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LEVI STRAUSS & CO. MEDICAL LEAVE PLAN 401k Plan overview

Plan NameLEVI STRAUSS & CO. MEDICAL LEAVE PLAN
Plan identification number 542

LEVI STRAUSS & CO. MEDICAL LEAVE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

LEVI STRAUSS & CO. has sponsored the creation of one or more 401k plans.

Company Name:LEVI STRAUSS & CO.
Employer identification number (EIN):940905160
NAIC Classification:315990
NAIC Description:Apparel Accessories and Other Apparel Manufacturing

Additional information about LEVI STRAUSS & CO.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1971-02-01
Company Identification Number: 0003119806
Legal Registered Office Address: 1155 BATTERY ST ATTN: CHRIS RUCKER

SAN FRANCISCO
United States of America (USA)
94111

More information about LEVI STRAUSS & CO.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LEVI STRAUSS & CO. MEDICAL LEAVE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5422016-11-28HEIDI MANES KATHRYN FARMER2018-09-11
5422015-11-30HEIDI MANES KATHRYN FARMER2017-09-11
5422014-12-01HEIDI MANES KATHRYN FARMER2016-09-08
5422013-11-25HEIDI MANES
5422012-11-26HEIDI MANES IVOR SOLOMON2014-09-15
5422011-11-28ROBERT TWAY IVOR SOLOMON2013-09-09
5422009-11-30BEVERLY BEAUDREAULT GREG HOLMES2011-09-13
5422009-11-30BEVERLY BEAUDREAULT GREG HOLMES2011-09-07
5422008-12-01

Plan Statistics for LEVI STRAUSS & CO. MEDICAL LEAVE PLAN

401k plan membership statisitcs for LEVI STRAUSS & CO. MEDICAL LEAVE PLAN

Measure Date Value
2016: LEVI STRAUSS & CO. MEDICAL LEAVE PLAN 2016 401k membership
Total participants, beginning-of-year2016-11-281,595
Total number of active participants reported on line 7a of the Form 55002016-11-280
Total of all active and inactive participants2016-11-280
2015: LEVI STRAUSS & CO. MEDICAL LEAVE PLAN 2015 401k membership
Total participants, beginning-of-year2015-11-301,577
Total number of active participants reported on line 7a of the Form 55002015-11-301,533
Total of all active and inactive participants2015-11-301,533
2014: LEVI STRAUSS & CO. MEDICAL LEAVE PLAN 2014 401k membership
Total participants, beginning-of-year2014-12-011,562
Total number of active participants reported on line 7a of the Form 55002014-12-011,562
Total of all active and inactive participants2014-12-011,562
2013: LEVI STRAUSS & CO. MEDICAL LEAVE PLAN 2013 401k membership
Total participants, beginning-of-year2013-11-252,748
Total number of active participants reported on line 7a of the Form 55002013-11-251,867
Total of all active and inactive participants2013-11-251,867
2012: LEVI STRAUSS & CO. MEDICAL LEAVE PLAN 2012 401k membership
Total participants, beginning-of-year2012-11-262,442
Total number of active participants reported on line 7a of the Form 55002012-11-262,748
Total of all active and inactive participants2012-11-262,748
2011: LEVI STRAUSS & CO. MEDICAL LEAVE PLAN 2011 401k membership
Total participants, beginning-of-year2011-11-282,554
Total number of active participants reported on line 7a of the Form 55002011-11-282,442
Total of all active and inactive participants2011-11-282,442
2009: LEVI STRAUSS & CO. MEDICAL LEAVE PLAN 2009 401k membership
Total participants, beginning-of-year2009-11-301,879
Total number of active participants reported on line 7a of the Form 55002009-11-302,213
Total of all active and inactive participants2009-11-302,213

