401k Plan data: BURGAFLEX NORTH AMERICA 401(K) RETIREMENT SAVINGS PLAN plan

BURGAFLEX NORTH AMERICA 401(K) RETIREMENT SAVINGS PLAN 401k Plan overview

Plan Name	BURGAFLEX NORTH AMERICA 401(K) RETIREMENT SAVINGS PLAN
Plan identification number	002

BURGAFLEX NORTH AMERICA 401(K) RETIREMENT SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

BURGAFLEX NORTH AMERICA, INC. has sponsored the creation of one or more 401k plans.

Company Name: BURGAFLEX NORTH AMERICA, INC.

Employer identification number (EIN): 383613953

NAIC Classification: 339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BURGAFLEX NORTH AMERICA 401(K) RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01 KARL LERCHENFELD 2023-10-13
002 2021-01-01 KARL LERCHENFELD 2022-10-17
002 2020-01-01 KARL LERCHENFELD 2021-09-27
002 2019-01-01 JOSHUA SMITH 2020-10-08

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2022-01-01	KARL LERCHENFELD	2023-10-13
002	2021-01-01	KARL LERCHENFELD	2022-10-17
002	2020-01-01	KARL LERCHENFELD	2021-09-27
002	2019-01-01	JOSHUA SMITH	2020-10-08

Plan Statistics for BURGAFLEX NORTH AMERICA 401(K) RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for BURGAFLEX NORTH AMERICA 401(K) RETIREMENT SAVINGS PLAN

Measure Date Value
2022: BURGAFLEX NORTH AMERICA 401(K) RETIREMENT SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 290
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 305
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 87
Total of all active and inactive participants 2022-01-01 392
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 392
Number of participants with account balances 2022-01-01 323
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: BURGAFLEX NORTH AMERICA 401(K) RETIREMENT SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 358
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 224
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 66
Total of all active and inactive participants 2021-01-01 290
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 290
Number of participants with account balances 2021-01-01 253
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: BURGAFLEX NORTH AMERICA 401(K) RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 446
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 210
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 148
Total of all active and inactive participants 2020-01-01 358
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 358
Number of participants with account balances 2020-01-01 320
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: BURGAFLEX NORTH AMERICA 401(K) RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 368
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 307
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 129
Total of all active and inactive participants 2019-01-01 436
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 436
Number of participants with account balances 2019-01-01 376
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0

Measure	Date	Value
2022: BURGAFLEX NORTH AMERICA 401(K) RETIREMENT SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	290
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	305
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	87
Total of all active and inactive participants	2022-01-01	392
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	392
Number of participants with account balances	2022-01-01	323
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: BURGAFLEX NORTH AMERICA 401(K) RETIREMENT SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	358
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	224
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	66
Total of all active and inactive participants	2021-01-01	290
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	290
Number of participants with account balances	2021-01-01	253
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: BURGAFLEX NORTH AMERICA 401(K) RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	446
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	210
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	148
Total of all active and inactive participants	2020-01-01	358
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	358
Number of participants with account balances	2020-01-01	320
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: BURGAFLEX NORTH AMERICA 401(K) RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	368
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	307
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	129
Total of all active and inactive participants	2019-01-01	436
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	436
Number of participants with account balances	2019-01-01	376
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0

