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CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 401k Plan overview

Plan NameCLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN
Plan identification number 501

CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

NORMAN W. FRIES, INC. has sponsored the creation of one or more 401k plans.

Company Name:NORMAN W. FRIES, INC.
Employer identification number (EIN):580703332
NAIC Classification:112300
NAIC Description:Poultry & Egg Production

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-11-01GREG S. FINCH2023-08-07 GREG S. FINCH2023-08-07
5012020-11-01GREG S. FINCH2022-08-12 GREG S. FINCH2022-08-12
5012019-11-01GREG S. FINCH2021-08-13 GREG S. FINCH2021-08-13
5012018-11-01GREG S. FINCH2020-08-14 GREG S. FINCH2020-08-14
5012017-11-01GREG S. FINCH2019-08-14 GREG S. FINCH2019-08-14
5012016-11-01
5012015-11-01
5012014-11-01
5012013-11-01
5012012-11-01GREG FINCH
5012011-11-01GREG FINCH
5012010-11-01GREG FINCH
5012009-11-01GREG FINCH
5012008-11-01

Plan Statistics for CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN

401k plan membership statisitcs for CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN

Measure Date Value
2021: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-11-01851
Total number of active participants reported on line 7a of the Form 55002021-11-01857
Number of retired or separated participants receiving benefits2021-11-014
Number of other retired or separated participants entitled to future benefits2021-11-010
Total of all active and inactive participants2021-11-01861
2020: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-11-01952
Total number of active participants reported on line 7a of the Form 55002020-11-01849
Number of retired or separated participants receiving benefits2020-11-012
Number of other retired or separated participants entitled to future benefits2020-11-010
Total of all active and inactive participants2020-11-01851
2019: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-11-011,015
Total number of active participants reported on line 7a of the Form 55002019-11-01952
Number of retired or separated participants receiving benefits2019-11-010
Number of other retired or separated participants entitled to future benefits2019-11-010
Total of all active and inactive participants2019-11-01952
2018: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-11-01826
Total number of active participants reported on line 7a of the Form 55002018-11-011,015
Number of retired or separated participants receiving benefits2018-11-010
Number of other retired or separated participants entitled to future benefits2018-11-010
Total of all active and inactive participants2018-11-011,015
2017: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-11-01928
Total number of active participants reported on line 7a of the Form 55002017-11-01826
Number of retired or separated participants receiving benefits2017-11-010
Number of other retired or separated participants entitled to future benefits2017-11-010
Total of all active and inactive participants2017-11-01826
2016: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-11-01974
Total number of active participants reported on line 7a of the Form 55002016-11-01928
Number of retired or separated participants receiving benefits2016-11-010
Number of other retired or separated participants entitled to future benefits2016-11-010
Total of all active and inactive participants2016-11-01928
2015: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-11-01920
Total number of active participants reported on line 7a of the Form 55002015-11-01973
Number of retired or separated participants receiving benefits2015-11-011
Number of other retired or separated participants entitled to future benefits2015-11-010
Total of all active and inactive participants2015-11-01974
2014: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-11-01922
Total number of active participants reported on line 7a of the Form 55002014-11-01918
Number of retired or separated participants receiving benefits2014-11-012
Number of other retired or separated participants entitled to future benefits2014-11-010
Total of all active and inactive participants2014-11-01920
2013: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-11-01899
Total number of active participants reported on line 7a of the Form 55002013-11-01918
Number of retired or separated participants receiving benefits2013-11-014
Number of other retired or separated participants entitled to future benefits2013-11-010
Total of all active and inactive participants2013-11-01922
2012: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-11-01864
Total number of active participants reported on line 7a of the Form 55002012-11-01896
Number of retired or separated participants receiving benefits2012-11-013
Number of other retired or separated participants entitled to future benefits2012-11-010
Total of all active and inactive participants2012-11-01899
2011: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-11-01875
Total number of active participants reported on line 7a of the Form 55002011-11-01862
Number of retired or separated participants receiving benefits2011-11-012
Number of other retired or separated participants entitled to future benefits2011-11-010
Total of all active and inactive participants2011-11-01864
2010: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-11-01830
Total number of active participants reported on line 7a of the Form 55002010-11-01873
Number of retired or separated participants receiving benefits2010-11-012
