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DAY STAR RESTAURANT GROUP BASIC PLAN 401k Plan overview

Plan NameDAY STAR RESTAURANT GROUP BASIC PLAN
Plan identification number 501

DAY STAR RESTAURANT GROUP BASIC PLAN Benefits

401k Plan TypeWelfare 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)
  • Other welfare benefit cover

401k Sponsoring company profile

DAY STAR RESTAURANT GROUP has sponsored the creation of one or more 401k plans.

Company Name:DAY STAR RESTAURANT GROUP
Employer identification number (EIN):510369907
NAIC Classification:445299
NAIC Description:All Other Specialty Food Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DAY STAR RESTAURANT GROUP BASIC PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-09-01ROZXANNE COX
5012014-09-01ROXANNE COX
5012013-09-01ROXANNE COX
5012012-09-01DIANE SANFORD

Plan Statistics for DAY STAR RESTAURANT GROUP BASIC PLAN

401k plan membership statisitcs for DAY STAR RESTAURANT GROUP BASIC PLAN

Measure Date Value
2015: DAY STAR RESTAURANT GROUP BASIC PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-01250
Total number of active participants reported on line 7a of the Form 55002015-09-01254
Number of retired or separated participants receiving benefits2015-09-0115
Number of other retired or separated participants entitled to future benefits2015-09-010
Total of all active and inactive participants2015-09-01269
2014: DAY STAR RESTAURANT GROUP BASIC PLAN 2014 401k membership
Total participants, beginning-of-year2014-09-01261
Total number of active participants reported on line 7a of the Form 55002014-09-01247
Number of retired or separated participants receiving benefits2014-09-013
Number of other retired or separated participants entitled to future benefits2014-09-010
Total of all active and inactive participants2014-09-01250
2013: DAY STAR RESTAURANT GROUP BASIC PLAN 2013 401k membership
Total participants, beginning-of-year2013-09-01329
Total number of active participants reported on line 7a of the Form 55002013-09-01255
Number of retired or separated participants receiving benefits2013-09-016
Number of other retired or separated participants entitled to future benefits2013-09-010
Total of all active and inactive participants2013-09-01261
2012: DAY STAR RESTAURANT GROUP BASIC PLAN 2012 401k membership
Total participants, beginning-of-year2012-09-01348
Total number of active participants reported on line 7a of the Form 55002012-09-01321
Number of retired or separated participants receiving benefits2012-09-018
Number of other retired or separated participants entitled to future benefits2012-09-0132
Total of all active and inactive participants2012-09-01361

Form 5500 Responses for DAY STAR RESTAURANT GROUP BASIC PLAN

2015: DAY STAR RESTAURANT GROUP BASIC PLAN 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01Submission has been amendedNo
2015-09-01This submission is the final filingNo
2015-09-01This return/report is a short plan year return/report (less than 12 months)No
2015-09-01Plan is a collectively bargained planNo
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan benefit arrangement – InsuranceYes
2014: DAY STAR RESTAURANT GROUP BASIC PLAN 2014 form 5500 responses
2014-09-01Type of plan entitySingle employer plan
2014-09-01Submission has been amendedNo
2014-09-01This submission is the final filingNo
2014-09-01This return/report is a short plan year return/report (less than 12 months)No
2014-09-01Plan is a collectively bargained planNo
2014-09-01Plan funding arrangement – InsuranceYes
2014-09-01Plan benefit arrangement – InsuranceYes
2013: DAY STAR RESTAURANT GROUP BASIC PLAN 2013 form 5500 responses
2013-09-01Type of plan entitySingle employer plan
2013-09-01Submission has been amendedNo
2013-09-01This submission is the final filingNo
2013-09-01This return/report is a short plan year return/report (less than 12 months)No
2013-09-01Plan is a collectively bargained planNo
2013-09-01Plan funding arrangement – InsuranceYes
2013-09-01Plan benefit arrangement – InsuranceYes
2012: DAY STAR RESTAURANT GROUP BASIC PLAN 2012 form 5500 responses
2012-09-01Type of plan entitySingle employer plan
2012-09-01Plan funding arrangement – InsuranceYes
2012-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649727
Policy instance 4
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 )
Policy contract number9823592
Policy instance 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number150313
Policy instance 2
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number9404
Policy instance 1
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number905611
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number150313
Policy instance 2
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 )
Policy contract number9823592
Policy instance 3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649727
Policy instance 4
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 )
Policy contract number98579996
Policy instance 5
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649727
Policy instance 4
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 )
Policy contract number9823592
Policy instance 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number150313
Policy instance 2
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number9404
Policy instance 1
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649085
Policy instance 2
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649085
Policy instance 3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649085
Policy instance 4
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 )
Policy contract number9823626
Policy instance 6
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 )
Policy contract number9823592
Policy instance 5
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 )
Policy contract number9823600
Policy instance 7
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 )
Policy contract number9857996
Policy instance 8
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0150313
Policy instance 9
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number09323
Policy instance 1

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