401k Plan data: L&F VEBA TRUST plan

L&F VEBA TRUST 401k Plan overview

Plan Name	L&F VEBA TRUST
Plan identification number	501

L&F VEBA TRUST Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

LOAVES AND FISHES has sponsored the creation of one or more 401k plans.

Company Name: LOAVES AND FISHES

Employer identification number (EIN): 570931804

NAIC Classification: 524290

Additional information about LOAVES AND FISHES

Jurisdiction of Incorporation: Michigan Secretary of State

Incorporation Date: 0000-00-00

Company Identification Number: 886010

Legal Registered Office Address: 831 N. SYCAMORE LANSING

United States of America (USA)
48906

More information about LOAVES AND FISHES

Form 5500 Filing Information

Submission information for form 5500 for 401k plan L&F VEBA TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2016-01-01 D. R. WILSON

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2016-01-01	D. R. WILSON

Plan Statistics for L&F VEBA TRUST

401k plan membership statisitcs for L&F VEBA TRUST

Measure Date Value
2016: L&F VEBA TRUST 2016 401k membership
Total participants, beginning-of-year 2016-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 3
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 3

Measure	Date	Value
2016: L&F VEBA TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	3
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	3

Financial Data on L&F VEBA TRUST

Measure	Date	Value
2016 : L&F VEBA TRUST 2016 401k financial data
Transfers to/from the plan	2016-12-31	$0
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$14,866
Expenses. Total of all expenses incurred	2016-12-31	$14,866
Benefits paid (including direct rollovers)	2016-12-31	$14,866
Total plan assets at end of year	2016-12-31	$0
Total plan assets at beginning of year	2016-12-31	$0
Total contributions received or receivable from participants	2016-12-31	$0
Expenses. Other expenses not covered elsewhere	2016-12-31	$0
Contributions received from other sources (not participants or employers)	2016-12-31	$0
Other income received	2016-12-31	$0
Noncash contributions received	2016-12-31	$0
Net income (gross income less expenses)	2016-12-31	$0
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$0
Total contributions received or receivable from employer(s)	2016-12-31	$14,866
Value of certain deemed distributions of participant loans	2016-12-31	$0
Value of corrective distributions	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$0

Form 5500 Responses for L&F VEBA TRUST

2016: L&F VEBA TRUST 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	First time form 5500 has been submitted	Yes
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	LOAVES AND FISHES
Employer identification number (EIN):	570931804
NAIC Classification:	524290

Jurisdiction of Incorporation:	Michigan Secretary of State
Incorporation Date:	0000-00-00
Company Identification Number:	886010
Legal Registered Office Address:	831 N. SYCAMORE LANSING United States of America (USA) 48906