Number of other retired or separated participants entitled to future benefits2010-11-010
Total of all active and inactive participants2010-11-01875
2009: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-11-01869
Total number of active participants reported on line 7a of the Form 55002009-11-01829
Number of retired or separated participants receiving benefits2009-11-011
Number of other retired or separated participants entitled to future benefits2009-11-010
Total of all active and inactive participants2009-11-01830

Financial Data on CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN

Measure Date Value
2022 : CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-10-31$1,389,270
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-10-31$1,415,506
Total income from all sources (including contributions)2022-10-31$9,674,529
Total loss/gain on sale of assets2022-10-31$0
Total of all expenses incurred2022-10-31$9,674,529
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-10-31$9,007,376
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-10-31$9,674,529
Value of total assets at end of year2022-10-31$1,389,270
Value of total assets at beginning of year2022-10-31$1,415,506
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-10-31$667,153
Total interest from all sources2022-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-10-31No
Was this plan covered by a fidelity bond2022-10-31Yes
Value of fidelity bond cover2022-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2022-10-31No
Contributions received from participants2022-10-31$1,320,833
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-10-31No
Value of net income/loss2022-10-31$0
Value of net assets at end of year (total assets less liabilities)2022-10-31$0
Value of net assets at beginning of year (total assets less liabilities)2022-10-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-10-31No
Were any leases to which the plan was party in default or uncollectible2022-10-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-10-31$405,056
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-10-31$671,978
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-10-31$671,978
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-10-31No
Was there a failure to transmit to the plan any participant contributions2022-10-31No
Has the plan failed to provide any benefit when due under the plan2022-10-31No
Contributions received in cash from employer2022-10-31$8,353,696
Employer contributions (assets) at end of year2022-10-31$984,214
Employer contributions (assets) at beginning of year2022-10-31$743,528
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-10-31$9,007,376
Contract administrator fees2022-10-31$667,153
Liabilities. Value of benefit claims payable at end of year2022-10-31$1,389,270
Liabilities. Value of benefit claims payable at beginning of year2022-10-31$1,415,506
Did the plan have assets held for investment2022-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-10-31No
2021 : CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-10-31$1,415,506
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-10-31$1,071,382
Total income from all sources (including contributions)2021-10-31$8,695,488
Total loss/gain on sale of assets2021-10-31$0
Total of all expenses incurred2021-10-31$8,695,488
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-10-31$7,968,258
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-10-31$8,695,488
Value of total assets at end of year2021-10-31$1,415,506
Value of total assets at beginning of year2021-10-31$1,071,382
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-10-31$727,230
Total interest from all sources2021-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2021-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-10-31No
Was this plan covered by a fidelity bond2021-10-31Yes
Value of fidelity bond cover2021-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2021-10-31No
Contributions received from participants2021-10-31$1,290,545
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-10-31No
Value of net income/loss2021-10-31$0
Value of net assets at end of year (total assets less liabilities)2021-10-31$0
Value of net assets at beginning of year (total assets less liabilities)2021-10-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-10-31No
Were any leases to which the plan was party in default or uncollectible2021-10-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-10-31$671,978
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-10-31$684,548
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-10-31$684,548
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-10-31No
Was there a failure to transmit to the plan any participant contributions2021-10-31No
Has the plan failed to provide any benefit when due under the plan2021-10-31No
Contributions received in cash from employer2021-10-31$7,404,943
Employer contributions (assets) at end of year2021-10-31$743,528
Employer contributions (assets) at beginning of year2021-10-31$386,834
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-10-31$7,968,258
Contract administrator fees2021-10-31$727,230
Liabilities. Value of benefit claims payable at end of year2021-10-31$1,415,506
Liabilities. Value of benefit claims payable at beginning of year2021-10-31$1,071,382
Did the plan have assets held for investment2021-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-10-31No
2020 : CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-10-31$1,071,382
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-10-31$805,549
