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GASTRONOMY INC EMPLOYEE HEALTH CARE BENEFITS PLAN 401k Plan overview

Plan NameGASTRONOMY INC EMPLOYEE HEALTH CARE BENEFITS PLAN
Plan identification number 501

GASTRONOMY INC EMPLOYEE HEALTH CARE BENEFITS PLAN Benefits

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

401k Sponsoring company profile

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

Company Name:GASTRONOMY INC.
Employer identification number (EIN):870362774
NAIC Classification:722511
NAIC Description:Full-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GASTRONOMY INC EMPLOYEE HEALTH CARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-10-01FRED BOUTWELL FRED BOUTWELL2017-04-05
5012014-10-01ELDON PAYNE ELDON PAYNE2016-04-13
5012013-10-01ELDON PAYNE ELDON PAYNE2015-08-26
5012012-10-01ELDON PAYNE ELDON PAYNE2014-05-19
5012011-10-01ELDON PAYNE ELDON PAYNE2013-07-22
5012010-10-01ELDON PAYNE ELDON PAYNE2012-07-09
5012009-10-01ELDON PAYNE ELDON PAYNE2011-06-20
5012009-01-01ELDON PAYNE

Plan Statistics for GASTRONOMY INC EMPLOYEE HEALTH CARE BENEFITS PLAN

401k plan membership statisitcs for GASTRONOMY INC EMPLOYEE HEALTH CARE BENEFITS PLAN

Measure Date Value
2015: GASTRONOMY INC EMPLOYEE HEALTH CARE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01178
Total number of active participants reported on line 7a of the Form 55002015-10-01137
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-010
Total of all active and inactive participants2015-10-01137
2014: GASTRONOMY INC EMPLOYEE HEALTH CARE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01185
Total number of active participants reported on line 7a of the Form 55002014-10-01178
Number of retired or separated participants receiving benefits2014-10-010
Number of other retired or separated participants entitled to future benefits2014-10-010
Total of all active and inactive participants2014-10-01178
2013: GASTRONOMY INC EMPLOYEE HEALTH CARE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-01186
Total number of active participants reported on line 7a of the Form 55002013-10-01185
Number of retired or separated participants receiving benefits2013-10-010
Number of other retired or separated participants entitled to future benefits2013-10-010
Total of all active and inactive participants2013-10-01185
2012: GASTRONOMY INC EMPLOYEE HEALTH CARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-01167
Total number of active participants reported on line 7a of the Form 55002012-10-01186
Number of retired or separated participants receiving benefits2012-10-010
Number of other retired or separated participants entitled to future benefits2012-10-010
Total of all active and inactive participants2012-10-01186
2011: GASTRONOMY INC EMPLOYEE HEALTH CARE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-01201
Total number of active participants reported on line 7a of the Form 55002011-10-01167
Number of retired or separated participants receiving benefits2011-10-010
Number of other retired or separated participants entitled to future benefits2011-10-010
Total of all active and inactive participants2011-10-01167
2010: GASTRONOMY INC EMPLOYEE HEALTH CARE BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year2010-10-01207
Total number of active participants reported on line 7a of the Form 55002010-10-01201
Number of retired or separated participants receiving benefits2010-10-010
Number of other retired or separated participants entitled to future benefits2010-10-010
Total of all active and inactive participants2010-10-01201
Total participants2010-10-01201
2009: GASTRONOMY INC EMPLOYEE HEALTH CARE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01214
Total number of active participants reported on line 7a of the Form 55002009-10-01207
Total of all active and inactive participants2009-10-01207
Total participants2009-10-01207
Total participants, beginning-of-year2009-01-01227
Total number of active participants reported on line 7a of the Form 55002009-01-01214
Total of all active and inactive participants2009-01-01214
Total participants2009-01-01214

Form 5500 Responses for GASTRONOMY INC EMPLOYEE HEALTH CARE BENEFITS PLAN

2015: GASTRONOMY INC EMPLOYEE HEALTH CARE BENEFITS PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: GASTRONOMY INC EMPLOYEE HEALTH CARE BENEFITS PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes
2013: GASTRONOMY INC EMPLOYEE HEALTH CARE BENEFITS PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – InsuranceYes
2012: GASTRONOMY INC EMPLOYEE HEALTH CARE BENEFITS PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – InsuranceYes
2011: GASTRONOMY INC EMPLOYEE HEALTH CARE BENEFITS PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – InsuranceYes
2010: GASTRONOMY INC EMPLOYEE HEALTH CARE BENEFITS PLAN 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan benefit arrangement – InsuranceYes
2009: GASTRONOMY INC EMPLOYEE HEALTH CARE BENEFITS PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – InsuranceYes
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

REGENCE BLUECROSS BLUESHIELD OF UTAH (National Association of Insurance Commissioners NAIC id number: 54550 )
Policy contract number60019294
Policy instance 1
Insurance contract or identification number60019294
Number of Individuals Covered137
Insurance policy start date2015-10-01
Insurance policy end date2016-09-30
Total amount of commissions paid to insurance brokerUSD $22,032
Total amount of fees paid to insurance companyUSD $2,407
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $781,687
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,032
Amount paid for insurance broker fees2407
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberLM0174830
Policy instance 2
Insurance contract or identification numberLM0174830
Number of Individuals Covered84
Insurance policy start date2015-10-01
Insurance policy end date2016-09-30
Total amount of commissions paid to insurance brokerUSD $459
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,588
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $459
Insurance broker nameGALLAGHER BENEFIT SERVICES
REGENCE BLUECROSS BLUESHIELD OF UTAH (National Association of Insurance Commissioners NAIC id number: 54550 )
Policy contract number60019294
Policy instance 1
Insurance contract or identification number60019294
Number of Individuals Covered178
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $24,601
Total amount of fees paid to insurance companyUSD $8,931
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $854,335
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,601
Amount paid for insurance broker fees8931
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number220108G
Policy instance 2
Insurance contract or identification number220108G
Number of Individuals Covered109
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $1,217
Total amount of fees paid to insurance companyUSD $261
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,839
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,217
Amount paid for insurance broker fees261
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.
REGENCE BLUECROSS BLUESHIELD OF UTAH (National Association of Insurance Commissioners NAIC id number: 54550 )
Policy contract number60019294
Policy instance 1
Insurance contract or identification number60019294
Number of Individuals Covered185
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $26,799
Total amount of fees paid to insurance companyUSD $7,868
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $813,599
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,799
Amount paid for insurance broker fees7868
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number220108G
Policy instance 2
Insurance contract or identification number220108G
Number of Individuals Covered116
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $1,256
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,575
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,256
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.
REGENCE BLUECROSS BLUESHIELD OF UTAH (National Association of Insurance Commissioners NAIC id number: 54550 )
Policy contract number60019294
Policy instance 1
Insurance contract or identification number60019294
Number of Individuals Covered186
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $30,903
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $872,427
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,903
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.
REGENCE BLUECROSS BLUESHIELD OF UTAH (National Association of Insurance Commissioners NAIC id number: 54550 )
Policy contract number60019294
Policy instance 1
Insurance contract or identification number60019294
Number of Individuals Covered167
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $11,119
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
REGENCE BLUECROSS BLUESHIELD OF UTAH (National Association of Insurance Commissioners NAIC id number: 54550 )
Policy contract number60019294
Policy instance 1
Insurance contract or identification number60019294
Number of Individuals Covered201
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $15,458
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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