401k Plan data: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN plan

GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 401k Plan overview

Plan Name	GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN
Plan identification number	502

GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental Vision Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

GOLDEN FLAKE SNACK FOODS, INC. has sponsored the creation of one or more 401k plans.

Company Name: GOLDEN FLAKE SNACK FOODS, INC.

Employer identification number (EIN): 630711846

NAIC Classification: 311500
NAIC Description: Dairy Product Manufacturing

Additional information about GOLDEN FLAKE SNACK FOODS, INC.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2005-01-28

Company Identification Number: 0800446653

Legal Registered Office Address: 900 HIGH ST

HANOVER
United States of America (USA)
17331

More information about GOLDEN FLAKE SNACK FOODS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2017-01-01 WAYNE RUDASILL
502 2017-01-01
502 2016-01-01 PATTY TOWNSEND
502 2015-01-01 PATTY TOWNSEND
502 2014-01-01 PATTY TOWNSEND
502 2013-01-01 PATTY TOWNSEND
502 2012-01-01 PATTY TOWNSEND
502 2011-01-01 PATTY TOWNSEND
502 2010-01-01 PATTY TOWNSEND
502 2009-01-01 PATTY TOWNSEND

Plan Statistics for GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN

401k plan membership statisitcs for GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN

Measure Date Value
2017: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 581
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 553
Total of all active and inactive participants 2017-01-01 553
2016: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 594
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 581
Total of all active and inactive participants 2016-01-01 581
2015: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 587
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 594
Total of all active and inactive participants 2015-01-01 594
2014: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 578
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 587
Total of all active and inactive participants 2014-01-01 587
2013: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 591
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 578
Total of all active and inactive participants 2013-01-01 578
2012: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 602
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 591
Total of all active and inactive participants 2012-01-01 591
2011: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 802
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 602
Total of all active and inactive participants 2011-01-01 602
2010: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 675
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 802
Total of all active and inactive participants 2010-01-01 802
2009: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 663
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 675
Total of all active and inactive participants 2009-01-01 675

Measure	Date	Value
2017: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	581
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	553
Total of all active and inactive participants	2017-01-01	553
2016: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	594
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	581
Total of all active and inactive participants	2016-01-01	581
2015: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	587
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	594
Total of all active and inactive participants	2015-01-01	594
2014: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	578
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	587
Total of all active and inactive participants	2014-01-01	587
2013: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	591
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	578
Total of all active and inactive participants	2013-01-01	578
2012: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	602
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	591
Total of all active and inactive participants	2012-01-01	591
2011: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	802
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	602
Total of all active and inactive participants	2011-01-01	602
2010: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	675
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	802
Total of all active and inactive participants	2010-01-01	802
2009: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	663
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	675
Total of all active and inactive participants	2009-01-01	675

Form 5500 Responses for GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN

2017: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	Yes
2017-01-01	This submission is the final filing	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: GOLDEN FLAKE SNACK FOODS, INC. BENEFLEX PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

877073G

Policy instance

Insurance contract or identification number	877073G
Number of Individuals Covered	274
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $21,489
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH
Welfare Benefit Premiums Paid to Carrier	USD $184,913
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $21,489
Insurance broker organization code?	3
Insurance broker name	SS NESBITT & CO. INC.

UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )

Policy contract number

907591

Policy instance

Insurance contract or identification number	907591
Number of Individuals Covered	1057
Insurance policy end date	2017-06-30
Total amount of commissions paid to insurance broker	USD $4,396
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,396
Insurance broker organization code?	3
Insurance broker name	SS NESBITT & CO. INC.

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

752266

Policy instance

Insurance contract or identification number	752266
Number of Individuals Covered	266
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $2,489
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,489
Insurance broker organization code?	3
Insurance broker name	SS NESBITT & CO. INC.

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

BK 960030

Policy instance

Insurance contract or identification number	BK 960030
Number of Individuals Covered	20
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $1,284
Total amount of fees paid to insurance company	USD $0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $18,342
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,284
Insurance broker organization code?	3
Insurance broker name	THE PRIESTLEY COMPANY

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

FLX960064

Policy instance

Insurance contract or identification number	FLX960064
Number of Individuals Covered	594
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $1,892
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $27,017
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,259
Insurance broker organization code?	3
Insurance broker name	THE PRIESTLEY COMPANY

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

000400122898

Policy instance

Insurance contract or identification number	000400122898
Number of Individuals Covered	429
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $29,781
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $159,746
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $18,966
Insurance broker organization code?	3
Insurance broker name	THOMAS H. MCSWAIN

