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REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 401k Plan overview

Plan NameREQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN
Plan identification number 001

REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

REQUEST FOODS, INC. has sponsored the creation of one or more 401k plans.

Company Name:REQUEST FOODS, INC.
Employer identification number (EIN):382908992
NAIC Classification:454390
NAIC Description:Other Direct Selling Establishments

Form 5500 Filing Information

Submission information for form 5500 for 401k plan REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-10-01
0012020-10-01
0012019-10-01
0012018-10-01
0012017-10-01CONNIE KNAP WILLIAM RYSDYK2019-03-13
0012016-10-01CONNIE KNAP WILLIAM RYSDYK2018-03-29
0012015-10-01CONNIE KNAP
0012014-10-01CONNIE KNAP WILLIAM RYSDYK2016-03-23
0012013-10-01CONNIE KNAP WILLIAM RYSDYK2015-06-24
0012012-10-01CONNIE KNAP WILLIAM RYSDYK2014-03-24
0012011-10-01CONNIE KNAP WILLIAM RYSDYK2013-04-12
0012010-10-01CONNIE KNAP WILLIAM RYSDYK2012-03-22
0012009-10-01CONNIE KNAP WILLIAM RYSDYK2011-04-14

Plan Statistics for REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN

401k plan membership statisitcs for REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN

Measure Date Value
2021: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-011,087
Total number of active participants reported on line 7a of the Form 55002021-10-01950
Number of retired or separated participants receiving benefits2021-10-012
Number of other retired or separated participants entitled to future benefits2021-10-01237
Total of all active and inactive participants2021-10-011,189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-10-010
Total participants2021-10-011,189
Number of participants with account balances2021-10-011,189
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-10-0116
2020: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-011,046
Total number of active participants reported on line 7a of the Form 55002020-10-01897
Number of retired or separated participants receiving benefits2020-10-010
Number of other retired or separated participants entitled to future benefits2020-10-01190
Total of all active and inactive participants2020-10-011,087
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-10-010
Total participants2020-10-011,087
Number of participants with account balances2020-10-011,086
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-10-0116
2019: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01958
Total number of active participants reported on line 7a of the Form 55002019-10-01892
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-01153
Total of all active and inactive participants2019-10-011,045
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-10-010
Total participants2019-10-011,045
Number of participants with account balances2019-10-011,041
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-10-017
2018: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01977
Total number of active participants reported on line 7a of the Form 55002018-10-01823
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-01135
Total of all active and inactive participants2018-10-01958
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-10-010
Total participants2018-10-01958
Number of participants with account balances2018-10-01958
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-10-0113
2017: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01959
Total number of active participants reported on line 7a of the Form 55002017-10-01853
Number of retired or separated participants receiving benefits2017-10-010
Number of other retired or separated participants entitled to future benefits2017-10-01124
Total of all active and inactive participants2017-10-01977
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-10-010
Total participants2017-10-01977
Number of participants with account balances2017-10-01966
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-10-019
2016: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01872
Total number of active participants reported on line 7a of the Form 55002016-10-01833
Number of retired or separated participants receiving benefits2016-10-010
Number of other retired or separated participants entitled to future benefits2016-10-01126
Total of all active and inactive participants2016-10-01959
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-10-010
Total participants2016-10-01959
Number of participants with account balances2016-10-01946
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-10-0125
2015: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01829
Total number of active participants reported on line 7a of the Form 55002015-10-01795
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-0177
Total of all active and inactive participants2015-10-01872
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-10-010
Total participants2015-10-01872
Number of participants with account balances2015-10-01862
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-10-0113
2014: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01692
Total number of active participants reported on line 7a of the Form 55002014-10-01760
Number of retired or separated participants receiving benefits2014-10-0113
Number of other retired or separated participants entitled to future benefits2014-10-0155
Total of all active and inactive participants2014-10-01828
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-10-010
Total participants2014-10-01828
Number of participants with account balances2014-10-01767
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-10-0122
2013: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-01686
Total number of active participants reported on line 7a of the Form 55002013-10-01642
Number of retired or separated participants receiving benefits2013-10-017
Number of other retired or separated participants entitled to future benefits2013-10-0140
Total of all active and inactive participants2013-10-01689
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-10-010
Total participants2013-10-01689
Number of participants with account balances2013-10-01666
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-10-0126
2012: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-01685
Total number of active participants reported on line 7a of the Form 55002012-10-01643
Number of retired or separated participants receiving benefits2012-10-0110
