401k Plan data: PREPAID DENTAL CARE PLAN plan

PREPAID DENTAL CARE PLAN 401k Plan overview

Plan Name	PREPAID DENTAL CARE PLAN
Plan identification number	502

PREPAID DENTAL CARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Other welfare benefit cover

401k Sponsoring company profile

FOURTEEN FOODS has sponsored the creation of one or more 401k plans.

Company Name: FOURTEEN FOODS

Employer identification number (EIN): 274573614

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PREPAID DENTAL CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2020-01-01
502 2019-01-01
502 2018-01-01 MATTHEW FRAUENSHUH MATTHEW FRAUENSHUH 2019-06-11
502 2017-01-01
502 2016-01-01 MATTHEW FRAUENSHUH 2019-06-11
502 2015-01-01 MATTHEW FRAUENSHUH MATTHEW FRAUENSHUH 2016-07-28
502 2015-01-01 MATTHEW FRAUENSHUH 2019-06-12
502 2014-01-01 MATTHEW FRAUENSHUH MATTHEW FRAUENSHUH 2015-07-30
502 2013-10-01 MATTHEW FRAUENSHUH MATTHEW FRAUENSHUH 2014-05-05
502 2012-10-01 MATTHEW FRAUENSHUH MATTHEW FRAUENSHUH 2014-03-12
502 2011-10-01 MATTHEW FRAUENSHUH MATTHEW FRAUENSHUH 2013-01-14
502 2011-03-29 MATTHEW FRAUENSHUH MATTHEW FRAUENSHUH 2012-02-23

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
502	2020-01-01
502	2019-01-01
502	2018-01-01	MATTHEW FRAUENSHUH	MATTHEW FRAUENSHUH	2019-06-11
502	2017-01-01
502	2016-01-01		MATTHEW FRAUENSHUH	2019-06-11
502	2015-01-01	MATTHEW FRAUENSHUH	MATTHEW FRAUENSHUH	2016-07-28
502	2015-01-01		MATTHEW FRAUENSHUH	2019-06-12
502	2014-01-01	MATTHEW FRAUENSHUH	MATTHEW FRAUENSHUH	2015-07-30
502	2013-10-01	MATTHEW FRAUENSHUH	MATTHEW FRAUENSHUH	2014-05-05
502	2012-10-01	MATTHEW FRAUENSHUH	MATTHEW FRAUENSHUH	2014-03-12
502	2011-10-01	MATTHEW FRAUENSHUH	MATTHEW FRAUENSHUH	2013-01-14
502	2011-03-29	MATTHEW FRAUENSHUH	MATTHEW FRAUENSHUH	2012-02-23

Plan Statistics for PREPAID DENTAL CARE PLAN

401k plan membership statisitcs for PREPAID DENTAL CARE PLAN

Measure Date Value
2020: PREPAID DENTAL CARE PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 171
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 244
Number of retired or separated participants receiving benefits 2020-01-01 2
Total of all active and inactive participants 2020-01-01 246
2019: PREPAID DENTAL CARE PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 124
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 163
Number of retired or separated participants receiving benefits 2019-01-01 2
Total of all active and inactive participants 2019-01-01 165
2018: PREPAID DENTAL CARE PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 306
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 385
Total of all active and inactive participants 2018-01-01 385
2017: PREPAID DENTAL CARE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 300
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 306
Total of all active and inactive participants 2017-01-01 306
2016: PREPAID DENTAL CARE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 488
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 314
Total of all active and inactive participants 2016-01-01 314
2015: PREPAID DENTAL CARE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 275
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 275
Total of all active and inactive participants 2015-01-01 275
2014: PREPAID DENTAL CARE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 112
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 275
Total of all active and inactive participants 2014-01-01 275
2013: PREPAID DENTAL CARE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 107
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 112
Total of all active and inactive participants 2013-10-01 112
2012: PREPAID DENTAL CARE 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 2012-10-01 173
Total of all active and inactive participants 2012-10-01 173
2011: PREPAID DENTAL CARE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 201
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 155
Total of all active and inactive participants 2011-10-01 155
Total participants, beginning-of-year 2011-03-29 305
Total number of active participants reported on line 7a of the Form 5500 2011-03-29 174
Number of retired or separated participants receiving benefits 2011-03-29 27
Total of all active and inactive participants 2011-03-29 201

Measure	Date	Value
2020: PREPAID DENTAL CARE PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	171
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	244
Number of retired or separated participants receiving benefits	2020-01-01	2
Total of all active and inactive participants	2020-01-01	246
2019: PREPAID DENTAL CARE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	124
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	163
Number of retired or separated participants receiving benefits	2019-01-01	2
Total of all active and inactive participants	2019-01-01	165
2018: PREPAID DENTAL CARE PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	306
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	385
Total of all active and inactive participants	2018-01-01	385
2017: PREPAID DENTAL CARE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	300
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	306
Total of all active and inactive participants	2017-01-01	306
2016: PREPAID DENTAL CARE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	488
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	314
Total of all active and inactive participants	2016-01-01	314
2015: PREPAID DENTAL CARE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	275
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	275
Total of all active and inactive participants	2015-01-01	275
2014: PREPAID DENTAL CARE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	112
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	275
Total of all active and inactive participants	2014-01-01	275
2013: PREPAID DENTAL CARE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	107
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	112
Total of all active and inactive participants	2013-10-01	112
2012: PREPAID DENTAL CARE 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	173
Total of all active and inactive participants	2012-10-01	173
2011: PREPAID DENTAL CARE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	201
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	155
Total of all active and inactive participants	2011-10-01	155
Total participants, beginning-of-year	2011-03-29	305
Total number of active participants reported on line 7a of the Form 5500	2011-03-29	174
Number of retired or separated participants receiving benefits	2011-03-29	27
Total of all active and inactive participants	2011-03-29	201

Form 5500 Responses for PREPAID DENTAL CARE PLAN

2020: PREPAID DENTAL CARE PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: PREPAID DENTAL CARE PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: PREPAID DENTAL CARE PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: PREPAID DENTAL CARE PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: PREPAID DENTAL CARE PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: PREPAID DENTAL CARE PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	Yes
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: PREPAID DENTAL CARE PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: PREPAID DENTAL CARE PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	Yes
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2012: PREPAID DENTAL CARE PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes
2011: PREPAID DENTAL CARE PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan benefit arrangement – Insurance	Yes
2011-03-29	Type of plan entity	Single employer plan
2011-03-29	First time form 5500 has been submitted	Yes
2011-03-29	This return/report is a short plan year return/report (less than 12 months)	Yes
2011-03-29	Plan funding arrangement – Insurance	Yes
2011-03-29	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

AXIS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 37273 )
Policy contract number	8106694
Policy instance	2
DELTA DENTAL OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 )
Policy contract number	572953
Policy instance	1
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number	5484575
Policy instance	1
DELTA DENTAL OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 )
Policy contract number	601935
Policy instance	1
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number	MVP01347
Policy instance	1
DELTA DENTAL OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 )
Policy contract number	76838
Policy instance	1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	501581
Policy instance	2
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number	686030
Policy instance	1
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number	686030
Policy instance	1
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number	686030
Policy instance	1
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number	686030
Policy instance	1

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Company Name:	FOURTEEN FOODS
Employer identification number (EIN):	274573614