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| Plan Name | THE GROVE RESTAURANT MEC PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | KZ MGT, INC. A CALIFORNIA CORPORATION DBA THE GROVE |
| Employer identification number (EIN): | 943397120 |
| NAIC Classification: | 722511 |
| NAIC Description: | Full-Service Restaurants |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2015-01-01 | ||||
| 502 | 2014-01-01 | MARGUERITE OLSON |
| Measure | Date | Value |
|---|---|---|
| 2015: THE GROVE RESTAURANT MEC PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-01-01 | 75 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 0 |
| Total of all active and inactive participants | 2015-01-01 | 0 |
| 2014: THE GROVE RESTAURANT MEC PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-01-01 | 72 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 75 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 0 |
| Total of all active and inactive participants | 2014-01-01 | 75 |
| Measure | Date | Value |
|---|---|---|
| 2015 : THE GROVE RESTAURANT MEC PLAN 2015 401k financial data | ||
| Total income from all sources | 2015-09-30 | $2 |
| Expenses. Total of all expenses incurred | 2015-09-30 | $15,763 |
| Total plan assets at end of year | 2015-09-30 | $0 |
| Total plan assets at beginning of year | 2015-09-30 | $15,761 |
| Value of fidelity bond covering the plan | 2015-09-30 | $18,000 |
| Other income received | 2015-09-30 | $1 |
| Net income (gross income less expenses) | 2015-09-30 | $-15,761 |
| Net plan assets at end of year (total assets less liabilities) | 2015-09-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-09-30 | $15,761 |
| Total contributions received or receivable from employer(s) | 2015-09-30 | $1 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-09-30 | $15,763 |
| 2014 : THE GROVE RESTAURANT MEC PLAN 2014 401k financial data | ||
| Total income from all sources | 2014-12-31 | $58,376 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $42,615 |
| Total plan assets at end of year | 2014-12-31 | $15,761 |
| Total plan assets at beginning of year | 2014-12-31 | $0 |
| Value of fidelity bond covering the plan | 2014-12-31 | $18,000 |
| Net income (gross income less expenses) | 2014-12-31 | $15,761 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $15,761 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2014-12-31 | $58,376 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2014-12-31 | $42,615 |
| 2015: THE GROVE RESTAURANT MEC PLAN 2015 form 5500 responses | ||
|---|---|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | Yes |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan funding arrangement – Trust | Yes |
| 2015-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement - Trust | Yes |
| 2015-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: THE GROVE RESTAURANT MEC PLAN 2014 form 5500 responses | ||
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | First time form 5500 has been submitted | Yes |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan funding arrangement – Trust | Yes |
| 2014-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement - Trust | Yes |
| 2014-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| NATIONAL UNDERWRITING SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | NUTA 1141 | ||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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| NATIONAL UNDERWRITING SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | NUTA 1141 | ||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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