| Plan Name | PAPA WASHINGTON, LLC GROUP BENEFITS PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | PAPA WASHINGTON, LLC |
| Employer identification number (EIN): | 208516613 |
| NAIC Classification: | 312110 |
| NAIC Description: | Soft Drink and Ice Manufacturing |
Additional information about PAPA WASHINGTON, LLC
| Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
| Incorporation Date: | 2007-02-16 |
| Company Identification Number: | 602696775 |
| Legal Registered Office Address: |
524 2ND AVE STE 500 SEATTLE United States of America (USA) 981042323 |
More information about PAPA WASHINGTON, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2015-12-01 | ||||
| 501 | 2014-12-01 |
| Measure | Date | Value |
|---|---|---|
| 2015 : PAPA WASHINGTON, LLC GROUP BENEFITS PLAN 2015 401k financial data | ||
| Total income from all sources | 2015-12-31 | $10,204 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $10,204 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $5,278 |
| Expenses. Other expenses not covered elsewhere | 2015-12-31 | $4,926 |
| Net income (gross income less expenses) | 2015-12-31 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2015-12-31 | $10,204 |
| Total income from all sources | 2015-11-30 | $132,618 |
| Expenses. Total of all expenses incurred | 2015-11-30 | $132,618 |
| Benefits paid (including direct rollovers) | 2015-11-30 | $84,079 |
| Expenses. Other expenses not covered elsewhere | 2015-11-30 | $48,539 |
| Net income (gross income less expenses) | 2015-11-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2015-11-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-11-30 | $0 |
| Total contributions received or receivable from employer(s) | 2015-11-30 | $132,618 |
| 2015: PAPA WASHINGTON, LLC GROUP BENEFITS PLAN 2015 form 5500 responses | ||
|---|---|---|
| 2015-12-01 | Type of plan entity | Single employer plan |
| 2015-12-01 | Submission has been amended | No |
| 2015-12-01 | This submission is the final filing | Yes |
| 2015-12-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2015-12-01 | Plan is a collectively bargained plan | No |
| 2015-12-01 | Plan funding arrangement – Insurance | Yes |
| 2015-12-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-12-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: PAPA WASHINGTON, LLC GROUP BENEFITS PLAN 2014 form 5500 responses | ||
| 2014-12-01 | Type of plan entity | Single employer plan |
| 2014-12-01 | First time form 5500 has been submitted | Yes |
| 2014-12-01 | Submission has been amended | No |
| 2014-12-01 | This submission is the final filing | No |
| 2014-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-12-01 | Plan is a collectively bargained plan | No |
| 2014-12-01 | Plan funding arrangement – Insurance | Yes |
| 2014-12-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-12-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| NATIONAL HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 82538 ) | |
| Policy contract number | 1856 |
| Policy instance | 1 |
| NATIONAL HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 82538 ) | |
| Policy contract number | 1856 |
| Policy instance | 1 |