EAU GALLE CHEESE FACTORY, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan EAU GALLE CHEESE FACTORY, INC. - SELF FUNDED MEDICAL REIMBURSEMENT PLAN
401k plan membership statisitcs for EAU GALLE CHEESE FACTORY, INC. - SELF FUNDED MEDICAL REIMBURSEMENT PLAN
| Measure | Date | Value |
|---|
| 2015: EAU GALLE CHEESE FACTORY, INC. - SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-09-01 | 16 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-09-01 | 0 |
| Number of retired or separated participants receiving benefits | 2015-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-09-01 | 0 |
| Total of all active and inactive participants | 2015-09-01 | 0 |
| 2014: EAU GALLE CHEESE FACTORY, INC. - SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-09-01 | 18 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-09-01 | 16 |
| Number of retired or separated participants receiving benefits | 2014-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-09-01 | 0 |
| Total of all active and inactive participants | 2014-09-01 | 16 |
| 2013: EAU GALLE CHEESE FACTORY, INC. - SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-09-01 | 17 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-09-01 | 18 |
| Total of all active and inactive participants | 2013-09-01 | 18 |
| 2012: EAU GALLE CHEESE FACTORY, INC. - SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-09-01 | 18 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-09-01 | 17 |
| Total of all active and inactive participants | 2012-09-01 | 17 |
| 2011: EAU GALLE CHEESE FACTORY, INC. - SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-09-01 | 17 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-09-01 | 18 |
| Total of all active and inactive participants | 2011-09-01 | 18 |
| 2009: EAU GALLE CHEESE FACTORY, INC. - SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-09-01 | 17 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-09-01 | 17 |
| Number of retired or separated participants receiving benefits | 2009-09-01 | 0 |
| Total of all active and inactive participants | 2009-09-01 | 17 |
| Measure | Date | Value |
|---|
| 2016 : EAU GALLE CHEESE FACTORY, INC. - SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2016 401k financial data |
|---|
| Transfers to/from the plan | 2016-08-31 | $-23,702 |
| Total income from all sources | 2016-08-31 | $30,935 |
| Expenses. Total of all expenses incurred | 2016-08-31 | $36,343 |
| Benefits paid (including direct rollovers) | 2016-08-31 | $36,343 |
| Total plan assets at end of year | 2016-08-31 | $0 |
| Total plan assets at beginning of year | 2016-08-31 | $29,110 |
| Other income received | 2016-08-31 | $30,935 |
| Net income (gross income less expenses) | 2016-08-31 | $-5,408 |
| Net plan assets at end of year (total assets less liabilities) | 2016-08-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-08-31 | $29,110 |
| 2015 : EAU GALLE CHEESE FACTORY, INC. - SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2015 401k financial data |
|---|
| Total income from all sources | 2015-08-31 | $270,218 |
| Expenses. Total of all expenses incurred | 2015-08-31 | $292,391 |
| Benefits paid (including direct rollovers) | 2015-08-31 | $292,391 |
| Total plan assets at end of year | 2015-08-31 | $29,110 |
| Total plan assets at beginning of year | 2015-08-31 | $51,283 |
| Value of fidelity bond covering the plan | 2015-08-31 | $500,000 |
| Other income received | 2015-08-31 | $171,116 |
| Net income (gross income less expenses) | 2015-08-31 | $-22,173 |
| Net plan assets at end of year (total assets less liabilities) | 2015-08-31 | $29,110 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-08-31 | $51,283 |
| Total contributions received or receivable from employer(s) | 2015-08-31 | $99,102 |
| 2014 : EAU GALLE CHEESE FACTORY, INC. - SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2014 401k financial data |
|---|
| Total income from all sources | 2014-08-31 | $205,682 |
| Expenses. Total of all expenses incurred | 2014-08-31 | $212,512 |
| Benefits paid (including direct rollovers) | 2014-08-31 | $212,512 |
| Total plan assets at end of year | 2014-08-31 | $51,283 |
| Total plan assets at beginning of year | 2014-08-31 | $58,113 |
