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ORGANICALLY GROWN, INC. DENTAL PLAN 401k Plan overview

Plan NameORGANICALLY GROWN, INC. DENTAL PLAN
Plan identification number 503

ORGANICALLY GROWN, INC. DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

ORGANICALLY GROWN COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name:ORGANICALLY GROWN COMPANY, INC.
Employer identification number (EIN):930838216
NAIC Classification:424400

Additional information about ORGANICALLY GROWN COMPANY, INC.

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division
Incorporation Date: 1978-10-16
Company Identification Number: 13189816
Legal Registered Office Address: 1800-B PRAIRIE RD

EUGENE
United States of America (USA)
97402

More information about ORGANICALLY GROWN COMPANY, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ORGANICALLY GROWN, INC. DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032015-06-01TONYA BREEDLOVE TONYA BREEDLOVE2016-12-08
5032014-06-01GLENDA GOODRICH GLENDA GOODRICH2015-12-28
5032013-06-01GLENDA GOODRICH GLENDA GOODRICH2014-12-17
5032012-06-01GLENDA GOODRICH GLENDA GOODRICH2013-12-30
5032011-06-01GLENDA GOODRICH GLENDA GOODRICH2012-12-31
5032009-06-01GLENDA GOODRICH GLENDA GOODRICH2011-04-20
5032008-06-01GLENDA GOODRICH GLENDA GOODRICH2011-04-20
5032008-05-01GLENDA GOODRICH GLENDA GOODRICH2011-04-20
5032007-05-01GLENDA GOODRICH GLENDA GOODRICH2011-04-20
5032006-05-01GLENDA GOODRICH GLENDA GOODRICH2011-04-20

Plan Statistics for ORGANICALLY GROWN, INC. DENTAL PLAN

401k plan membership statisitcs for ORGANICALLY GROWN, INC. DENTAL PLAN

Measure Date Value
2015: ORGANICALLY GROWN, INC. DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-06-01251
Total number of active participants reported on line 7a of the Form 55002015-06-01264
Number of retired or separated participants receiving benefits2015-06-013
Number of other retired or separated participants entitled to future benefits2015-06-010
Total of all active and inactive participants2015-06-01267
2014: ORGANICALLY GROWN, INC. DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-06-01225
Total number of active participants reported on line 7a of the Form 55002014-06-01248
Number of retired or separated participants receiving benefits2014-06-013
Number of other retired or separated participants entitled to future benefits2014-06-010
Total of all active and inactive participants2014-06-01251
2013: ORGANICALLY GROWN, INC. DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-06-01199
Total number of active participants reported on line 7a of the Form 55002013-06-01224
Number of retired or separated participants receiving benefits2013-06-011
Number of other retired or separated participants entitled to future benefits2013-06-010
Total of all active and inactive participants2013-06-01225
2012: ORGANICALLY GROWN, INC. DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-06-01190
Total number of active participants reported on line 7a of the Form 55002012-06-01198
Number of retired or separated participants receiving benefits2012-06-011
Number of other retired or separated participants entitled to future benefits2012-06-010
Total of all active and inactive participants2012-06-01199
2011: ORGANICALLY GROWN, INC. DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-06-01178
Total number of active participants reported on line 7a of the Form 55002011-06-01188
Number of retired or separated participants receiving benefits2011-06-012
Number of other retired or separated participants entitled to future benefits2011-06-010
Total of all active and inactive participants2011-06-01190
2009: ORGANICALLY GROWN, INC. DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-06-01154
Total number of active participants reported on line 7a of the Form 55002009-06-01157
Number of retired or separated participants receiving benefits2009-06-014
Number of other retired or separated participants entitled to future benefits2009-06-010
Total of all active and inactive participants2009-06-01161
Total participants2009-06-010
2008: ORGANICALLY GROWN, INC. DENTAL PLAN 2008 401k membership
Total participants, beginning-of-year2008-06-01136
Total number of active participants reported on line 7a of the Form 55002008-06-01153
Number of retired or separated participants receiving benefits2008-06-011
Number of other retired or separated participants entitled to future benefits2008-06-010
Total of all active and inactive participants2008-06-01154
Total participants2008-06-010
Total participants, beginning-of-year2008-05-01135
Total number of active participants reported on line 7a of the Form 55002008-05-01134
Number of retired or separated participants receiving benefits2008-05-012
Number of other retired or separated participants entitled to future benefits2008-05-010
Total of all active and inactive participants2008-05-01136
Total participants2008-05-010
2007: ORGANICALLY GROWN, INC. DENTAL PLAN 2007 401k membership
Total participants, beginning-of-year2007-05-01123
Total number of active participants reported on line 7a of the Form 55002007-05-01133
Number of retired or separated participants receiving benefits2007-05-012
Number of other retired or separated participants entitled to future benefits2007-05-010
Total of all active and inactive participants2007-05-01135
Total participants2007-05-010
2006: ORGANICALLY GROWN, INC. DENTAL PLAN 2006 401k membership
Total participants, beginning-of-year2006-05-01100
Total number of active participants reported on line 7a of the Form 55002006-05-01122
Number of retired or separated participants receiving benefits2006-05-011
Number of other retired or separated participants entitled to future benefits2006-05-010
Total of all active and inactive participants2006-05-01123
Total participants2006-05-010

