401k Plan data: AMERICAN FLORIST LIFE, STD & DENTAL PLAN plan

AMERICAN FLORIST LIFE, STD & DENTAL PLAN 401k Plan overview

Plan Name	AMERICAN FLORIST LIFE, STD & DENTAL PLAN
Plan identification number	501

AMERICAN FLORIST LIFE, STD & DENTAL PLAN Benefits

401k Plan Type

Welfare Benefit

Plan Features/Benefits

Life insurance
Dental
Temporary disability (accident and sickness)
Death benefits (include travel accident but not life insurance)
Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

AMERICAN FLORIST SUPPLY, INC. has sponsored the creation of one or more 401k plans.

Company Name: AMERICAN FLORIST SUPPLY, INC.

Employer identification number (EIN): 043541519

NAIC Classification: 424930
NAIC Description: Flower, Nursery Stock, and Florists' Supplies Merchant Wholesalers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN FLORIST LIFE, STD & DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2015-10-01
501 2014-10-01 JESSICA SCAMMELL
501 2013-10-01 JESSICA SCAMMELL
501 2012-10-01
501 2008-10-01
501 2007-10-01
501 2006-10-01

Plan Statistics for AMERICAN FLORIST LIFE, STD & DENTAL PLAN

401k plan membership statisitcs for AMERICAN FLORIST LIFE, STD & DENTAL PLAN

Measure Date Value
2015: AMERICAN FLORIST LIFE, STD & DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 136
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 139
Number of retired or separated participants receiving benefits 2015-10-01 0
Number of other retired or separated participants entitled to future benefits 2015-10-01 0
Total of all active and inactive participants 2015-10-01 139
2014: AMERICAN FLORIST LIFE, STD & DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 153
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 149
Number of retired or separated participants receiving benefits 2014-10-01 0
Number of other retired or separated participants entitled to future benefits 2014-10-01 0
Total of all active and inactive participants 2014-10-01 149
2013: AMERICAN FLORIST LIFE, STD & DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 153
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 153
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 0
Total of all active and inactive participants 2013-10-01 153
2012: AMERICAN FLORIST LIFE, STD & DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 155
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 153
Number of retired or separated participants receiving benefits 2012-10-01 0
Number of other retired or separated participants entitled to future benefits 2012-10-01 0
Total of all active and inactive participants 2012-10-01 153
2008: AMERICAN FLORIST LIFE, STD & DENTAL PLAN 2008 401k membership
Total participants, beginning-of-year 2008-10-01 100
Total number of active participants reported on line 7a of the Form 5500 2008-10-01 92
Number of retired or separated participants receiving benefits 2008-10-01 0
Number of other retired or separated participants entitled to future benefits 2008-10-01 0
Total of all active and inactive participants 2008-10-01 92
2007: AMERICAN FLORIST LIFE, STD & DENTAL PLAN 2007 401k membership
Total participants, beginning-of-year 2007-10-01 115
Total number of active participants reported on line 7a of the Form 5500 2007-10-01 100
Number of retired or separated participants receiving benefits 2007-10-01 0
Number of other retired or separated participants entitled to future benefits 2007-10-01 0
Total of all active and inactive participants 2007-10-01 100
2006: AMERICAN FLORIST LIFE, STD & DENTAL PLAN 2006 401k membership
Total participants, beginning-of-year 2006-10-01 100
Total number of active participants reported on line 7a of the Form 5500 2006-10-01 115
Number of retired or separated participants receiving benefits 2006-10-01 0
Number of other retired or separated participants entitled to future benefits 2006-10-01 0
Total of all active and inactive participants 2006-10-01 115