Financial Data on LEVI STRAUSS & CO. MEDICAL LEAVE PLAN

Measure Date Value
2017 : LEVI STRAUSS & CO. MEDICAL LEAVE PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-11-26$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-11-26$335,806
Total income from all sources (including contributions)2017-11-26$1,158,824
Total of all expenses incurred2017-11-26$926,627
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-11-26$926,627
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-11-26$1,158,315
Value of total assets at end of year2017-11-26$0
Value of total assets at beginning of year2017-11-26$103,609
Total interest from all sources2017-11-26$509
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-11-26Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2017-11-26$0
Was this plan covered by a fidelity bond2017-11-26Yes
Value of fidelity bond cover2017-11-26$25,000,000
Were there any nonexempt tranactions with any party-in-interest2017-11-26No
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-11-26$22
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-11-26No
Value of net income/loss2017-11-26$232,197
Value of net assets at end of year (total assets less liabilities)2017-11-26$0
Value of net assets at beginning of year (total assets less liabilities)2017-11-26$-232,197
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-11-26No
Were any loans by the plan or fixed income obligations due to the plan in default2017-11-26No
Were any leases to which the plan was party in default or uncollectible2017-11-26No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-11-26$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-11-26$103,587
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-11-26$103,587
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-11-26$509
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-11-26Yes
Was there a failure to transmit to the plan any participant contributions2017-11-26No
Has the plan failed to provide any benefit when due under the plan2017-11-26No
Contributions received in cash from employer2017-11-26$1,158,315
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-11-26$926,627
Liabilities. Value of benefit claims payable at end of year2017-11-26$0
Liabilities. Value of benefit claims payable at beginning of year2017-11-26$335,806
Did the plan have assets held for investment2017-11-26No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-11-26No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-11-26Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-11-26Yes
Opinion of an independent qualified public accountant for this plan2017-11-26Disclaimer
Accountancy firm name2017-11-26MOSS ADAMS LLP
Accountancy firm EIN2017-11-26910189318
2016 : LEVI STRAUSS & CO. MEDICAL LEAVE PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-11-27$335,806
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-11-27$235,677
Total income from all sources (including contributions)2016-11-27$691,144
Total of all expenses incurred2016-11-27$788,658
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-11-27$788,658
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-11-27$691,000
Value of total assets at end of year2016-11-27$103,609
Value of total assets at beginning of year2016-11-27$100,994
Total interest from all sources2016-11-27$144
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-11-27No
Was this plan covered by a fidelity bond2016-11-27Yes
Value of fidelity bond cover2016-11-27$25,000,000
Were there any nonexempt tranactions with any party-in-interest2016-11-27No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-11-27$100,129
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-11-27$22
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-11-27$1
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-11-27No
Value of net income/loss2016-11-27$-97,514
Value of net assets at end of year (total assets less liabilities)2016-11-27$-232,197
Value of net assets at beginning of year (total assets less liabilities)2016-11-27$-134,683
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-11-27No
Were any loans by the plan or fixed income obligations due to the plan in default2016-11-27No
Were any leases to which the plan was party in default or uncollectible2016-11-27No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-11-27$103,587
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-11-27$100,993
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-11-27$100,993
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-11-27$144
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-11-27Yes
Was there a failure to transmit to the plan any participant contributions2016-11-27No
Has the plan failed to provide any benefit when due under the plan2016-11-27No
Contributions received in cash from employer2016-11-27$691,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-11-27$688,529
Liabilities. Value of benefit claims payable at end of year2016-11-27$335,806
Liabilities. Value of benefit claims payable at beginning of year2016-11-27$235,677
Did the plan have assets held for investment2016-11-27Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-11-27No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-11-27No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-11-27Yes
Opinion of an independent qualified public accountant for this plan2016-11-27Disclaimer
Accountancy firm name2016-11-27MOSS ADAMS LLP
Accountancy firm EIN2016-11-27910189318
2015 : LEVI STRAUSS & CO. MEDICAL LEAVE PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-11-29$235,677