Number of other retired or separated participants entitled to future benefits2012-10-0137
Total of all active and inactive participants2012-10-01690
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-10-010
Total participants2012-10-01690
Number of participants with account balances2012-10-01658
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-10-0116
2011: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-01581
Total number of active participants reported on line 7a of the Form 55002011-10-01644
Number of retired or separated participants receiving benefits2011-10-019
Number of other retired or separated participants entitled to future benefits2011-10-0132
Total of all active and inactive participants2011-10-01685
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-10-010
Total participants2011-10-01685
Number of participants with account balances2011-10-01615
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-10-0119
2010: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year2010-10-01554
Total number of active participants reported on line 7a of the Form 55002010-10-01545
Number of retired or separated participants receiving benefits2010-10-019
Number of other retired or separated participants entitled to future benefits2010-10-0122
Total of all active and inactive participants2010-10-01576
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-10-011
Total participants2010-10-01577
Number of participants with account balances2010-10-01553
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-10-0113
2009: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01571
Total number of active participants reported on line 7a of the Form 55002009-10-01526
Number of retired or separated participants receiving benefits2009-10-010
Number of other retired or separated participants entitled to future benefits2009-10-0125
Total of all active and inactive participants2009-10-01551
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-10-010
Total participants2009-10-01551
Number of participants with account balances2009-10-01533
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-10-018

Financial Data on REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN

Measure Date Value
2022 : REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$0
Total income from all sources (including contributions)2022-09-30$-6,084,606
Total loss/gain on sale of assets2022-09-30$0
Total of all expenses incurred2022-09-30$6,761,207
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-09-30$6,593,775
Value of total corrective distributions2022-09-30$1,792
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-09-30$9,425,700
Value of total assets at end of year2022-09-30$74,668,018
Value of total assets at beginning of year2022-09-30$87,513,831
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-09-30$165,640
Total interest from all sources2022-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2022-09-30$965,964
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-09-30$965,964
Was this plan covered by a fidelity bond2022-09-30Yes
Value of fidelity bond cover2022-09-30$500,000
If this is an individual account plan, was there a blackout period2022-09-30No
Were there any nonexempt tranactions with any party-in-interest2022-09-30No
Contributions received from participants2022-09-30$4,191,767
Income. Received or receivable in cash from other sources (including rollovers)2022-09-30$972,512
Other income not declared elsewhere2022-09-30$-52,081
Administrative expenses (other) incurred2022-09-30$165,640
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Value of net income/loss2022-09-30$-12,845,813
Value of net assets at end of year (total assets less liabilities)2022-09-30$74,668,018
Value of net assets at beginning of year (total assets less liabilities)2022-09-30$87,513,831
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-09-30No
Were any leases to which the plan was party in default or uncollectible2022-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-09-30$60,245,292
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-09-30$71,710,096
Value of interest in common/collective trusts at end of year2022-09-30$12,504,997
Value of interest in common/collective trusts at beginning of year2022-09-30$13,584,847
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-09-30$-16,624,252
Net investment gain or loss from common/collective trusts2022-09-30$200,063
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-09-30No
Was there a failure to transmit to the plan any participant contributions2022-09-30No
Has the plan failed to provide any benefit when due under the plan2022-09-30No
Contributions received in cash from employer2022-09-30$4,261,421
Employer contributions (assets) at end of year2022-09-30$1,917,729
Employer contributions (assets) at beginning of year2022-09-30$2,218,888
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-09-30$6,593,775
Did the plan have assets held for investment2022-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-09-30No
Opinion of an independent qualified public accountant for this plan2022-09-30Unqualified
Accountancy firm name2022-09-30VANDERPLOEG, BERGAKKER, & ASSOCIATE
Accountancy firm EIN2022-09-30382445537
2021 : REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$0
Total income from all sources (including contributions)2021-09-30$21,214,193
Total loss/gain on sale of assets2021-09-30$0
Total of all expenses incurred2021-09-30$5,470,680
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-09-30$5,315,964
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-09-30$8,189,719
Value of total assets at end of year2021-09-30$87,513,831
Value of total assets at beginning of year2021-09-30$71,770,318
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-09-30$154,716
Total interest from all sources2021-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2021-09-30$768,017
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-09-30$768,017
Was this plan covered by a fidelity bond2021-09-30Yes
Value of fidelity bond cover2021-09-30$500,000
If this is an individual account plan, was there a blackout period2021-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-09-30$0
Were there any nonexempt tranactions with any party-in-interest2021-09-30No
Contributions received from participants2021-09-30$3,672,301
Income. Received or receivable in cash from other sources (including rollovers)2021-09-30$301,391
Administrative expenses (other) incurred2021-09-30$154,716
