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SERVE U BRANDS, INC. 401(K) PLAN 401k Plan overview

Plan NameSERVE U BRANDS, INC. 401(K) PLAN
Plan identification number 001

SERVE U BRANDS, INC. 401(K) PLAN 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.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • 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.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

SERVE U BRANDS, INC. has sponsored the creation of one or more 401k plans.

Company Name:SERVE U BRANDS, INC.
Employer identification number (EIN):271461873
NAIC Classification:722300
NAIC Description: Special Food Services

Additional information about SERVE U BRANDS, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 2009-12-21
Company Identification Number: 3891001
Legal Registered Office Address: 80 STATE STREET
New York
ALBANY
United States of America (USA)
12207

More information about SERVE U BRANDS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SERVE U BRANDS, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01SUZANNE TONER2023-10-12
0012021-01-01VICTOR PARRILLA2022-10-04
0012020-01-01VICTOR PARRILLA2021-10-15
0012020-01-01VICTOR PARRILLA2022-03-30
0012019-01-01SUZANNE TONER2020-10-12
0012018-01-01SUZANNE TONER2019-10-02
0012017-01-01
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01GREGORY PEREL2015-07-23 GREGORY PEREL2015-07-23
0012013-01-01GREGORY PEREL2014-07-09

Plan Statistics for SERVE U BRANDS, INC. 401(K) PLAN

401k plan membership statisitcs for SERVE U BRANDS, INC. 401(K) PLAN

Measure Date Value
2022: SERVE U BRANDS, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,780
Total number of active participants reported on line 7a of the Form 55002022-01-01781
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-011,134
Total of all active and inactive participants2022-01-011,915
Total participants2022-01-011,915
Number of participants with account balances2022-01-011,677
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-01333
2021: SERVE U BRANDS, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,374
Total number of active participants reported on line 7a of the Form 55002021-01-01778
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-01811
Total of all active and inactive participants2021-01-011,589
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-011,589
Number of participants with account balances2021-01-011,390
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-01363
2020: SERVE U BRANDS, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01968
Total number of active participants reported on line 7a of the Form 55002020-01-01890
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-01392
Total of all active and inactive participants2020-01-011,282
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-011,282
Number of participants with account balances2020-01-011,006
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-01262
2019: SERVE U BRANDS, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01964
Total number of active participants reported on line 7a of the Form 55002019-01-01652
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-01188
Total of all active and inactive participants2019-01-01840
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01840
Number of participants with account balances2019-01-01681
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-01320
2018: SERVE U BRANDS, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01652
Total number of active participants reported on line 7a of the Form 55002018-01-01641
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-01255
Total of all active and inactive participants2018-01-01896
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01896
Number of participants with account balances2018-01-01685
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-01180
2017: SERVE U BRANDS, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01351
Total number of active participants reported on line 7a of the Form 55002017-01-01439
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0177
Total of all active and inactive participants2017-01-01516
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01516
Number of participants with account balances2017-01-01271
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0177
2016: SERVE U BRANDS, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01149
Total number of active participants reported on line 7a of the Form 55002016-01-01264
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-016
Total of all active and inactive participants2016-01-01270
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01270
Number of participants with account balances2016-01-0174
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0112