UNITED CONCORDIA DENTAL CORPORATION OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 47038 )

Policy contract number

907591

Policy instance

Insurance contract or identification number	907591
Number of Individuals Covered	1071
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $6,566
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	DENTAL
Welfare Benefit Premiums Paid to Carrier	USD $177,969
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,313
Insurance broker organization code?	3
Insurance broker name	THE PRIESTLEY COMPANY

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

VDT960003

Policy instance

Insurance contract or identification number	VDT960003
Number of Individuals Covered	484
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $5,481
Total amount of fees paid to insurance company	USD $0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $77,773
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,628
Insurance broker organization code?	3
Insurance broker name	THE PRIESTLEY COMPANY

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

OK 965146

Policy instance

Insurance contract or identification number	OK 965146
Number of Individuals Covered	594
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $184
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	ACCIDENTAL DEATH
Welfare Benefit Premiums Paid to Carrier	USD $3,160
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $110
Insurance broker organization code?	3
Insurance broker name	THE PRIESTLEY COMPANY

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

FLX960064

Policy instance

Insurance contract or identification number	FLX960064
Number of Individuals Covered	587
Insurance policy start date	2014-01-01
Insurance policy end date	2015-01-01
Total amount of commissions paid to insurance broker	USD $1,790
Total amount of fees paid to insurance company	USD $572
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $25,570
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,790
Amount paid for insurance broker fees	572
Additional information about fees paid to insurance broker	OVERRIDE
Insurance broker organization code?	3
Insurance broker name	THE PRIESTLEY COMPANY

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

OK 965146

Policy instance

Insurance contract or identification number	OK 965146
Number of Individuals Covered	587
Insurance policy start date	2014-01-01
Insurance policy end date	2015-01-01
Total amount of commissions paid to insurance broker	USD $211
Total amount of fees paid to insurance company	USD $75
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	ACCIDENTAL DEATH
Welfare Benefit Premiums Paid to Carrier	USD $3,008
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $211
Amount paid for insurance broker fees	75
Additional information about fees paid to insurance broker	OVERRIDE
Insurance broker organization code?	3
Insurance broker name	THE PRIESTLEY COMPANY

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00481202

Policy instance

Insurance contract or identification number	00481202
Number of Individuals Covered	561
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $11,318
Total amount of fees paid to insurance company	USD $4,137
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	DENTAL AND VISION
Welfare Benefit Premiums Paid to Carrier	USD $246,148
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $11,318
Amount paid for insurance broker fees	4137
Insurance broker organization code?	3
Insurance broker name	THE PRIESTLEY COMPANY

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

000400122898

Policy instance

Insurance contract or identification number	000400122898
Number of Individuals Covered	447
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $33,593
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $193,952
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $29,093
Insurance broker organization code?	3
Insurance broker name	PINNACLE BENEFIT RESOURCES

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

BK 960030

Policy instance

Insurance contract or identification number	BK 960030
Number of Individuals Covered	479
Insurance policy start date	2014-01-01
Insurance policy end date	2015-01-01
Total amount of commissions paid to insurance broker	USD $1,242
Total amount of fees paid to insurance company	USD $371
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $17,744
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,242
Amount paid for insurance broker fees	371
Additional information about fees paid to insurance broker	OVERRIDE
Insurance broker organization code?	3
Insurance broker name	THE PRIESTLEY COMPANY

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

FLX960064

Policy instance

Insurance contract or identification number	FLX960064
Number of Individuals Covered	608
Insurance policy start date	2013-01-01
Insurance policy end date	2014-01-01
Total amount of commissions paid to insurance broker	USD $2,001
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $28,579
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,001
Insurance broker organization code?	3
Insurance broker name	THE PRIESTLEY COMPANY

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

OK 965146

Policy instance

Insurance contract or identification number	OK 965146
Number of Individuals Covered	608
Insurance policy start date	2013-01-01
Insurance policy end date	2014-01-01
Total amount of commissions paid to insurance broker	USD $264
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	ACCIDENTAL DEATH
Welfare Benefit Premiums Paid to Carrier	USD $3,767
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $264
Insurance broker organization code?	3
Insurance broker name	THE PRIESTLEY COMPANY

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

000400122898

Policy instance

Insurance contract or identification number	000400122898
Number of Individuals Covered	465
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $37,944
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $224,987
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $33,748
Insurance broker organization code?	3
Insurance broker name	PINNACLE BENEFIT RESOURCES

NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )

Policy contract number

29410

Policy instance

Insurance contract or identification number	29410
Number of Individuals Covered	597
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $10,799
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $238,688
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,799
Insurance broker organization code?	3
Insurance broker name	PINNACLE BENEFIT RESOURCES

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0142847

Policy instance

Insurance contract or identification number	0142847
Number of Individuals Covered	555
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $2,281
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $-125
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,281
Insurance broker organization code?	3
Insurance broker name	THOMAS H. MCSWAIN

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

VDT960003

Policy instance

Insurance contract or identification number	VDT960003
Number of Individuals Covered	512
Insurance policy start date	2013-01-01
Insurance policy end date	2014-01-01
Total amount of commissions paid to insurance broker	USD $5,662
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $80,885
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,662
Insurance broker organization code?	3
Insurance broker name	THE PRIESTLEY COMPANY

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

BK 960030

Policy instance

Insurance contract or identification number	BK 960030
Number of Individuals Covered	19
Insurance policy start date	2013-01-01
Insurance policy end date	2014-01-01
Total amount of commissions paid to insurance broker	USD $1,298
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $18,542
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,298
Insurance broker organization code?	3
Insurance broker name	THE PRIESTLEY COMPANY

NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )

Policy contract number

29410

Policy instance

Insurance contract or identification number	29410
Number of Individuals Covered	960
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $5,839
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $53,858
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,839
Insurance broker organization code?	3
Insurance broker name	PINNACLE BENEFIT RESOURCES

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

VDT960003

Policy instance

Insurance contract or identification number	VDT960003
Number of Individuals Covered	422
Insurance policy start date	2012-01-01
Insurance policy end date	2013-01-01
Total amount of commissions paid to insurance broker	USD $5,630
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $80,435
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,630
Insurance broker organization code?	3
Insurance broker name	THE PRIESTLEY COMPANY

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

OK 965146

Policy instance

Insurance contract or identification number	OK 965146
Number of Individuals Covered	622
Insurance policy start date	2012-01-01
Insurance policy end date	2013-01-01
Total amount of commissions paid to insurance broker	USD $338
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	ACCIDENTAL DEATH
Welfare Benefit Premiums Paid to Carrier	USD $4,833
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $338
Insurance broker organization code?	3
Insurance broker name	THE PRIESTLEY COMPANY

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

000400122898

Policy instance

Insurance contract or identification number	000400122898
Number of Individuals Covered	430
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $23,225
Total amount of fees paid to insurance company	USD $7,386
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $154,833
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $23,225
Insurance broker organization code?	3
Amount paid for insurance broker fees	7386
Additional information about fees paid to insurance broker	BROKER BONUS
Insurance broker name	PINNACLE BENEFIT RESOURCES

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

FLX960064

Policy instance

Insurance contract or identification number	FLX960064
Number of Individuals Covered	622
Insurance policy start date	2012-01-01
Insurance policy end date	2013-01-01
Total amount of commissions paid to insurance broker	USD $2,561
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $36,580
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,561
Insurance broker organization code?	3
Insurance broker name	THE PRIESTLEY COMPANY

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0142847

Policy instance

Insurance contract or identification number	0142847
Number of Individuals Covered	1066
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $12,772
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,772
Insurance broker organization code?	3
Insurance broker name	THOMAS H. MCSWAIN

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

BK 960030

Policy instance

Insurance contract or identification number	BK 960030
Number of Individuals Covered	18
Insurance policy start date	2012-01-01
Insurance policy end date	2013-01-01
Total amount of commissions paid to insurance broker	USD $1,113
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $15,896
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,113
Insurance broker organization code?	3
Insurance broker name	THE PRIESTLEY COMPANY

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

BK 960030

Policy instance

Insurance contract or identification number	BK 960030
Number of Individuals Covered	17
Insurance policy start date	2011-01-01
Insurance policy end date	2012-01-01
Total amount of commissions paid to insurance broker	USD $1,065
Total amount of fees paid to insurance company	USD $227
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $15,211
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

000400122898

Policy instance

Insurance contract or identification number	000400122898
Number of Individuals Covered	461
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $23,325
Total amount of fees paid to insurance company	USD $8,240
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $155,497
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )

Policy contract number

29410

Policy instance

Insurance contract or identification number	29410
Number of Individuals Covered	954
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $5,866
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $58,300
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

OK 965146

Policy instance

Insurance contract or identification number	OK 965146
Number of Individuals Covered	602
Insurance policy start date	2011-01-01
Insurance policy end date	2012-01-01
Total amount of commissions paid to insurance broker	USD $317
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	ACCIDENTAL DEATH
Welfare Benefit Premiums Paid to Carrier	USD $4,524
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0142847

