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FRIENDLY EXPRESS, INC. DENTAL PLANS 401k Plan overview

Plan NameFRIENDLY EXPRESS, INC. DENTAL PLANS
Plan identification number 502

FRIENDLY EXPRESS, INC. DENTAL PLANS Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

FRIENDLY EXPRESS, INC. has sponsored the creation of one or more 401k plans.

Company Name:FRIENDLY EXPRESS, INC.
Employer identification number (EIN):581850043
NAIC Classification:445120
NAIC Description:Convenience Stores

Additional information about FRIENDLY EXPRESS, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 2009-08-25
Company Identification Number: 3848758
Legal Registered Office Address: 103 MIDDLE NECK ROAD
Nassau
GREAT NECK
United States of America (USA)
11021

More information about FRIENDLY EXPRESS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FRIENDLY EXPRESS, INC. DENTAL PLANS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022019-01-01DANNY K. SMITH2020-07-08
5022018-01-01DANNY SMITH2019-12-09
5022018-01-01DANIEL K SMITH2020-07-09
5022017-01-01DANNY SMITH2019-12-09

Plan Statistics for FRIENDLY EXPRESS, INC. DENTAL PLANS

401k plan membership statisitcs for FRIENDLY EXPRESS, INC. DENTAL PLANS

Measure Date Value
2019: FRIENDLY EXPRESS, INC. DENTAL PLANS 2019 401k membership
Total participants, beginning-of-year2019-01-01219
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-010
Number of employers contributing to the scheme2019-01-010
2018: FRIENDLY EXPRESS, INC. DENTAL PLANS 2018 401k membership
Total participants, beginning-of-year2018-01-01204
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-010
Number of employers contributing to the scheme2018-01-010
2017: FRIENDLY EXPRESS, INC. DENTAL PLANS 2017 401k membership
Total participants, beginning-of-year2017-01-01152
Total number of active participants reported on line 7a of the Form 55002017-01-01204
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01204
Number of employers contributing to the scheme2017-01-010

Form 5500 Responses for FRIENDLY EXPRESS, INC. DENTAL PLANS

2019: FRIENDLY EXPRESS, INC. DENTAL PLANS 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01This submission is the final filingYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: FRIENDLY EXPRESS, INC. DENTAL PLANS 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedYes
2018-01-01This submission is the final filingYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: FRIENDLY EXPRESS, INC. DENTAL PLANS 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number916426
Policy instance 1
Insurance contract or identification number916426
Number of Individuals Covered308
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $9,520
Total amount of fees paid to insurance companyUSD $64,061
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,268,765
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,520
Amount paid for insurance broker fees63669
Additional information about fees paid to insurance brokerSERVICE FEE AGREEMENT BONUS
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 numberGA8571
Policy instance 1
Insurance contract or identification numberGA8571
Number of Individuals Covered273
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $3,982
Total amount of fees paid to insurance companyUSD $79
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $91,639
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,424
Amount paid for insurance broker fees79
Additional information about fees paid to insurance brokerFEES
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 numberGA8571
Policy instance 1
Insurance contract or identification numberGA8571
Number of Individuals Covered311
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $5,430
Total amount of fees paid to insurance companyUSD $341
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $97,199
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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