401k Plan data: DIMARE FRESH, INC. WELFARE BENEFIT PLAN plan

DIMARE FRESH, INC. WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	DIMARE FRESH, INC. WELFARE BENEFIT PLAN
Plan identification number	501

DIMARE FRESH, INC. WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

DIMARE FRESH, INC. has sponsored the creation of one or more 401k plans.

Company Name: DIMARE FRESH, INC.

Employer identification number (EIN): 421570485

NAIC Classification: 424400

Additional information about DIMARE FRESH, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 2003-01-22

Company Identification Number: P03000010915

Legal Registered Office Address: 515 EAST PARK AVENUE 2ND FL

TALLAHASSEE

32301

More information about DIMARE FRESH, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DIMARE FRESH, INC. WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-06-01 MARCY TREJO 2023-11-09
501 2015-01-01 NANCY BLAKNEY
501 2014-01-01 NANCY BLAKNEY
501 2013-01-01 NANCY BLAKNEY
501 2012-01-01 NANCY BLAKNEY
501 2011-01-01 NANCY BLAKNEY
501 2009-01-01 NANCY BLAKNEY

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2022-06-01	MARCY TREJO	2023-11-09
501	2015-01-01	NANCY BLAKNEY
501	2014-01-01	NANCY BLAKNEY
501	2013-01-01	NANCY BLAKNEY
501	2012-01-01	NANCY BLAKNEY
501	2011-01-01	NANCY BLAKNEY
501	2009-01-01	NANCY BLAKNEY

Plan Statistics for DIMARE FRESH, INC. WELFARE BENEFIT PLAN

401k plan membership statisitcs for DIMARE FRESH, INC. WELFARE BENEFIT PLAN

Measure Date Value
2022: DIMARE FRESH, INC. WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-06-01 109
Total number of active participants reported on line 7a of the Form 5500 2022-06-01 105
Number of retired or separated participants receiving benefits 2022-06-01 0
Number of other retired or separated participants entitled to future benefits 2022-06-01 0
Total of all active and inactive participants 2022-06-01 105
Number of employers contributing to the scheme 2022-06-01 0
2015: DIMARE FRESH, INC. WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 270
Total of all active and inactive participants 2015-01-01 270
Total participants 2015-01-01 0
2014: DIMARE FRESH, INC. WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 90
Total of all active and inactive participants 2014-01-01 90
Total participants 2014-01-01 0
2013: DIMARE FRESH, INC. WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 140
Total of all active and inactive participants 2013-01-01 140
Total participants 2013-01-01 0
2012: DIMARE FRESH, INC. WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 114
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 128
Total of all active and inactive participants 2012-01-01 128
Total participants 2012-01-01 0
2011: DIMARE FRESH, INC. WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 140
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 114
Total of all active and inactive participants 2011-01-01 114
Total participants 2011-01-01 114
2009: DIMARE FRESH, INC. WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 104
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 168
Total of all active and inactive participants 2009-01-01 168
Total participants 2009-01-01 168

Measure	Date	Value
2022: DIMARE FRESH, INC. WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-06-01	109
Total number of active participants reported on line 7a of the Form 5500	2022-06-01	105
Number of retired or separated participants receiving benefits	2022-06-01	0
Number of other retired or separated participants entitled to future benefits	2022-06-01	0
Total of all active and inactive participants	2022-06-01	105
Number of employers contributing to the scheme	2022-06-01	0
2015: DIMARE FRESH, INC. WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	270
Total of all active and inactive participants	2015-01-01	270
Total participants	2015-01-01	0
2014: DIMARE FRESH, INC. WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	90
Total of all active and inactive participants	2014-01-01	90
Total participants	2014-01-01	0
2013: DIMARE FRESH, INC. WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	140
Total of all active and inactive participants	2013-01-01	140
Total participants	2013-01-01	0
2012: DIMARE FRESH, INC. WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	114
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	128
Total of all active and inactive participants	2012-01-01	128
Total participants	2012-01-01	0
2011: DIMARE FRESH, INC. WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	140
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	114
Total of all active and inactive participants	2011-01-01	114
Total participants	2011-01-01	114
2009: DIMARE FRESH, INC. WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	104
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	168
Total of all active and inactive participants	2009-01-01	168
Total participants	2009-01-01	168