Policy instance

Insurance contract or identification number	0142847
Number of Individuals Covered	1066
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $12,772
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $158,917
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

FLX960064

Policy instance

Insurance contract or identification number	FLX960064
Number of Individuals Covered	602
Insurance policy start date	2011-01-01
Insurance policy end date	2012-01-01
Total amount of commissions paid to insurance broker	USD $2,367
Total amount of fees paid to insurance company	USD $525
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $33,815
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

VDT960003

Policy instance

Insurance contract or identification number	VDT960003
Number of Individuals Covered	447
Insurance policy start date	2011-01-01
Insurance policy end date	2012-01-01
Total amount of commissions paid to insurance broker	USD $5,767
Total amount of fees paid to insurance company	USD $1,245
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $82,381
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )

Policy contract number

29410

Policy instance

Insurance contract or identification number	29410
Number of Individuals Covered	986
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $5,605
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $60,944
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,605
Insurance broker organization code?	3
Insurance broker name	THOMAS H. MCSWAIN

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

000400122898

Policy instance

Insurance contract or identification number	000400122898
Number of Individuals Covered	523
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $26,022
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $173,477
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $26,022
Insurance broker organization code?	3
Insurance broker name	THOMAS H. MCSWAIN

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

BK 960030

Policy instance

Insurance contract or identification number	BK 960030
Number of Individuals Covered	18
Insurance policy start date	2010-01-01
Insurance policy end date	2011-01-01
Total amount of commissions paid to insurance broker	USD $1,061
Total amount of fees paid to insurance company	USD $219
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $15,156
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,061
Amount paid for insurance broker fees	219
Additional information about fees paid to insurance broker	SALES & SERVICE
Insurance broker organization code?	3
Insurance broker name	THE PRIESTLEY COMPANY

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0142847

Policy instance

Insurance contract or identification number	0142847
Number of Individuals Covered	1134
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $12,170
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $165,324
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,170
Insurance broker organization code?	3
Insurance broker name	THOMAS H. MCSWAIN

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

FLX960064

Policy instance

Insurance contract or identification number	FLX960064
Number of Individuals Covered	808
Insurance policy start date	2010-01-01
Insurance policy end date	2011-01-01
Total amount of commissions paid to insurance broker	USD $2,257
Total amount of fees paid to insurance company	USD $1,604
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $32,236
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,257
Amount paid for insurance broker fees	1604
Additional information about fees paid to insurance broker	SALES & SERVICE
Insurance broker organization code?	3
Insurance broker name	THE PRIESTLEY COMPANY

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

VDT960003

Policy instance

Insurance contract or identification number	VDT960003
Number of Individuals Covered	491
Insurance policy start date	2010-01-01
Insurance policy end date	2011-01-01
Total amount of commissions paid to insurance broker	USD $5,342
Total amount of fees paid to insurance company	USD $919
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $76,313
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,342
Amount paid for insurance broker fees	919
Additional information about fees paid to insurance broker	SALES & SERVICE
Insurance broker organization code?	3
Insurance broker name	THE PRIESTLEY COMPANY

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

OK 965146

Policy instance

Insurance contract or identification number	OK 965146
Number of Individuals Covered	808
Insurance policy start date	2010-01-01
Insurance policy end date	2011-01-01
Total amount of commissions paid to insurance broker	USD $292
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	ACCIDENTAL DEATH
Welfare Benefit Premiums Paid to Carrier	USD $4,174
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $292
Insurance broker organization code?	3
Insurance broker name	THE PRIESTLEY COMPANY

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Company Name:	GOLDEN FLAKE SNACK FOODS, INC.
Employer identification number (EIN):	630711846
NAIC Classification:	311500
NAIC Description:	Dairy Product Manufacturing

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2005-01-28
Company Identification Number:	0800446653
Legal Registered Office Address:	900 HIGH ST HANOVER United States of America (USA) 17331

Plan id#	Filing Submission Date	Name of Administrator
502	2017-01-01	WAYNE RUDASILL
502	2017-01-01
502	2016-01-01	PATTY TOWNSEND
502	2015-01-01	PATTY TOWNSEND
502	2014-01-01	PATTY TOWNSEND
502	2013-01-01	PATTY TOWNSEND
502	2012-01-01	PATTY TOWNSEND
502	2011-01-01	PATTY TOWNSEND
502	2010-01-01	PATTY TOWNSEND
502	2009-01-01	PATTY TOWNSEND