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EL PALOMAR RESTAURANT EMPLOYER HEALTH & WELFARE PLAN 401k Plan overview

Plan NameEL PALOMAR RESTAURANT EMPLOYER HEALTH & WELFARE PLAN
Plan identification number 501

EL PALOMAR RESTAURANT EMPLOYER HEALTH & WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

EL PALOMAR RESTAURANT has sponsored the creation of one or more 401k plans.

Company Name:EL PALOMAR RESTAURANT
Employer identification number (EIN):770242874
NAIC Classification:722110
NAIC Description: Full-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EL PALOMAR RESTAURANT EMPLOYER HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-07-01MICHAEL N BEJOVICH

Financial Data on EL PALOMAR RESTAURANT EMPLOYER HEALTH & WELFARE PLAN

Measure Date Value
2016 : EL PALOMAR RESTAURANT EMPLOYER HEALTH & WELFARE PLAN 2016 401k financial data
Total income from all sources2016-06-30$161,923
Expenses. Total of all expenses incurred2016-06-30$159,851
Benefits paid (including direct rollovers)2016-06-30$80,711
Total plan assets at end of year2016-06-30$2,072
Total contributions received or receivable from participants2016-06-30$0
Expenses. Other expenses not covered elsewhere2016-06-30$64,010
Contributions received from other sources (not participants or employers)2016-06-30$0
Noncash contributions received2016-06-30$0
Net income (gross income less expenses)2016-06-30$2,072
Net plan assets at end of year (total assets less liabilities)2016-06-30$2,072
Net plan assets at beginning of year (total assets less liabilities)2016-06-30$0
Total contributions received or receivable from employer(s)2016-06-30$161,923
Value of certain deemed distributions of participant loans2016-06-30$0
Value of corrective distributions2016-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-06-30$15,130

Form 5500 Responses for EL PALOMAR RESTAURANT EMPLOYER HEALTH & WELFARE PLAN

2015: EL PALOMAR RESTAURANT EMPLOYER HEALTH & WELFARE PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01First time form 5500 has been submittedYes
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan funding arrangement – General assets of the sponsorYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2015-07-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract numberKM05929592
Policy instance 1
BENEFIT AND RISK MANAGEMENT SERVICES (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00
Policy instance 2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05929592
Policy instance 3

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