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EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES 401k Plan overview

Plan NameEMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES
Plan identification number 502

EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

J DAVIS ENTERPRISES has sponsored the creation of one or more 401k plans.

Company Name:J DAVIS ENTERPRISES
Employer identification number (EIN):592883844
NAIC Classification:722513
NAIC Description:Limited-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022023-05-01
5022023-05-01JERRY F. DAVIS
5022022-05-01
5022022-05-01JERRY F. DAVIS
5022020-05-01
5022019-05-01
5022018-05-01
5022017-05-01JERRY F. DAVIS
5022016-05-01JERRY F. DAVIS
5022015-05-01JERRY F. DAVIS
5022014-05-01JERRY F. DAVIS
5022013-05-01JERRY F. DAVIS
5022012-05-01JERRY F. DAVIS
5022011-05-01JERRY F. DAVIS

Financial Data on EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES

Measure Date Value
2024 : EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES 2024 401k financial data
Total income from all sources2024-04-30$1,609
Expenses. Total of all expenses incurred2024-04-30$1,609
Benefits paid (including direct rollovers)2024-04-30$1,025
Value of fidelity bond covering the plan2024-04-30$1,000
Expenses. Other expenses not covered elsewhere2024-04-30$584
Net income (gross income less expenses)2024-04-30$0
Net plan assets at end of year (total assets less liabilities)2024-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2024-04-30$0
Total contributions received or receivable from employer(s)2024-04-30$1,609
2023 : EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES 2023 401k financial data
Value of fidelity bond covering the plan2023-04-30$1,000
Net income (gross income less expenses)2023-04-30$0
2021 : EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES 2021 401k financial data
Total plan liabilities at beginning of year2021-04-30$0
Total income from all sources2021-04-30$2,034
Expenses. Total of all expenses incurred2021-04-30$2,034
Benefits paid (including direct rollovers)2021-04-30$1,221
Total plan assets at beginning of year2021-04-30$0
Value of fidelity bond covering the plan2021-04-30$1,000
Expenses. Other expenses not covered elsewhere2021-04-30$813
Net income (gross income less expenses)2021-04-30$0
Net plan assets at end of year (total assets less liabilities)2021-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2021-04-30$0
Total contributions received or receivable from employer(s)2021-04-30$2,034
2020 : EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES 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$2,034
Expenses. Total of all expenses incurred2020-04-30$2,034
Benefits paid (including direct rollovers)2020-04-30$1,216
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$1,000
Expenses. Other expenses not covered elsewhere2020-04-30$818
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$2,034
2019 : EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES 2019 401k financial data
Total plan liabilities at end of year2019-04-30$0
Total plan liabilities at beginning of year2019-04-30$0
Total income from all sources2019-04-30$2,034
Expenses. Total of all expenses incurred2019-04-30$2,034
Benefits paid (including direct rollovers)2019-04-30$1,190
Total plan assets at end of year2019-04-30$0
Total plan assets at beginning of year2019-04-30$0
Value of fidelity bond covering the plan2019-04-30$1,000
Expenses. Other expenses not covered elsewhere2019-04-30$844
Net income (gross income less expenses)2019-04-30$0
Net plan assets at end of year (total assets less liabilities)2019-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2019-04-30$0
Total contributions received or receivable from employer(s)2019-04-30$2,034
2018 : EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES 2018 401k financial data
Total plan liabilities at end of year2018-04-30$0
Total plan liabilities at beginning of year2018-04-30$0
Total income from all sources2018-04-30$2,034
Expenses. Total of all expenses incurred2018-04-30$2,034
Benefits paid (including direct rollovers)2018-04-30$1,195
Total plan assets at end of year2018-04-30$0
Total plan assets at beginning of year2018-04-30$0
Value of fidelity bond covering the plan2018-04-30$1,000
Expenses. Other expenses not covered elsewhere2018-04-30$839
Net income (gross income less expenses)2018-04-30$0
Net plan assets at end of year (total assets less liabilities)2018-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2018-04-30$0
Total contributions received or receivable from employer(s)2018-04-30$2,034
2017 : EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES 2017 401k financial data
Total plan liabilities at end of year2017-04-30$0
Total plan liabilities at beginning of year2017-04-30$0
Total income from all sources2017-04-30$2,034
Expenses. Total of all expenses incurred2017-04-30$2,034
Benefits paid (including direct rollovers)2017-04-30$1,061