| Value of fidelity bond covering the plan | 2014-08-31 | $500,000 |
| Other income received | 2014-08-31 | $83,471 |
| Net income (gross income less expenses) | 2014-08-31 | $-6,830 |
| Net plan assets at end of year (total assets less liabilities) | 2014-08-31 | $51,283 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-08-31 | $58,113 |
| Total contributions received or receivable from employer(s) | 2014-08-31 | $122,211 |
| 2013 : EAU GALLE CHEESE FACTORY, INC. - SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2013 401k financial data |
|---|
| Total income from all sources | 2013-08-31 | $46,560 |
| Expenses. Total of all expenses incurred | 2013-08-31 | $58,899 |
| Benefits paid (including direct rollovers) | 2013-08-31 | $58,899 |
| Total plan assets at end of year | 2013-08-31 | $58,113 |
| Total plan assets at beginning of year | 2013-08-31 | $70,452 |
| Value of fidelity bond covering the plan | 2013-08-31 | $5,000,000 |
| Other income received | 2013-08-31 | $0 |
| Net income (gross income less expenses) | 2013-08-31 | $-12,339 |
| Net plan assets at end of year (total assets less liabilities) | 2013-08-31 | $58,113 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-08-31 | $70,452 |
| Total contributions received or receivable from employer(s) | 2013-08-31 | $46,560 |
| 2012 : EAU GALLE CHEESE FACTORY, INC. - SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 401k financial data |
|---|
| Total income from all sources | 2012-08-31 | $166,518 |
| Expenses. Total of all expenses incurred | 2012-08-31 | $109,893 |
| Benefits paid (including direct rollovers) | 2012-08-31 | $109,893 |
| Total plan assets at end of year | 2012-08-31 | $70,452 |
| Total plan assets at beginning of year | 2012-08-31 | $13,827 |
| Value of fidelity bond covering the plan | 2012-08-31 | $500,000 |
| Other income received | 2012-08-31 | $47,388 |
| Net income (gross income less expenses) | 2012-08-31 | $56,625 |
| Net plan assets at end of year (total assets less liabilities) | 2012-08-31 | $70,452 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-08-31 | $13,827 |
| Total contributions received or receivable from employer(s) | 2012-08-31 | $119,130 |
| 2011 : EAU GALLE CHEESE FACTORY, INC. - SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k financial data |
|---|
| Total income from all sources | 2011-08-31 | $93,620 |
| Expenses. Total of all expenses incurred | 2011-08-31 | $105,050 |
| Benefits paid (including direct rollovers) | 2011-08-31 | $105,050 |
| Total plan assets at end of year | 2011-08-31 | $13,827 |
| Total plan assets at beginning of year | 2011-08-31 | $25,257 |
| Value of fidelity bond covering the plan | 2011-08-31 | $500,000 |
| Net income (gross income less expenses) | 2011-08-31 | $-11,430 |
| Net plan assets at end of year (total assets less liabilities) | 2011-08-31 | $13,827 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-08-31 | $25,257 |
| Total contributions received or receivable from employer(s) | 2011-08-31 | $93,620 |
| 2015: EAU GALLE CHEESE FACTORY, INC. - SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2015 form 5500 responses |
|---|
| 2015-09-01 | Type of plan entity | Single employer plan |
| 2015-09-01 | This submission is the final filing | Yes |
| 2015-09-01 | Plan funding arrangement – Insurance | Yes |
| 2015-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: EAU GALLE CHEESE FACTORY, INC. - SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2014 form 5500 responses |
|---|
| 2014-09-01 | Type of plan entity | Single employer plan |
| 2014-09-01 | Plan funding arrangement – Insurance | Yes |
| 2014-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: EAU GALLE CHEESE FACTORY, INC. - SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2013 form 5500 responses |
|---|
| 2013-09-01 | Type of plan entity | Single employer plan |
| 2013-09-01 | Plan funding arrangement – Insurance | Yes |
| 2013-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: EAU GALLE CHEESE FACTORY, INC. - SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 form 5500 responses |
|---|
| 2012-09-01 | Type of plan entity | Single employer plan |
| 2012-09-01 | Plan funding arrangement – Trust | Yes |
| 2012-09-01 | Plan benefit arrangement - Trust | Yes |
