BLUE RIBBON HEALTH AND WELFARE PLAN 401k Plan overview

BLUE RIBBON HEALTH AND WELFARE PLAN Benefits

401k Sponsoring company profile

Company Name:	BLUE RIBBON RESTAURANT
Employer identification number (EIN):	300082067
NAIC Classification:	722515
NAIC Description:	Snack and Nonalcoholic Beverage Bars

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2020-01-01	MICHAEL DEVLIN	2021-06-24
501	2019-01-01	MICHAEL C. DEVLIN	2020-07-21
501	2018-01-01	MICHAEL C. DEVLIN	2019-09-04

Plan Statistics for BLUE RIBBON HEALTH AND WELFARE PLAN

Measure	Date	Value
2020: BLUE RIBBON HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	127
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	59
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	59
Number of employers contributing to the scheme	2020-01-01	0
2019: BLUE RIBBON HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	151
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	127
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	127
Number of employers contributing to the scheme	2019-01-01	0
2018: BLUE RIBBON HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	246
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	137
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	137
Number of employers contributing to the scheme	2018-01-01	0

Form 5500 Responses for BLUE RIBBON HEALTH AND WELFARE PLAN

Insurance Providers Used on plan

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