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Value of net income/loss2021-09-30$15,743,513
Value of net assets at end of year (total assets less liabilities)2021-09-30$87,513,831
Value of net assets at beginning of year (total assets less liabilities)2021-09-30$71,770,318
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-09-30No
Were any leases to which the plan was party in default or uncollectible2021-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-09-30$71,710,096
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-09-30$59,049,184
Value of interest in common/collective trusts at end of year2021-09-30$13,584,847
Value of interest in common/collective trusts at beginning of year2021-09-30$10,569,054
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-09-30$12,058,581
Net investment gain or loss from common/collective trusts2021-09-30$197,876
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-09-30No
Was there a failure to transmit to the plan any participant contributions2021-09-30No
Has the plan failed to provide any benefit when due under the plan2021-09-30No
Contributions received in cash from employer2021-09-30$4,216,027
Employer contributions (assets) at end of year2021-09-30$2,218,888
Employer contributions (assets) at beginning of year2021-09-30$2,152,080
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-09-30$5,315,964
Did the plan have assets held for investment2021-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-09-30No
Opinion of an independent qualified public accountant for this plan2021-09-30Disclaimer
Accountancy firm name2021-09-30VANDERPLOEG, BERGAKKER, & ASSOCIATE
Accountancy firm EIN2021-09-30382445537
2020 : REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$0
Total income from all sources (including contributions)2020-09-30$14,219,977
Total loss/gain on sale of assets2020-09-30$0
Total of all expenses incurred2020-09-30$10,132,715
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-09-30$10,011,343
Value of total corrective distributions2020-09-30$116
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-09-30$7,362,415
Value of total assets at end of year2020-09-30$71,770,318
Value of total assets at beginning of year2020-09-30$67,683,056
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-09-30$121,256
Total interest from all sources2020-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2020-09-30$917,318
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-09-30$917,318
Was this plan covered by a fidelity bond2020-09-30Yes
Value of fidelity bond cover2020-09-30$500,000
If this is an individual account plan, was there a blackout period2020-09-30No
Were there any nonexempt tranactions with any party-in-interest2020-09-30No
Contributions received from participants2020-09-30$3,213,158
Income. Received or receivable in cash from other sources (including rollovers)2020-09-30$91,504
Administrative expenses (other) incurred2020-09-30$121,256
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Value of net income/loss2020-09-30$4,087,262
Value of net assets at end of year (total assets less liabilities)2020-09-30$71,770,318
Value of net assets at beginning of year (total assets less liabilities)2020-09-30$67,683,056
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-09-30No
Were any leases to which the plan was party in default or uncollectible2020-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-09-30$59,049,184
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-09-30$56,061,197
Value of interest in common/collective trusts at end of year2020-09-30$10,569,054
Value of interest in common/collective trusts at beginning of year2020-09-30$9,795,234
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-09-30$5,703,238
Net investment gain or loss from common/collective trusts2020-09-30$237,006
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-09-30No
Was there a failure to transmit to the plan any participant contributions2020-09-30No
Has the plan failed to provide any benefit when due under the plan2020-09-30No
Contributions received in cash from employer2020-09-30$4,057,753
Employer contributions (assets) at end of year2020-09-30$2,152,080
Employer contributions (assets) at beginning of year2020-09-30$1,826,625
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-09-30$10,011,343
Did the plan have assets held for investment2020-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-09-30No
Opinion of an independent qualified public accountant for this plan2020-09-30Disclaimer
Accountancy firm name2020-09-30VANDERPLOEG, BERGAKKER & ASSOCIATES
Accountancy firm EIN2020-09-30382445537
2019 : REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$0
Total income from all sources (including contributions)2019-09-30$8,810,666
Total loss/gain on sale of assets2019-09-30$0
Total of all expenses incurred2019-09-30$3,438,703
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-09-30$3,330,964
Value of total corrective distributions2019-09-30$7
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-09-30$6,017,057
Value of total assets at end of year2019-09-30$67,683,056
Value of total assets at beginning of year2019-09-30$62,311,093
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-09-30$107,732
Total interest from all sources2019-09-30$69,617
Total dividends received (eg from common stock, registered investment company shares)2019-09-30$970,164
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-09-30$970,164
Was this plan covered by a fidelity bond2019-09-30Yes
Value of fidelity bond cover2019-09-30$500,000
If this is an individual account plan, was there a blackout period2019-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-09-30$0
Were there any nonexempt tranactions with any party-in-interest2019-09-30No
Contributions received from participants2019-09-30$2,589,811
Assets. Other investments not covered elsewhere at end of year2019-09-30$0
Assets. Other investments not covered elsewhere at beginning of year2019-09-30$7,094,496
Income. Received or receivable in cash from other sources (including rollovers)2019-09-30$24,454
Administrative expenses (other) incurred2019-09-30$107,732
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Value of net income/loss2019-09-30$5,371,963
Value of net assets at end of year (total assets less liabilities)2019-09-30$67,683,056
Value of net assets at beginning of year (total assets less liabilities)2019-09-30$62,311,093
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-09-30No
Were any leases to which the plan was party in default or uncollectible2019-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-09-30$56,061,197
