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EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC 401k Plan overview

Plan NameEMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC
Plan identification number 501

EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

WINGS WEST ONE, LLC has sponsored the creation of one or more 401k plans.

Company Name:WINGS WEST ONE, LLC
Employer identification number (EIN):342009112
NAIC Classification:722511
NAIC Description:Full-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-05-01
5012021-05-01
5012020-05-01
5012019-05-01
5012018-05-01
5012017-05-01CHRIS MILLER
5012016-05-01CHRIS MILLER
5012016-01-01CHRIS MILLER

Plan Statistics for EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC

401k plan membership statisitcs for EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC

Measure Date Value
2022: EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC 2022 401k membership
Total participants, beginning-of-year2022-05-014
Total number of active participants reported on line 7a of the Form 55002022-05-014
Number of retired or separated participants receiving benefits2022-05-010
Number of other retired or separated participants entitled to future benefits2022-05-010
Total of all active and inactive participants2022-05-014
2021: EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC 2021 401k membership
Total participants, beginning-of-year2021-05-017
Total number of active participants reported on line 7a of the Form 55002021-05-015
Number of retired or separated participants receiving benefits2021-05-010
Number of other retired or separated participants entitled to future benefits2021-05-010
Total of all active and inactive participants2021-05-015
2020: EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC 2020 401k membership
Total participants, beginning-of-year2020-05-019
Total number of active participants reported on line 7a of the Form 55002020-05-017
Number of retired or separated participants receiving benefits2020-05-010
Number of other retired or separated participants entitled to future benefits2020-05-010
Total of all active and inactive participants2020-05-017
2019: EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC 2019 401k membership
Total participants, beginning-of-year2019-05-0110
Total number of active participants reported on line 7a of the Form 55002019-05-019
Number of retired or separated participants receiving benefits2019-05-010
Number of other retired or separated participants entitled to future benefits2019-05-010
Total of all active and inactive participants2019-05-019
2018: EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC 2018 401k membership
Total participants, beginning-of-year2018-05-0117
Total number of active participants reported on line 7a of the Form 55002018-05-0114
Number of retired or separated participants receiving benefits2018-05-010
Number of other retired or separated participants entitled to future benefits2018-05-010
Total of all active and inactive participants2018-05-0114
2017: EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC 2017 401k membership
Total participants, beginning-of-year2017-05-0113
Total number of active participants reported on line 7a of the Form 55002017-05-0111
Number of retired or separated participants receiving benefits2017-05-010
Number of other retired or separated participants entitled to future benefits2017-05-010
Total of all active and inactive participants2017-05-0111
2016: EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC 2016 401k membership
Total participants, beginning-of-year2016-05-0113
Total number of active participants reported on line 7a of the Form 55002016-05-0113
Number of retired or separated participants receiving benefits2016-05-010
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-0113
Total participants, beginning-of-year2016-01-0129
Total number of active participants reported on line 7a of the Form 55002016-01-0128
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0128