Form 5500 Responses for DIMARE FRESH, INC. WELFARE BENEFIT PLAN

2022: DIMARE FRESH, INC. WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-06-01	Type of plan entity	Single employer plan
2022-06-01	Plan funding arrangement – Insurance	Yes
2022-06-01	Plan benefit arrangement – Insurance	Yes
2015: DIMARE FRESH, INC. WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: DIMARE FRESH, INC. WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: DIMARE FRESH, INC. WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: DIMARE FRESH, INC. WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: DIMARE FRESH, INC. WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: DIMARE FRESH, INC. WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )

Policy contract number

F024348

Policy instance

Insurance contract or identification number	F024348
Number of Individuals Covered	102
Insurance policy start date	2022-06-01
Insurance policy end date	2023-05-31
Total amount of commissions paid to insurance broker	USD $8,622
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $59,186
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,104
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

H10260

Policy instance

Insurance contract or identification number	H10260
Number of Individuals Covered	134
Insurance policy start date	2014-06-01
Insurance policy end date	2015-05-31
Total amount of commissions paid to insurance broker	USD $4,368
Total amount of fees paid to insurance company	USD $395
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $26,241
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,368
Amount paid for insurance broker fees	395
Insurance broker organization code?	3
Insurance broker name	THE PLEXUS GROUPE LLC

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

729722

Policy instance

Insurance contract or identification number	729722
Number of Individuals Covered	41
Insurance policy start date	2014-06-01
Insurance policy end date	2015-05-31
Total amount of commissions paid to insurance broker	USD $587
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $5,873
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $587
Insurance broker name	PLEXUS GROUPE LLC

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

3214112

Policy instance

Insurance contract or identification number	3214112
Number of Individuals Covered	46
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $1,376
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $24,540
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,376
Insurance broker organization code?	3
Insurance broker name	PLEXUS GROUPE LLC

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

902771

Policy instance

Insurance contract or identification number	902771
Number of Individuals Covered	78
Insurance policy start date	2014-06-01
Insurance policy end date	2015-05-31
Total amount of commissions paid to insurance broker	USD $14,263
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $713,182
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,263
Insurance broker name	DARRELL DEAN SCHWABE

CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )

Policy contract number

3214112

Policy instance

Insurance contract or identification number	3214112
Number of Individuals Covered	44
Insurance policy start date	2013-06-01
Insurance policy end date	2014-05-31
Total amount of commissions paid to insurance broker	USD $1,441
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $26,200
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,441
Insurance broker name	PLEXUS GROUPE LLC

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

H10260

Policy instance

Insurance contract or identification number	H10260
Number of Individuals Covered	86
Insurance policy start date	2013-06-01
Insurance policy end date	2014-05-31
Total amount of commissions paid to insurance broker	USD $4,347
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $26,187
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,347
Insurance broker organization code?	3
Insurance broker name	THE PLEXUS GROUPE LLC

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

474011

Policy instance

Insurance contract or identification number	474011
Number of Individuals Covered	78
Insurance policy start date	2013-06-01
Insurance policy end date	2014-05-31
Total amount of commissions paid to insurance broker	USD $33,616
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $672,321
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $33,616
Insurance broker name	DARRELL DEAN SCHWABE

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

729722

Policy instance

Insurance contract or identification number	729722
Number of Individuals Covered	40
Insurance policy start date	2013-06-01
Insurance policy end date	2014-05-31
Total amount of commissions paid to insurance broker	USD $590
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $5,902
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $590
Insurance broker name	PLEXUS GROUPE LLC

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

H10260

Policy instance

Insurance contract or identification number	H10260
Number of Individuals Covered	139
Insurance policy start date	2012-06-01
Insurance policy end date	2013-05-31
Total amount of commissions paid to insurance broker	USD $3,853
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $25,968
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,853
Insurance broker organization code?	3
Insurance broker name	THE PLEXUS GROUPE LLC

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

474011

Policy instance

Insurance contract or identification number	474011
Number of Individuals Covered	114
Insurance policy start date	2012-06-01
Insurance policy end date	2013-05-31
Total amount of commissions paid to insurance broker	USD $13,098
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $654,919
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,098
Insurance broker name	DARRELL DEAN SCHWABE

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

729722

Policy instance

Insurance contract or identification number	729722
Number of Individuals Covered	44
Insurance policy start date	2012-06-01
Insurance policy end date	2013-05-31
Total amount of commissions paid to insurance broker	USD $629
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $6,297
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $629
Insurance broker name	PLEXUS GROUPE LLC

CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )

Policy contract number

3214112

Policy instance

Insurance contract or identification number	3214112
Number of Individuals Covered	49
Insurance policy start date	2012-06-01
Insurance policy end date	2013-05-31
Total amount of commissions paid to insurance broker	USD $1,438
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $26,152
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,438
Insurance broker name	PLEXUS GROUPE LLC

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

729722

Policy instance

Insurance contract or identification number	729722
Number of Individuals Covered	39
Insurance policy start date	2011-06-01
Insurance policy end date	2012-05-31
Total amount of commissions paid to insurance broker	USD $584
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $5,837
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $584
Insurance broker name	PLEXUS GROUPE LLC

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

H10260

Policy instance

Insurance contract or identification number	H10260
Number of Individuals Covered	132
Insurance policy start date	2011-06-01
Insurance policy end date	2012-05-31
Total amount of commissions paid to insurance broker	USD $4,170
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $25,059
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,170
Insurance broker organization code?	3
Insurance broker name	THE PLEXUS GROUPE LLC

CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )

Policy contract number

3214112

Policy instance

Insurance contract or identification number	3214112
Number of Individuals Covered	46
Insurance policy start date	2011-06-01
Insurance policy end date	2012-05-31
Total amount of commissions paid to insurance broker	USD $1,376
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $24,705
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,376
Insurance broker name	PLEXUS GROUPE LLC

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

474011

Policy instance

Insurance contract or identification number	474011
Number of Individuals Covered	115
Insurance policy start date	2011-06-01
Insurance policy end date	2012-05-31
Total amount of commissions paid to insurance broker	USD $12,529
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $610,786
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,529
Insurance broker name	DARRELL DEAN SCHWABE

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

474011

Policy instance

Insurance contract or identification number	474011
Number of Individuals Covered	131
Insurance policy start date	2010-06-01
Insurance policy end date	2011-05-31
Total amount of commissions paid to insurance broker	USD $13,729
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $693,244
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

H10260

Policy instance

Insurance contract or identification number	H10260
Number of Individuals Covered	83
Insurance policy start date	2010-06-01
Insurance policy end date	2011-05-31
Total amount of commissions paid to insurance broker	USD $4,374
Total amount of fees paid to insurance company	USD $48
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $26,309
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )

Policy contract number

3214112

Policy instance

Insurance contract or identification number	3214112
Number of Individuals Covered	43
Insurance policy start date	2010-06-01
Insurance policy end date	2011-05-31
Total amount of commissions paid to insurance broker	USD $1,359
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $24,709
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

729722

Policy instance

Insurance contract or identification number	729722
Number of Individuals Covered	83
Insurance policy start date	2010-06-01
Insurance policy end date	2011-05-31
Total amount of commissions paid to insurance broker	USD $673
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $6,726
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

H10260

Policy instance

Insurance contract or identification number	H10260
Number of Individuals Covered	91
Insurance policy start date	2009-06-01
Insurance policy end date	2010-05-31
Total amount of commissions paid to insurance broker	USD $4,053
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $24,386
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $615
Insurance broker organization code?	3
Insurance broker name	WALTER R FAWCETT III

CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )

Policy contract number

3214112

Policy instance

Insurance contract or identification number	3214112
Number of Individuals Covered	54
Insurance policy start date	2009-06-01
Insurance policy end date	2010-05-31
Total amount of commissions paid to insurance broker	USD $1,325
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $26,506
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,325
Insurance broker organization code?	3
Insurance broker name	THE PLEXUS GROUPE

BOON CHAPMAN (National Association of Insurance Commissioners NAIC id number: )

Policy contract number

175216

Policy instance

Insurance contract or identification number	175216
Number of Individuals Covered	40
Insurance policy start date	2009-06-01
Insurance policy end date	2010-05-31
Total amount of commissions paid to insurance broker	USD $797
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $7,969
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $797
Insurance broker organization code?	3
Insurance broker name	WALTER FAWCETT

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

474011

Policy instance

Insurance contract or identification number	474011
Number of Individuals Covered	158
Insurance policy start date	2009-06-01
Insurance policy end date	2010-05-31
Total amount of commissions paid to insurance broker	USD $12,264
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $631,296
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,264
Insurance broker organization code?	3
Insurance broker name	HOWARD SCOTT GRUVERMAN

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Company Name:	DIMARE FRESH, INC.
Employer identification number (EIN):	421570485
NAIC Classification:	424400

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	2003-01-22
Company Identification Number:	P03000010915
Legal Registered Office Address:	515 EAST PARK AVENUE 2ND FL TALLAHASSEE 32301