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-11-29$243,582
Total income from all sources (including contributions)2015-11-29$606,022
Total of all expenses incurred2015-11-29$612,672
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-11-29$612,672
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-11-29$606,000
Value of total assets at end of year2015-11-29$100,994
Value of total assets at beginning of year2015-11-29$115,549
Total interest from all sources2015-11-29$22
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-11-29No
Was this plan covered by a fidelity bond2015-11-29Yes
Value of fidelity bond cover2015-11-29$25,000,000
Were there any nonexempt tranactions with any party-in-interest2015-11-29No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-11-29$-7,905
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-11-29$1
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-11-29$1
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-11-29No
Value of net income/loss2015-11-29$-6,650
Value of net assets at end of year (total assets less liabilities)2015-11-29$-134,683
Value of net assets at beginning of year (total assets less liabilities)2015-11-29$-128,033
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-11-29No
Were any loans by the plan or fixed income obligations due to the plan in default2015-11-29No
Were any leases to which the plan was party in default or uncollectible2015-11-29No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-11-29$100,993
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-11-29$115,548
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-11-29$115,548
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-11-29$22
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-11-29Yes
Was there a failure to transmit to the plan any participant contributions2015-11-29No
Has the plan failed to provide any benefit when due under the plan2015-11-29No
Contributions received in cash from employer2015-11-29$606,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-11-29$620,577
Liabilities. Value of benefit claims payable at end of year2015-11-29$235,677
Liabilities. Value of benefit claims payable at beginning of year2015-11-29$243,582
Did the plan have assets held for investment2015-11-29Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-11-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-11-29No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-11-29Yes
Opinion of an independent qualified public accountant for this plan2015-11-29Disclaimer
Accountancy firm name2015-11-29MOSS ADAMS LLP
Accountancy firm EIN2015-11-29910189318
2014 : LEVI STRAUSS & CO. MEDICAL LEAVE PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-11-30$243,582
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-11-30$171,639
Total income from all sources (including contributions)2014-11-30$649,029
Total of all expenses incurred2014-11-30$751,389
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-11-30$751,389
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-11-30$649,000
Value of total assets at end of year2014-11-30$115,549
Value of total assets at beginning of year2014-11-30$145,966
Total interest from all sources2014-11-30$29
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-11-30No
Was this plan covered by a fidelity bond2014-11-30Yes
Value of fidelity bond cover2014-11-30$25,000,000
If this is an individual account plan, was there a blackout period2014-11-30No
Were there any nonexempt tranactions with any party-in-interest2014-11-30No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-11-30$71,943
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-11-30$1
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-11-30$1
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-11-30No
Value of net income/loss2014-11-30$-102,360
Value of net assets at end of year (total assets less liabilities)2014-11-30$-128,033
Value of net assets at beginning of year (total assets less liabilities)2014-11-30$-25,673
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-11-30No
Were any leases to which the plan was party in default or uncollectible2014-11-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-11-30$115,548
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-11-30$145,965
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-11-30$145,965
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-11-30$29
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-11-30Yes
Was there a failure to transmit to the plan any participant contributions2014-11-30No
Has the plan failed to provide any benefit when due under the plan2014-11-30No
Contributions received in cash from employer2014-11-30$649,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-11-30$679,446
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-11-30No
Liabilities. Value of benefit claims payable at end of year2014-11-30$243,582
Liabilities. Value of benefit claims payable at beginning of year2014-11-30$171,639
Did the plan have assets held for investment2014-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-11-30Yes
Opinion of an independent qualified public accountant for this plan2014-11-30Disclaimer
Accountancy firm name2014-11-30MOSS ADAMS LLP
Accountancy firm EIN2014-11-30910189318
2013 : LEVI STRAUSS & CO. MEDICAL LEAVE PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-11-24$171,639
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-11-24$168,096
Total income from all sources (including contributions)2013-11-24$983,025
Total of all expenses incurred2013-11-24$974,711
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-11-24$974,711
