| Plan Name | BIG STEAKS MANAGEMENT LIFE AND DISABILITY INSURANCE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | BIG STEAKS MANAGEMENT, LLC |
| Employer identification number (EIN): | 522107419 |
| NAIC Classification: | 722511 |
| NAIC Description: | Full-Service Restaurants |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2019-12-01 | LISA LOTSEY | 2021-06-17 | ||
| 501 | 2016-12-01 | RENEE SAKELL |
| Measure | Date | Value |
|---|---|---|
| 2019: BIG STEAKS MANAGEMENT LIFE AND DISABILITY INSURANCE PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-12-01 | 143 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-12-01 | 140 |
| Number of retired or separated participants receiving benefits | 2019-12-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2019-12-01 | 0 |
| Total of all active and inactive participants | 2019-12-01 | 142 |
| 2016: BIG STEAKS MANAGEMENT LIFE AND DISABILITY INSURANCE PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-12-01 | 180 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-12-01 | 128 |
| Number of retired or separated participants receiving benefits | 2016-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-12-01 | 0 |
| Total of all active and inactive participants | 2016-12-01 | 128 |
| 2019: BIG STEAKS MANAGEMENT LIFE AND DISABILITY INSURANCE PLAN 2019 form 5500 responses | ||
|---|---|---|
| 2019-12-01 | Type of plan entity | Single employer plan |
| 2019-12-01 | Submission has been amended | No |
| 2019-12-01 | This submission is the final filing | No |
| 2019-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-12-01 | Plan is a collectively bargained plan | No |
| 2019-12-01 | Plan funding arrangement – Insurance | Yes |
| 2019-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: BIG STEAKS MANAGEMENT LIFE AND DISABILITY INSURANCE PLAN 2016 form 5500 responses | ||
| 2016-12-01 | Type of plan entity | Single employer plan |
| 2016-12-01 | First time form 5500 has been submitted | Yes |
| 2016-12-01 | Submission has been amended | No |
| 2016-12-01 | This submission is the final filing | No |
| 2016-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-12-01 | Plan is a collectively bargained plan | No |
| 2016-12-01 | Plan funding arrangement – Insurance | Yes |
| 2016-12-01 | Plan benefit arrangement – Insurance | Yes |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 00467846 |
| Policy instance | 1 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 5993005 |
| Policy instance | 2 |
| CAREFIRST BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 47058 ) | |
| Policy contract number | 2DGK |
| Policy instance | 3 |