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-09-30$53,259,751
Interest earned on other investments2019-09-30$69,617
Value of interest in common/collective trusts at end of year2019-09-30$9,795,234
Value of interest in common/collective trusts at beginning of year2019-09-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-09-30$1,644,815
Net investment gain or loss from common/collective trusts2019-09-30$109,013
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-09-30No
Was there a failure to transmit to the plan any participant contributions2019-09-30No
Has the plan failed to provide any benefit when due under the plan2019-09-30No
Contributions received in cash from employer2019-09-30$3,402,792
Employer contributions (assets) at end of year2019-09-30$1,826,625
Employer contributions (assets) at beginning of year2019-09-30$1,956,846
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-09-30$3,330,964
Did the plan have assets held for investment2019-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-09-30Yes
Opinion of an independent qualified public accountant for this plan2019-09-30Disclaimer
Accountancy firm name2019-09-30VANDERPLOEG, BERGAKKER & ASSOCIATES
Accountancy firm EIN2019-09-30382445537
2018 : REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$0
Total income from all sources (including contributions)2018-09-30$10,735,793
Total loss/gain on sale of assets2018-09-30$0
Total of all expenses incurred2018-09-30$7,285,283
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-09-30$7,201,421
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-09-30$5,705,870
Value of total assets at end of year2018-09-30$62,311,093
Value of total assets at beginning of year2018-09-30$58,860,583
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-09-30$83,862
Total interest from all sources2018-09-30$181,395
Total dividends received (eg from common stock, registered investment company shares)2018-09-30$784,443
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-09-30$784,443
Was this plan covered by a fidelity bond2018-09-30Yes
Value of fidelity bond cover2018-09-30$500,000
If this is an individual account plan, was there a blackout period2018-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-09-30$0
Were there any nonexempt tranactions with any party-in-interest2018-09-30No
Contributions received from participants2018-09-30$2,361,567
Assets. Other investments not covered elsewhere at end of year2018-09-30$7,094,496
Assets. Other investments not covered elsewhere at beginning of year2018-09-30$10,990,291
Income. Received or receivable in cash from other sources (including rollovers)2018-09-30$862
Other income not declared elsewhere2018-09-30$24,900
Administrative expenses (other) incurred2018-09-30$83,862
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Value of net income/loss2018-09-30$3,450,510
Value of net assets at end of year (total assets less liabilities)2018-09-30$62,311,093
Value of net assets at beginning of year (total assets less liabilities)2018-09-30$58,860,583
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-09-30No
Were any leases to which the plan was party in default or uncollectible2018-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-09-30$53,259,751
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-09-30$46,036,379
Interest earned on other investments2018-09-30$181,395
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-09-30$4,039,185
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-09-30No
Was there a failure to transmit to the plan any participant contributions2018-09-30No
Has the plan failed to provide any benefit when due under the plan2018-09-30No
Contributions received in cash from employer2018-09-30$3,343,441
Employer contributions (assets) at end of year2018-09-30$1,956,846
Employer contributions (assets) at beginning of year2018-09-30$1,833,913
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-09-30$7,201,421
Did the plan have assets held for investment2018-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-09-30Yes
Opinion of an independent qualified public accountant for this plan2018-09-30Disclaimer
Accountancy firm name2018-09-30VANDERPLOEG, BERGAKKER & ASSOCIATES
Accountancy firm EIN2018-09-30382445537
2017 : REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$0
Total income from all sources (including contributions)2017-09-30$11,551,507
Total loss/gain on sale of assets2017-09-30$0
Total of all expenses incurred2017-09-30$2,482,977
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-09-30$2,387,441
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-09-30$5,436,457
Value of total assets at end of year2017-09-30$58,860,583
Value of total assets at beginning of year2017-09-30$49,792,053
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-09-30$95,536
Total interest from all sources2017-09-30$172,312
Total dividends received (eg from common stock, registered investment company shares)2017-09-30$709,617
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-09-30$709,617
Was this plan covered by a fidelity bond2017-09-30Yes
Value of fidelity bond cover2017-09-30$500,000
If this is an individual account plan, was there a blackout period2017-09-30No
Were there any nonexempt tranactions with any party-in-interest2017-09-30No
Contributions received from participants2017-09-30$2,140,573
Assets. Other investments not covered elsewhere at end of year2017-09-30$10,990,291
Assets. Other investments not covered elsewhere at beginning of year2017-09-30$9,638,237
Income. Received or receivable in cash from other sources (including rollovers)2017-09-30$24,347
Administrative expenses (other) incurred2017-09-30$95,536
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Value of net income/loss2017-09-30$9,068,530
Value of net assets at end of year (total assets less liabilities)2017-09-30$58,860,583
Value of net assets at beginning of year (total assets less liabilities)2017-09-30$49,792,053
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-09-30No
Were any leases to which the plan was party in default or uncollectible2017-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-09-30$46,036,379
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-09-30$38,446,132
Interest earned on other investments2017-09-30$172,312
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-09-30$5,233,121
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-09-30No