Financial Data on EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC

Measure Date Value
2023 : EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC 2023 401k financial data
Total income from all sources2023-04-30$12,161
Expenses. Total of all expenses incurred2023-04-30$12,161
Benefits paid (including direct rollovers)2023-04-30$4,351
Value of fidelity bond covering the plan2023-04-30$4,000
Expenses. Other expenses not covered elsewhere2023-04-30$7,810
Net income (gross income less expenses)2023-04-30$0
Net plan assets at end of year (total assets less liabilities)2023-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2023-04-30$0
Total contributions received or receivable from employer(s)2023-04-30$12,161
2022 : EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC 2022 401k financial data
Total income from all sources2022-04-30$11,554
Expenses. Total of all expenses incurred2022-04-30$16,893
Benefits paid (including direct rollovers)2022-04-30$9,296
Total plan assets at beginning of year2022-04-30$5,339
Value of fidelity bond covering the plan2022-04-30$1,000
Expenses. Other expenses not covered elsewhere2022-04-30$7,597
Net income (gross income less expenses)2022-04-30$-5,339
Net plan assets at end of year (total assets less liabilities)2022-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2022-04-30$5,339
Total contributions received or receivable from employer(s)2022-04-30$11,554
2021 : EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC 2021 401k financial data
Total income from all sources2021-04-30$16,052
Expenses. Total of all expenses incurred2021-04-30$23,381
Benefits paid (including direct rollovers)2021-04-30$12,688
Total plan assets at end of year2021-04-30$5,339
Total plan assets at beginning of year2021-04-30$12,668
Value of fidelity bond covering the plan2021-04-30$10,000
Expenses. Other expenses not covered elsewhere2021-04-30$10,693
Net income (gross income less expenses)2021-04-30$-7,329
Net plan assets at end of year (total assets less liabilities)2021-04-30$5,339
Net plan assets at beginning of year (total assets less liabilities)2021-04-30$12,668
Total contributions received or receivable from employer(s)2021-04-30$16,052
2020 : EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC 2020 401k financial data
Total plan liabilities at beginning of year2020-04-30$0
Total income from all sources2020-04-30$15,365
Expenses. Total of all expenses incurred2020-04-30$10,904
Benefits paid (including direct rollovers)2020-04-30$653
Total plan assets at end of year2020-04-30$12,668
Total plan assets at beginning of year2020-04-30$8,207
Value of fidelity bond covering the plan2020-04-30$10,000
Expenses. Other expenses not covered elsewhere2020-04-30$10,251
Net income (gross income less expenses)2020-04-30$4,461
Net plan assets at end of year (total assets less liabilities)2020-04-30$12,668
Net plan assets at beginning of year (total assets less liabilities)2020-04-30$8,207
Total contributions received or receivable from employer(s)2020-04-30$15,365
2018 : EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC 2018 401k financial data
Total plan liabilities at end of year2018-04-30$0
Total plan liabilities at beginning of year2018-04-30$0
Total income from all sources2018-04-30$18,555
Expenses. Total of all expenses incurred2018-04-30$14,749
Benefits paid (including direct rollovers)2018-04-30$2,083
Total plan assets at end of year2018-04-30$9,275
Total plan assets at beginning of year2018-04-30$5,469
Value of fidelity bond covering the plan2018-04-30$10,000
Expenses. Other expenses not covered elsewhere2018-04-30$12,666
Net income (gross income less expenses)2018-04-30$3,806
Net plan assets at end of year (total assets less liabilities)2018-04-30$9,275
Net plan assets at beginning of year (total assets less liabilities)2018-04-30$5,469
Total contributions received or receivable from employer(s)2018-04-30$18,555
2017 : EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC 2017 401k financial data
Total plan liabilities at end of year2017-04-30$0
Total plan liabilities at beginning of year2017-04-30$0
Total income from all sources2017-04-30$18,580
Expenses. Total of all expenses incurred2017-04-30$16,587
Benefits paid (including direct rollovers)2017-04-30$4,418
Total plan assets at end of year2017-04-30$5,469
Total plan assets at beginning of year2017-04-30$3,476
Value of fidelity bond covering the plan2017-04-30$10,000
Expenses. Other expenses not covered elsewhere2017-04-30$12,169
Net income (gross income less expenses)2017-04-30$1,993
Net plan assets at end of year (total assets less liabilities)2017-04-30$5,469
Net plan assets at beginning of year (total assets less liabilities)2017-04-30$3,476
Total contributions received or receivable from employer(s)2017-04-30$18,580
2016 : EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC 2016 401k financial data
Total income from all sources2016-04-30$14,453
Expenses. Total of all expenses incurred2016-04-30$10,977
Benefits paid (including direct rollovers)2016-04-30$768
Total plan assets at end of year2016-04-30$3,476
Value of fidelity bond covering the plan2016-04-30$20,000
Expenses. Other expenses not covered elsewhere2016-04-30$10,209
Net income (gross income less expenses)2016-04-30$3,476
Net plan assets at end of year (total assets less liabilities)2016-04-30$3,476
Net plan assets at beginning of year (total assets less liabilities)2016-04-30$0
Total contributions received or receivable from employer(s)2016-04-30$14,453

