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LAROSA'S VISION PLAN 401k Plan overview

Plan NameLAROSA'S VISION PLAN
Plan identification number 503

LAROSA'S VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

LAROSA'S, INC. has sponsored the creation of one or more 401k plans.

Company Name:LAROSA'S, INC.
Employer identification number (EIN):310711332
NAIC Classification:722511
NAIC Description:Full-Service Restaurants

Additional information about LAROSA'S, INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1965-05-21
Company Identification Number: 340517
Legal Registered Office Address: 300 AMERICAN BLDG
-
CINCINNATI
United States of America (USA)
45202

More information about LAROSA'S, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LAROSA'S VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-04-01SHAUNA DUVALL2023-10-10
5032021-04-01SHAUNA DUVALL2022-09-15
5032020-04-01SHAUNA DUVALL2021-09-14
5032019-04-01SHAUNA DUVALL2020-09-04
5032018-04-01SHAUNA DUVALL2019-08-22
5032018-04-01SHAUNA DUVALL2019-08-20

Plan Statistics for LAROSA'S VISION PLAN

401k plan membership statisitcs for LAROSA'S VISION PLAN

Measure Date Value
2022: LAROSA'S VISION PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-01100
Total number of active participants reported on line 7a of the Form 55002022-04-0184
Number of retired or separated participants receiving benefits2022-04-013
Number of other retired or separated participants entitled to future benefits2022-04-010
Total of all active and inactive participants2022-04-0187
Number of employers contributing to the scheme2022-04-010
2021: LAROSA'S VISION PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-0195
Total number of active participants reported on line 7a of the Form 55002021-04-01100
Number of retired or separated participants receiving benefits2021-04-010
Number of other retired or separated participants entitled to future benefits2021-04-010
Total of all active and inactive participants2021-04-01100
Number of employers contributing to the scheme2021-04-010
2020: LAROSA'S VISION PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-01239
Total number of active participants reported on line 7a of the Form 55002020-04-0195
Number of retired or separated participants receiving benefits2020-04-010
Number of other retired or separated participants entitled to future benefits2020-04-010
Total of all active and inactive participants2020-04-0195
Number of employers contributing to the scheme2020-04-010
2019: LAROSA'S VISION PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-01239
Total number of active participants reported on line 7a of the Form 55002019-04-01239
Number of retired or separated participants receiving benefits2019-04-010
Number of other retired or separated participants entitled to future benefits2019-04-010
Total of all active and inactive participants2019-04-01239
Number of employers contributing to the scheme2019-04-010
2018: LAROSA'S VISION PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-01129
Total number of active participants reported on line 7a of the Form 55002018-04-01143
Number of retired or separated participants receiving benefits2018-04-010
Number of other retired or separated participants entitled to future benefits2018-04-015
Total of all active and inactive participants2018-04-01148
Number of employers contributing to the scheme2018-04-010

Form 5500 Responses for LAROSA'S VISION PLAN

2022: LAROSA'S VISION PLAN 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan benefit arrangement – InsuranceYes
2021: LAROSA'S VISION PLAN 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan benefit arrangement – InsuranceYes
2020: LAROSA'S VISION PLAN 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan benefit arrangement – InsuranceYes
2019: LAROSA'S VISION PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan benefit arrangement – InsuranceYes
2018: LAROSA'S VISION PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01First time form 5500 has been submittedYes
2018-04-01Submission has been amendedYes
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10143491001
Policy instance 1
Insurance contract or identification number10143491001
Number of Individuals Covered200
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $1,403
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,536
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,403
Amount paid for insurance broker fees0
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10143491001
Policy instance 1
Insurance contract or identification number10143491001
Number of Individuals Covered235
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $1,619
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,945
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,619
Amount paid for insurance broker fees0
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10143491001
Policy instance 1
Insurance contract or identification number10143491001
Number of Individuals Covered224
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $1,477
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,682
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,477
Amount paid for insurance broker fees0
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10143491001
Policy instance 1
Insurance contract or identification number10143491001
Number of Individuals Covered239
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $1,517
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,162
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,517
Amount paid for insurance broker fees0
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10143491001
Policy instance 1
Insurance contract or identification number10143491001
Number of Individuals Covered245
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $1,627
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,407
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,627
Amount paid for insurance broker fees0
Insurance broker organization code?3

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