CONCEPT RESTAURANTS, INC. EMPLOYEE HEALTH PLAN 401k Plan overview
| Plan Name | CONCEPT RESTAURANTS, INC. EMPLOYEE HEALTH PLAN |
| Plan identification number | 501 |
CONCEPT RESTAURANTS, INC. EMPLOYEE HEALTH PLAN Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Health (other than dental or vision)
- Life insurance
- Other welfare benefit cover
|
401k Sponsoring company profile
CONCEPT RESTAURANTS, INC. has sponsored the creation of one or more 401k plans.
Additional information about CONCEPT RESTAURANTS, INC.
| Jurisdiction of Incorporation: | Colorado Department of State |
| Incorporation Date: | 1975-07-23 |
| Company Identification Number: | 19871289863 |
| Legal Registered Office Address: |
1240 Pine St
C/O Concept Restaurants Inc
Boulder
United States of America (USA)
80302
|
More information about CONCEPT RESTAURANTS, INC.
Form 5500 Filing Information
Submission information for form 5500 for 401k plan CONCEPT RESTAURANTS, INC. EMPLOYEE HEALTH PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 501 | 2022-01-01 | KEVIN BROWN | 2023-08-25 | KEVIN BROWN | 2023-08-25 |
| 501 | 2021-01-01 | KEVIN BROWN | 2023-07-27 | KEVIN BROWN | 2023-07-27 |
| 501 | 2020-01-01 | KEVIN BROWN | 2022-04-14 | KEVIN BROWN | 2022-04-14 |
| 501 | 2019-01-01 | KEVIN BROWN | 2020-07-28 | KEVIN BROWN | 2020-07-28 |
| 501 | 2018-01-01 | R. KEVIN BROWN | 2019-07-02 | | |
| 501 | 2017-01-01 | R. KEVIN BROWN | 2018-10-01 | | |
| 501 | 2016-01-01 | R. KEVIN BROWN | 2017-06-20 | | |
| 501 | 2015-01-01 | R. KEVIN BROWN | 2016-06-04 | | |
| 501 | 2014-01-01 | R. KEVIN BROWN | 2015-07-27 | | |
| 501 | 2013-01-01 | R. KEVIN BROWN | 2014-06-10 | | |
| 501 | 2012-01-01 | R. KEVIN BROWN | 2013-08-16 | | |
| 501 | 2011-01-01 | R. KEVIN BROWN | 2012-07-06 | | |
| 501 | 2010-01-01 | KEVIN BROWN | | KEVIN BROWN | 2011-06-11 |
| 501 | 2009-01-01 | KEVIN BROWN | | KEVIN BROWN | 2010-09-29 |
Plan Statistics for CONCEPT RESTAURANTS, INC. EMPLOYEE HEALTH PLAN
401k plan membership statisitcs for CONCEPT RESTAURANTS, INC. EMPLOYEE HEALTH PLAN
| Measure | Date | Value |
|---|
| 2010: CONCEPT RESTAURANTS, INC. EMPLOYEE HEALTH PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-01-01 | 82 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 82 |
| Number of retired or separated participants receiving benefits | 2010-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2010-01-01 | 0 |
| Total of all active and inactive participants | 2010-01-01 | 82 |
| 2009: CONCEPT RESTAURANTS, INC. EMPLOYEE HEALTH PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 81 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 82 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-01-01 | 0 |
| Total of all active and inactive participants | 2009-01-01 | 82 |
| Total participants | 2009-01-01 | 0 |
Financial Data on CONCEPT RESTAURANTS, INC. EMPLOYEE HEALTH PLAN
| Measure | Date | Value |
|---|
| 2010 : CONCEPT RESTAURANTS, INC. EMPLOYEE HEALTH PLAN 2010 401k financial data |
|---|
| Total income from all sources | 2010-12-31 | $415,485 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $467,599 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $271,712 |
| Total plan assets at end of year | 2010-12-31 | $46,370 |
| Total plan assets at beginning of year | 2010-12-31 | $98,484 |
| Value of fidelity bond covering the plan | 2010-12-31 | $100,000 |
| Total contributions received or receivable from participants | 2010-12-31 | $163,246 |
| Expenses. Other expenses not covered elsewhere | 2010-12-31 | $162,160 |
| Net income (gross income less expenses) | 2010-12-31 | $-52,114 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $46,370 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $98,484 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $252,239 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2010-12-31 | $33,727 |
Form 5500 Responses for CONCEPT RESTAURANTS, INC. EMPLOYEE HEALTH PLAN
| 2010: CONCEPT RESTAURANTS, INC. EMPLOYEE HEALTH PLAN 2010 form 5500 responses |
|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Submission has been amended | No |
| 2010-01-01 | This submission is the final filing | No |
| 2010-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-01-01 | Plan is a collectively bargained plan | No |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan funding arrangement – Trust | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement - Trust | Yes |
| 2009: CONCEPT RESTAURANTS, INC. EMPLOYEE HEALTH PLAN 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | No |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | No |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
Insurance Providers Used on plan
| CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 ) |
| Policy contract number | 280-8145 |
| Policy instance | 1 |
| Insurance contract or identification number | 280-8145 | | Number of Individuals Covered | 74 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $679 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | ORGAN TRANSPLANT | | Welfare Benefit Premiums Paid to Carrier | USD $6,790 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $679 | | Insurance broker organization code? | 5 | | Insurance broker name | GROUP ADMINISTRATORS LTD. |
|
| NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 ) |
| Policy contract number | 280-9622 |
| Policy instance | 2 |
| Insurance contract or identification number | 280-9622 | | Number of Individuals Covered | 74 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $15,305 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $153,052 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $15,305 | | Insurance broker organization code? | 5 | | Insurance broker name | GROUP ADMINISTRATORS LTD. |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 131157 |
| Policy instance | 3 |
| Insurance contract or identification number | GL 131157 | | Number of Individuals Covered | 82 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $505 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $5,051 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $505 | | Insurance broker organization code? | 3 | | Insurance broker name | WILLIAM E. WEBBE |
|
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