| 2011: EAU GALLE CHEESE FACTORY, INC. - SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 form 5500 responses |
|---|
| 2011-09-01 | Type of plan entity | Single employer plan |
| 2011-09-01 | Plan funding arrangement – Trust | Yes |
| 2011-09-01 | Plan benefit arrangement - Trust | Yes |
| 2009: EAU GALLE CHEESE FACTORY, INC. - SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2009 form 5500 responses |
|---|
| 2009-09-01 | Type of plan entity | Single employer plan |
| 2009-09-01 | This submission is the final filing | No |
| 2009-09-01 | Plan funding arrangement – Trust | Yes |
| 2009-09-01 | Plan benefit arrangement - Trust | Yes |
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HCL18591 |
| Policy instance | 1 |
| Insurance contract or identification number | HCL18591 | | Insurance policy start date | 2015-09-01 | | Insurance policy end date | 2016-08-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HCL18591 |
| Policy instance | 1 |
| Insurance contract or identification number | HCL18591 | | Number of Individuals Covered | 16 | | Insurance policy start date | 2014-09-01 | | Insurance policy end date | 2015-08-31 | | Total amount of commissions paid to insurance broker | USD $1,256 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,256 | | Insurance broker organization code? | 5 | | Insurance broker name | BENEFIT ADMIN SYSTEMS, LLC |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E4046082 |
| Policy instance | 2 |
| Insurance contract or identification number | E4046082 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2013-11-01 | | Insurance policy end date | 2014-10-31 | | Total amount of commissions paid to insurance broker | USD $949 | | Total amount of fees paid to insurance company | USD $263 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $562 | | Amount paid for insurance broker fees | 246 | | Additional information about fees paid to insurance broker | MISCELLANEOUS | | Insurance broker organization code? | 3 | | Insurance broker name | CHARLES JAEGER |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E4046082 |
| Policy instance | 2 |
| Insurance contract or identification number | E4046082 | | Number of Individuals Covered | 12 | | Insurance policy start date | 2012-11-01 | | Insurance policy end date | 2013-10-31 | | Total amount of commissions paid to insurance broker | USD $4,380 | | Total amount of fees paid to insurance company | USD $204 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,503 | | Amount paid for insurance broker fees | 54 | | Additional information about fees paid to insurance broker | MISCELLANEOUS | | Insurance broker organization code? | 3 | | Insurance broker name | STEVEN GENE BRACKETT |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HCL18591 |
| Policy instance | 1 |
| Insurance contract or identification number | HCL18591 | | Number of Individuals Covered | 18 | | Insurance policy start date | 2013-09-01 | | Insurance policy end date | 2014-08-31 | | Total amount of commissions paid to insurance broker | USD $1,019 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,019 | | Insurance broker organization code? | 5 | | Insurance broker name | BENEFIT ADMIN SYSTEMS, LLC |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 17 | | Insurance policy start date | 2012-09-01 | | Insurance policy end date | 2013-08-31 | | Total amount of commissions paid to insurance broker | USD $1,103 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,103 | | Insurance broker organization code? | 5 | | Insurance broker name | BENEFIT ADMIN SYSTEMS LLC |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 18 | | Insurance policy start date | 2011-09-01 | | Insurance policy end date | 2012-08-31 | | Total amount of commissions paid to insurance broker | USD $990 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PERICO LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85561 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 17 | | Insurance policy start date | 2010-09-01 | | Insurance policy end date | 2011-08-31 | | Total amount of commissions paid to insurance broker | USD $912 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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