Form 5500 Responses for EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC

2022: EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Submission has been amendedNo
2022-05-01This submission is the final filingNo
2022-05-01This return/report is a short plan year return/report (less than 12 months)No
2022-05-01Plan is a collectively bargained planNo
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan funding arrangement – TrustYes
2022-05-01Plan benefit arrangement – InsuranceYes
2022-05-01Plan benefit arrangement - TrustYes
2021: EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Submission has been amendedNo
2021-05-01This submission is the final filingNo
2021-05-01This return/report is a short plan year return/report (less than 12 months)No
2021-05-01Plan is a collectively bargained planNo
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan funding arrangement – TrustYes
2021-05-01Plan benefit arrangement – InsuranceYes
2021-05-01Plan benefit arrangement - TrustYes
2020: EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Submission has been amendedNo
2020-05-01This submission is the final filingNo
2020-05-01This return/report is a short plan year return/report (less than 12 months)No
2020-05-01Plan is a collectively bargained planNo
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan funding arrangement – TrustYes
2020-05-01Plan benefit arrangement – InsuranceYes
2020-05-01Plan benefit arrangement - TrustYes
2019: EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Submission has been amendedNo
2019-05-01This submission is the final filingNo
2019-05-01This return/report is a short plan year return/report (less than 12 months)No
2019-05-01Plan is a collectively bargained planNo
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan funding arrangement – TrustYes
2019-05-01Plan benefit arrangement – InsuranceYes
2019-05-01Plan benefit arrangement - TrustYes
2018: EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Submission has been amendedNo
2018-05-01This submission is the final filingNo
2018-05-01This return/report is a short plan year return/report (less than 12 months)No
2018-05-01Plan is a collectively bargained planNo
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan funding arrangement – TrustYes
2018-05-01Plan benefit arrangement – InsuranceYes
2018-05-01Plan benefit arrangement - TrustYes
2017: EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Submission has been amendedNo
2017-05-01This submission is the final filingNo
2017-05-01This return/report is a short plan year return/report (less than 12 months)No
2017-05-01Plan is a collectively bargained planNo
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan funding arrangement – TrustYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement - TrustYes
2016: EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Submission has been amendedNo
2016-05-01This submission is the final filingNo
2016-05-01This return/report is a short plan year return/report (less than 12 months)No
2016-05-01Plan is a collectively bargained planNo
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – TrustYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement - TrustYes
2016-01-01Type of plan entitySingle employer plan
2016-01-01First time form 5500 has been submittedYes
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)Yes
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

NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number40219 NFA 0626
Policy instance 1
Insurance contract or identification number40219 NFA 0626
Number of Individuals Covered4
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
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?No
Health Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $5,072
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number40219 NFA 0626
Policy instance 1
Insurance contract or identification number40219 NFA 0626
Number of Individuals Covered5
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
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?No
Health Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $4,644
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number40219 NFA 0626
Policy instance 1
Insurance contract or identification number40219 NFA 0626
Number of Individuals Covered7
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
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?No
Health Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $6,174
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number40219 NFA 0626
Policy instance 1
Insurance contract or identification number40219 NFA 0626
Number of Individuals Covered9
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
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?No
Health Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $5,991
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number40219 NFA 0626
Policy instance 1
Insurance contract or identification number40219 NFA 0626
Number of Individuals Covered14
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
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?No
Health Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $9,703
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number40219 NFA 0626
Policy instance 1
Insurance contract or identification number40219 NFA 0626
Number of Individuals Covered11
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
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?No
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
Welfare Benefit Premiums Paid to CarrierUSD $7,494
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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