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ANGELI FOODS COMPANY GROUP HEALTH, DENTAL, & SHORT TERM DISABILITY PLAN 401k Plan overview

Plan NameANGELI FOODS COMPANY GROUP HEALTH, DENTAL, & SHORT TERM DISABILITY PLAN
Plan identification number 501

ANGELI FOODS COMPANY GROUP HEALTH, DENTAL, & SHORT TERM DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Other welfare benefit cover
  • 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.

401k Sponsoring company profile

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

Company Name:ANGELI FOODS COMPANY
Employer identification number (EIN):381984673
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Additional information about ANGELI FOODS COMPANY

Jurisdiction of Incorporation: Michigan Department of Licensing & Regulatory Affairs
Incorporation Date:
Company Identification Number: 060394

More information about ANGELI FOODS COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANGELI FOODS COMPANY GROUP HEALTH, DENTAL, & SHORT TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012014-01-01DONALD S. BASTIANELLO DONALD S. BASTIANELLO2015-05-21
5012013-01-01DONALD S. BASTIANELLO DONALD S. BASTIANELLO2014-07-31
5012012-01-01DONALD S. BASTIANELLO DONALD S. BASTIANELLO2013-07-23
5012011-01-01DONALD S. BASTIANELLO DONALD S. BASTIANELLO2012-07-27
5012009-01-01DONALD S. BASTIANELLO DONALD S. BASTIANELLO2010-09-27
5012008-01-01

Plan Statistics for ANGELI FOODS COMPANY GROUP HEALTH, DENTAL, & SHORT TERM DISABILITY PLAN

401k plan membership statisitcs for ANGELI FOODS COMPANY GROUP HEALTH, DENTAL, & SHORT TERM DISABILITY PLAN

Measure Date Value
2014: ANGELI FOODS COMPANY GROUP HEALTH, DENTAL, & SHORT TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01178
Total number of active participants reported on line 7a of the Form 55002014-01-01103
Total of all active and inactive participants2014-01-01103
2013: ANGELI FOODS COMPANY GROUP HEALTH, DENTAL, & SHORT TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01170
Total number of active participants reported on line 7a of the Form 55002013-01-01178
Total of all active and inactive participants2013-01-01178
2012: ANGELI FOODS COMPANY GROUP HEALTH, DENTAL, & SHORT TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01113
Total number of active participants reported on line 7a of the Form 55002012-01-01170
Total of all active and inactive participants2012-01-01170
2011: ANGELI FOODS COMPANY GROUP HEALTH, DENTAL, & SHORT TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01105
Total number of active participants reported on line 7a of the Form 55002011-01-0196
Total of all active and inactive participants2011-01-0196
2009: ANGELI FOODS COMPANY GROUP HEALTH, DENTAL, & SHORT TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01105
Total number of active participants reported on line 7a of the Form 55002009-01-01106
Total of all active and inactive participants2009-01-01106

Form 5500 Responses for ANGELI FOODS COMPANY GROUP HEALTH, DENTAL, & SHORT TERM DISABILITY PLAN

2014: ANGELI FOODS COMPANY GROUP HEALTH, DENTAL, & SHORT TERM DISABILITY PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: ANGELI FOODS COMPANY GROUP HEALTH, DENTAL, & SHORT TERM DISABILITY PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: ANGELI FOODS COMPANY GROUP HEALTH, DENTAL, & SHORT TERM DISABILITY PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: ANGELI FOODS COMPANY GROUP HEALTH, DENTAL, & SHORT TERM DISABILITY PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: ANGELI FOODS COMPANY GROUP HEALTH, DENTAL, & SHORT TERM DISABILITY PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes
2008: ANGELI FOODS COMPANY GROUP HEALTH, DENTAL, & SHORT TERM DISABILITY PLAN 2008 form 5500 responses
2008-01-01Type of plan entitySingle employer plan
2008-01-01Submission has been amendedNo
2008-01-01This submission is the final filingNo
2008-01-01This return/report is a short plan year return/report (less than 12 months)No
2008-01-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number238190
Policy instance 1
Insurance contract or identification number238190
Number of Individuals Covered178
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $40,147
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,588
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerFEES AND OTHER COMMISSIONS
Insurance broker organization code?3
Insurance broker nameGROTENHUIS
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number238190
Policy instance 1
Insurance contract or identification number238190
Number of Individuals Covered170
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $36,763
Total amount of fees paid to insurance companyUSD $648
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,270
Amount paid for insurance broker fees648
Additional information about fees paid to insurance brokerFEES AND OTHER COMMISSIONS
Insurance broker organization code?3
Insurance broker nameAGENT ALLIANCE INC

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