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FAMILY PLAZA PHARMACY 401(K) RETIREMENT PLAN 401k Plan overview

Plan NameFAMILY PLAZA PHARMACY 401(K) RETIREMENT PLAN
Plan identification number 001

FAMILY PLAZA PHARMACY 401(K) RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

FAMILY PLAZA PHARMACY has sponsored the creation of one or more 401k plans.

Company Name:FAMILY PLAZA PHARMACY
Employer identification number (EIN):870486153
NAIC Classification:446110
NAIC Description:Pharmacies and Drug Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FAMILY PLAZA PHARMACY 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01
0012016-01-01SHANE JENSEN2017-08-25
0012015-01-01SHANE JENSEN2016-09-16
0012014-01-01SHANE JENSEN2015-10-09
0012013-01-01SHANE JENSEN
0012012-01-01SHANE JENSEN
0012011-01-01SHANE JENSEN
0012009-01-01SHANE JENSEN

Plan Statistics for FAMILY PLAZA PHARMACY 401(K) RETIREMENT PLAN

401k plan membership statisitcs for FAMILY PLAZA PHARMACY 401(K) RETIREMENT PLAN

Measure Date Value
2013: FAMILY PLAZA PHARMACY 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0115
Total number of active participants reported on line 7a of the Form 55002013-01-0114
Number of other retired or separated participants entitled to future benefits2013-01-012
Total of all active and inactive participants2013-01-0116
Total participants2013-01-0116
Number of participants with account balances2013-01-0110
2012: FAMILY PLAZA PHARMACY 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0115
Total number of active participants reported on line 7a of the Form 55002012-01-0113
Number of other retired or separated participants entitled to future benefits2012-01-012
Total of all active and inactive participants2012-01-0115
Total participants2012-01-0115
Number of participants with account balances2012-01-019
2011: FAMILY PLAZA PHARMACY 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0114
Total number of active participants reported on line 7a of the Form 55002011-01-0112
Number of other retired or separated participants entitled to future benefits2011-01-012
Total of all active and inactive participants2011-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-019
Total participants2011-01-0123
Number of participants with account balances2011-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: FAMILY PLAZA PHARMACY 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0110
Total number of active participants reported on line 7a of the Form 55002009-01-018
Number of other retired or separated participants entitled to future benefits2009-01-011
Total of all active and inactive participants2009-01-019
Total participants2009-01-019
Number of participants with account balances2009-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on FAMILY PLAZA PHARMACY 401(K) RETIREMENT PLAN