Total plan assets at end of year2017-04-30$0
Total plan assets at beginning of year2017-04-30$0
Value of fidelity bond covering the plan2017-04-30$1,000
Expenses. Other expenses not covered elsewhere2017-04-30$973
Net income (gross income less expenses)2017-04-30$0
Net plan assets at end of year (total assets less liabilities)2017-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2017-04-30$0
Total contributions received or receivable from employer(s)2017-04-30$2,034
2016 : EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES 2016 401k financial data
Total plan liabilities at end of year2016-04-30$0
Total plan liabilities at beginning of year2016-04-30$0
Total income from all sources2016-04-30$2,034
Expenses. Total of all expenses incurred2016-04-30$2,034
Benefits paid (including direct rollovers)2016-04-30$1,188
Total plan assets at end of year2016-04-30$0
Total plan assets at beginning of year2016-04-30$0
Value of fidelity bond covering the plan2016-04-30$1,000
Expenses. Other expenses not covered elsewhere2016-04-30$846
Net income (gross income less expenses)2016-04-30$0
Net plan assets at end of year (total assets less liabilities)2016-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2016-04-30$0
Total contributions received or receivable from employer(s)2016-04-30$2,034
2015 : EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES 2015 401k financial data
Total plan liabilities at end of year2015-04-30$0
Total plan liabilities at beginning of year2015-04-30$36
Total income from all sources2015-04-30$2,052
Expenses. Total of all expenses incurred2015-04-30$2,052
Benefits paid (including direct rollovers)2015-04-30$1,209
Total plan assets at end of year2015-04-30$0
Total plan assets at beginning of year2015-04-30$36
Value of fidelity bond covering the plan2015-04-30$1,000
Expenses. Other expenses not covered elsewhere2015-04-30$843
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$2,052
2014 : EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES 2014 401k financial data
Total plan liabilities at end of year2014-04-30$36
Total plan liabilities at beginning of year2014-04-30$65
Total income from all sources2014-04-30$2,012
Expenses. Total of all expenses incurred2014-04-30$2,012
Benefits paid (including direct rollovers)2014-04-30$1,228
Total plan assets at end of year2014-04-30$36
Total plan assets at beginning of year2014-04-30$65
Value of fidelity bond covering the plan2014-04-30$1,000
Expenses. Other expenses not covered elsewhere2014-04-30$784
Net income (gross income less expenses)2014-04-30$0
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$0
Total contributions received or receivable from employer(s)2014-04-30$2,012
2013 : EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES 2013 401k financial data
Total plan liabilities at end of year2013-04-30$65
Total plan liabilities at beginning of year2013-04-30$183
Total income from all sources2013-04-30$1,935
Expenses. Total of all expenses incurred2013-04-30$1,935
Benefits paid (including direct rollovers)2013-04-30$1,300
Total plan assets at end of year2013-04-30$65
Total plan assets at beginning of year2013-04-30$183
Expenses. Other expenses not covered elsewhere2013-04-30$635
Net income (gross income less expenses)2013-04-30$0
Net plan assets at end of year (total assets less liabilities)2013-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2013-04-30$0
Total contributions received or receivable from employer(s)2013-04-30$1,935
2012 : EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES 2012 401k financial data
Total plan liabilities at end of year2012-04-30$183
Total plan liabilities at beginning of year2012-04-30$71
Total income from all sources2012-04-30$1,888
Expenses. Total of all expenses incurred2012-04-30$1,888
Benefits paid (including direct rollovers)2012-04-30$1,244
Total plan assets at end of year2012-04-30$183
Total plan assets at beginning of year2012-04-30$71
Expenses. Other expenses not covered elsewhere2012-04-30$644
Net income (gross income less expenses)2012-04-30$0
Net plan assets at end of year (total assets less liabilities)2012-04-30$0
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$1,888
2011 : EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES 2011 401k financial data
Total plan liabilities at end of year2011-04-30$71
Total plan liabilities at beginning of year2011-04-30$0
Total income from all sources2011-04-30$1,693
Expenses. Total of all expenses incurred2011-04-30$1,693
Benefits paid (including direct rollovers)2011-04-30$1,034
Total plan assets at end of year2011-04-30$71
Total plan assets at beginning of year2011-04-30$0
Expenses. Other expenses not covered elsewhere2011-04-30$659
Net income (gross income less expenses)2011-04-30$0
Net plan assets at end of year (total assets less liabilities)2011-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2011-04-30$0
Total contributions received or receivable from employer(s)2011-04-30$1,693

