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EMPLOYEE BENEFIT PLAN OF SHORT HILLS PHARMACY, LLC SHORT HILLS PHARMACY, LLC 401k Plan overview

Plan NameEMPLOYEE BENEFIT PLAN OF SHORT HILLS PHARMACY, LLC SHORT HILLS PHARMACY, LLC
Plan identification number 001

EMPLOYEE BENEFIT PLAN OF SHORT HILLS PHARMACY, LLC SHORT HILLS PHARMACY, LLC Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

SHORT HILLS PHARMACY LLC has sponsored the creation of one or more 401k plans.

Company Name:SHORT HILLS PHARMACY LLC
Employer identification number (EIN):223511111
NAIC Classification:446110
NAIC Description:Pharmacies and Drug Stores

Additional information about SHORT HILLS PHARMACY LLC

Jurisdiction of Incorporation: New Jersey Division of Revenue and Enterprise Services
Incorporation Date:
Company Identification Number: 0600038549

More information about SHORT HILLS PHARMACY LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE BENEFIT PLAN OF SHORT HILLS PHARMACY, LLC SHORT HILLS PHARMACY, LLC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012018-01-01CHRIS OTTO2019-04-12
0012017-01-01CHRISTOPHER J OTTO2018-10-10 CHRISTOPHER J OTTO2018-10-10
0012016-01-01CHRISTOPHER OTTO2017-07-11 CHRISTOPHER OTTO2017-07-11
0012015-01-01CHRISTOPHER OTTO2016-10-14 CHRISTOPHER OTTO2016-10-14
0012014-01-01CHRISTOPHER J. OTTO
0012013-01-01CHRISTOPHER J. OTTO
0012012-01-01CHRISTOPHER J. OTTO
0012011-01-01CHRISTOPHER J. OTTO
0012010-01-01CHRISTOPHER J. OTTO

Plan Statistics for EMPLOYEE BENEFIT PLAN OF SHORT HILLS PHARMACY, LLC SHORT HILLS PHARMACY, LLC

401k plan membership statisitcs for EMPLOYEE BENEFIT PLAN OF SHORT HILLS PHARMACY, LLC SHORT HILLS PHARMACY, LLC

Measure Date Value
2014: EMPLOYEE BENEFIT PLAN OF SHORT HILLS PHARMACY, LLC SHORT HILLS PHARMACY, LLC 2014 401k membership
Total participants, beginning-of-year2014-01-0120
Total number of active participants reported on line 7a of the Form 55002014-01-0118
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0118
Number of participants with account balances2014-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: EMPLOYEE BENEFIT PLAN OF SHORT HILLS PHARMACY, LLC SHORT HILLS PHARMACY, LLC 2013 401k membership
Total participants, beginning-of-year2013-01-0118
Total number of active participants reported on line 7a of the Form 55002013-01-0120
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0120
Number of participants with account balances2013-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: EMPLOYEE BENEFIT PLAN OF SHORT HILLS PHARMACY, LLC SHORT HILLS PHARMACY, LLC 2012 401k membership
Total participants, beginning-of-year2012-01-0114
Total number of active participants reported on line 7a of the Form 55002012-01-0114
Number of retired or separated participants receiving benefits2012-01-014
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0118
Number of participants with account balances2012-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: EMPLOYEE BENEFIT PLAN OF SHORT HILLS PHARMACY, LLC SHORT HILLS PHARMACY, LLC 2011 401k membership
Total participants, beginning-of-year2011-01-0122
Total number of active participants reported on line 7a of the Form 55002011-01-0119
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0119
Number of participants with account balances2011-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: EMPLOYEE BENEFIT PLAN OF SHORT HILLS PHARMACY, LLC SHORT HILLS PHARMACY, LLC 2010 401k membership
Total participants, beginning-of-year2010-01-0120
Total number of active participants reported on line 7a of the Form 55002010-01-0119
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-013
Total of all active and inactive participants2010-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0122
Number of participants with account balances2010-01-0115

