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VOODOO DOUGHNUT, LLC WELFARE PLAN 401k Plan overview

Plan NameVOODOO DOUGHNUT, LLC WELFARE PLAN
Plan identification number 501

VOODOO DOUGHNUT, LLC WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

VOODOO DOUGHNUT, LLC has sponsored the creation of one or more 401k plans.

Company Name:VOODOO DOUGHNUT, LLC
Employer identification number (EIN):020611191
NAIC Classification:722513
NAIC Description:Limited-Service Restaurants

Additional information about VOODOO DOUGHNUT, LLC

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2015-10-05
Company Identification Number: 0802305904
Legal Registered Office Address: 828 SW 1ST AVE STE 300

PORTLAND
United States of America (USA)
97204

More information about VOODOO DOUGHNUT, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VOODOO DOUGHNUT, LLC WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-03-01JON SEQUEIRA2019-12-19
5012017-03-01JON SEQUEIRA2019-12-19
5012016-03-01JON SEQUEIRA2019-12-23
5012015-03-01JON SEQUEIRA2019-12-19
5012014-03-01JON SEQUEIRA2019-12-19
5012013-03-01JON SEQUEIRA2019-12-19
5012012-03-01JON SEQUEIRA2019-12-19
5012012-03-01JON SEQUEIRA2019-12-19

Plan Statistics for VOODOO DOUGHNUT, LLC WELFARE PLAN

401k plan membership statisitcs for VOODOO DOUGHNUT, LLC WELFARE PLAN

Measure Date Value
2018: VOODOO DOUGHNUT, LLC WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-03-01212
Total number of active participants reported on line 7a of the Form 55002018-03-010
Number of retired or separated participants receiving benefits2018-03-010
Number of other retired or separated participants entitled to future benefits2018-03-010
Total of all active and inactive participants2018-03-010
Number of employers contributing to the scheme2018-03-010
2017: VOODOO DOUGHNUT, LLC WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-03-01201
Total number of active participants reported on line 7a of the Form 55002017-03-01212
Number of retired or separated participants receiving benefits2017-03-010
Number of other retired or separated participants entitled to future benefits2017-03-010
Total of all active and inactive participants2017-03-01212
Number of employers contributing to the scheme2017-03-010
2016: VOODOO DOUGHNUT, LLC WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-03-01189
Total number of active participants reported on line 7a of the Form 55002016-03-01201
Number of retired or separated participants receiving benefits2016-03-010
Number of other retired or separated participants entitled to future benefits2016-03-010
Total of all active and inactive participants2016-03-01201
Number of employers contributing to the scheme2016-03-010
2015: VOODOO DOUGHNUT, LLC WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-03-01137
Total number of active participants reported on line 7a of the Form 55002015-03-01189
Number of retired or separated participants receiving benefits2015-03-010
Number of other retired or separated participants entitled to future benefits2015-03-010
Total of all active and inactive participants2015-03-01189
Number of employers contributing to the scheme2015-03-010
2014: VOODOO DOUGHNUT, LLC WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-03-01119
Total number of active participants reported on line 7a of the Form 55002014-03-01137
Number of retired or separated participants receiving benefits2014-03-010
Number of other retired or separated participants entitled to future benefits2014-03-010
Total of all active and inactive participants2014-03-01137
Number of employers contributing to the scheme2014-03-010
2013: VOODOO DOUGHNUT, LLC WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-03-01106
Total number of active participants reported on line 7a of the Form 55002013-03-01119
Number of retired or separated participants receiving benefits2013-03-010
Number of other retired or separated participants entitled to future benefits2013-03-010
Total of all active and inactive participants2013-03-01119
Number of employers contributing to the scheme2013-03-010
2012: VOODOO DOUGHNUT, LLC WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-03-01106
Total number of active participants reported on line 7a of the Form 55002012-03-01106
Number of retired or separated participants receiving benefits2012-03-010
Number of other retired or separated participants entitled to future benefits2012-03-010
Total of all active and inactive participants2012-03-01106
Number of employers contributing to the scheme2012-03-010

Form 5500 Responses for VOODOO DOUGHNUT, LLC WELFARE PLAN

2018: VOODOO DOUGHNUT, LLC WELFARE PLAN 2018 form 5500 responses
2018-03-01Type of plan entitySingle employer plan
2018-03-01Submission has been amendedYes
2018-03-01This submission is the final filingYes
2018-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-03-01Plan funding arrangement – InsuranceYes
2018-03-01Plan benefit arrangement – InsuranceYes
2017: VOODOO DOUGHNUT, LLC WELFARE PLAN 2017 form 5500 responses
2017-03-01Type of plan entitySingle employer plan
2017-03-01Submission has been amendedYes
2017-03-01Plan funding arrangement – InsuranceYes
2017-03-01Plan benefit arrangement – InsuranceYes
2016: VOODOO DOUGHNUT, LLC WELFARE PLAN 2016 form 5500 responses
2016-03-01Type of plan entitySingle employer plan
2016-03-01Submission has been amendedYes
2016-03-01Plan funding arrangement – InsuranceYes
2016-03-01Plan benefit arrangement – InsuranceYes
2015: VOODOO DOUGHNUT, LLC WELFARE PLAN 2015 form 5500 responses
2015-03-01Type of plan entitySingle employer plan
2015-03-01Submission has been amendedYes
2015-03-01Plan funding arrangement – InsuranceYes
2015-03-01Plan benefit arrangement – InsuranceYes
2014: VOODOO DOUGHNUT, LLC WELFARE PLAN 2014 form 5500 responses
2014-03-01Type of plan entitySingle employer plan
2014-03-01Submission has been amendedYes
2014-03-01Plan funding arrangement – InsuranceYes
2014-03-01Plan benefit arrangement – InsuranceYes
2013: VOODOO DOUGHNUT, LLC WELFARE PLAN 2013 form 5500 responses
2013-03-01Type of plan entitySingle employer plan
2013-03-01Submission has been amendedYes
2013-03-01Plan funding arrangement – InsuranceYes
2013-03-01Plan benefit arrangement – InsuranceYes
2012: VOODOO DOUGHNUT, LLC WELFARE PLAN 2012 form 5500 responses
2012-03-01Type of plan entitySingle employer plan
2012-03-01First time form 5500 has been submittedYes
2012-03-01Submission has been amendedYes
2012-03-01Plan funding arrangement – InsuranceYes
2012-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number152930
Policy instance 1
Insurance contract or identification number152930
Number of Individuals Covered199
Insurance policy start date2018-03-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $1,837
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $10,437
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,024
Amount paid for insurance broker fees0
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number152930
Policy instance 1
Insurance contract or identification number152930
Number of Individuals Covered212
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $5,222
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number152930
Policy instance 1
Insurance contract or identification number152930
Number of Individuals Covered137
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $4,586
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,586
Amount paid for insurance broker fees0
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number152930
Policy instance 1
Insurance contract or identification number152930
Number of Individuals Covered119
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $3,785
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,785
Amount paid for insurance broker fees0
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number152930
Policy instance 1
Insurance contract or identification number152930
Number of Individuals Covered106
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $3,318
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $44,906
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,318
Amount paid for insurance broker fees0
Insurance broker organization code?3

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