Total income from all sources (including contributions)2020-10-31$10,745,917
Total loss/gain on sale of assets2020-10-31$0
Total of all expenses incurred2020-10-31$10,745,917
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-10-31$10,046,181
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-10-31$10,745,917
Value of total assets at end of year2020-10-31$1,071,382
Value of total assets at beginning of year2020-10-31$805,549
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-10-31$699,736
Total interest from all sources2020-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-10-31No
Was this plan covered by a fidelity bond2020-10-31Yes
Value of fidelity bond cover2020-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2020-10-31No
Contributions received from participants2020-10-31$1,403,946
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-10-31No
Value of net income/loss2020-10-31$0
Value of net assets at end of year (total assets less liabilities)2020-10-31$0
Value of net assets at beginning of year (total assets less liabilities)2020-10-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-10-31No
Were any leases to which the plan was party in default or uncollectible2020-10-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-10-31$684,548
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-10-31$358,240
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-10-31$358,240
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-10-31No
Was there a failure to transmit to the plan any participant contributions2020-10-31No
Has the plan failed to provide any benefit when due under the plan2020-10-31No
Contributions received in cash from employer2020-10-31$9,341,971
Employer contributions (assets) at end of year2020-10-31$386,834
Employer contributions (assets) at beginning of year2020-10-31$447,309
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-10-31$10,046,181
Contract administrator fees2020-10-31$699,736
Liabilities. Value of benefit claims payable at end of year2020-10-31$1,071,382
Liabilities. Value of benefit claims payable at beginning of year2020-10-31$805,549
Did the plan have assets held for investment2020-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-10-31No
2019 : CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-10-31$805,549
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-10-31$2,543,157
Total income from all sources (including contributions)2019-10-31$10,015,612
Total loss/gain on sale of assets2019-10-31$0
Total of all expenses incurred2019-10-31$10,015,612
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-10-31$9,534,114
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-10-31$10,015,612
Value of total assets at end of year2019-10-31$805,549
Value of total assets at beginning of year2019-10-31$2,543,157
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-10-31$481,498
Total interest from all sources2019-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-10-31No
Was this plan covered by a fidelity bond2019-10-31Yes
Value of fidelity bond cover2019-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2019-10-31No
Contributions received from participants2019-10-31$1,131,637
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-10-31No
Value of net income/loss2019-10-31$0
Value of net assets at end of year (total assets less liabilities)2019-10-31$0
Value of net assets at beginning of year (total assets less liabilities)2019-10-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-10-31No
Were any leases to which the plan was party in default or uncollectible2019-10-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-10-31$358,240
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-10-31$2,143,864
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-10-31$2,143,864
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-10-31No
Was there a failure to transmit to the plan any participant contributions2019-10-31No
Has the plan failed to provide any benefit when due under the plan2019-10-31No
Contributions received in cash from employer2019-10-31$8,883,975
Employer contributions (assets) at end of year2019-10-31$447,309
Employer contributions (assets) at beginning of year2019-10-31$399,293
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-10-31$9,534,114
Contract administrator fees2019-10-31$481,498
Liabilities. Value of benefit claims payable at end of year2019-10-31$805,549
Liabilities. Value of benefit claims payable at beginning of year2019-10-31$2,543,157
Did the plan have assets held for investment2019-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-10-31No
2018 : CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-10-31$2,543,157
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-10-31$2,872,227
Total income from all sources (including contributions)2018-10-31$8,286,734
Total loss/gain on sale of assets2018-10-31$0
Total of all expenses incurred2018-10-31$8,286,734
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-10-31$7,738,431
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-10-31$8,286,734
Value of total assets at end of year2018-10-31$2,543,157
Value of total assets at beginning of year2018-10-31$2,872,227
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-10-31$548,303
Total interest from all sources2018-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-10-31No
Was this plan covered by a fidelity bond2018-10-31Yes
Value of fidelity bond cover2018-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2018-10-31No
Contributions received from participants2018-10-31$1,241,459
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-10-31No