Financial Data on SERVE U BRANDS, INC. 401(K) PLAN

Measure Date Value
2022 : SERVE U BRANDS, INC. 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$28,246
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$620,817
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$668,865
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$644,182
Expenses. Certain deemed distributions of participant loans2022-12-31$10,418
Value of total corrective distributions2022-12-31$161
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,247,451
Value of total assets at end of year2022-12-31$3,805,770
Value of total assets at beginning of year2022-12-31$3,825,572
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$14,104
Total interest from all sources2022-12-31$2,428
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$250,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$910,875
Participant contributions at end of year2022-12-31$77,970
Participant contributions at beginning of year2022-12-31$43,455
Participant contributions at end of year2022-12-31$12,217
Participant contributions at beginning of year2022-12-31$55,606
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$13,125
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$28,246
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-48,048
Value of net assets at end of year (total assets less liabilities)2022-12-31$3,777,524
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$3,825,572
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$0
Value of interest in pooled separate accounts at end of year2022-12-31$3,682,628
Value of interest in pooled separate accounts at beginning of year2022-12-31$3,664,108
Interest on participant loans2022-12-31$2,428
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$7,564
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$37,609
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-629,062
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$323,451
Employer contributions (assets) at end of year2022-12-31$25,391
Employer contributions (assets) at beginning of year2022-12-31$24,794
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$644,182
Contract administrator fees2022-12-31$14,104
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31KREISCHER MILLER
Accountancy firm EIN2022-12-31231980475
2021 : SERVE U BRANDS, INC. 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$1,644,242
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$514,544
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$452,393
Expenses. Certain deemed distributions of participant loans2021-12-31$45,699
Value of total corrective distributions2021-12-31$121
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,217,244
Value of total assets at end of year2021-12-31$3,825,572
Value of total assets at beginning of year2021-12-31$2,695,874
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$16,331
Total interest from all sources2021-12-31$1,673
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$250,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$843,980
Participant contributions at end of year2021-12-31$43,455
Participant contributions at beginning of year2021-12-31$46,798
Participant contributions at end of year2021-12-31$55,606
Participant contributions at beginning of year2021-12-31$19,043
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,129,698
Value of net assets at end of year (total assets less liabilities)2021-12-31$3,825,572
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$2,695,874
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$0
Value of interest in pooled separate accounts at end of year2021-12-31$3,664,108
Value of interest in pooled separate accounts at beginning of year2021-12-31$2,614,143
Interest on participant loans2021-12-31$1,673
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$37,609
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$6,985
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$425,325
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$373,264
Employer contributions (assets) at end of year2021-12-31$24,794
Employer contributions (assets) at beginning of year2021-12-31$8,905
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$452,393
Contract administrator fees2021-12-31$16,331
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31KREISCHER MILLER
Accountancy firm EIN2021-12-31231980475
2020 : SERVE U BRANDS, INC. 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$1,397,064
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$464,502
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$442,636
Expenses. Certain deemed distributions of participant loans2020-12-31$10,886
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,062,463
Value of total assets at end of year2020-12-31$2,667,926
Value of total assets at beginning of year2020-12-31$1,735,364
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$10,980
Total interest from all sources2020-12-31$1,986
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$250,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$691,227
Participant contributions at end of year2020-12-31$46,798
Participant contributions at beginning of year2020-12-31$0
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$82,060
Assets. Loans (other than to participants) at end of year2020-12-31$0
Assets. Loans (other than to participants) at beginning of year2020-12-31$30,457
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$932,562
Value of net assets at end of year (total assets less liabilities)2020-12-31$2,667,926
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$1,735,364
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$0
Value of interest in pooled separate accounts at end of year2020-12-31$2,614,143
Value of interest in pooled separate accounts at beginning of year2020-12-31$1,698,241
Interest on participant loans2020-12-31$1,986
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$6,985
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$6,666
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$332,615
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$289,176
Employer contributions (assets) at end of year2020-12-31$0
Employer contributions (assets) at beginning of year2020-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$442,636
Contract administrator fees2020-12-31$10,980
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31KREISCHER MILLER
Accountancy firm EIN2020-12-31231980475
2019 : SERVE U BRANDS, INC. 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$1,057,491
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$495,727
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$475,642
Expenses. Certain deemed distributions of participant loans2019-12-31$5,288
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$764,024
Value of total assets at end of year2019-12-31$1,735,364
Value of total assets at beginning of year2019-12-31$1,173,600
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$14,797
Total interest from all sources2019-12-31$1,142
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$250,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$563,137
Participant contributions at end of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$2,414
Assets. Loans (other than to participants) at end of year2019-12-31$30,457
Assets. Loans (other than to participants) at beginning of year2019-12-31$10,975
Other income not declared elsewhere2019-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$561,764
Value of net assets at end of year (total assets less liabilities)2019-12-31$1,735,364
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,173,600
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$0
Value of interest in pooled separate accounts at end of year2019-12-31$1,698,241
Value of interest in pooled separate accounts at beginning of year2019-12-31$1,153,107
Interest on participant loans2019-12-31$1,142
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$6,666
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$5,948
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$292,325
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$200,887
Employer contributions (assets) at end of year2019-12-31$0
Employer contributions (assets) at beginning of year2019-12-31$1,156
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$475,642
Contract administrator fees2019-12-31$14,797
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31KREISCHER MILLER
Accountancy firm EIN2019-12-31231980475
2018 : SERVE U BRANDS, INC. 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$565,999
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$112,877
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$110,890
Expenses. Certain deemed distributions of participant loans2018-12-31$1,048
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$688,656
Value of total assets at end of year2018-12-31$1,173,600
Value of total assets at beginning of year2018-12-31$720,478
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$939
Total interest from all sources2018-12-31$492
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$250,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$485,831
Participant contributions at end of year2018-12-31$2,414
Participant contributions at beginning of year2018-12-31$478
Assets. Loans (other than to participants) at end of year2018-12-31$10,975
Assets. Loans (other than to participants) at beginning of year2018-12-31$13,602
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$453,122
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,173,600
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$720,478
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$0
Value of interest in pooled separate accounts at end of year2018-12-31$1,153,107
Value of interest in pooled separate accounts at beginning of year2018-12-31$700,045
Interest on participant loans2018-12-31$402
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$90
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$5,948
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$6,124
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-123,149
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$202,825
Employer contributions (assets) at end of year2018-12-31$1,156
Employer contributions (assets) at beginning of year2018-12-31$229
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$110,890
Contract administrator fees2018-12-31$939
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31KREISCHER MILLER
Accountancy firm EIN2018-12-31231980475
2017 : SERVE U BRANDS, INC. 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$445,256
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$38,382
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$37,716
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$363,926
Value of total assets at end of year2017-12-31$720,478
Value of total assets at beginning of year2017-12-31$313,604
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$666
Total interest from all sources2017-12-31$423
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$250,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$230,659
Participant contributions at end of year2017-12-31$478
Participant contributions at beginning of year2017-12-31$17,970
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$41,377
Assets. Loans (other than to participants) at end of year2017-12-31$13,602
Assets. Loans (other than to participants) at beginning of year2017-12-31$956
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$406,874
Value of net assets at end of year (total assets less liabilities)2017-12-31$720,478
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$313,604
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$0
Value of interest in pooled separate accounts at end of year2017-12-31$700,045
Value of interest in pooled separate accounts at beginning of year2017-12-31$287,065
Income. Interest from loans (other than to participants)2017-12-31$379
Interest earned on other investments2017-12-31$28
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$16
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$6,124
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$2,509
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$80,907
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$91,890
Employer contributions (assets) at end of year2017-12-31$229
Employer contributions (assets) at beginning of year2017-12-31$5,104
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$37,716
Contract administrator fees2017-12-31$666
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31COHNREZNICK LLP
Accountancy firm EIN2017-12-31221478099
2016 : SERVE U BRANDS, INC. 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$144,791
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$11,850
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$9,959
Expenses. Certain deemed distributions of participant loans2016-12-31$1,834
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$133,624
Value of total assets at end of year2016-12-31$313,604
Value of total assets at beginning of year2016-12-31$180,663
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$57
Total interest from all sources2016-12-31$293
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$100,000
If this is an individual account plan, was there a blackout period2016-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$94,309
Participant contributions at end of year2016-12-31$17,970
Participant contributions at beginning of year2016-12-31$1,993
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$7,392
Assets. Loans (other than to participants) at end of year2016-12-31$956
Assets. Loans (other than to participants) at beginning of year2016-12-31$1,770
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$132,941
Value of net assets at end of year (total assets less liabilities)2016-12-31$313,604
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$180,663
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$175,462
Value of interest in pooled separate accounts at end of year2016-12-31$287,065
Value of interest in pooled separate accounts at beginning of year2016-12-31$0
Interest on participant loans2016-12-31$20
Interest earned on other investments2016-12-31$118
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$155
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$2,509
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$10,874
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$31,923
Employer contributions (assets) at end of year2016-12-31$5,104
Employer contributions (assets) at beginning of year2016-12-31$1,438
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$9,959
Contract administrator fees2016-12-31$57
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31Yes
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31COHNREZNICK LLP
Accountancy firm EIN2016-12-31221478099

