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
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