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RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN 401k Plan overview

Plan NameRUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN
Plan identification number 501

RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Long-term disability cover

401k Sponsoring company profile

RUSS RESTAURANTS has sponsored the creation of one or more 401k plans.

Company Name:RUSS RESTAURANTS
Employer identification number (EIN):382439650
NAIC Classification:722511
NAIC Description:Full-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-11-01BETH WALTERS2019-08-01
5012016-11-01
5012015-11-01
5012014-11-01
5012013-11-01
5012012-11-01SUE SAL
5012011-11-01SUE SAL
5012009-11-01SUE SAL
5012008-11-01

Plan Statistics for RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN

401k plan membership statisitcs for RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN

Measure Date Value
2017: RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-11-0137
Total number of active participants reported on line 7a of the Form 55002017-11-010
Number of retired or separated participants receiving benefits2017-11-010
Number of other retired or separated participants entitled to future benefits2017-11-010
Total of all active and inactive participants2017-11-010
2016: RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-11-0139
Total number of active participants reported on line 7a of the Form 55002016-11-0137
Number of retired or separated participants receiving benefits2016-11-010
Number of other retired or separated participants entitled to future benefits2016-11-010
Total of all active and inactive participants2016-11-0137
2015: RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-11-0133
Total number of active participants reported on line 7a of the Form 55002015-11-0139
Number of retired or separated participants receiving benefits2015-11-010
Number of other retired or separated participants entitled to future benefits2015-11-010
Total of all active and inactive participants2015-11-0139
2014: RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-11-0134
Total number of active participants reported on line 7a of the Form 55002014-11-0133
Number of retired or separated participants receiving benefits2014-11-010
Number of other retired or separated participants entitled to future benefits2014-11-010
Total of all active and inactive participants2014-11-0133
2013: RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-11-0129
Total number of active participants reported on line 7a of the Form 55002013-11-0134
Number of retired or separated participants receiving benefits2013-11-010
Number of other retired or separated participants entitled to future benefits2013-11-010
Total of all active and inactive participants2013-11-0134
2012: RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-11-0129
Total number of active participants reported on line 7a of the Form 55002012-11-0129
Number of retired or separated participants receiving benefits2012-11-010
Number of other retired or separated participants entitled to future benefits2012-11-010
Total of all active and inactive participants2012-11-0129
2011: RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-11-0131
Total number of active participants reported on line 7a of the Form 55002011-11-0129
Number of retired or separated participants receiving benefits2011-11-010
Number of other retired or separated participants entitled to future benefits2011-11-010
Total of all active and inactive participants2011-11-0129
2009: RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-11-0144
Total number of active participants reported on line 7a of the Form 55002009-11-0135
Number of retired or separated participants receiving benefits2009-11-010
Number of other retired or separated participants entitled to future benefits2009-11-010
Total of all active and inactive participants2009-11-0135

