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CAPTAIN D'S, LLC 401(K) PLAN 401k Plan overview

Plan NameCAPTAIN D'S, LLC 401(K) PLAN
Plan identification number 002

CAPTAIN D'S, LLC 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

CAPTAIN D'S LLC has sponsored the creation of one or more 401k plans.

Company Name:CAPTAIN D'S LLC
Employer identification number (EIN):522262786
NAIC Classification:722513
NAIC Description:Limited-Service Restaurants

Additional information about CAPTAIN D'S LLC

Jurisdiction of Incorporation: Tennessee Secretary of State Division of Business Services
Incorporation Date:
Company Identification Number: 000431852

More information about CAPTAIN D'S LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAPTAIN D'S, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01
0022021-01-01
0022020-01-01
0022019-01-01
0022018-01-01
0022017-01-01MICHAEL FOLKS MICHAEL FOLKS2018-10-15
0022016-01-01MICHAEL FOLKS MICHAEL FOLKS2017-10-12
0022015-01-01MICHAEL FOLKS MICHAEL FOLKS2016-10-17
0022014-01-01MICHAEL FOLKS MICHAEL FOLKS2015-08-27
0022013-01-01MICHAEL FOLKS MICHAEL FOLKS2014-09-23
0022012-01-01MICHAEL FOLKS MICHAEL FOLKS2013-10-10
0022011-01-01MICHAEL FOLKS MICHAEL FOLKS2012-10-13

Plan Statistics for CAPTAIN D'S, LLC 401(K) PLAN

401k plan membership statisitcs for CAPTAIN D'S, LLC 401(K) PLAN

Measure Date Value
2022: CAPTAIN D'S, LLC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-012,182
Total number of active participants reported on line 7a of the Form 55002022-01-012,280
Number of retired or separated participants receiving benefits2022-01-0119
Number of other retired or separated participants entitled to future benefits2022-01-0184
Total of all active and inactive participants2022-01-012,383
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-012,383
Number of participants with account balances2022-01-01267
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-012
2021: CAPTAIN D'S, LLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-012,477
Total number of active participants reported on line 7a of the Form 55002021-01-012,142
Number of retired or separated participants receiving benefits2021-01-0120
Number of other retired or separated participants entitled to future benefits2021-01-0178
Total of all active and inactive participants2021-01-012,240
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-012,240
Number of participants with account balances2021-01-01250
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-012
2020: CAPTAIN D'S, LLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-012,741
Total number of active participants reported on line 7a of the Form 55002020-01-012,392
Number of retired or separated participants receiving benefits2020-01-0119
Number of other retired or separated participants entitled to future benefits2020-01-0159
Total of all active and inactive participants2020-01-012,470
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-012,470
Number of participants with account balances2020-01-01264
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-014
2019: CAPTAIN D'S, LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-012,657
Total number of active participants reported on line 7a of the Form 55002019-01-012,560
Number of retired or separated participants receiving benefits2019-01-0121
Number of other retired or separated participants entitled to future benefits2019-01-0137
Total of all active and inactive participants2019-01-012,618
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-012,618
Number of participants with account balances2019-01-01238
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-013
2018: CAPTAIN D'S, LLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-012,825
Total number of active participants reported on line 7a of the Form 55002018-01-012,593
Number of retired or separated participants receiving benefits2018-01-018
Number of other retired or separated participants entitled to future benefits2018-01-0134
Total of all active and inactive participants2018-01-012,635
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-012,635
Number of participants with account balances2018-01-01230
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-013
2017: CAPTAIN D'S, LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,375
Total number of active participants reported on line 7a of the Form 55002017-01-011,671
Number of retired or separated participants receiving benefits2017-01-015
Number of other retired or separated participants entitled to future benefits2017-01-0120
Total of all active and inactive participants2017-01-011,696
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-011,696
Number of participants with account balances2017-01-01204
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-012
2016: CAPTAIN D'S, LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012,340
Total number of active participants reported on line 7a of the Form 55002016-01-011,728
Number of retired or separated participants receiving benefits2016-01-013
Number of other retired or separated participants entitled to future benefits2016-01-0125
Total of all active and inactive participants2016-01-011,756
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-011,756
Number of participants with account balances2016-01-01199
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-012
2015: CAPTAIN D'S, LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-012,109
Total number of active participants reported on line 7a of the Form 55002015-01-011,576
Number of retired or separated participants receiving benefits2015-01-013
Number of other retired or separated participants entitled to future benefits2015-01-0115
Total of all active and inactive participants2015-01-011,594
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-011,594
Number of participants with account balances2015-01-01195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-011
2014: CAPTAIN D'S, LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012,106
Total number of active participants reported on line 7a of the Form 55002014-01-011,731
Number of retired or separated participants receiving benefits2014-01-011
Number of other retired or separated participants entitled to future benefits2014-01-0114
Total of all active and inactive participants2014-01-011,746
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-011,746
Number of participants with account balances2014-01-01186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-015
2013: CAPTAIN D'S, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,991
Total number of active participants reported on line 7a of the Form 55002013-01-011,674
Number of retired or separated participants receiving benefits2013-01-013
Number of other retired or separated participants entitled to future benefits2013-01-0117
Total of all active and inactive participants2013-01-011,694
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-011,694
Number of participants with account balances2013-01-01179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-015
2012: CAPTAIN D'S, LLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,984
Total number of active participants reported on line 7a of the Form 55002012-01-011,797
Number of retired or separated participants receiving benefits2012-01-014
Number of other retired or separated participants entitled to future benefits2012-01-0114
Total of all active and inactive participants2012-01-011,815
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-011,815
Number of participants with account balances2012-01-01178
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-012
2011: CAPTAIN D'S, LLC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,946
Total number of active participants reported on line 7a of the Form 55002011-01-011,870
Number of retired or separated participants receiving benefits2011-01-011
Number of other retired or separated participants entitled to future benefits2011-01-019
Total of all active and inactive participants2011-01-011,880
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-011,880
Number of participants with account balances2011-01-01163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-013