Financial Data on BURGAFLEX NORTH AMERICA 401(K) RETIREMENT SAVINGS PLAN

Measure	Date	Value
2022 : BURGAFLEX NORTH AMERICA 401(K) RETIREMENT SAVINGS PLAN 2022 401k financial data
Total income from all sources (including contributions)	2022-12-31	$293,202
Total of all expenses incurred	2022-12-31	$215,816
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$188,314
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$447,796
Value of total assets at end of year	2022-12-31	$946,233
Value of total assets at beginning of year	2022-12-31	$868,847
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$27,502
Total interest from all sources	2022-12-31	$1,112
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$40,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$445,591
Participant contributions at end of year	2022-12-31	$32,398
Participant contributions at beginning of year	2022-12-31	$22,076
Participant contributions at end of year	2022-12-31	$0
Participant contributions at beginning of year	2022-12-31	$5,489
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$2,205
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$77,386
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$946,233
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$868,847
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in pooled separate accounts at end of year	2022-12-31	$903,993
Value of interest in pooled separate accounts at beginning of year	2022-12-31	$835,310
Interest on participant loans	2022-12-31	$1,038
Interest earned on other investments	2022-12-31	$74
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$9,842
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$5,972
Net investment gain/loss from pooled separate accounts	2022-12-31	$-155,706
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$188,314
Contract administrator fees	2022-12-31	$27,502
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	BDO USA, P.C.
Accountancy firm EIN	2022-12-31	135381590
2021 : BURGAFLEX NORTH AMERICA 401(K) RETIREMENT SAVINGS PLAN 2021 401k financial data
Total income from all sources (including contributions)	2021-12-31	$439,441
Total of all expenses incurred	2021-12-31	$158,082
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$114,648
Value of total corrective distributions	2021-12-31	$18,133
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$336,341
Value of total assets at end of year	2021-12-31	$868,847
Value of total assets at beginning of year	2021-12-31	$587,488
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$25,301
Total interest from all sources	2021-12-31	$981
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$40,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$336,341
Participant contributions at end of year	2021-12-31	$22,076
Participant contributions at beginning of year	2021-12-31	$9,862
Participant contributions at end of year	2021-12-31	$5,489
Administrative expenses (other) incurred	2021-12-31	$25,301
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$281,359
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$868,847
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$587,488
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in pooled separate accounts at end of year	2021-12-31	$835,310
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$572,567
Interest on participant loans	2021-12-31	$934
Interest earned on other investments	2021-12-31	$47
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$5,972
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$5,059
Net investment gain/loss from pooled separate accounts	2021-12-31	$102,119
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$114,648
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	BDO USA, LLP
Accountancy firm EIN	2021-12-31	135381590
2020 : BURGAFLEX NORTH AMERICA 401(K) RETIREMENT SAVINGS PLAN 2020 401k financial data
Total income from all sources (including contributions)	2020-12-31	$388,592
Total of all expenses incurred	2020-12-31	$183,816
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$101,202
Value of total corrective distributions	2020-12-31	$54,982
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$310,771
Value of total assets at end of year	2020-12-31	$587,488
Value of total assets at beginning of year	2020-12-31	$382,712
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$27,632
Total interest from all sources	2020-12-31	$343
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$40,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$308,414
Participant contributions at end of year	2020-12-31	$9,862
Participant contributions at beginning of year	2020-12-31	$5,673
Administrative expenses (other) incurred	2020-12-31	$27,632
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$204,776
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$587,488
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$382,712
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in pooled separate accounts at end of year	2020-12-31	$572,567
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$374,689
Interest on participant loans	2020-12-31	$307
Interest earned on other investments	2020-12-31	$36
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$5,059
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$2,350
Net investment gain/loss from pooled separate accounts	2020-12-31	$77,478
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$2,357
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$101,202
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	BDO USA, LLP
Accountancy firm EIN	2020-12-31	135381590
2019 : BURGAFLEX NORTH AMERICA 401(K) RETIREMENT SAVINGS PLAN 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$407,634
Total of all expenses incurred	2019-12-31	$24,922
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$17,660
Value of total corrective distributions	2019-12-31	$758
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$379,662
Value of total assets at end of year	2019-12-31	$382,712
Value of total assets at beginning of year	2019-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$6,504
Total interest from all sources	2019-12-31	$51
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$40,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$379,662
Participant contributions at end of year	2019-12-31	$5,673
Participant contributions at beginning of year	2019-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$382,712
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$382,712
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in pooled separate accounts at end of year	2019-12-31	$374,689
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$0
Interest on participant loans	2019-12-31	$41
Interest earned on other investments	2019-12-31	$10
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$2,350
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$0
Net investment gain/loss from pooled separate accounts	2019-12-31	$27,921
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$17,660
Contract administrator fees	2019-12-31	$6,504
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	ECHELBARGER, HIMEBAUGH, TAMM & CO.
Accountancy firm EIN	2019-12-31	382498459

Form 5500 Responses for BURGAFLEX NORTH AMERICA 401(K) RETIREMENT SAVINGS PLAN

2022: BURGAFLEX NORTH AMERICA 401(K) RETIREMENT SAVINGS PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: BURGAFLEX NORTH AMERICA 401(K) RETIREMENT SAVINGS PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: BURGAFLEX NORTH AMERICA 401(K) RETIREMENT SAVINGS PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: BURGAFLEX NORTH AMERICA 401(K) RETIREMENT SAVINGS PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	First time form 5500 has been submitted	Yes
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

81B695

Policy instance

Insurance contract or identification number	81B695
Number of Individuals Covered	322
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

81B695

Policy instance

Insurance contract or identification number	81B695
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

81B695

Policy instance

Insurance contract or identification number	81B695
Number of Individuals Covered	319
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of fees paid to insurance company	USD $190
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	190
Additional information about fees paid to insurance broker	TPA PARTNERSHIP PROGRAM
Insurance broker organization code?	5

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

81B695

Policy instance

Insurance contract or identification number	81B695
Number of Individuals Covered	374
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of fees paid to insurance company	USD $1,047
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	1047
Additional information about fees paid to insurance broker	TPA PARTNERSHIP AND ALLIANCE PROGRAMS
Insurance broker organization code?	5

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Company Name:	BURGAFLEX NORTH AMERICA, INC.
Employer identification number (EIN):	383613953
NAIC Classification:	339900