Value of net income/loss2018-10-31$0
Value of net assets at end of year (total assets less liabilities)2018-10-31$0
Value of net assets at beginning of year (total assets less liabilities)2018-10-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-10-31No
Were any leases to which the plan was party in default or uncollectible2018-10-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-10-31$2,143,864
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-10-31$2,517,855
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-10-31$2,517,855
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-10-31No
Was there a failure to transmit to the plan any participant contributions2018-10-31No
Has the plan failed to provide any benefit when due under the plan2018-10-31No
Contributions received in cash from employer2018-10-31$7,045,275
Employer contributions (assets) at end of year2018-10-31$399,293
Employer contributions (assets) at beginning of year2018-10-31$354,372
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-10-31$7,738,431
Contract administrator fees2018-10-31$548,303
Liabilities. Value of benefit claims payable at end of year2018-10-31$2,543,157
Liabilities. Value of benefit claims payable at beginning of year2018-10-31$2,872,227
Did the plan have assets held for investment2018-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-10-31No
2017 : CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-10-31$2,872,227
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-10-31$1,561,827
Total income from all sources (including contributions)2017-10-31$9,473,566
Total loss/gain on sale of assets2017-10-31$0
Total of all expenses incurred2017-10-31$9,473,566
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-10-31$8,887,679
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-10-31$9,473,566
Value of total assets at end of year2017-10-31$2,872,227
Value of total assets at beginning of year2017-10-31$1,561,827
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-10-31$585,887
Total interest from all sources2017-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-10-31No
Was this plan covered by a fidelity bond2017-10-31Yes
Value of fidelity bond cover2017-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2017-10-31No
Contributions received from participants2017-10-31$1,268,781
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-10-31No
Value of net income/loss2017-10-31$0
Value of net assets at end of year (total assets less liabilities)2017-10-31$0
Value of net assets at beginning of year (total assets less liabilities)2017-10-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-10-31No
Were any leases to which the plan was party in default or uncollectible2017-10-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-10-31$2,517,855
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-10-31$1,010,569
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-10-31$1,010,569
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-10-31No
Was there a failure to transmit to the plan any participant contributions2017-10-31No
Has the plan failed to provide any benefit when due under the plan2017-10-31No
Contributions received in cash from employer2017-10-31$8,204,785
Employer contributions (assets) at end of year2017-10-31$354,372
Employer contributions (assets) at beginning of year2017-10-31$551,258
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-10-31$8,887,679
Contract administrator fees2017-10-31$585,887
Liabilities. Value of benefit claims payable at end of year2017-10-31$2,872,227
Liabilities. Value of benefit claims payable at beginning of year2017-10-31$1,561,827
Did the plan have assets held for investment2017-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-10-31No
2016 : CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-10-31$1,561,827
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-10-31$462,318
Total income from all sources (including contributions)2016-10-31$8,081,805
Total loss/gain on sale of assets2016-10-31$0
Total of all expenses incurred2016-10-31$8,081,805
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-10-31$7,493,118
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-10-31$8,081,805
Value of total assets at end of year2016-10-31$1,561,827
Value of total assets at beginning of year2016-10-31$462,318
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-10-31$588,687
Total interest from all sources2016-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-10-31No
Was this plan covered by a fidelity bond2016-10-31Yes
Value of fidelity bond cover2016-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2016-10-31No
Contributions received from participants2016-10-31$1,206,649
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-10-31No
Value of net income/loss2016-10-31$0
Value of net assets at end of year (total assets less liabilities)2016-10-31$0
Value of net assets at beginning of year (total assets less liabilities)2016-10-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-10-31No
Were any leases to which the plan was party in default or uncollectible2016-10-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-10-31$1,010,569
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-10-31$10,372
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-10-31$10,372
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-10-31No
Was there a failure to transmit to the plan any participant contributions2016-10-31No
Has the plan failed to provide any benefit when due under the plan2016-10-31No
Contributions received in cash from employer2016-10-31$6,875,156