Financial Data on CAPTAIN D'S, LLC 401(K) PLAN

Measure Date Value
2022 : CAPTAIN D'S, LLC 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-376,748
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$224,219
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$197,818
Expenses. Certain deemed distributions of participant loans2022-12-31$5,578
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$356,087
Value of total assets at end of year2022-12-31$3,800,666
Value of total assets at beginning of year2022-12-31$4,401,633
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$20,823
Total interest from all sources2022-12-31$2,452
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$400,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$333,417
Participant contributions at end of year2022-12-31$54,967
Participant contributions at beginning of year2022-12-31$58,346
Participant contributions at beginning of year2022-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$22,670
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$0
Total non interest bearing cash at end of year2022-12-31$13,907
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-600,967
Value of net assets at end of year (total assets less liabilities)2022-12-31$3,800,666
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$4,401,633
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$3,286,229
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$3,934,119
Income. Interest from loans (other than to participants)2022-12-31$2,452
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$445,563
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$409,168
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-735,287
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$197,818
Contract administrator fees2022-12-31$20,823
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31CROWE LLP
Accountancy firm EIN2022-12-31350921680
2021 : CAPTAIN D'S, LLC 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$878,521
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$400,918
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$381,961
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$328,816
Value of total assets at end of year2021-12-31$4,401,633
Value of total assets at beginning of year2021-12-31$3,924,030
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$18,957
Total interest from all sources2021-12-31$3,688
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$400,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$328,816
Participant contributions at end of year2021-12-31$58,346
Participant contributions at beginning of year2021-12-31$73,383
Participant contributions at end of year2021-12-31$0
Participant contributions at beginning of year2021-12-31$11,796
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$111
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$477,603
Value of net assets at end of year (total assets less liabilities)2021-12-31$4,401,633
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$3,924,030
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$3,934,119
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$3,376,548
Interest on participant loans2021-12-31$3,688
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$409,168
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$462,192
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$546,017
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$381,961
Contract administrator fees2021-12-31$18,957
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31CROWE LLP
Accountancy firm EIN2021-12-31350921680
2020 : CAPTAIN D'S, LLC 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$805,474
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$384,488
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$367,433
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$322,827
Value of total assets at end of year2020-12-31$3,924,030
Value of total assets at beginning of year2020-12-31$3,503,044
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$17,055
Total interest from all sources2020-12-31$4,037
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$5,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$308,299
Participant contributions at end of year2020-12-31$73,383
Participant contributions at beginning of year2020-12-31$82,564
Participant contributions at end of year2020-12-31$11,796
Participant contributions at beginning of year2020-12-31$14,002
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$14,528
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$111
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$283
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$420,986
Value of net assets at end of year (total assets less liabilities)2020-12-31$3,924,030
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$3,503,044
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$3,376,548
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$3,027,275
Interest on participant loans2020-12-31$4,037
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$462,192
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$378,920
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$478,610
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$367,433
Contract administrator fees2020-12-31$17,055
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31CROWE LLP
Accountancy firm EIN2020-12-31350921680
2019 : CAPTAIN D'S, LLC 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$1,137,682
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$1,025,531
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$978,067
Expenses. Certain deemed distributions of participant loans2019-12-31$15,869
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$458,090
Value of total assets at end of year2019-12-31$3,503,044
Value of total assets at beginning of year2019-12-31$3,390,893
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$31,595
Total interest from all sources2019-12-31$5,497
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$4,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$332,749
Participant contributions at end of year2019-12-31$82,564
Participant contributions at beginning of year2019-12-31$97,524
Participant contributions at end of year2019-12-31$14,002
Participant contributions at beginning of year2019-12-31$13,203
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$125,341
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$283
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$226
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$112,151
Value of net assets at end of year (total assets less liabilities)2019-12-31$3,503,044
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$3,390,893
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$3,027,275
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$2,745,210
Interest on participant loans2019-12-31$5,497
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$378,920
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$534,730
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$674,095
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$978,067
Contract administrator fees2019-12-31$31,595
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31CROWE LLP
Accountancy firm EIN2019-12-31350921680
2018 : CAPTAIN D'S, LLC 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$158,515
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$560,015
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$518,138
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$364,279
Value of total assets at end of year2018-12-31$3,390,893
Value of total assets at beginning of year2018-12-31$3,792,393
