401k Plan data: CTI FOODS HOLDING CO, LLC EMPLOYEE INJURY BENEFIT plan

CTI FOODS HOLDING CO, LLC EMPLOYEE INJURY BENEFIT 401k Plan overview

Plan Name	CTI FOODS HOLDING CO, LLC EMPLOYEE INJURY BENEFIT
Plan identification number	502

CTI FOODS HOLDING CO, LLC EMPLOYEE INJURY BENEFIT Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Other welfare benefit cover

401k Sponsoring company profile

CTI FOODS HOLDING CO., LLC has sponsored the creation of one or more 401k plans.

Company Name: CTI FOODS HOLDING CO., LLC

Employer identification number (EIN): 141888320

NAIC Classification: 311610
NAIC Description: Animal Slaughtering and Processing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CTI FOODS HOLDING CO, LLC EMPLOYEE INJURY BENEFIT

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2021-01-01 JEFF HYDE 2022-07-06 JEFF HYDE 2022-07-06
502 2020-01-01 JEFF HYDE 2021-06-23 JEFF HYDE 2021-06-23

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2021-01-01	JEFF HYDE	2022-07-06	JEFF HYDE	2022-07-06
502	2020-01-01	JEFF HYDE	2021-06-23	JEFF HYDE	2021-06-23

Plan Statistics for CTI FOODS HOLDING CO, LLC EMPLOYEE INJURY BENEFIT

401k plan membership statisitcs for CTI FOODS HOLDING CO, LLC EMPLOYEE INJURY BENEFIT

Measure Date Value
2021: CTI FOODS HOLDING CO, LLC EMPLOYEE INJURY BENEFIT 2021 401k membership
Total participants, beginning-of-year 2021-01-01 476
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 388
Total of all active and inactive participants 2021-01-01 388
2020: CTI FOODS HOLDING CO, LLC EMPLOYEE INJURY BENEFIT 2020 401k membership
Total participants, beginning-of-year 2020-01-01 576
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 476
Total of all active and inactive participants 2020-01-01 476

Measure	Date	Value
2021: CTI FOODS HOLDING CO, LLC EMPLOYEE INJURY BENEFIT 2021 401k membership
Total participants, beginning-of-year	2021-01-01	476
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	388
Total of all active and inactive participants	2021-01-01	388
2020: CTI FOODS HOLDING CO, LLC EMPLOYEE INJURY BENEFIT 2020 401k membership
Total participants, beginning-of-year	2020-01-01	576
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	476
Total of all active and inactive participants	2020-01-01	476

Form 5500 Responses for CTI FOODS HOLDING CO, LLC EMPLOYEE INJURY BENEFIT

2021: CTI FOODS HOLDING CO, LLC EMPLOYEE INJURY BENEFIT 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: CTI FOODS HOLDING CO, LLC EMPLOYEE INJURY BENEFIT 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	Yes
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )

Policy contract number

EEG125028

Policy instance

Insurance contract or identification number	EEG125028
Number of Individuals Covered	388
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $35,158
Total amount of fees paid to insurance company	USD $200
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $35,158
Amount paid for insurance broker fees	200
Additional information about fees paid to insurance broker	POLICY FEES
Insurance broker organization code?	3

NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )

Policy contract number

EEG125028

Policy instance

Insurance contract or identification number	EEG125028
Number of Individuals Covered	476
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $36,437
Total amount of fees paid to insurance company	USD $200
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $36,437
Amount paid for insurance broker fees	200
Additional information about fees paid to insurance broker	POLICY FEES
Insurance broker organization code?	3

Potentially related plans

CTI FOODS, L.L.C. 401(K) PLAN & TRUST [EIN = 542103673]

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Company Name:	CTI FOODS HOLDING CO., LLC
Employer identification number (EIN):	141888320
NAIC Classification:	311610
NAIC Description:	Animal Slaughtering and Processing