MEDICAL PLAN 401k Plan overview

MEDICAL PLAN Benefits

401k Sponsoring company profile

Company Name:	KENYAN ENTERPRISES
Employer identification number (EIN):	720944267
NAIC Classification:	445110
NAIC Description:	Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2021-01-01	BRITTANY COMPTON	2022-05-11
501	2019-01-01	DAVID M. SCRUGGS	2020-07-01
501	2018-01-01

Plan Statistics for MEDICAL PLAN

Measure	Date	Value
2021: MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	85
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	85
Number of employers contributing to the scheme	2021-01-01	0
2019: MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	102
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	89
Number of retired or separated participants receiving benefits	2019-01-01	88
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	177
Number of employers contributing to the scheme	2019-01-01	0
2018: MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	104
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	102
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	102
Number of employers contributing to the scheme	2018-01-01	0

Form 5500 Responses for MEDICAL PLAN

Insurance Providers Used on plan

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