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$41,877
Total interest from all sources2018-12-31$5,443
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$41,877
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$4,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$364,279
Participant contributions at end of year2018-12-31$97,524
Participant contributions at beginning of year2018-12-31$109,639
Participant contributions at end of year2018-12-31$13,203
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$226
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-401,500
Value of net assets at end of year (total assets less liabilities)2018-12-31$3,390,893
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$3,792,393
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$2,745,210
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$3,100,053
Interest on participant loans2018-12-31$5,443
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$534,730
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$582,701
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-211,207
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$518,138
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31CROWE LLP
Accountancy firm EIN2018-12-31350921680
2017 : CAPTAIN D'S, LLC 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$876,302
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$811,598
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$785,625
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$358,532
Value of total assets at end of year2017-12-31$3,792,393
Value of total assets at beginning of year2017-12-31$3,727,689
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$25,973
Total interest from all sources2017-12-31$4,903
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$25,973
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$3,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$351,640
Participant contributions at end of year2017-12-31$109,639
Participant contributions at beginning of year2017-12-31$135,913
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$6,892
Total non interest bearing cash at beginning of year2017-12-31$14,551
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$64,704
Value of net assets at end of year (total assets less liabilities)2017-12-31$3,792,393
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$3,727,689
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$3,100,053
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$2,891,750
Interest on participant loans2017-12-31$4,903
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$582,701
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$685,475
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$512,867
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$785,625
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31CROWE LLP
Accountancy firm EIN2017-12-31350921680
2016 : CAPTAIN D'S, LLC 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$626,580
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$416,637
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$393,114
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$359,867
Value of total assets at end of year2016-12-31$3,727,689
Value of total assets at beginning of year2016-12-31$3,517,746
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$23,523
Total interest from all sources2016-12-31$5,967
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$3,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$326,975
Participant contributions at end of year2016-12-31$135,913
Participant contributions at beginning of year2016-12-31$128,556
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$32,892
Total non interest bearing cash at end of year2016-12-31$14,551
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$209,943
Value of net assets at end of year (total assets less liabilities)2016-12-31$3,727,689
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$3,517,746
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$2,891,750
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$2,674,183
Interest on participant loans2016-12-31$5,967
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$685,475
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$685,007
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$260,746
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Employer contributions (assets) at beginning of year2016-12-31$30,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$393,114
Contract administrator fees2016-12-31$23,523
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31CROWE HORWATH, LLP
Accountancy firm EIN2016-12-31350921680
2015 : CAPTAIN D'S, LLC 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$526,647
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$455,476
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$423,909
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$520,191
Value of total assets at end of year2015-12-31$3,517,746
Value of total assets at beginning of year2015-12-31$3,446,575
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$31,567
Total interest from all sources2015-12-31$4,357
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$3,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$298,429
Participant contributions at end of year2015-12-31$128,556
Participant contributions at beginning of year2015-12-31$102,741
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$191,762
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$71,171
Value of net assets at end of year (total assets less liabilities)2015-12-31$3,517,746
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$3,446,575
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$2,674,183
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$2,630,495
Interest on participant loans2015-12-31$4,357
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$685,007
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$668,339
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$2,099
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$30,000
Employer contributions (assets) at end of year2015-12-31$30,000
Employer contributions (assets) at beginning of year2015-12-31$45,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$423,909
Contract administrator fees2015-12-31$31,567
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31CROWE HORWATH, LLP
Accountancy firm EIN2015-12-31350921680
2014 : CAPTAIN D'S, LLC 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$488,377
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$353,090
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$329,112
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$350,918
Value of total assets at end of year2014-12-31$3,446,575
Value of total assets at beginning of year2014-12-31$3,311,288
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$23,978
Total interest from all sources2014-12-31$6,605
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$3,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$305,906
Participant contributions at end of year2014-12-31$102,741
Participant contributions at beginning of year2014-12-31$130,305
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$12
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$135,287
Value of net assets at end of year (total assets less liabilities)2014-12-31$3,446,575
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$3,311,288
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$2,630,495
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$2,487,877
Interest on participant loans2014-12-31$6,605