Was there a failure to transmit to the plan any participant contributions2017-09-30No
Has the plan failed to provide any benefit when due under the plan2017-09-30No
Contributions received in cash from employer2017-09-30$3,271,537
Employer contributions (assets) at end of year2017-09-30$1,833,913
Employer contributions (assets) at beginning of year2017-09-30$1,707,684
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-09-30$2,387,441
Did the plan have assets held for investment2017-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-09-30Yes
Opinion of an independent qualified public accountant for this plan2017-09-30Disclaimer
Accountancy firm name2017-09-30VANDERPLOEG, BERGAKKER & ASSOCIATES
Accountancy firm EIN2017-09-30382445537
2016 : REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$164
Total income from all sources (including contributions)2016-09-30$7,963,969
Total loss/gain on sale of assets2016-09-30$0
Total of all expenses incurred2016-09-30$2,658,665
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-09-30$2,591,545
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-09-30$5,102,496
Value of total assets at end of year2016-09-30$49,792,053
Value of total assets at beginning of year2016-09-30$44,486,913
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-09-30$67,120
Total interest from all sources2016-09-30$173,880
Total dividends received (eg from common stock, registered investment company shares)2016-09-30$497,438
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-09-30$497,438
Was this plan covered by a fidelity bond2016-09-30Yes
Value of fidelity bond cover2016-09-30$500,000
If this is an individual account plan, was there a blackout period2016-09-30Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-09-30$0
Were there any nonexempt tranactions with any party-in-interest2016-09-30No
Contributions received from participants2016-09-30$1,956,876
Assets. Other investments not covered elsewhere at end of year2016-09-30$9,638,237
Assets. Other investments not covered elsewhere at beginning of year2016-09-30$0
Income. Received or receivable in cash from other sources (including rollovers)2016-09-30$97,133
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-09-30$164
Other income not declared elsewhere2016-09-30$-17,581
Administrative expenses (other) incurred2016-09-30$67,120
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Value of net income/loss2016-09-30$5,305,304
Value of net assets at end of year (total assets less liabilities)2016-09-30$49,792,053
Value of net assets at beginning of year (total assets less liabilities)2016-09-30$44,486,749
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-09-30No
Were any leases to which the plan was party in default or uncollectible2016-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-09-30$38,446,132
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-09-30$36,281,014
Interest earned on other investments2016-09-30$173,880
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-09-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-09-30$6,690,451
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-09-30$2,207,736
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-09-30No
Was there a failure to transmit to the plan any participant contributions2016-09-30No
Has the plan failed to provide any benefit when due under the plan2016-09-30No
Contributions received in cash from employer2016-09-30$3,048,487
Employer contributions (assets) at end of year2016-09-30$1,707,684
Employer contributions (assets) at beginning of year2016-09-30$1,515,448
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-09-30$2,591,545
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-09-30Yes
Did the plan have assets held for investment2016-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-09-30Yes
Opinion of an independent qualified public accountant for this plan2016-09-30Disclaimer
Accountancy firm name2016-09-30VANDERPLOEG, BERGAKKER & ASSOCIATES
Accountancy firm EIN2016-09-30382445537
2015 : REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$164
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$0
Total income from all sources (including contributions)2015-09-30$2,999,595
Total loss/gain on sale of assets2015-09-30$0
Total of all expenses incurred2015-09-30$2,097,060
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$2,094,766
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$3,995,252
Value of total assets at end of year2015-09-30$44,486,913
Value of total assets at beginning of year2015-09-30$43,584,214
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$2,294
Total interest from all sources2015-09-30$159,957
Total dividends received (eg from common stock, registered investment company shares)2015-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-30No
Was this plan covered by a fidelity bond2015-09-30Yes
Value of fidelity bond cover2015-09-30$500,000
If this is an individual account plan, was there a blackout period2015-09-30No
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Contributions received from participants2015-09-30$1,566,258
Income. Received or receivable in cash from other sources (including rollovers)2015-09-30$2,403
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-09-30$164
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$902,535
Value of net assets at end of year (total assets less liabilities)2015-09-30$44,486,749
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$43,584,214
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-09-30$36,281,014
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-09-30$35,981,646
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-09-30$159,957
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-09-30$6,690,451
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-09-30$6,191,224
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-09-30$-1,155,614
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30No
Was there a failure to transmit to the plan any participant contributions2015-09-30No
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Contributions received in cash from employer2015-09-30$2,426,591
Employer contributions (assets) at end of year2015-09-30$1,515,448
Employer contributions (assets) at beginning of year2015-09-30$1,411,344
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-09-30$2,094,766
Contract administrator fees2015-09-30$2,294
Did the plan have assets held for investment2015-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30Yes
