401k Plan data: BONITA PACKAGING MEDICAL BENEFIT PLAN plan

BONITA PACKAGING MEDICAL BENEFIT PLAN 401k Plan overview

Plan Name	BONITA PACKAGING MEDICAL BENEFIT PLAN
Plan identification number	502

BONITA PACKAGING MEDICAL BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

BONITA PACKAGING PRODUCTS, INC. has sponsored the creation of one or more 401k plans.

Company Name: BONITA PACKAGING PRODUCTS, INC.

Employer identification number (EIN): 931010183

NAIC Classification: 323100

Additional information about BONITA PACKAGING PRODUCTS, INC.

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division

Incorporation Date: 1989-07-28

Company Identification Number: 16629487

Legal Registered Office Address: 1127 BROADWAY ST NE STE 310

SALEM
United States of America (USA)
97301

More information about BONITA PACKAGING PRODUCTS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BONITA PACKAGING MEDICAL BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2017-09-01 ERIC BRADFORD 2019-09-10
502 2016-09-01
502 2011-04-01 DALE J. BEVAN DALE J BEVAN 2012-10-05
502 2010-04-01 DALE J. BEVAN DALE J. BEVAN 2011-09-16
502 2009-04-01 DALE J. BEVAN DALE J. BEVAN 2010-10-20

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2017-09-01	ERIC BRADFORD	2019-09-10
502	2016-09-01
502	2011-04-01	DALE J. BEVAN		DALE J BEVAN	2012-10-05
502	2010-04-01	DALE J. BEVAN		DALE J. BEVAN	2011-09-16
502	2009-04-01	DALE J. BEVAN		DALE J. BEVAN	2010-10-20

Plan Statistics for BONITA PACKAGING MEDICAL BENEFIT PLAN

401k plan membership statisitcs for BONITA PACKAGING MEDICAL BENEFIT PLAN

Measure Date Value
2017: BONITA PACKAGING MEDICAL BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-09-01 131
Total number of active participants reported on line 7a of the Form 5500 2017-09-01 0
Number of retired or separated participants receiving benefits 2017-09-01 0
Number of other retired or separated participants entitled to future benefits 2017-09-01 0
Total of all active and inactive participants 2017-09-01 0
Number of employers contributing to the scheme 2017-09-01 0
2016: BONITA PACKAGING MEDICAL BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-09-01 105
Total number of active participants reported on line 7a of the Form 5500 2016-09-01 131
Total of all active and inactive participants 2016-09-01 131
2011: BONITA PACKAGING MEDICAL BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-04-01 91
Total number of active participants reported on line 7a of the Form 5500 2011-04-01 92
Number of retired or separated participants receiving benefits 2011-04-01 0
Number of other retired or separated participants entitled to future benefits 2011-04-01 0
Total of all active and inactive participants 2011-04-01 92
2010: BONITA PACKAGING MEDICAL BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-04-01 94
Total number of active participants reported on line 7a of the Form 5500 2010-04-01 90
Number of retired or separated participants receiving benefits 2010-04-01 1
Number of other retired or separated participants entitled to future benefits 2010-04-01 0
Total of all active and inactive participants 2010-04-01 91
2009: BONITA PACKAGING MEDICAL BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-04-01 86
Total number of active participants reported on line 7a of the Form 5500 2009-04-01 88
Number of retired or separated participants receiving benefits 2009-04-01 3
Number of other retired or separated participants entitled to future benefits 2009-04-01 0
Total of all active and inactive participants 2009-04-01 91