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$668,339
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$642,888
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$130,854
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$45,000
Employer contributions (assets) at end of year2014-12-31$45,000
Employer contributions (assets) at beginning of year2014-12-31$50,218
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$329,112
Contract administrator fees2014-12-31$23,978
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31CROWE HORWATH, LLP
Accountancy firm EIN2014-12-31350921680
2013 : CAPTAIN D'S, LLC 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$949,600
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$283,275
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$255,631
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$490,545
Value of total assets at end of year2013-12-31$3,311,288
Value of total assets at beginning of year2013-12-31$2,644,963
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$27,644
Total interest from all sources2013-12-31$3,546
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$3,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$323,753
Participant contributions at end of year2013-12-31$130,305
Participant contributions at beginning of year2013-12-31$95,171
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$116,574
Other income not declared elsewhere2013-12-31$15,387
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$666,325
Value of net assets at end of year (total assets less liabilities)2013-12-31$3,311,288
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$2,644,963
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$2,487,877
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$1,879,723
Interest on participant loans2013-12-31$3,546
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$642,888
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$623,612
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$440,122
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$50,218
Employer contributions (assets) at end of year2013-12-31$50,218
Employer contributions (assets) at beginning of year2013-12-31$46,457
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$255,631
Contract administrator fees2013-12-31$27,644
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31CROWE HORWATH, LLP
Accountancy firm EIN2013-12-31350921680
2012 : CAPTAIN D'S, LLC 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$697,900
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$437,583
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$437,583
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$487,881
Value of total assets at end of year2012-12-31$2,644,963
Value of total assets at beginning of year2012-12-31$2,384,646
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$0
Total interest from all sources2012-12-31$13,860
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$3,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$309,142
Participant contributions at end of year2012-12-31$95,171
Participant contributions at beginning of year2012-12-31$109,277
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$132,282
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$260,317
Value of net assets at end of year (total assets less liabilities)2012-12-31$2,644,963
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$2,384,646
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in pooled separate accounts at end of year2012-12-31$1,879,723
Value of interest in pooled separate accounts at beginning of year2012-12-31$1,681,622
Interest on participant loans2012-12-31$4,512
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$9,348
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$623,612
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$561,333
Net investment gain/loss from pooled separate accounts2012-12-31$196,159
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$46,457
Employer contributions (assets) at end of year2012-12-31$46,457
Employer contributions (assets) at beginning of year2012-12-31$32,414
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$437,583
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31WRIGHT FORD YOUNG & CO
Accountancy firm EIN2012-12-31953288054
2011 : CAPTAIN D'S, LLC 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$493,945
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$231,700
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$231,700
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$543,885
Value of total assets at end of year2011-12-31$2,384,646
Value of total assets at beginning of year2011-12-31$2,122,401
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$0
Total interest from all sources2011-12-31$16,291
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$3,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$337,922
Participant contributions at end of year2011-12-31$109,277
Participant contributions at beginning of year2011-12-31$88,962
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$173,549
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$262,245
Value of net assets at end of year (total assets less liabilities)2011-12-31$2,384,646
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$2,122,401
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in pooled separate accounts at end of year2011-12-31$1,681,622
Value of interest in pooled separate accounts at beginning of year2011-12-31$1,570,649
Interest on participant loans2011-12-31$4,941
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$11,350
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$561,333
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$430,376
Net investment gain/loss from pooled separate accounts2011-12-31$-66,231
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$32,414
Employer contributions (assets) at end of year2011-12-31$32,414
Employer contributions (assets) at beginning of year2011-12-31$32,414
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$231,700
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31WRIGHT FORD YOUNG & CO
Accountancy firm EIN2011-12-31953288054
2010 : CAPTAIN D'S, LLC 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$2,142,246
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$19,845
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$19,845
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,953,835
Value of total assets at end of year2010-12-31$2,122,401
Value of total assets at beginning of year2010-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$0
Total interest from all sources2010-12-31$7,999
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$3,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$213,340
Participant contributions at end of year2010-12-31$88,962
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$1,708,081
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$2,122,401
Value of net assets at end of year (total assets less liabilities)2010-12-31$2,122,401
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in pooled separate accounts at end of year2010-12-31$1,570,649
Interest on participant loans2010-12-31$2,991
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$5,008
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$430,376
Net investment gain/loss from pooled separate accounts2010-12-31$180,412
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$32,414
Employer contributions (assets) at end of year2010-12-31$32,414
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$19,845
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31WRIGHT FORD YOUNG & CO
Accountancy firm EIN2010-12-31953288054