Employer contributions (assets) at end of year2016-10-31$551,258
Employer contributions (assets) at beginning of year2016-10-31$451,946
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-10-31$7,493,118
Contract administrator fees2016-10-31$588,687
Liabilities. Value of benefit claims payable at end of year2016-10-31$1,561,827
Liabilities. Value of benefit claims payable at beginning of year2016-10-31$462,318
Did the plan have assets held for investment2016-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-10-31No
2015 : CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-10-31$462,318
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-10-31$492,585
Total income from all sources (including contributions)2015-10-31$7,768,996
Total loss/gain on sale of assets2015-10-31$0
Total of all expenses incurred2015-10-31$7,768,996
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-10-31$7,274,046
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-10-31$7,768,996
Value of total assets at end of year2015-10-31$462,318
Value of total assets at beginning of year2015-10-31$492,585
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-10-31$494,950
Total interest from all sources2015-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-10-31No
Was this plan covered by a fidelity bond2015-10-31Yes
Value of fidelity bond cover2015-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2015-10-31No
Contributions received from participants2015-10-31$1,311,675
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-10-31No
Value of net income/loss2015-10-31$0
Value of net assets at end of year (total assets less liabilities)2015-10-31$0
Value of net assets at beginning of year (total assets less liabilities)2015-10-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-10-31No
Were any leases to which the plan was party in default or uncollectible2015-10-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-10-31$10,372
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-10-31$10,372
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-10-31$10,372
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-10-31No
Was there a failure to transmit to the plan any participant contributions2015-10-31No
Has the plan failed to provide any benefit when due under the plan2015-10-31No
Contributions received in cash from employer2015-10-31$6,457,321
Employer contributions (assets) at end of year2015-10-31$451,946
Employer contributions (assets) at beginning of year2015-10-31$482,213
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-10-31$7,274,046
Contract administrator fees2015-10-31$494,950
Liabilities. Value of benefit claims payable at end of year2015-10-31$462,318
Liabilities. Value of benefit claims payable at beginning of year2015-10-31$492,585
Did the plan have assets held for investment2015-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-10-31No
2014 : CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-10-31$895,539
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-10-31$481,191
Total income from all sources (including contributions)2014-10-31$7,325,125
Total loss/gain on sale of assets2014-10-31$0
Total of all expenses incurred2014-10-31$7,325,125
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-10-31$6,360,458
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-10-31$7,325,125
Value of total assets at end of year2014-10-31$895,539
Value of total assets at beginning of year2014-10-31$481,191
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-10-31$964,667
Total interest from all sources2014-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-10-31No
Was this plan covered by a fidelity bond2014-10-31Yes
Value of fidelity bond cover2014-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2014-10-31No
Contributions received from participants2014-10-31$1,236,734
Participant contributions at end of year2014-10-31$22,260
Participant contributions at beginning of year2014-10-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-10-31No
Value of net income/loss2014-10-31$0
Value of net assets at end of year (total assets less liabilities)2014-10-31$0
Value of net assets at beginning of year (total assets less liabilities)2014-10-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-10-31No
Were any leases to which the plan was party in default or uncollectible2014-10-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-10-31$10,372
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-10-31$4,303
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-10-31$4,303
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-10-31No
Was there a failure to transmit to the plan any participant contributions2014-10-31No
Has the plan failed to provide any benefit when due under the plan2014-10-31No
Contributions received in cash from employer2014-10-31$6,088,391
Employer contributions (assets) at end of year2014-10-31$862,907
Employer contributions (assets) at beginning of year2014-10-31$476,888
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-10-31$6,360,458
Contract administrator fees2014-10-31$964,667
Liabilities. Value of benefit claims payable at end of year2014-10-31$895,539
Liabilities. Value of benefit claims payable at beginning of year2014-10-31$481,191
Did the plan have assets held for investment2014-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-10-31No
Opinion of an independent qualified public accountant for this plan2014-10-31Unqualified
Accountancy firm name2014-10-31FROST, PLLC
Accountancy firm EIN2014-10-31710817652
2013 : CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-10-31$481,191