Form 5500 Responses for ORGANICALLY GROWN, INC. DENTAL PLAN

2015: ORGANICALLY GROWN, INC. DENTAL PLAN 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01Submission has been amendedNo
2015-06-01This submission is the final filingNo
2015-06-01This return/report is a short plan year return/report (less than 12 months)No
2015-06-01Plan is a collectively bargained planNo
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan benefit arrangement – InsuranceYes
2014: ORGANICALLY GROWN, INC. DENTAL PLAN 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01Submission has been amendedNo
2014-06-01This submission is the final filingNo
2014-06-01This return/report is a short plan year return/report (less than 12 months)No
2014-06-01Plan is a collectively bargained planNo
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan benefit arrangement – InsuranceYes
2013: ORGANICALLY GROWN, INC. DENTAL PLAN 2013 form 5500 responses
2013-06-01Type of plan entitySingle employer plan
2013-06-01Submission has been amendedNo
2013-06-01This submission is the final filingNo
2013-06-01This return/report is a short plan year return/report (less than 12 months)No
2013-06-01Plan is a collectively bargained planNo
2013-06-01Plan funding arrangement – InsuranceYes
2013-06-01Plan benefit arrangement – InsuranceYes
2012: ORGANICALLY GROWN, INC. DENTAL PLAN 2012 form 5500 responses
2012-06-01Type of plan entitySingle employer plan
2012-06-01Submission has been amendedNo
2012-06-01This submission is the final filingNo
2012-06-01This return/report is a short plan year return/report (less than 12 months)No
2012-06-01Plan is a collectively bargained planNo
2012-06-01Plan funding arrangement – InsuranceYes
2012-06-01Plan benefit arrangement – InsuranceYes
2011: ORGANICALLY GROWN, INC. DENTAL PLAN 2011 form 5500 responses
2011-06-01Type of plan entitySingle employer plan
2011-06-01Submission has been amendedNo
2011-06-01This submission is the final filingNo
2011-06-01This return/report is a short plan year return/report (less than 12 months)No
2011-06-01Plan is a collectively bargained planNo
2011-06-01Plan funding arrangement – InsuranceYes
2011-06-01Plan benefit arrangement – InsuranceYes
2009: ORGANICALLY GROWN, INC. DENTAL PLAN 2009 form 5500 responses
2009-06-01Type of plan entitySingle employer plan
2009-06-01Submission has been amendedNo
2009-06-01This submission is the final filingNo
2009-06-01This return/report is a short plan year return/report (less than 12 months)No
2009-06-01Plan is a collectively bargained planNo
2009-06-01Plan funding arrangement – InsuranceYes
2009-06-01Plan benefit arrangement – InsuranceYes
2008: ORGANICALLY GROWN, INC. DENTAL PLAN 2008 form 5500 responses
2008-06-01Type of plan entitySingle employer plan
2008-06-01Submission has been amendedNo
2008-06-01This submission is the final filingNo
2008-06-01This return/report is a short plan year return/report (less than 12 months)No
2008-06-01Plan is a collectively bargained planNo
2008-06-01Plan funding arrangement – InsuranceYes
2008-06-01Plan benefit arrangement – InsuranceYes
2008-05-01Type of plan entitySingle employer plan
2008-05-01Submission has been amendedNo
2008-05-01This submission is the final filingNo
2008-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2008-05-01Plan is a collectively bargained planNo
2008-05-01Plan funding arrangement – InsuranceYes
2008-05-01Plan benefit arrangement – InsuranceYes
2007: ORGANICALLY GROWN, INC. DENTAL PLAN 2007 form 5500 responses
2007-05-01Type of plan entitySingle employer plan
2007-05-01Submission has been amendedNo
2007-05-01This submission is the final filingNo
2007-05-01This return/report is a short plan year return/report (less than 12 months)No
2007-05-01Plan is a collectively bargained planNo
2007-05-01Plan funding arrangement – InsuranceYes
2007-05-01Plan benefit arrangement – InsuranceYes
2006: ORGANICALLY GROWN, INC. DENTAL PLAN 2006 form 5500 responses
2006-05-01Type of plan entitySingle employer plan
2006-05-01First time form 5500 has been submittedYes
2006-05-01Submission has been amendedNo
2006-05-01This submission is the final filingNo
2006-05-01This return/report is a short plan year return/report (less than 12 months)No
2006-05-01Plan is a collectively bargained planNo
2006-05-01Plan funding arrangement – InsuranceYes
2006-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MODA HEALTH (National Association of Insurance Commissioners NAIC id number: 47098 )
Policy contract number10011813
Policy instance 1
Insurance contract or identification number10011813
Number of Individuals Covered264
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $235,088
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
OREGON DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 54941 )
Policy contract number10011813
Policy instance 1
Insurance contract or identification number10011813
Number of Individuals Covered515
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFICSOURCE HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 54976 )
Policy contract numberG0018362
Policy instance 1
Insurance contract or identification numberG0018362
Number of Individuals Covered438
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $201,760
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
Insurance broker nameBRATRUD MIDDLETON INSURANCE BROKERS
PACIFICSOURCE HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 54976 )
Policy contract numberG0018362
Policy instance 1
Insurance contract or identification numberG0018362
Number of Individuals Covered410
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $174,252
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameBRATRUD MIDDLETON INSURANCE BROKERS
PACIFICSOURCE HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 54976 )
Policy contract numberG0018362
Policy instance 1
Insurance contract or identification numberG0018362
Number of Individuals Covered384
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $6,877
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $157,627
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFICSOURCE HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 54976 )
Policy contract numberG0018362
Policy instance 1
Insurance contract or identification numberG0018362
Number of Individuals Covered347
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
Total amount of commissions paid to insurance brokerUSD $5,005
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $138,116
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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