401k Plan data: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN plan

BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 401k Plan overview

Plan Name	BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN
Plan identification number	504

BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision Temporary disability (accident and sickness) Death benefits (include travel accident but not life insurance) Other welfare benefit cover Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

BROOKSHIRE BROTHERS INC has sponsored the creation of one or more 401k plans.

Company Name: BROOKSHIRE BROTHERS INC

Employer identification number (EIN): 752692839

NAIC Classification: 445110
NAIC Description: Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2022-05-01 CLAY OLIVER 2023-09-19 CLAY OLIVER 2023-09-19
504 2021-04-25 CLAY OLIVER 2022-09-28 CLAY OLIVER 2022-09-28
504 2020-04-26 CLAY OLIVER 2021-08-30 CLAY OLIVER 2021-08-30
504 2019-04-28
504 2019-04-28 CLAY OLIVER 2020-09-09 CLAY OLIVER 2020-09-09
504 2018-04-29 CLAY OLIVER 2020-09-09 CLAY OLIVER 2020-09-09
504 2017-04-29
504 2016-04-30 CLAY OLIVER CLAY OLIVER 2017-06-15
504 2015-04-26 CLAY OLIVER CLAY OLIVER 2016-05-20
504 2015-04-26 CLAY OLIVER CLAY OLIVER 2017-06-15
504 2014-04-27 CLAY OLIVER CLAY OLIVER 2015-11-24
504 2010-04-25 CLAY OLIVER
504 2009-04-26 JERRY JOHNSON
504 2009-04-26 JERRY JOHNSON

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
504	2022-05-01	CLAY OLIVER	2023-09-19	CLAY OLIVER	2023-09-19
504	2021-04-25	CLAY OLIVER	2022-09-28	CLAY OLIVER	2022-09-28
504	2020-04-26	CLAY OLIVER	2021-08-30	CLAY OLIVER	2021-08-30
504	2019-04-28
504	2019-04-28	CLAY OLIVER	2020-09-09	CLAY OLIVER	2020-09-09
504	2018-04-29	CLAY OLIVER	2020-09-09	CLAY OLIVER	2020-09-09
504	2017-04-29
504	2016-04-30	CLAY OLIVER		CLAY OLIVER	2017-06-15
504	2015-04-26	CLAY OLIVER		CLAY OLIVER	2016-05-20
504	2015-04-26	CLAY OLIVER		CLAY OLIVER	2017-06-15
504	2014-04-27	CLAY OLIVER		CLAY OLIVER	2015-11-24
504	2010-04-25	CLAY OLIVER
504	2009-04-26	JERRY JOHNSON
504	2009-04-26	JERRY JOHNSON

Plan Statistics for BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN

401k plan membership statisitcs for BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN

Measure Date Value
2022: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-05-01 5,823
Total number of active participants reported on line 7a of the Form 5500 2022-05-01 5,666
Number of retired or separated participants receiving benefits 2022-05-01 0
Total of all active and inactive participants 2022-05-01 5,666
2021: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-04-25 5,818
Total number of active participants reported on line 7a of the Form 5500 2021-04-25 5,822
Number of retired or separated participants receiving benefits 2021-04-25 1
Total of all active and inactive participants 2021-04-25 5,823
2020: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-04-26 5,598
Total number of active participants reported on line 7a of the Form 5500 2020-04-26 5,818
Number of retired or separated participants receiving benefits 2020-04-26 0
Total of all active and inactive participants 2020-04-26 5,818
2019: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-04-28 5,352
Total number of active participants reported on line 7a of the Form 5500 2019-04-28 5,598
Number of retired or separated participants receiving benefits 2019-04-28 0
Total of all active and inactive participants 2019-04-28 5,598
2018: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-04-29 5,590
Total number of active participants reported on line 7a of the Form 5500 2018-04-29 5,352
Number of retired or separated participants receiving benefits 2018-04-29 0
Total of all active and inactive participants 2018-04-29 5,352
2017: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-04-29 5,689
Total number of active participants reported on line 7a of the Form 5500 2017-04-29 5,590
Number of retired or separated participants receiving benefits 2017-04-29 0
Total of all active and inactive participants 2017-04-29 5,590
2016: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-04-30 6,088
Total number of active participants reported on line 7a of the Form 5500 2016-04-30 5,689
Number of retired or separated participants receiving benefits 2016-04-30 0
Total of all active and inactive participants 2016-04-30 5,689
2015: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-04-26 6,642
Total number of active participants reported on line 7a of the Form 5500 2015-04-26 6,419
Number of retired or separated participants receiving benefits 2015-04-26 0
Number of other retired or separated participants entitled to future benefits 2015-04-26 0
Total of all active and inactive participants 2015-04-26 6,419
2014: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-04-27 6,010
Total number of active participants reported on line 7a of the Form 5500 2014-04-27 6,642
Number of retired or separated participants receiving benefits 2014-04-27 0
Number of other retired or separated participants entitled to future benefits 2014-04-27 0
Total of all active and inactive participants 2014-04-27 6,642
2010: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-04-25 5,839
Total number of active participants reported on line 7a of the Form 5500 2010-04-25 5,788
Total of all active and inactive participants 2010-04-25 5,788
Total participants 2010-04-25 5,788
2009: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-04-26 6,406
Total number of active participants reported on line 7a of the Form 5500 2009-04-26 5,839
Total of all active and inactive participants 2009-04-26 5,839
Total participants 2009-04-26 5,839