Financial Data on RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN

Measure Date Value
2017 : RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN 2017 401k financial data
Total income from all sources2017-10-31$416,676
Expenses. Total of all expenses incurred2017-10-31$419,455
Benefits paid (including direct rollovers)2017-10-31$392,114
Total plan assets at end of year2017-10-31$0
Total plan assets at beginning of year2017-10-31$2,779
Total contributions received or receivable from participants2017-10-31$1,149
Other income received2017-10-31$351
Net income (gross income less expenses)2017-10-31$-2,779
Net plan assets at end of year (total assets less liabilities)2017-10-31$0
Net plan assets at beginning of year (total assets less liabilities)2017-10-31$2,779
Total contributions received or receivable from employer(s)2017-10-31$415,176
Expenses. Administrative service providers (salaries,fees and commissions)2017-10-31$27,341
2016 : RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN 2016 401k financial data
Total income from all sources2016-10-31$399,496
Expenses. Total of all expenses incurred2016-10-31$527,284
Benefits paid (including direct rollovers)2016-10-31$306,391
Total plan assets at end of year2016-10-31$2,779
Total plan assets at beginning of year2016-10-31$130,567
Total contributions received or receivable from participants2016-10-31$916
Expenses. Other expenses not covered elsewhere2016-10-31$191,447
Other income received2016-10-31$324
Net income (gross income less expenses)2016-10-31$-127,788
Net plan assets at end of year (total assets less liabilities)2016-10-31$2,779
Net plan assets at beginning of year (total assets less liabilities)2016-10-31$130,567
Total contributions received or receivable from employer(s)2016-10-31$398,256
Expenses. Administrative service providers (salaries,fees and commissions)2016-10-31$29,446
2015 : RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN 2015 401k financial data
Total income from all sources2015-10-31$327,137
Expenses. Total of all expenses incurred2015-10-31$408,809
Benefits paid (including direct rollovers)2015-10-31$382,488
Total plan assets at end of year2015-10-31$130,567
Total plan assets at beginning of year2015-10-31$212,239
Total contributions received or receivable from participants2015-10-31$755
Other income received2015-10-31$310
Net income (gross income less expenses)2015-10-31$-81,672
Net plan assets at end of year (total assets less liabilities)2015-10-31$130,567
Net plan assets at beginning of year (total assets less liabilities)2015-10-31$212,239
Total contributions received or receivable from employer(s)2015-10-31$326,072
Expenses. Administrative service providers (salaries,fees and commissions)2015-10-31$26,321
2014 : RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN 2014 401k financial data
Total income from all sources2014-10-31$321,586
Expenses. Total of all expenses incurred2014-10-31$295,735
Benefits paid (including direct rollovers)2014-10-31$280,534
Total plan assets at end of year2014-10-31$212,239
Total plan assets at beginning of year2014-10-31$186,388
Total contributions received or receivable from participants2014-10-31$5,931
Expenses. Other expenses not covered elsewhere2014-10-31$15,201
Other income received2014-10-31$313
Net income (gross income less expenses)2014-10-31$25,851
Net plan assets at end of year (total assets less liabilities)2014-10-31$212,239
Net plan assets at beginning of year (total assets less liabilities)2014-10-31$186,388
Total contributions received or receivable from employer(s)2014-10-31$315,342
2013 : RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN 2013 401k financial data
Total income from all sources2013-10-31$317,654
Expenses. Total of all expenses incurred2013-10-31$291,967
Benefits paid (including direct rollovers)2013-10-31$274,293
Total plan assets at end of year2013-10-31$186,388
Total plan assets at beginning of year2013-10-31$160,701
Total contributions received or receivable from participants2013-10-31$3,545
Expenses. Other expenses not covered elsewhere2013-10-31$17,674
Other income received2013-10-31$342
Net income (gross income less expenses)2013-10-31$25,687
Net plan assets at end of year (total assets less liabilities)2013-10-31$186,388
Net plan assets at beginning of year (total assets less liabilities)2013-10-31$160,701
Total contributions received or receivable from employer(s)2013-10-31$313,767
2012 : RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN 2012 401k financial data
Total income from all sources2012-10-31$334,825
Expenses. Total of all expenses incurred2012-10-31$276,840
Benefits paid (including direct rollovers)2012-10-31$260,735
Total plan assets at end of year2012-10-31$160,701
Total plan assets at beginning of year2012-10-31$102,716
Expenses. Other expenses not covered elsewhere2012-10-31$16,105
Other income received2012-10-31$382
Net income (gross income less expenses)2012-10-31$57,985
Net plan assets at end of year (total assets less liabilities)2012-10-31$160,701
Net plan assets at beginning of year (total assets less liabilities)2012-10-31$102,716
Total contributions received or receivable from employer(s)2012-10-31$334,443
2011 : RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN 2011 401k financial data
Total income from all sources2011-10-31$366,810
Expenses. Total of all expenses incurred2011-10-31$331,818
Benefits paid (including direct rollovers)2011-10-31$316,160
Total plan assets at end of year2011-10-31$102,716
Total plan assets at beginning of year2011-10-31$67,724
Expenses. Other expenses not covered elsewhere2011-10-31$15,658
Other income received2011-10-31$390
Net income (gross income less expenses)2011-10-31$34,992
Net plan assets at end of year (total assets less liabilities)2011-10-31$102,716
Net plan assets at beginning of year (total assets less liabilities)2011-10-31$67,724
Total contributions received or receivable from employer(s)2011-10-31$366,420