Opinion of an independent qualified public accountant for this plan2015-09-30Disclaimer
Accountancy firm name2015-09-30VANDERPLOEG, BERGAKKER & ASSOCIATES
Accountancy firm EIN2015-09-30382445537
2014 : REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$1,092
Total income from all sources (including contributions)2014-09-30$7,076,869
Total loss/gain on sale of assets2014-09-30$0
Total of all expenses incurred2014-09-30$1,125,457
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-09-30$1,121,283
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-09-30$3,613,960
Value of total assets at end of year2014-09-30$43,584,214
Value of total assets at beginning of year2014-09-30$37,633,894
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-09-30$4,174
Total interest from all sources2014-09-30$158,539
Total dividends received (eg from common stock, registered investment company shares)2014-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-09-30No
Was this plan covered by a fidelity bond2014-09-30Yes
Value of fidelity bond cover2014-09-30$500,000
If this is an individual account plan, was there a blackout period2014-09-30No
Were there any nonexempt tranactions with any party-in-interest2014-09-30No
Contributions received from participants2014-09-30$1,328,633
Income. Received or receivable in cash from other sources (including rollovers)2014-09-30$108,552
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-09-30$1,092
Other income not declared elsewhere2014-09-30$159
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Value of net income/loss2014-09-30$5,951,412
Value of net assets at end of year (total assets less liabilities)2014-09-30$43,584,214
Value of net assets at beginning of year (total assets less liabilities)2014-09-30$37,632,802
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-09-30No
Were any leases to which the plan was party in default or uncollectible2014-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-09-30$35,981,646
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-09-30$30,745,321
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-09-30$158,539
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-09-30$6,191,224
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-09-30$5,556,075
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-09-30$3,304,211
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-09-30No
Was there a failure to transmit to the plan any participant contributions2014-09-30No
Has the plan failed to provide any benefit when due under the plan2014-09-30No
Contributions received in cash from employer2014-09-30$2,176,775
Employer contributions (assets) at end of year2014-09-30$1,411,344
Employer contributions (assets) at beginning of year2014-09-30$1,332,498
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-09-30$1,121,283
Contract administrator fees2014-09-30$4,174
Did the plan have assets held for investment2014-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-09-30Yes
Opinion of an independent qualified public accountant for this plan2014-09-30Disclaimer
Accountancy firm name2014-09-30VANDERPLOEG,BERGAKKER & ASSOCIATES
Accountancy firm EIN2014-09-30382445537
2013 : REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$1,092
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$130
Total income from all sources (including contributions)2013-09-30$7,862,757
Total loss/gain on sale of assets2013-09-30$0
Total of all expenses incurred2013-09-30$1,689,754
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-09-30$1,684,816
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-09-30$3,368,502
Value of total assets at end of year2013-09-30$37,633,894
Value of total assets at beginning of year2013-09-30$31,459,929
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-09-30$4,938
Total interest from all sources2013-09-30$173,608
Total dividends received (eg from common stock, registered investment company shares)2013-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-09-30No
Was this plan covered by a fidelity bond2013-09-30Yes
Value of fidelity bond cover2013-09-30$500,000
If this is an individual account plan, was there a blackout period2013-09-30No
Were there any nonexempt tranactions with any party-in-interest2013-09-30No
Contributions received from participants2013-09-30$1,263,213
Income. Received or receivable in cash from other sources (including rollovers)2013-09-30$34,902
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-09-30$1,092
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-09-30$130
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Value of net income/loss2013-09-30$6,173,003
Value of net assets at end of year (total assets less liabilities)2013-09-30$37,632,802
Value of net assets at beginning of year (total assets less liabilities)2013-09-30$31,459,799
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-09-30No
Were any leases to which the plan was party in default or uncollectible2013-09-30No
Investment advisory and management fees2013-09-30$913
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-09-30$30,745,321
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-09-30$25,602,058
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-09-30$173,608
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-09-30$5,556,075
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-09-30$4,715,187
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-09-30$4,320,647
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-09-30No
Was there a failure to transmit to the plan any participant contributions2013-09-30No
Has the plan failed to provide any benefit when due under the plan2013-09-30No
Contributions received in cash from employer2013-09-30$2,070,387
Employer contributions (assets) at end of year2013-09-30$1,332,498
Employer contributions (assets) at beginning of year2013-09-30$1,142,684
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-09-30$1,684,816
Contract administrator fees2013-09-30$4,025
Did the plan have assets held for investment2013-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-09-30Yes
Opinion of an independent qualified public accountant for this plan2013-09-30Disclaimer
Accountancy firm name2013-09-30VANDERPLOEG,BERGAKKER & ASSOCIATES
Accountancy firm EIN2013-09-30382445537
2012 : REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$130
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$430
Total income from all sources (including contributions)2012-09-30$7,435,294
Total loss/gain on sale of assets2012-09-30$0