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-10-31$564,144
Total income from all sources (including contributions)2013-10-31$6,221,868
Total loss/gain on sale of assets2013-10-31$0
Total of all expenses incurred2013-10-31$6,221,868
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-10-31$5,725,621
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-10-31$6,221,868
Value of total assets at end of year2013-10-31$481,191
Value of total assets at beginning of year2013-10-31$564,144
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-10-31$496,247
Total interest from all sources2013-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-10-31No
Was this plan covered by a fidelity bond2013-10-31Yes
Value of fidelity bond cover2013-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2013-10-31No
Contributions received from participants2013-10-31$1,161,124
Participant contributions at end of year2013-10-31$0
Participant contributions at beginning of year2013-10-31$21,356
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-10-31No
Value of net income/loss2013-10-31$0
Value of net assets at end of year (total assets less liabilities)2013-10-31$0
Value of net assets at beginning of year (total assets less liabilities)2013-10-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-10-31No
Were any leases to which the plan was party in default or uncollectible2013-10-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-10-31$4,303
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-10-31$4,296
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-10-31$4,296
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-10-31No
Was there a failure to transmit to the plan any participant contributions2013-10-31No
Has the plan failed to provide any benefit when due under the plan2013-10-31No
Contributions received in cash from employer2013-10-31$5,060,744
Employer contributions (assets) at end of year2013-10-31$476,888
Employer contributions (assets) at beginning of year2013-10-31$538,492
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-10-31$5,725,621
Contract administrator fees2013-10-31$496,247
Liabilities. Value of benefit claims payable at end of year2013-10-31$481,191
Liabilities. Value of benefit claims payable at beginning of year2013-10-31$564,144
Did the plan have assets held for investment2013-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-10-31No
Opinion of an independent qualified public accountant for this plan2013-10-31Unqualified
Accountancy firm name2013-10-31FROST, PLLC
Accountancy firm EIN2013-10-31710817652
2012 : CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-10-31$564,144
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-10-31$374,550
Total income from all sources (including contributions)2012-10-31$5,559,955
Total loss/gain on sale of assets2012-10-31$0
Total of all expenses incurred2012-10-31$5,559,955
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-10-31$5,145,325
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-10-31$5,559,946
Value of total assets at end of year2012-10-31$564,144
Value of total assets at beginning of year2012-10-31$374,550
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-10-31$414,630
Total interest from all sources2012-10-31$9
Total dividends received (eg from common stock, registered investment company shares)2012-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-10-31No
Was this plan covered by a fidelity bond2012-10-31Yes
Value of fidelity bond cover2012-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2012-10-31No
Contributions received from participants2012-10-31$1,084,556
Participant contributions at end of year2012-10-31$21,356
Participant contributions at beginning of year2012-10-31$17,423
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-10-31No
Value of net income/loss2012-10-31$0
Value of net assets at end of year (total assets less liabilities)2012-10-31$0
Value of net assets at beginning of year (total assets less liabilities)2012-10-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-10-31No
Were any leases to which the plan was party in default or uncollectible2012-10-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-10-31$4,296
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-10-31$4,287
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-10-31$4,287
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-10-31$9
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-10-31No
Was there a failure to transmit to the plan any participant contributions2012-10-31No
Has the plan failed to provide any benefit when due under the plan2012-10-31No
Contributions received in cash from employer2012-10-31$4,475,390
Employer contributions (assets) at end of year2012-10-31$538,492
Employer contributions (assets) at beginning of year2012-10-31$352,840
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-10-31$5,145,325
Contract administrator fees2012-10-31$414,630
Liabilities. Value of benefit claims payable at end of year2012-10-31$564,144
Liabilities. Value of benefit claims payable at beginning of year2012-10-31$374,550
Did the plan have assets held for investment2012-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-10-31No
Opinion of an independent qualified public accountant for this plan2012-10-31Unqualified
Accountancy firm name2012-10-31FROST, PLLC
Accountancy firm EIN2012-10-31710817652
2011 : CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-31$374,550
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-31$672,661
