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ALPINE FOOD DISTRIBUTING, INC. DENTAL AND VISION PLAN 401k Plan overview

Plan NameALPINE FOOD DISTRIBUTING, INC. DENTAL AND VISION PLAN
Plan identification number 502

ALPINE FOOD DISTRIBUTING, INC. DENTAL AND VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental
  • Vision

401k Sponsoring company profile

ALPINE FOOD DISTRIBUTING, INC. has sponsored the creation of one or more 401k plans.

Company Name:ALPINE FOOD DISTRIBUTING, INC.
Employer identification number (EIN):930936768
NAIC Classification:424400

Additional information about ALPINE FOOD DISTRIBUTING, INC.

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division
Incorporation Date: 1986-12-30
Company Identification Number: 5852983
Legal Registered Office Address: 9200 SE SUNNYBROOK BLVD STE 210

CLACKAMAS
United States of America (USA)
97015

More information about ALPINE FOOD DISTRIBUTING, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ALPINE FOOD DISTRIBUTING, INC. DENTAL AND VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-07-01DEBBIE TURRENTINE2022-10-07
5022020-07-01DEBBIE TURRENTINE2022-02-23
5022019-07-01DEBBIE TURRENTINE2021-04-13
5022018-07-01GREGORY CARLSTON2021-04-13

Plan Statistics for ALPINE FOOD DISTRIBUTING, INC. DENTAL AND VISION PLAN

401k plan membership statisitcs for ALPINE FOOD DISTRIBUTING, INC. DENTAL AND VISION PLAN

Measure Date Value
2021: ALPINE FOOD DISTRIBUTING, INC. DENTAL AND VISION PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01112
Total number of active participants reported on line 7a of the Form 55002021-07-010
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-010
Number of employers contributing to the scheme2021-07-010
2020: ALPINE FOOD DISTRIBUTING, INC. DENTAL AND VISION PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01104
Total number of active participants reported on line 7a of the Form 55002020-07-01112
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-010
Total of all active and inactive participants2020-07-01112
Number of employers contributing to the scheme2020-07-010
2019: ALPINE FOOD DISTRIBUTING, INC. DENTAL AND VISION PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01106
Total number of active participants reported on line 7a of the Form 55002019-07-01110
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-010
Total of all active and inactive participants2019-07-01110
Number of employers contributing to the scheme2019-07-010
2018: ALPINE FOOD DISTRIBUTING, INC. DENTAL AND VISION PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01106
Total number of active participants reported on line 7a of the Form 55002018-07-01106
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-010
Total of all active and inactive participants2018-07-01106
Number of employers contributing to the scheme2018-07-010

Form 5500 Responses for ALPINE FOOD DISTRIBUTING, INC. DENTAL AND VISION PLAN

2021: ALPINE FOOD DISTRIBUTING, INC. DENTAL AND VISION PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01This submission is the final filingYes
2021-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: ALPINE FOOD DISTRIBUTING, INC. DENTAL AND VISION PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: ALPINE FOOD DISTRIBUTING, INC. DENTAL AND VISION PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: ALPINE FOOD DISTRIBUTING, INC. DENTAL AND VISION PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01First time form 5500 has been submittedYes
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number756593
Policy instance 1
Insurance contract or identification number756593
Number of Individuals Covered95
Insurance policy start date2021-07-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $1,623
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,623
Amount paid for insurance broker fees0
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number756593
Policy instance 1
Insurance contract or identification number756593
Number of Individuals Covered112
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $4,107
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,107
Amount paid for insurance broker fees0
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number756593
Policy instance 1
Insurance contract or identification number756593
Number of Individuals Covered110
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $4,193
Total amount of fees paid to insurance companyUSD $406
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,193
Amount paid for insurance broker fees406
Additional information about fees paid to insurance brokerCONTINGENT COMPENSATION
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number756593
Policy instance 1
Insurance contract or identification number756593
Number of Individuals Covered106
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $3,915
Total amount of fees paid to insurance companyUSD $2,122
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,915
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerCONTINGENT COMPENSATION

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