401k Plan data: AMERICAN PLANT FOOD HEALTH AND WELFARE PLAN plan

AMERICAN PLANT FOOD HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	AMERICAN PLANT FOOD HEALTH AND WELFARE PLAN
Plan identification number	501

AMERICAN PLANT FOOD HEALTH AND WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance) Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

AMERICAN PLANT FOOD CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: AMERICAN PLANT FOOD CORPORATION

Employer identification number (EIN): 741498206

NAIC Classification: 424500

Additional information about AMERICAN PLANT FOOD CORPORATION

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1964-11-20

Company Identification Number: 0020840200

Legal Registered Office Address: PO BOX 584

GALENA PARK
United States of America (USA)
77547

More information about AMERICAN PLANT FOOD CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN PLANT FOOD HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-01-01 TOM MCKERNAN 2023-06-27
501 2021-01-01 TOM MCKERNAN 2022-06-29

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2022-01-01	TOM MCKERNAN	2023-06-27
501	2021-01-01	TOM MCKERNAN	2022-06-29

Plan Statistics for AMERICAN PLANT FOOD HEALTH AND WELFARE PLAN

401k plan membership statisitcs for AMERICAN PLANT FOOD HEALTH AND WELFARE PLAN

Measure Date Value
2022: AMERICAN PLANT FOOD HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 101
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 97
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 97
Number of employers contributing to the scheme 2022-01-01 0
2021: AMERICAN PLANT FOOD HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 101
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 101
Number of employers contributing to the scheme 2021-01-01 0

Measure	Date	Value
2022: AMERICAN PLANT FOOD HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	101
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	97
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	97
Number of employers contributing to the scheme	2022-01-01	0
2021: AMERICAN PLANT FOOD HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	101
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	101
Number of employers contributing to the scheme	2021-01-01	0

Form 5500 Responses for AMERICAN PLANT FOOD HEALTH AND WELFARE PLAN

2022: AMERICAN PLANT FOOD HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2021: AMERICAN PLANT FOOD HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	First time form 5500 has been submitted	Yes
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

U5160

Policy instance

Insurance contract or identification number	U5160
Number of Individuals Covered	229
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $63,090
Total amount of fees paid to insurance company	USD $3,436
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,375,449
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $63,090
Amount paid for insurance broker fees	1490
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3

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

Policy contract number

SGD613493

Policy instance

Insurance contract or identification number	SGD613493
Number of Individuals Covered	97
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $12,325
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $82,169
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $12,325
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

U5160

Policy instance

Insurance contract or identification number	U5160
Number of Individuals Covered	251
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $83,160
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,826,349
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $83,160
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

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

Policy contract number

513121

Policy instance

Insurance contract or identification number	513121
Number of Individuals Covered	101
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $13,583
Total amount of fees paid to insurance company	USD $6,930
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $90,553
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,583
Amount paid for insurance broker fees	6930
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3

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Company Name:	AMERICAN PLANT FOOD CORPORATION
Employer identification number (EIN):	741498206
NAIC Classification:	424500

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1964-11-20
Company Identification Number:	0020840200
Legal Registered Office Address:	PO BOX 584 GALENA PARK United States of America (USA) 77547