Total income from all sources (including contributions)2011-10-31$6,613,904
Total loss/gain on sale of assets2011-10-31$0
Total of all expenses incurred2011-10-31$6,961,296
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-10-31$6,508,047
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-10-31$6,613,703
Value of total assets at end of year2011-10-31$374,550
Value of total assets at beginning of year2011-10-31$1,020,053
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-10-31$453,249
Total interest from all sources2011-10-31$201
Total dividends received (eg from common stock, registered investment company shares)2011-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-10-31No
Was this plan covered by a fidelity bond2011-10-31Yes
Value of fidelity bond cover2011-10-31$150,000
Were there any nonexempt tranactions with any party-in-interest2011-10-31No
Contributions received from participants2011-10-31$929,930
Participant contributions at end of year2011-10-31$17,423
Participant contributions at beginning of year2011-10-31$15,967
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-31No
Value of net income/loss2011-10-31$-347,392
Value of net assets at end of year (total assets less liabilities)2011-10-31$0
Value of net assets at beginning of year (total assets less liabilities)2011-10-31$347,392
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-10-31No
Were any leases to which the plan was party in default or uncollectible2011-10-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-10-31$4,287
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-10-31$1,004,086
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-10-31$1,004,086
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-10-31$201
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-10-31Yes
Was there a failure to transmit to the plan any participant contributions2011-10-31No
Has the plan failed to provide any benefit when due under the plan2011-10-31No
Contributions received in cash from employer2011-10-31$5,683,773
Employer contributions (assets) at end of year2011-10-31$352,840
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-10-31$6,508,047
Contract administrator fees2011-10-31$453,249
Liabilities. Value of benefit claims payable at end of year2011-10-31$374,550
Liabilities. Value of benefit claims payable at beginning of year2011-10-31$672,661
Did the plan have assets held for investment2011-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-10-31No
Opinion of an independent qualified public accountant for this plan2011-10-31Unqualified
Accountancy firm name2011-10-31FROST, PLLC
Accountancy firm EIN2011-10-31710817652

Form 5500 Responses for CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN

2021: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2021 form 5500 responses
2021-11-01Type of plan entitySingle employer plan
2021-11-01Submission has been amendedNo
2021-11-01This submission is the final filingNo
2021-11-01This return/report is a short plan year return/report (less than 12 months)No
2021-11-01Plan is a collectively bargained planNo
2021-11-01Plan funding arrangement – InsuranceYes
2021-11-01Plan funding arrangement – TrustYes
2021-11-01Plan benefit arrangement – InsuranceYes
2021-11-01Plan benefit arrangement - TrustYes
2020: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2020 form 5500 responses
2020-11-01Type of plan entitySingle employer plan
2020-11-01Submission has been amendedNo
2020-11-01This submission is the final filingNo
2020-11-01This return/report is a short plan year return/report (less than 12 months)No
2020-11-01Plan is a collectively bargained planNo
2020-11-01Plan funding arrangement – InsuranceYes
2020-11-01Plan funding arrangement – TrustYes
2020-11-01Plan benefit arrangement – InsuranceYes
2020-11-01Plan benefit arrangement - TrustYes
2019: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01Submission has been amendedNo
2019-11-01This submission is the final filingNo
2019-11-01This return/report is a short plan year return/report (less than 12 months)No
2019-11-01Plan is a collectively bargained planNo
2019-11-01Plan funding arrangement – InsuranceYes
2019-11-01Plan funding arrangement – TrustYes
2019-11-01Plan benefit arrangement – InsuranceYes
2019-11-01Plan benefit arrangement - TrustYes
2018: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2018 form 5500 responses
2018-11-01Type of plan entitySingle employer plan
2018-11-01Submission has been amendedNo
2018-11-01This submission is the final filingNo
2018-11-01This return/report is a short plan year return/report (less than 12 months)No
2018-11-01Plan is a collectively bargained planNo
2018-11-01Plan funding arrangement – InsuranceYes
2018-11-01Plan funding arrangement – TrustYes
2018-11-01Plan benefit arrangement – InsuranceYes
2018-11-01Plan benefit arrangement - TrustYes
2017: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01Submission has been amendedNo
2017-11-01This submission is the final filingNo
2017-11-01This return/report is a short plan year return/report (less than 12 months)No
2017-11-01Plan is a collectively bargained planNo
2017-11-01Plan funding arrangement – TrustYes
2017-11-01Plan benefit arrangement - TrustYes
2016: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Submission has been amendedNo
2016-11-01This submission is the final filingNo
2016-11-01This return/report is a short plan year return/report (less than 12 months)No
2016-11-01Plan is a collectively bargained planNo
2016-11-01Plan funding arrangement – TrustYes
2016-11-01Plan benefit arrangement - TrustYes
2015: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Submission has been amendedNo