Form 5500 Responses for SERVE U BRANDS, INC. 401(K) PLAN

2022: SERVE U BRANDS, INC. 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: SERVE U BRANDS, INC. 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: SERVE U BRANDS, INC. 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: SERVE U BRANDS, INC. 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: SERVE U BRANDS, INC. 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: SERVE U BRANDS, INC. 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: SERVE U BRANDS, INC. 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )
Policy contract number380606-01
Policy instance 1
Insurance contract or identification number380606-01
Number of Individuals Covered1550
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $17,028
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,514
Insurance broker organization code?3
FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )
Policy contract number380606-01
Policy instance 1
Insurance contract or identification number380606-01
Number of Individuals Covered1237
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $15,590
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,795
Insurance broker organization code?3
FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )
Policy contract number380606-01
Policy instance 1
Insurance contract or identification number380606-01
Number of Individuals Covered924
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $9,320
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,660
Insurance broker organization code?3
FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )
Policy contract number380606-01
Policy instance 1
Insurance contract or identification number380606-01
Number of Individuals Covered696
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $7,510
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,755
Insurance broker organization code?3
FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )
Policy contract number380606-01
Policy instance 1
Insurance contract or identification number380606-01
Number of Individuals Covered735
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $4,618
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,309
Insurance broker organization code?3
FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )
Policy contract number380606-01
Policy instance 1
Insurance contract or identification number380606-01
Number of Individuals Covered274
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,329
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,165
Insurance broker organization code?3
Insurance broker nameHOWARD SIEGAL, EQUITY SERVICES INC.

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