Form 5500 Responses for EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES

2023: EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES 2023 form 5500 responses
2023-05-01Type of plan entitySingle employer plan
2023-05-01Submission has been amendedNo
2023-05-01This submission is the final filingNo
2023-05-01This return/report is a short plan year return/report (less than 12 months)No
2023-05-01Plan is a collectively bargained planNo
2023-05-01Plan funding arrangement – InsuranceYes
2023-05-01Plan benefit arrangement – InsuranceYes
2022: EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Submission has been amendedNo
2022-05-01This submission is the final filingNo
2022-05-01This return/report is a short plan year return/report (less than 12 months)No
2022-05-01Plan is a collectively bargained planNo
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan benefit arrangement – InsuranceYes
2020: EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Submission has been amendedNo
2020-05-01This submission is the final filingNo
2020-05-01This return/report is a short plan year return/report (less than 12 months)No
2020-05-01Plan is a collectively bargained planNo
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan funding arrangement – TrustYes
2020-05-01Plan benefit arrangement – InsuranceYes
2020-05-01Plan benefit arrangement - TrustYes
2019: EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES 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
2018: EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Submission has been amendedNo
2018-05-01This submission is the final filingNo
2018-05-01This return/report is a short plan year return/report (less than 12 months)No
2018-05-01Plan is a collectively bargained planNo
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan funding arrangement – TrustYes
2018-05-01Plan benefit arrangement – InsuranceYes
2018-05-01Plan benefit arrangement - TrustYes
2017: EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Submission has been amendedNo
2017-05-01This submission is the final filingNo
2017-05-01This return/report is a short plan year return/report (less than 12 months)No
2017-05-01Plan is a collectively bargained planNo
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan funding arrangement – TrustYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement - TrustYes
2016: EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Submission has been amendedNo
2016-05-01This submission is the final filingNo
2016-05-01This return/report is a short plan year return/report (less than 12 months)No
2016-05-01Plan is a collectively bargained planNo
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – TrustYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement - TrustYes
2015: EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – TrustYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement - TrustYes
2014: EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES 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 J DAVIS ENTERPRISES 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 J DAVIS ENTERPRISES 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
2011: EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Submission has been amendedNo
2011-05-01This submission is the final filingNo
2011-05-01This return/report is a short plan year return/report (less than 12 months)No
2011-05-01Plan is a collectively bargained planNo
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan funding arrangement – TrustYes
2011-05-01Plan benefit arrangement – InsuranceYes
2011-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13420 NFA 0150
Policy instance 1
Insurance contract or identification number13420 NFA 0150
Number of Individuals Covered2
Insurance policy start date2023-05-01
Insurance policy end date2024-04-30
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 BenefitNo
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 $474
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13420 NFA 0150
Policy instance 1
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13420 NFA 0150
Policy instance 1
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13420 NFA 0150
Policy instance 1
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13420 NFA 0150
Policy instance 1
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13420 NFA 0150
Policy instance 1
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13420 NFA 0150
Policy instance 1
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13420 NFA 0150
Policy instance 1
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13420 NFA 0150
Policy instance 1
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13420 NFA 0150
Policy instance 1
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13420 NFA 0150
Policy instance 1
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13420 NFA 0150
Policy instance 1

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