Financial Data on EMPLOYEE BENEFIT PLAN OF SHORT HILLS PHARMACY, LLC SHORT HILLS PHARMACY, LLC

Measure Date Value
2014 : EMPLOYEE BENEFIT PLAN OF SHORT HILLS PHARMACY, LLC SHORT HILLS PHARMACY, LLC 2014 401k financial data
Total income from all sources2014-12-31$152,237
Expenses. Total of all expenses incurred2014-12-31$134,422
Benefits paid (including direct rollovers)2014-12-31$134,422
Total plan assets at end of year2014-12-31$948,814
Total plan assets at beginning of year2014-12-31$930,999
Total contributions received or receivable from participants2014-12-31$87,149
Other income received2014-12-31$65,088
Net income (gross income less expenses)2014-12-31$17,815
Net plan assets at end of year (total assets less liabilities)2014-12-31$948,814
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$930,999
Assets. Value of participant loans2014-12-31$910
2013 : EMPLOYEE BENEFIT PLAN OF SHORT HILLS PHARMACY, LLC SHORT HILLS PHARMACY, LLC 2013 401k financial data
Total income from all sources2013-12-31$275,993
Expenses. Total of all expenses incurred2013-12-31$77,755
Benefits paid (including direct rollovers)2013-12-31$77,755
Total plan assets at end of year2013-12-31$930,999
Total plan assets at beginning of year2013-12-31$732,761
Total contributions received or receivable from participants2013-12-31$69,044
Other income received2013-12-31$206,949
Net income (gross income less expenses)2013-12-31$198,238
Net plan assets at end of year (total assets less liabilities)2013-12-31$930,999
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$732,761
Assets. Value of participant loans2013-12-31$3,432
2012 : EMPLOYEE BENEFIT PLAN OF SHORT HILLS PHARMACY, LLC SHORT HILLS PHARMACY, LLC 2012 401k financial data
Total income from all sources2012-12-31$164,612
Expenses. Total of all expenses incurred2012-12-31$200,000
Benefits paid (including direct rollovers)2012-12-31$200,000
Total plan assets at end of year2012-12-31$732,761
Total plan assets at beginning of year2012-12-31$768,149
Total contributions received or receivable from participants2012-12-31$62,024
Other income received2012-12-31$102,588
Net income (gross income less expenses)2012-12-31$-35,388
Net plan assets at end of year (total assets less liabilities)2012-12-31$732,761
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$768,149
Assets. Value of participant loans2012-12-31$5,880
2011 : EMPLOYEE BENEFIT PLAN OF SHORT HILLS PHARMACY, LLC SHORT HILLS PHARMACY, LLC 2011 401k financial data
Total income from all sources2011-12-31$32,551
Expenses. Total of all expenses incurred2011-12-31$162,831
Benefits paid (including direct rollovers)2011-12-31$162,831
Total plan assets at end of year2011-12-31$768,149
Total plan assets at beginning of year2011-12-31$898,429
Total contributions received or receivable from participants2011-12-31$79,954
Other income received2011-12-31$-47,403
Net income (gross income less expenses)2011-12-31$-130,280
Net plan assets at end of year (total assets less liabilities)2011-12-31$768,149
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$898,429
Assets. Value of participant loans2011-12-31$7,547
2010 : EMPLOYEE BENEFIT PLAN OF SHORT HILLS PHARMACY, LLC SHORT HILLS PHARMACY, LLC 2010 401k financial data
Total income from all sources2010-12-31$194,633
Expenses. Total of all expenses incurred2010-12-31$3,984
Benefits paid (including direct rollovers)2010-12-31$3,984
Total plan assets at end of year2010-12-31$898,429
Total plan assets at beginning of year2010-12-31$707,780
Total contributions received or receivable from participants2010-12-31$89,486
Other income received2010-12-31$105,147
Net income (gross income less expenses)2010-12-31$190,649
Net plan assets at end of year (total assets less liabilities)2010-12-31$898,429
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$707,780
Assets. Value of participant loans2010-12-31$1,600

Form 5500 Responses for EMPLOYEE BENEFIT PLAN OF SHORT HILLS PHARMACY, LLC SHORT HILLS PHARMACY, LLC

2014: EMPLOYEE BENEFIT PLAN OF SHORT HILLS PHARMACY, LLC SHORT HILLS PHARMACY, LLC 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: EMPLOYEE BENEFIT PLAN OF SHORT HILLS PHARMACY, LLC SHORT HILLS PHARMACY, LLC 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: EMPLOYEE BENEFIT PLAN OF SHORT HILLS PHARMACY, LLC SHORT HILLS PHARMACY, LLC 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: EMPLOYEE BENEFIT PLAN OF SHORT HILLS PHARMACY, LLC SHORT HILLS PHARMACY, LLC 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: EMPLOYEE BENEFIT PLAN OF SHORT HILLS PHARMACY, LLC SHORT HILLS PHARMACY, LLC 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number143-00706
Policy instance 2
Insurance contract or identification number143-00706
Number of Individuals Covered14
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameVOLUNTARY BENEFIT SY
BANNER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 94250 )
Policy contract numberULXXX1BBU
Policy instance 1
Insurance contract or identification numberULXXX1BBU
Number of Individuals Covered2
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameVOLUNTARY BENEFIT SY
BANNER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 94250 )
Policy contract numberULXXX1BBU
Policy instance 1
Insurance contract or identification numberULXXX1BBU
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameVOLUNTARY BENEFIT SY
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number143-00706
Policy instance 2
Insurance contract or identification number143-00706
Number of Individuals Covered14
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameVOLUNTARY BENEFIT SY
BANNER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 94250 )
Policy contract numberULXXX1BBU
Policy instance 1
Insurance contract or identification numberULXXX1BBU
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameVOLUNTARY BENEFIT SY
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number143-00706
Policy instance 2
Insurance contract or identification number143-00706
Number of Individuals Covered14
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameVOLUNTARY BENEFIT SY
BANNER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 94250 )
Policy contract numberULXXX1BBU
Policy instance 1
Insurance contract or identification numberULXXX1BBU
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number143-00706
Policy instance 2
Insurance contract or identification number143-00706
Number of Individuals Covered15
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BANNER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 94250 )
Policy contract numberULXXX1BBU
Policy instance 1
Insurance contract or identification numberULXXX1BBU
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $11
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number143-00706
Policy instance 2
Insurance contract or identification number143-00706
Number of Individuals Covered15
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $6,060
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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