Form 5500 Responses for CAPTAIN D'S, LLC 401(K) PLAN

2022: CAPTAIN D'S, LLC 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: CAPTAIN D'S, LLC 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: CAPTAIN D'S, LLC 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: CAPTAIN D'S, LLC 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: CAPTAIN D'S, LLC 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: CAPTAIN D'S, LLC 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: CAPTAIN D'S, LLC 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: CAPTAIN D'S, LLC 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: CAPTAIN D'S, LLC 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: CAPTAIN D'S, LLC 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: CAPTAIN D'S, LLC 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CAPTAIN D'S, LLC 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-Y2-DA5D
Policy instance 1
Insurance contract or identification numberGAP-Y2-DA5D
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $1,110
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $1,110
Insurance broker organization code?4
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-Y2-DA5D
Policy instance 1
Insurance contract or identification numberGAP-Y2-DA5D
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $1,066
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $1,066
Insurance broker organization code?4
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-Y2-DA5D
Policy instance 1
Insurance contract or identification numberGAP-Y2-DA5D
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,128
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $1,128
Insurance broker organization code?4
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-Y2-DA5D
Policy instance 1
Insurance contract or identification numberGAP-Y2-DA5D
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,036
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $1,036
Insurance broker organization code?4
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-Y2-DA5D
Policy instance 1
Insurance contract or identification numberGAP-Y2-DA5D
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,531
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $1,531
Insurance broker organization code?4
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-Y2-DA5D
Policy instance 1
Insurance contract or identification numberGAP-Y2-DA5D
Number of Individuals Covered204
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,461
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $865
Insurance broker organization code?4
Insurance broker nameCENTAURUS FINANCIAL INC
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-Y2-DA5D
Policy instance 1
Insurance contract or identification numberGAP-Y2-DA5D
Number of Individuals Covered195
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,740
Total amount of fees paid to insurance companyUSD $435
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $1,740
Amount paid for insurance broker fees435
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?4
Insurance broker nameCENTAURUS FINANCIAL INC
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-Y2-DA5D
Policy instance 1
Insurance contract or identification numberGAP-Y2-DA5D
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,661
Total amount of fees paid to insurance companyUSD $415
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $1,661
Amount paid for insurance broker fees415
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?4
Insurance broker nameCENTAURUS FINANCIAL INC
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-Y2-DA5D
Policy instance 1
Insurance contract or identification numberGAP-Y2-DA5D
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,653
Total amount of fees paid to insurance companyUSD $413
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $1,653
Amount paid for insurance broker fees413
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?4
Insurance broker nameCENTAURUS FINANCIAL INC
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-Y2-DA5D
Policy instance 1
Insurance contract or identification numberGAP-Y2-DA5D
Number of Individuals Covered58
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,585
Total amount of fees paid to insurance companyUSD $396
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $1,585
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?4
Insurance broker nameNATIONAL BENEFIT SERVICES, LLC
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-Y2-DA5D
Policy instance 1
Insurance contract or identification numberGAP-Y2-DA5D
Number of Individuals Covered53
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,341
Total amount of fees paid to insurance companyUSD $335
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B2-DA5D
Policy instance 1
Insurance contract or identification numberGAP-B2-DA5D
Number of Individuals Covered33
Insurance policy start date2010-05-25
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $487
Total amount of fees paid to insurance companyUSD $122
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No

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