Measure	Date	Value
2022: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-05-01	5,823
Total number of active participants reported on line 7a of the Form 5500	2022-05-01	5,666
Number of retired or separated participants receiving benefits	2022-05-01	0
Total of all active and inactive participants	2022-05-01	5,666
2021: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-04-25	5,818
Total number of active participants reported on line 7a of the Form 5500	2021-04-25	5,822
Number of retired or separated participants receiving benefits	2021-04-25	1
Total of all active and inactive participants	2021-04-25	5,823
2020: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-04-26	5,598
Total number of active participants reported on line 7a of the Form 5500	2020-04-26	5,818
Number of retired or separated participants receiving benefits	2020-04-26	0
Total of all active and inactive participants	2020-04-26	5,818
2019: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-04-28	5,352
Total number of active participants reported on line 7a of the Form 5500	2019-04-28	5,598
Number of retired or separated participants receiving benefits	2019-04-28	0
Total of all active and inactive participants	2019-04-28	5,598
2018: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-04-29	5,590
Total number of active participants reported on line 7a of the Form 5500	2018-04-29	5,352
Number of retired or separated participants receiving benefits	2018-04-29	0
Total of all active and inactive participants	2018-04-29	5,352
2017: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-04-29	5,689
Total number of active participants reported on line 7a of the Form 5500	2017-04-29	5,590
Number of retired or separated participants receiving benefits	2017-04-29	0
Total of all active and inactive participants	2017-04-29	5,590
2016: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-04-30	6,088
Total number of active participants reported on line 7a of the Form 5500	2016-04-30	5,689
Number of retired or separated participants receiving benefits	2016-04-30	0
Total of all active and inactive participants	2016-04-30	5,689
2015: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-04-26	6,642
Total number of active participants reported on line 7a of the Form 5500	2015-04-26	6,419
Number of retired or separated participants receiving benefits	2015-04-26	0
Number of other retired or separated participants entitled to future benefits	2015-04-26	0
Total of all active and inactive participants	2015-04-26	6,419
2014: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-04-27	6,010
Total number of active participants reported on line 7a of the Form 5500	2014-04-27	6,642
Number of retired or separated participants receiving benefits	2014-04-27	0
Number of other retired or separated participants entitled to future benefits	2014-04-27	0
Total of all active and inactive participants	2014-04-27	6,642
2010: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-04-25	5,839
Total number of active participants reported on line 7a of the Form 5500	2010-04-25	5,788
Total of all active and inactive participants	2010-04-25	5,788
Total participants	2010-04-25	5,788
2009: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-04-26	6,406
Total number of active participants reported on line 7a of the Form 5500	2009-04-26	5,839
Total of all active and inactive participants	2009-04-26	5,839
Total participants	2009-04-26	5,839

