401k Plan data: CLAREMONT RESTAURANT GROUP, LLC EMPLOYEE BENEFIT PLAN plan

CLAREMONT RESTAURANT GROUP, LLC EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	CLAREMONT RESTAURANT GROUP, LLC EMPLOYEE BENEFIT PLAN
Plan identification number	501

CLAREMONT RESTAURANT GROUP, LLC EMPLOYEE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

CLAREMONT RESTAURANT GROUP, LLC has sponsored the creation of one or more 401k plans.

Company Name: CLAREMONT RESTAURANT GROUP, LLC

Employer identification number (EIN): 562081735

NAIC Classification: 722511
NAIC Description: Full-Service Restaurants

Additional information about CLAREMONT RESTAURANT GROUP, LLC

Jurisdiction of Incorporation: Georgia Department of States Corporations Division

Incorporation Date:

Company Identification Number: 1082860

More information about CLAREMONT RESTAURANT GROUP, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CLAREMONT RESTAURANT GROUP, LLC EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2012-04-01 JOYCE TIFFANY
501 2011-04-01 JOYCE TIFFANY
501 2009-04-01 JOYCE TIFFANY
501 2008-04-01 JOYCE TIFFANY

Plan id#	Filing Submission Date	Name of Administrator
501	2012-04-01	JOYCE TIFFANY
501	2011-04-01	JOYCE TIFFANY
501	2009-04-01	JOYCE TIFFANY
501	2008-04-01	JOYCE TIFFANY

Plan Statistics for CLAREMONT RESTAURANT GROUP, LLC EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for CLAREMONT RESTAURANT GROUP, LLC EMPLOYEE BENEFIT PLAN

Measure Date Value
2012: CLAREMONT RESTAURANT GROUP, LLC EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-04-01 147
Total number of active participants reported on line 7a of the Form 5500 2012-04-01 116
Number of retired or separated participants receiving benefits 2012-04-01 0
Number of other retired or separated participants entitled to future benefits 2012-04-01 0
Total of all active and inactive participants 2012-04-01 116
2011: CLAREMONT RESTAURANT GROUP, LLC EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-04-01 161
Total number of active participants reported on line 7a of the Form 5500 2011-04-01 147
Number of retired or separated participants receiving benefits 2011-04-01 0
Number of other retired or separated participants entitled to future benefits 2011-04-01 0
Total of all active and inactive participants 2011-04-01 147
2009: CLAREMONT RESTAURANT GROUP, LLC EMPLOYEE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-04-01 109
Total number of active participants reported on line 7a of the Form 5500 2009-04-01 79
Number of retired or separated participants receiving benefits 2009-04-01 1
Total of all active and inactive participants 2009-04-01 80
Total participants 2009-04-01 80
2008: CLAREMONT RESTAURANT GROUP, LLC EMPLOYEE BENEFIT PLAN 2008 401k membership
Total participants, beginning-of-year 2008-04-01 120
Total number of active participants reported on line 7a of the Form 5500 2008-04-01 112
Number of retired or separated participants receiving benefits 2008-04-01 1
Total of all active and inactive participants 2008-04-01 113
Total participants 2008-04-01 113

Measure	Date	Value
2012: CLAREMONT RESTAURANT GROUP, LLC EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-04-01	147
Total number of active participants reported on line 7a of the Form 5500	2012-04-01	116
Number of retired or separated participants receiving benefits	2012-04-01	0
Number of other retired or separated participants entitled to future benefits	2012-04-01	0
Total of all active and inactive participants	2012-04-01	116
2011: CLAREMONT RESTAURANT GROUP, LLC EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-04-01	161
Total number of active participants reported on line 7a of the Form 5500	2011-04-01	147
Number of retired or separated participants receiving benefits	2011-04-01	0
Number of other retired or separated participants entitled to future benefits	2011-04-01	0
Total of all active and inactive participants	2011-04-01	147
2009: CLAREMONT RESTAURANT GROUP, LLC EMPLOYEE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-04-01	109
Total number of active participants reported on line 7a of the Form 5500	2009-04-01	79
Number of retired or separated participants receiving benefits	2009-04-01	1
Total of all active and inactive participants	2009-04-01	80
Total participants	2009-04-01	80
2008: CLAREMONT RESTAURANT GROUP, LLC EMPLOYEE BENEFIT PLAN 2008 401k membership
Total participants, beginning-of-year	2008-04-01	120
Total number of active participants reported on line 7a of the Form 5500	2008-04-01	112
Number of retired or separated participants receiving benefits	2008-04-01	1
Total of all active and inactive participants	2008-04-01	113
Total participants	2008-04-01	113

Form 5500 Responses for CLAREMONT RESTAURANT GROUP, LLC EMPLOYEE BENEFIT PLAN

2012: CLAREMONT RESTAURANT GROUP, LLC EMPLOYEE BENEFIT PLAN 2012 form 5500 responses
2012-04-01	Type of plan entity	Single employer plan
2012-04-01	Submission has been amended	No
2012-04-01	This submission is the final filing	No
2012-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-04-01	Plan is a collectively bargained plan	No
2012-04-01	Plan funding arrangement – Insurance	Yes
2012-04-01	Plan benefit arrangement – Insurance	Yes
2011: CLAREMONT RESTAURANT GROUP, LLC EMPLOYEE BENEFIT PLAN 2011 form 5500 responses
2011-04-01	Type of plan entity	Single employer plan
2011-04-01	Submission has been amended	No
2011-04-01	This submission is the final filing	No
2011-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-04-01	Plan is a collectively bargained plan	No
2011-04-01	Plan funding arrangement – Insurance	Yes
2011-04-01	Plan benefit arrangement – Insurance	Yes
2009: CLAREMONT RESTAURANT GROUP, LLC EMPLOYEE BENEFIT PLAN 2009 form 5500 responses
2009-04-01	Type of plan entity	Single employer plan
2009-04-01	Submission has been amended	No
2009-04-01	This submission is the final filing	No
2009-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-04-01	Plan is a collectively bargained plan	No
2009-04-01	Plan funding arrangement – Insurance	Yes
2009-04-01	Plan benefit arrangement – Insurance	Yes
2008: CLAREMONT RESTAURANT GROUP, LLC EMPLOYEE BENEFIT PLAN 2008 form 5500 responses
2008-04-01	Type of plan entity	Single employer plan
2008-04-01	Submission has been amended	No
2008-04-01	This submission is the final filing	No
2008-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-04-01	Plan is a collectively bargained plan	No
2008-04-01	Plan funding arrangement – Insurance	Yes
2008-04-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	CLAREMONT RESTAURANT GROUP, LLC
Employer identification number (EIN):	562081735
NAIC Classification:	722511
NAIC Description:	Full-Service Restaurants

Jurisdiction of Incorporation:	Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number:	1082860