| Plan Name | FORD RESTAURANT GROUP HEALTH AND WELFARE PLAN |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | FORD RESTAURANT GROUP HEALTH AND WELFARE |
| Employer identification number (EIN): | 742920323 |
| NAIC Classification: | 541990 |
| NAIC Description: | All Other Professional, Scientific, and Technical Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2018-01-01 | MARGARET GODSHALL | 2019-09-10 |
| 2018: FORD RESTAURANT GROUP HEALTH AND WELFARE PLAN 2018 form 5500 responses | ||
|---|---|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | First time form 5500 has been submitted | Yes |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| ACE AMERICAN INS CO (National Association of Insurance Commissioners NAIC id number: 22667 ) | |
| Policy contract number | N04977749007 |
| Policy instance | 1 |