Form 5500 Responses for BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN

2022: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2022 form 5500 responses
2022-05-01	Type of plan entity	Single employer plan
2022-05-01	Submission has been amended	No
2022-05-01	This submission is the final filing	No
2022-05-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2022-05-01	Plan is a collectively bargained plan	No
2022-05-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-05-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2021 form 5500 responses
2021-04-25	Type of plan entity	Single employer plan
2021-04-25	Submission has been amended	No
2021-04-25	This submission is the final filing	No
2021-04-25	This return/report is a short plan year return/report (less than 12 months)	No
2021-04-25	Plan is a collectively bargained plan	No
2021-04-25	Plan funding arrangement – General assets of the sponsor	Yes
2021-04-25	Plan benefit arrangement – General assets of the sponsor	Yes
2020: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2020 form 5500 responses
2020-04-26	Type of plan entity	Single employer plan
2020-04-26	Submission has been amended	No
2020-04-26	This submission is the final filing	No
2020-04-26	This return/report is a short plan year return/report (less than 12 months)	Yes
2020-04-26	Plan is a collectively bargained plan	No
2020-04-26	Plan funding arrangement – General assets of the sponsor	Yes
2020-04-26	Plan benefit arrangement – General assets of the sponsor	Yes
2019: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2019 form 5500 responses
2019-04-28	Type of plan entity	Single employer plan
2019-04-28	Submission has been amended	No
2019-04-28	This submission is the final filing	No
2019-04-28	This return/report is a short plan year return/report (less than 12 months)	Yes
2019-04-28	Plan is a collectively bargained plan	No
2019-04-28	Plan funding arrangement – General assets of the sponsor	Yes
2019-04-28	Plan benefit arrangement – General assets of the sponsor	Yes
2018: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2018 form 5500 responses
2018-04-29	Type of plan entity	Single employer plan
2018-04-29	Submission has been amended	Yes
2018-04-29	This submission is the final filing	No
2018-04-29	This return/report is a short plan year return/report (less than 12 months)	Yes
2018-04-29	Plan is a collectively bargained plan	No
2018-04-29	Plan funding arrangement – General assets of the sponsor	Yes
2018-04-29	Plan benefit arrangement – General assets of the sponsor	Yes
2017: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2017 form 5500 responses
2017-04-29	Type of plan entity	Single employer plan
2017-04-29	Submission has been amended	No
2017-04-29	This submission is the final filing	No
2017-04-29	This return/report is a short plan year return/report (less than 12 months)	No
2017-04-29	Plan is a collectively bargained plan	No
2017-04-29	Plan funding arrangement – General assets of the sponsor	Yes
2017-04-29	Plan benefit arrangement – General assets of the sponsor	Yes
2016: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2016 form 5500 responses
2016-04-30	Type of plan entity	Single employer plan
2016-04-30	Submission has been amended	No
2016-04-30	This submission is the final filing	No
2016-04-30	This return/report is a short plan year return/report (less than 12 months)	No
2016-04-30	Plan is a collectively bargained plan	No
2016-04-30	Plan funding arrangement – General assets of the sponsor	Yes
2016-04-30	Plan benefit arrangement – General assets of the sponsor	Yes
2015: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2015 form 5500 responses
2015-04-26	Type of plan entity	Single employer plan
2015-04-26	Submission has been amended	No
2015-04-26	This submission is the final filing	No
2015-04-26	This return/report is a short plan year return/report (less than 12 months)	No
2015-04-26	Plan is a collectively bargained plan	No
2015-04-26	Plan funding arrangement – General assets of the sponsor	Yes
2015-04-26	Plan benefit arrangement – General assets of the sponsor	Yes
2014: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2014 form 5500 responses
2014-04-27	Type of plan entity	Single employer plan
2014-04-27	Submission has been amended	No
2014-04-27	This submission is the final filing	No
2014-04-27	This return/report is a short plan year return/report (less than 12 months)	No
2014-04-27	Plan is a collectively bargained plan	No
2014-04-27	Plan funding arrangement – General assets of the sponsor	Yes
2014-04-27	Plan benefit arrangement – General assets of the sponsor	Yes
2010: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2010 form 5500 responses
2010-04-25	Type of plan entity	Single employer plan
2010-04-25	Plan funding arrangement – Insurance	Yes
2010-04-25	Plan funding arrangement – General assets of the sponsor	Yes
2010-04-25	Plan benefit arrangement – Insurance	Yes
2010-04-25	Plan benefit arrangement – General assets of the sponsor	Yes
2009: BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN 2009 form 5500 responses
2009-04-26	Type of plan entity	Single employer plan
2009-04-26	This return/report is a short plan year return/report (less than 12 months)	Yes
2009-04-26	Plan funding arrangement – General assets of the sponsor	Yes
2009-04-26	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

NORTH AMERICAN SPECIALTY INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 29874 )

Policy contract number

EPG0000012-01

Policy instance

Insurance contract or identification number	EPG0000012-01
Number of Individuals Covered	5788
Welfare Benefit Premiums Paid to Carrier	USD $154,884
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

BROOKSHIRE BROTHERS, INC. EMPLOYEE INJURY BENEFIT PLAN [EIN = 753692839]

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Company Name:	BROOKSHIRE BROTHERS INC
Employer identification number (EIN):	752692839
NAIC Classification:	445110
NAIC Description:	Supermarkets and Other Grocery (except Convenience) Stores