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ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 401k Plan overview

Plan NameROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN
Plan identification number 502

ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

ROTELLAS ITALIAN BAKERY has sponsored the creation of one or more 401k plans.

Company Name:ROTELLAS ITALIAN BAKERY
Employer identification number (EIN):470489748
NAIC Classification:311800
NAIC Description: Bakeries and Tortilla Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01
5022021-01-01
5022020-01-01
5022019-03-01
5022018-03-01
5022017-03-01DEAN JACOBSEN DEAN JACOBSEN2018-10-08
5022016-03-01DEAN JACOBSEN DEAN JACOBSEN2017-09-13
5022015-03-01DEAN JACOBSEN DEAN JACOBSEN2016-09-12
5022014-03-01DEAN JACOBSEN DEAN JACOBSEN2015-09-21
5022013-03-01DEAN JACOBSEN DEAN JACOBSEN2014-09-25
5022012-03-01DEAN JACOBSEN DEAN JACOBSEN2013-06-24
5022011-03-01DEAN JACOBSEN DEAN JACOBSEN2012-08-07
5022010-03-01DEAN JACOBSEN DEAN JACOBSEN2011-09-13
5022009-03-01DEAN JACOBSEN DEAN JACOBSEN2010-07-30

Plan Statistics for ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN

401k plan membership statisitcs for ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN

Measure Date Value
2022: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01383
Total number of active participants reported on line 7a of the Form 55002022-01-01322
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01322
2021: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01417
Total number of active participants reported on line 7a of the Form 55002021-01-01383
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01383
2020: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01424
Total number of active participants reported on line 7a of the Form 55002020-01-01417
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01417
2019: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-03-01456
Total number of active participants reported on line 7a of the Form 55002019-03-01424
Number of retired or separated participants receiving benefits2019-03-010
Number of other retired or separated participants entitled to future benefits2019-03-010
Total of all active and inactive participants2019-03-01424
2018: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-03-01432
Total number of active participants reported on line 7a of the Form 55002018-03-01456
Number of retired or separated participants receiving benefits2018-03-010
Number of other retired or separated participants entitled to future benefits2018-03-010
Total of all active and inactive participants2018-03-01456
2017: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-03-01419
Total number of active participants reported on line 7a of the Form 55002017-03-01432
Number of retired or separated participants receiving benefits2017-03-010
Number of other retired or separated participants entitled to future benefits2017-03-010
Total of all active and inactive participants2017-03-01432
2016: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-03-01401
Total number of active participants reported on line 7a of the Form 55002016-03-01419
Number of retired or separated participants receiving benefits2016-03-010
Number of other retired or separated participants entitled to future benefits2016-03-010
Total of all active and inactive participants2016-03-01419
2015: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-03-01367
Total number of active participants reported on line 7a of the Form 55002015-03-01401
Number of retired or separated participants receiving benefits2015-03-010
Number of other retired or separated participants entitled to future benefits2015-03-010
Total of all active and inactive participants2015-03-01401
2014: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-03-01332
Total number of active participants reported on line 7a of the Form 55002014-03-01367
Number of retired or separated participants receiving benefits2014-03-010
Number of other retired or separated participants entitled to future benefits2014-03-010
Total of all active and inactive participants2014-03-01367
2013: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-03-01295
Total number of active participants reported on line 7a of the Form 55002013-03-01332
Total of all active and inactive participants2013-03-01332
2012: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-03-01297
Total number of active participants reported on line 7a of the Form 55002012-03-01295
Total of all active and inactive participants2012-03-01295
2011: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-03-01261
Total number of active participants reported on line 7a of the Form 55002011-03-01297
Total of all active and inactive participants2011-03-01297
2010: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-03-01233
Total number of active participants reported on line 7a of the Form 55002010-03-01261
Total of all active and inactive participants2010-03-01261
2009: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-03-01221
Total number of active participants reported on line 7a of the Form 55002009-03-01233
Total of all active and inactive participants2009-03-01233

Form 5500 Responses for ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN

2022: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2019 form 5500 responses
2019-03-01Type of plan entitySingle employer plan
2019-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-03-01Plan funding arrangement – General assets of the sponsorYes
2019-03-01Plan benefit arrangement – General assets of the sponsorYes
2018: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2018 form 5500 responses
2018-03-01Type of plan entitySingle employer plan
2018-03-01Plan funding arrangement – General assets of the sponsorYes
2018-03-01Plan benefit arrangement – General assets of the sponsorYes
2017: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2017 form 5500 responses
2017-03-01Type of plan entitySingle employer plan
2017-03-01Plan funding arrangement – General assets of the sponsorYes
2017-03-01Plan benefit arrangement – General assets of the sponsorYes
2016: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2016 form 5500 responses
2016-03-01Type of plan entitySingle employer plan
2016-03-01Plan funding arrangement – General assets of the sponsorYes
2016-03-01Plan benefit arrangement – General assets of the sponsorYes
2015: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2015 form 5500 responses
2015-03-01Type of plan entitySingle employer plan
2015-03-01Plan funding arrangement – General assets of the sponsorYes
2015-03-01Plan benefit arrangement – General assets of the sponsorYes
2014: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2014 form 5500 responses
2014-03-01Type of plan entitySingle employer plan
2014-03-01Plan funding arrangement – General assets of the sponsorYes
2014-03-01Plan benefit arrangement – General assets of the sponsorYes
2013: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2013 form 5500 responses
2013-03-01Type of plan entitySingle employer plan
2013-03-01Plan funding arrangement – General assets of the sponsorYes
2013-03-01Plan benefit arrangement – General assets of the sponsorYes
2012: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2012 form 5500 responses
2012-03-01Type of plan entitySingle employer plan
2012-03-01Plan funding arrangement – InsuranceYes
2012-03-01Plan benefit arrangement – InsuranceYes
2011: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2011 form 5500 responses
2011-03-01Type of plan entitySingle employer plan
2011-03-01Plan funding arrangement – InsuranceYes
2011-03-01Plan benefit arrangement – InsuranceYes
2010: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2010 form 5500 responses
2010-03-01Type of plan entitySingle employer plan
2010-03-01Plan funding arrangement – InsuranceYes
2010-03-01Plan benefit arrangement – InsuranceYes
2009: ROTELLA'S ITALIAN BAKERY, INC.-DENTAL PLAN 2009 form 5500 responses
2009-03-01Type of plan entitySingle employer plan
2009-03-01Plan funding arrangement – InsuranceYes
2009-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-14370
Policy instance 1
Insurance contract or identification number010-14370
Number of Individuals Covered649
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $3,743
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $158,476
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,743
Insurance broker organization code?3
Insurance broker nameDIVERSIFIED BENEFITS GROUP LLC
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-14370
Policy instance 1
Insurance contract or identification number010-14370
Number of Individuals Covered653
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Total amount of commissions paid to insurance brokerUSD $3,831
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $150,612
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-14370
Policy instance 1
Insurance contract or identification number010-14370
Number of Individuals Covered574
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $3,550
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $133,984
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,550
Insurance broker organization code?3
Insurance broker nameDIVERSIFIED BENEFITS GROUP LLC

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