Total of all expenses incurred2012-09-30$1,124,197
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-09-30$1,118,542
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-09-30$3,045,288
Value of total assets at end of year2012-09-30$31,459,929
Value of total assets at beginning of year2012-09-30$25,149,132
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-09-30$5,655
Total interest from all sources2012-09-30$170,240
Total dividends received (eg from common stock, registered investment company shares)2012-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-09-30No
Was this plan covered by a fidelity bond2012-09-30Yes
Value of fidelity bond cover2012-09-30$500,000
If this is an individual account plan, was there a blackout period2012-09-30No
Were there any nonexempt tranactions with any party-in-interest2012-09-30No
Contributions received from participants2012-09-30$1,156,852
Income. Received or receivable in cash from other sources (including rollovers)2012-09-30$77,493
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-09-30$130
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-09-30$430
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Value of net income/loss2012-09-30$6,311,097
Value of net assets at end of year (total assets less liabilities)2012-09-30$31,459,799
Value of net assets at beginning of year (total assets less liabilities)2012-09-30$25,148,702
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-09-30No
Were any leases to which the plan was party in default or uncollectible2012-09-30No
Investment advisory and management fees2012-09-30$1,730
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-09-30$25,602,058
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-09-30$19,861,688
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-09-30$170,240
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-09-30$4,715,187
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-09-30$4,146,079
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-09-30$4,219,766
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-09-30No
Was there a failure to transmit to the plan any participant contributions2012-09-30No
Has the plan failed to provide any benefit when due under the plan2012-09-30No
Contributions received in cash from employer2012-09-30$1,810,943
Employer contributions (assets) at end of year2012-09-30$1,142,684
Employer contributions (assets) at beginning of year2012-09-30$1,141,365
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-09-30$1,118,542
Contract administrator fees2012-09-30$3,925
Did the plan have assets held for investment2012-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-09-30Yes
Opinion of an independent qualified public accountant for this plan2012-09-30Disclaimer
Accountancy firm name2012-09-30VANDERPLOEG,BERGAKKER & ASSOCIATES
Accountancy firm EIN2012-09-30382445537
2011 : REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$430
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$5,750
Total income from all sources (including contributions)2011-09-30$2,192,774
Total loss/gain on sale of assets2011-09-30$0
Total of all expenses incurred2011-09-30$1,071,123
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-09-30$1,067,728
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-09-30$2,841,883
Value of total assets at end of year2011-09-30$25,149,132
Value of total assets at beginning of year2011-09-30$24,032,801
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-09-30$3,395
Total interest from all sources2011-09-30$125,845
Total dividends received (eg from common stock, registered investment company shares)2011-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-09-30No
Was this plan covered by a fidelity bond2011-09-30Yes
Value of fidelity bond cover2011-09-30$500,000
If this is an individual account plan, was there a blackout period2011-09-30No
Were there any nonexempt tranactions with any party-in-interest2011-09-30No
Contributions received from participants2011-09-30$1,066,939
Income. Received or receivable in cash from other sources (including rollovers)2011-09-30$21,946
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-09-30$430
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-09-30$5,750
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Value of net income/loss2011-09-30$1,121,651
Value of net assets at end of year (total assets less liabilities)2011-09-30$25,148,702
Value of net assets at beginning of year (total assets less liabilities)2011-09-30$24,027,051
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-09-30No
Were any leases to which the plan was party in default or uncollectible2011-09-30No
Investment advisory and management fees2011-09-30$1,045
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-09-30$19,861,688
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-09-30$19,236,914
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-09-30$125,845
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-09-30$4,146,079
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-09-30$3,389,799
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-09-30$-774,954
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-09-30No
Was there a failure to transmit to the plan any participant contributions2011-09-30No
Has the plan failed to provide any benefit when due under the plan2011-09-30No
Contributions received in cash from employer2011-09-30$1,752,998
Employer contributions (assets) at end of year2011-09-30$1,141,365
Employer contributions (assets) at beginning of year2011-09-30$1,406,088
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-09-30$1,067,728
Contract administrator fees2011-09-30$2,350
Did the plan have assets held for investment2011-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-09-30Yes
Opinion of an independent qualified public accountant for this plan2011-09-30Disclaimer
Accountancy firm name2011-09-30VANDERPLOEG, BERGAKKER & ASSOCIATES
Accountancy firm EIN2011-09-30382445537

Form 5500 Responses for REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN

2021: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Submission has been amendedNo
2021-10-01This submission is the final filingNo
2021-10-01This return/report is a short plan year return/report (less than 12 months)No
2021-10-01Plan is a collectively bargained planNo
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – TrustYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement - TrustYes
2020: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Submission has been amendedNo