2015-11-01This submission is the final filingNo
2015-11-01This return/report is a short plan year return/report (less than 12 months)No
2015-11-01Plan is a collectively bargained planNo
2015-11-01Plan funding arrangement – TrustYes
2015-11-01Plan benefit arrangement - TrustYes
2014: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Submission has been amendedNo
2014-11-01This submission is the final filingNo
2014-11-01This return/report is a short plan year return/report (less than 12 months)No
2014-11-01Plan is a collectively bargained planNo
2014-11-01Plan funding arrangement – TrustYes
2014-11-01Plan benefit arrangement - TrustYes
2013: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01Submission has been amendedYes
2013-11-01This submission is the final filingNo
2013-11-01This return/report is a short plan year return/report (less than 12 months)No
2013-11-01Plan is a collectively bargained planNo
2013-11-01Plan funding arrangement – TrustYes
2013-11-01Plan benefit arrangement - TrustYes
2012: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2012 form 5500 responses
2012-11-01Type of plan entitySingle employer plan
2012-11-01Submission has been amendedNo
2012-11-01This submission is the final filingNo
2012-11-01This return/report is a short plan year return/report (less than 12 months)No
2012-11-01Plan is a collectively bargained planNo
2012-11-01Plan funding arrangement – TrustYes
2012-11-01Plan benefit arrangement - TrustYes
2011: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01Submission has been amendedNo
2011-11-01This submission is the final filingNo
2011-11-01This return/report is a short plan year return/report (less than 12 months)No
2011-11-01Plan is a collectively bargained planNo
2011-11-01Plan funding arrangement – TrustYes
2011-11-01Plan benefit arrangement - TrustYes
2010: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2010 form 5500 responses
2010-11-01Type of plan entitySingle employer plan
2010-11-01Submission has been amendedNo
2010-11-01This submission is the final filingNo
2010-11-01This return/report is a short plan year return/report (less than 12 months)No
2010-11-01Plan is a collectively bargained planNo
2010-11-01Plan funding arrangement – TrustYes
2010-11-01Plan benefit arrangement - TrustYes
2009: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2009 form 5500 responses
2009-11-01Type of plan entitySingle employer plan
2009-11-01Submission has been amendedNo
2009-11-01This submission is the final filingNo
2009-11-01This return/report is a short plan year return/report (less than 12 months)No
2009-11-01Plan is a collectively bargained planNo
2009-11-01Plan funding arrangement – TrustYes
2009-11-01Plan benefit arrangement - TrustYes
2008: CLAXTON POULTRY FARMS EMPLOYEE MEDICAL PLAN 2008 form 5500 responses
2008-11-01Type of plan entitySingle employer plan
2008-11-01Submission has been amendedNo
2008-11-01This submission is the final filingNo
2008-11-01This return/report is a short plan year return/report (less than 12 months)No
2008-11-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )
Policy contract numberGA9584
Policy instance 1
Insurance contract or identification numberGA9584
Number of Individuals Covered2648
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $8,598
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?No
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $153,401
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,598
Insurance broker organization code?3
BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )
Policy contract numberG0385
Policy instance 1
Insurance contract or identification numberG0385
Number of Individuals Covered1480
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $804,516
Total amount of fees paid to insurance companyUSD $111,357
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?No
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
Welfare Benefit Premiums Paid to CarrierUSD $496,376
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $804,516
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerADMINISTRATIVE
Insurance broker organization code?3
BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )
Policy contract numberG0385
Policy instance 1
Insurance contract or identification numberG0385
Number of Individuals Covered1491
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
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?No
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
Welfare Benefit Premiums Paid to CarrierUSD $504,552
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )
Policy contract numberG0385
Policy instance 1
Insurance contract or identification numberG0385
Number of Individuals Covered1556
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $81,101
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?No
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
Welfare Benefit Premiums Paid to CarrierUSD $456,517
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $72,864
Insurance broker organization code?3
BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )
Policy contract numberG0385
Policy instance 1
Insurance contract or identification numberG0385
Number of Individuals Covered1334
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $98,371
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?No
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
Welfare Benefit Premiums Paid to CarrierUSD $489,339
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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