Measure	Date	Value
2015: AMERICAN FLORIST LIFE, STD & DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	136
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	139
Number of retired or separated participants receiving benefits	2015-10-01	0
Number of other retired or separated participants entitled to future benefits	2015-10-01	0
Total of all active and inactive participants	2015-10-01	139
2014: AMERICAN FLORIST LIFE, STD & DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	153
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	149
Number of retired or separated participants receiving benefits	2014-10-01	0
Number of other retired or separated participants entitled to future benefits	2014-10-01	0
Total of all active and inactive participants	2014-10-01	149
2013: AMERICAN FLORIST LIFE, STD & DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	153
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	153
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	0
Total of all active and inactive participants	2013-10-01	153
2012: AMERICAN FLORIST LIFE, STD & DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	155
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	153
Number of retired or separated participants receiving benefits	2012-10-01	0
Number of other retired or separated participants entitled to future benefits	2012-10-01	0
Total of all active and inactive participants	2012-10-01	153
2008: AMERICAN FLORIST LIFE, STD & DENTAL PLAN 2008 401k membership
Total participants, beginning-of-year	2008-10-01	100
Total number of active participants reported on line 7a of the Form 5500	2008-10-01	92
Number of retired or separated participants receiving benefits	2008-10-01	0
Number of other retired or separated participants entitled to future benefits	2008-10-01	0
Total of all active and inactive participants	2008-10-01	92
2007: AMERICAN FLORIST LIFE, STD & DENTAL PLAN 2007 401k membership
Total participants, beginning-of-year	2007-10-01	115
Total number of active participants reported on line 7a of the Form 5500	2007-10-01	100
Number of retired or separated participants receiving benefits	2007-10-01	0
Number of other retired or separated participants entitled to future benefits	2007-10-01	0
Total of all active and inactive participants	2007-10-01	100
2006: AMERICAN FLORIST LIFE, STD & DENTAL PLAN 2006 401k membership
Total participants, beginning-of-year	2006-10-01	100
Total number of active participants reported on line 7a of the Form 5500	2006-10-01	115
Number of retired or separated participants receiving benefits	2006-10-01	0
Number of other retired or separated participants entitled to future benefits	2006-10-01	0
Total of all active and inactive participants	2006-10-01	115

Form 5500 Responses for AMERICAN FLORIST LIFE, STD & DENTAL PLAN

2015: AMERICAN FLORIST LIFE, STD & DENTAL PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Submission has been amended	No
2015-10-01	This submission is the final filing	No
2015-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-10-01	Plan is a collectively bargained plan	No
2015-10-01	Plan funding arrangement – Insurance	Yes
2015-10-01	Plan benefit arrangement – Insurance	Yes
2014: AMERICAN FLORIST LIFE, STD & DENTAL PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	No
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	No
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement – Insurance	Yes
2013: AMERICAN FLORIST LIFE, STD & DENTAL PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2012: AMERICAN FLORIST LIFE, STD & DENTAL PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	No
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes
2008: AMERICAN FLORIST LIFE, STD & DENTAL PLAN 2008 form 5500 responses
2008-10-01	Type of plan entity	Single employer plan
2008-10-01	Submission has been amended	No
2008-10-01	This submission is the final filing	No
2008-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-10-01	Plan is a collectively bargained plan	No
2008-10-01	Plan funding arrangement – Insurance	Yes
2008-10-01	Plan benefit arrangement – Insurance	Yes
2007: AMERICAN FLORIST LIFE, STD & DENTAL PLAN 2007 form 5500 responses
2007-10-01	Type of plan entity	Single employer plan
2007-10-01	Submission has been amended	No
2007-10-01	This submission is the final filing	No
2007-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-10-01	Plan is a collectively bargained plan	No
2007-10-01	Plan funding arrangement – Insurance	Yes
2007-10-01	Plan benefit arrangement – Insurance	Yes
2006: AMERICAN FLORIST LIFE, STD & DENTAL PLAN 2006 form 5500 responses
2006-10-01	Type of plan entity	Single employer plan
2006-10-01	First time form 5500 has been submitted	Yes
2006-10-01	Submission has been amended	No
2006-10-01	This submission is the final filing	No
2006-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-10-01	Plan is a collectively bargained plan	No
2006-10-01	Plan funding arrangement – Insurance	Yes
2006-10-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	AMERICAN FLORIST SUPPLY, INC.
Employer identification number (EIN):	043541519
NAIC Classification:	424930
NAIC Description:	Flower, Nursery Stock, and Florists' Supplies Merchant Wholesalers

Plan id#	Filing Submission Date	Name of Administrator
501	2015-10-01
501	2014-10-01	JESSICA SCAMMELL
501	2013-10-01	JESSICA SCAMMELL
501	2012-10-01
501	2008-10-01
501	2007-10-01
501	2006-10-01