2020-10-01This submission is the final filingNo
2020-10-01This return/report is a short plan year return/report (less than 12 months)No
2020-10-01Plan is a collectively bargained planNo
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – TrustYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement - TrustYes
2019: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedNo
2019-10-01This submission is the final filingNo
2019-10-01This return/report is a short plan year return/report (less than 12 months)No
2019-10-01Plan is a collectively bargained planNo
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – TrustYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement - TrustYes
2018: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Submission has been amendedNo
2018-10-01This submission is the final filingNo
2018-10-01This return/report is a short plan year return/report (less than 12 months)No
2018-10-01Plan is a collectively bargained planNo
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan funding arrangement – TrustYes
2018-10-01Plan benefit arrangement – InsuranceYes
2018-10-01Plan benefit arrangement - TrustYes
2017: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Submission has been amendedNo
2017-10-01This submission is the final filingNo
2017-10-01This return/report is a short plan year return/report (less than 12 months)No
2017-10-01Plan is a collectively bargained planNo
2017-10-01Plan funding arrangement – TrustYes
2017-10-01Plan benefit arrangement - TrustYes
2016: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – TrustYes
2016-10-01Plan benefit arrangement - TrustYes
2015: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement - TrustYes
2014: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement - TrustYes
2013: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement - TrustYes
2012: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement - TrustYes
2011: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan funding arrangement – TrustYes
2011-10-01Plan benefit arrangement - TrustYes
2010: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Submission has been amendedNo
2010-10-01This submission is the final filingNo
2010-10-01This return/report is a short plan year return/report (less than 12 months)No
2010-10-01Plan is a collectively bargained planNo
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan funding arrangement – TrustYes
2010-10-01Plan benefit arrangement - TrustYes
2009: REQUEST FOODS, INC. PROFIT SHARING AND SAVINGS PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberGA-64176
Policy instance 1
Insurance contract or identification numberGA-64176
Number of Individuals Covered1189
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberGA-64176
Policy instance 1
Insurance contract or identification numberGA-64176
Number of Individuals Covered1087
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberGA-64176
Policy instance 1
Insurance contract or identification numberGA-64176
Number of Individuals Covered1045
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberGA-64176
Policy instance 1
Insurance contract or identification numberGA-64176
Number of Individuals Covered958
Insurance policy start date2019-04-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $0
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?Yes
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
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number19580083
Policy instance 1
Insurance contract or identification number19580083
Number of Individuals Covered767
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $11,217
Total amount of fees paid to insurance companyUSD $4,105
Are there contracts with allocated funds for individual policies?No
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?Yes
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
Commission paid to Insurance BrokerUSD $11,217
Insurance broker organization code?4
Amount paid for insurance broker fees4105
Additional information about fees paid to insurance brokerOVERRIDES
Insurance broker nameASCENSUS CONSULTING
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number19580083
Policy instance 1
Insurance contract or identification number19580083
Number of Individuals Covered666
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $12,414
Total amount of fees paid to insurance companyUSD $1,907
Are there contracts with allocated funds for individual policies?No
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?Yes
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
Commission paid to Insurance BrokerUSD $12,414
Insurance broker organization code?4
Amount paid for insurance broker fees1907
Additional information about fees paid to insurance brokerOVERRIDES
Insurance broker nameBADEN RETIREMENT PLAN SERVICES
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number19580083
Policy instance 1
Insurance contract or identification number19580083
Number of Individuals Covered658
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $13,387
Total amount of fees paid to insurance companyUSD $3,347
Are there contracts with allocated funds for individual policies?No
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?Yes
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
Commission paid to Insurance BrokerUSD $13,387
Insurance broker organization code?4
Amount paid for insurance broker fees3347
Additional information about fees paid to insurance brokerOVERRIDES
Insurance broker nameBADEN RETIREMENT PLAN SERVICES
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number19580083
Policy instance 1
Insurance contract or identification number19580083
Number of Individuals Covered615
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $14,511
Total amount of fees paid to insurance companyUSD $3,628
Are there contracts with allocated funds for individual policies?No
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?Yes
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
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number19580083
Policy instance 1
Insurance contract or identification number19580083
Number of Individuals Covered553
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $15,788
Total amount of fees paid to insurance companyUSD $3,947
Are there contracts with allocated funds for individual policies?No
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?Yes
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

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