Measure	Date	Value
2017: BONITA PACKAGING MEDICAL BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-09-01	131
Total number of active participants reported on line 7a of the Form 5500	2017-09-01	0
Number of retired or separated participants receiving benefits	2017-09-01	0
Number of other retired or separated participants entitled to future benefits	2017-09-01	0
Total of all active and inactive participants	2017-09-01	0
Number of employers contributing to the scheme	2017-09-01	0
2016: BONITA PACKAGING MEDICAL BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-09-01	105
Total number of active participants reported on line 7a of the Form 5500	2016-09-01	131
Total of all active and inactive participants	2016-09-01	131
2011: BONITA PACKAGING MEDICAL BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-04-01	91
Total number of active participants reported on line 7a of the Form 5500	2011-04-01	92
Number of retired or separated participants receiving benefits	2011-04-01	0
Number of other retired or separated participants entitled to future benefits	2011-04-01	0
Total of all active and inactive participants	2011-04-01	92
2010: BONITA PACKAGING MEDICAL BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-04-01	94
Total number of active participants reported on line 7a of the Form 5500	2010-04-01	90
Number of retired or separated participants receiving benefits	2010-04-01	1
Number of other retired or separated participants entitled to future benefits	2010-04-01	0
Total of all active and inactive participants	2010-04-01	91
2009: BONITA PACKAGING MEDICAL BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-04-01	86
Total number of active participants reported on line 7a of the Form 5500	2009-04-01	88
Number of retired or separated participants receiving benefits	2009-04-01	3
Number of other retired or separated participants entitled to future benefits	2009-04-01	0
Total of all active and inactive participants	2009-04-01	91

Form 5500 Responses for BONITA PACKAGING MEDICAL BENEFIT PLAN

2017: BONITA PACKAGING MEDICAL BENEFIT PLAN 2017 form 5500 responses
2017-09-01	Type of plan entity	Single employer plan
2017-09-01	This submission is the final filing	Yes
2017-09-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-09-01	Plan funding arrangement – Insurance	Yes
2017-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-09-01	Plan benefit arrangement – Insurance	Yes
2017-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: BONITA PACKAGING MEDICAL BENEFIT PLAN 2016 form 5500 responses
2016-09-01	Type of plan entity	Single employer plan
2016-09-01	Submission has been amended	No
2016-09-01	This submission is the final filing	No
2016-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-09-01	Plan is a collectively bargained plan	No
2016-09-01	Plan funding arrangement – Insurance	Yes
2016-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-09-01	Plan benefit arrangement – Insurance	Yes
2016-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: BONITA PACKAGING MEDICAL BENEFIT PLAN 2011 form 5500 responses
2011-04-01	Type of plan entity	Single employer plan
2011-04-01	Submission has been amended	No
2011-04-01	This submission is the final filing	No
2011-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-04-01	Plan is a collectively bargained plan	No
2011-04-01	Plan funding arrangement – Insurance	Yes
2011-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-04-01	Plan benefit arrangement – Insurance	Yes
2011-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: BONITA PACKAGING MEDICAL BENEFIT PLAN 2010 form 5500 responses
2010-04-01	Type of plan entity	Single employer plan
2010-04-01	Submission has been amended	No
2010-04-01	This submission is the final filing	No
2010-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-04-01	Plan is a collectively bargained plan	No
2010-04-01	Plan funding arrangement – Insurance	Yes
2010-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-04-01	Plan benefit arrangement – Insurance	Yes
2010-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: BONITA PACKAGING MEDICAL BENEFIT PLAN 2009 form 5500 responses
2009-04-01	Type of plan entity	Single employer plan
2009-04-01	Submission has been amended	No
2009-04-01	This submission is the final filing	No
2009-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-04-01	Plan is a collectively bargained plan	No
2009-04-01	Plan funding arrangement – Insurance	Yes
2009-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-04-01	Plan benefit arrangement – Insurance	Yes
2009-04-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

631992

Policy instance

Insurance contract or identification number	631992
Number of Individuals Covered	7
Insurance policy start date	2017-09-01
Insurance policy end date	2018-05-31
Total amount of commissions paid to insurance broker	USD $1,795
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $11,146
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	BONITA PACKAGING PRODUCTS, INC.
Employer identification number (EIN):	931010183
NAIC Classification:	323100

Jurisdiction of Incorporation:	Oregon Secretary of State Corporations Division
Incorporation Date:	1989-07-28
Company Identification Number:	16629487
Legal Registered Office Address:	1127 BROADWAY ST NE STE 310 SALEM United States of America (USA) 97301