Measure Date Value
2013 : FAMILY PLAZA PHARMACY 401(K) RETIREMENT PLAN 2013 401k financial data
Total income from all sources2013-12-31$103,209
Expenses. Total of all expenses incurred2013-12-31$12,798
Benefits paid (including direct rollovers)2013-12-31$7,000
Total plan assets at end of year2013-12-31$408,320
Total plan assets at beginning of year2013-12-31$317,909
Value of fidelity bond covering the plan2013-12-31$35,000
Total contributions received or receivable from participants2013-12-31$38,650
Expenses. Other expenses not covered elsewhere2013-12-31$5,798
Other income received2013-12-31$55,305
Net income (gross income less expenses)2013-12-31$90,411
Net plan assets at end of year (total assets less liabilities)2013-12-31$408,320
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$317,909
Assets. Value of participant loans2013-12-31$7,456
Total contributions received or receivable from employer(s)2013-12-31$9,254
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$0
2012 : FAMILY PLAZA PHARMACY 401(K) RETIREMENT PLAN 2012 401k financial data
Total income from all sources2012-12-31$78,701
Expenses. Total of all expenses incurred2012-12-31$17,809
Benefits paid (including direct rollovers)2012-12-31$12,970
Total plan assets at end of year2012-12-31$317,909
Total plan assets at beginning of year2012-12-31$257,017
Value of fidelity bond covering the plan2012-12-31$35,000
Total contributions received or receivable from participants2012-12-31$37,936
Expenses. Other expenses not covered elsewhere2012-12-31$4,839
Other income received2012-12-31$32,444
Net income (gross income less expenses)2012-12-31$60,892
Net plan assets at end of year (total assets less liabilities)2012-12-31$317,909
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$257,017
Assets. Value of participant loans2012-12-31$176
Total contributions received or receivable from employer(s)2012-12-31$8,321
2011 : FAMILY PLAZA PHARMACY 401(K) RETIREMENT PLAN 2011 401k financial data
Total income from all sources2011-12-31$36,749
Expenses. Total of all expenses incurred2011-12-31$11,127
Benefits paid (including direct rollovers)2011-12-31$6,999
Total plan assets at end of year2011-12-31$257,017
Total plan assets at beginning of year2011-12-31$231,395
Value of fidelity bond covering the plan2011-12-31$30,000
Total contributions received or receivable from participants2011-12-31$35,647
Expenses. Other expenses not covered elsewhere2011-12-31$4,128
Contributions received from other sources (not participants or employers)2011-12-31$6,815
Other income received2011-12-31$-14,254
Net income (gross income less expenses)2011-12-31$25,622
Net plan assets at end of year (total assets less liabilities)2011-12-31$257,017
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$231,395
Assets. Value of participant loans2011-12-31$1,895
Total contributions received or receivable from employer(s)2011-12-31$8,541
2010 : FAMILY PLAZA PHARMACY 401(K) RETIREMENT PLAN 2010 401k financial data
Total income from all sources2010-12-31$70,982
Expenses. Total of all expenses incurred2010-12-31$3,217
Total plan assets at end of year2010-12-31$231,395
Total plan assets at beginning of year2010-12-31$163,630
Value of fidelity bond covering the plan2010-12-31$20,000
Total contributions received or receivable from participants2010-12-31$36,647
Expenses. Other expenses not covered elsewhere2010-12-31$3,217
Contributions received from other sources (not participants or employers)2010-12-31$164
Other income received2010-12-31$23,956
Net income (gross income less expenses)2010-12-31$67,765
Net plan assets at end of year (total assets less liabilities)2010-12-31$231,395
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$163,630
Assets. Value of participant loans2010-12-31$4,203
Total contributions received or receivable from employer(s)2010-12-31$10,215

Form 5500 Responses for FAMILY PLAZA PHARMACY 401(K) RETIREMENT PLAN

2013: FAMILY PLAZA PHARMACY 401(K) RETIREMENT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: FAMILY PLAZA PHARMACY 401(K) RETIREMENT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: FAMILY PLAZA PHARMACY 401(K) RETIREMENT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: FAMILY PLAZA PHARMACY 401(K) RETIREMENT PLAN 2009 form 5500 responses
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)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number39622
Policy instance 1
Insurance contract or identification number39622
Number of Individuals Covered10
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,028
Total amount of fees paid to insurance companyUSD $25
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $1,028
Amount paid for insurance broker fees25
Additional information about fees paid to insurance brokerADVISORY FEES
Insurance broker organization code?4
Insurance broker nameLINCOLN FINANCIAL ADVISORS
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number39622
Policy instance 1
Insurance contract or identification number39622
Number of Individuals Covered9
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $853
Total amount of fees paid to insurance companyUSD $26
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $853
Amount paid for insurance broker fees26
Additional information about fees paid to insurance brokerADVISORY SERVICES
Insurance broker organization code?4
Insurance broker nameLINCOLN FINANCIAL ADVISORS
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number39622
Policy instance 1
Insurance contract or identification number39622
Number of Individuals Covered9
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $506
Total amount of fees paid to insurance companyUSD $20
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number39622
Policy instance 1
Insurance contract or identification number39622
Number of Individuals Covered9
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $482
Total amount of fees paid to insurance companyUSD $20
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $482
Amount paid for insurance broker fees20
Additional information about fees paid to insurance brokerADVISORY SERVICES
Insurance broker organization code?4
Insurance broker nameLINCOLN FINANCIAL ADVISORS

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