Form 5500 Responses for RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN

2017: RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01Submission has been amendedNo
2017-11-01This submission is the final filingYes
2017-11-01This return/report is a short plan year return/report (less than 12 months)No
2017-11-01Plan is a collectively bargained planNo
2017-11-01Plan funding arrangement – InsuranceYes
2017-11-01Plan funding arrangement – TrustYes
2017-11-01Plan benefit arrangement – InsuranceYes
2017-11-01Plan benefit arrangement - TrustYes
2016: RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Submission has been amendedNo
2016-11-01This submission is the final filingNo
2016-11-01This return/report is a short plan year return/report (less than 12 months)No
2016-11-01Plan is a collectively bargained planNo
2016-11-01Plan funding arrangement – InsuranceYes
2016-11-01Plan funding arrangement – TrustYes
2016-11-01Plan benefit arrangement – InsuranceYes
2016-11-01Plan benefit arrangement - TrustYes
2015: RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Submission has been amendedNo
2015-11-01This submission is the final filingNo
2015-11-01This return/report is a short plan year return/report (less than 12 months)No
2015-11-01Plan is a collectively bargained planNo
2015-11-01Plan funding arrangement – InsuranceYes
2015-11-01Plan funding arrangement – TrustYes
2015-11-01Plan benefit arrangement – InsuranceYes
2015-11-01Plan benefit arrangement - TrustYes
2014: RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Submission has been amendedNo
2014-11-01This submission is the final filingNo
2014-11-01This return/report is a short plan year return/report (less than 12 months)No
2014-11-01Plan is a collectively bargained planNo
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan funding arrangement – TrustYes
2014-11-01Plan benefit arrangement – InsuranceYes
2014-11-01Plan benefit arrangement - TrustYes
2013: RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01Submission has been amendedNo
2013-11-01This submission is the final filingNo
2013-11-01This return/report is a short plan year return/report (less than 12 months)No
2013-11-01Plan is a collectively bargained planNo
2013-11-01Plan funding arrangement – InsuranceYes
2013-11-01Plan funding arrangement – TrustYes
2013-11-01Plan benefit arrangement – InsuranceYes
2013-11-01Plan benefit arrangement - TrustYes
2012: RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN 2012 form 5500 responses
2012-11-01Type of plan entitySingle employer plan
2012-11-01Submission has been amendedNo
2012-11-01This submission is the final filingNo
2012-11-01This return/report is a short plan year return/report (less than 12 months)No
2012-11-01Plan is a collectively bargained planNo
2012-11-01Plan funding arrangement – InsuranceYes
2012-11-01Plan funding arrangement – TrustYes
2012-11-01Plan benefit arrangement – InsuranceYes
2012-11-01Plan benefit arrangement - TrustYes
2011: RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01Submission has been amendedNo
2011-11-01This submission is the final filingNo
2011-11-01This return/report is a short plan year return/report (less than 12 months)No
2011-11-01Plan is a collectively bargained planNo
2011-11-01Plan funding arrangement – InsuranceYes
2011-11-01Plan funding arrangement – TrustYes
2011-11-01Plan benefit arrangement – InsuranceYes
2011-11-01Plan benefit arrangement - TrustYes
2009: RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN 2009 form 5500 responses
2009-11-01Type of plan entitySingle employer plan
2009-11-01Submission has been amendedNo
2009-11-01This submission is the final filingNo
2009-11-01This return/report is a short plan year return/report (less than 12 months)No
2009-11-01Plan is a collectively bargained planNo
2009-11-01Plan funding arrangement – InsuranceYes
2009-11-01Plan funding arrangement – TrustYes
2009-11-01Plan benefit arrangement – InsuranceYes
2009-11-01Plan benefit arrangement - TrustYes
2008: RUSS' RESTAURANTS EMPLOYEE HEALTH BENEFIT PLAN 2008 form 5500 responses
2008-11-01Type of plan entitySingle employer plan
2008-11-01Submission has been amendedNo
2008-11-01This submission is the final filingNo
2008-11-01This return/report is a short plan year return/report (less than 12 months)No
2008-11-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

SIRIUS AMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 35408 )
Policy contract number001176-05
Policy instance 1
Insurance contract or identification number001176-05
Number of Individuals Covered0
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $3,430
Total amount of fees paid to insurance companyUSD $0
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 $31,186
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00474440
Policy instance 2
Insurance contract or identification number00474440
Number of Individuals Covered0
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $3,455
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $31,632
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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