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-11-24$983,000
Value of total assets at end of year2013-11-24$145,966
Value of total assets at beginning of year2013-11-24$134,109
Total interest from all sources2013-11-24$25
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-11-24No
Was this plan covered by a fidelity bond2013-11-24Yes
Value of fidelity bond cover2013-11-24$25,000,000
If this is an individual account plan, was there a blackout period2013-11-24No
Were there any nonexempt tranactions with any party-in-interest2013-11-24No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-11-24$3,543
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-11-24$1
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-11-24$4
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-11-24No
Value of net income/loss2013-11-24$8,314
Value of net assets at end of year (total assets less liabilities)2013-11-24$-25,673
Value of net assets at beginning of year (total assets less liabilities)2013-11-24$-33,987
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-11-24No
Were any loans by the plan or fixed income obligations due to the plan in default2013-11-24No
Were any leases to which the plan was party in default or uncollectible2013-11-24No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-11-24$145,965
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-11-24$134,105
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-11-24$134,105
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-11-24$25
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-11-24Yes
Was there a failure to transmit to the plan any participant contributions2013-11-24No
Has the plan failed to provide any benefit when due under the plan2013-11-24No
Contributions received in cash from employer2013-11-24$983,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-11-24$971,168
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-11-24No
Liabilities. Value of benefit claims payable at end of year2013-11-24$171,639
Liabilities. Value of benefit claims payable at beginning of year2013-11-24$168,096
Did the plan have assets held for investment2013-11-24Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-11-24No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-11-24No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-11-24Yes
Opinion of an independent qualified public accountant for this plan2013-11-24Disclaimer
Accountancy firm name2013-11-24MOSS ADAMS LLP
Accountancy firm EIN2013-11-24910189318
2012 : LEVI STRAUSS & CO. MEDICAL LEAVE PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-11-25$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-11-25$168,096
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-11-25$131,732
Total income from all sources (including contributions)2012-11-25$888,045
Total loss/gain on sale of assets2012-11-25$0
Total of all expenses incurred2012-11-25$894,456
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-11-25$894,456
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-11-25$888,000
Value of total assets at end of year2012-11-25$134,109
Value of total assets at beginning of year2012-11-25$104,156
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-11-25$0
Total interest from all sources2012-11-25$45
Total dividends received (eg from common stock, registered investment company shares)2012-11-25$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-11-25No
Was this plan covered by a fidelity bond2012-11-25Yes
Value of fidelity bond cover2012-11-25$25,000,000
If this is an individual account plan, was there a blackout period2012-11-25No
Were there any nonexempt tranactions with any party-in-interest2012-11-25No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-11-25$36,364
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-11-25$4
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-11-25$8
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-11-25No
Value of net income/loss2012-11-25$-6,411
Value of net assets at end of year (total assets less liabilities)2012-11-25$-33,987
Value of net assets at beginning of year (total assets less liabilities)2012-11-25$-27,576
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-11-25No
Were any loans by the plan or fixed income obligations due to the plan in default2012-11-25No
Were any leases to which the plan was party in default or uncollectible2012-11-25No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-11-25$134,105
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-11-25$104,148
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-11-25$104,148
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-11-25$45
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-11-25Yes
Was there a failure to transmit to the plan any participant contributions2012-11-25No
Has the plan failed to provide any benefit when due under the plan2012-11-25No
Contributions received in cash from employer2012-11-25$888,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-11-25$858,092
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-11-25No
Liabilities. Value of benefit claims payable at end of year2012-11-25$168,096
Liabilities. Value of benefit claims payable at beginning of year2012-11-25$131,732
Did the plan have assets held for investment2012-11-25Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-11-25No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-11-25No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-11-25Yes
Opinion of an independent qualified public accountant for this plan2012-11-25Disclaimer
Accountancy firm name2012-11-25MOSS ADAMS LLP
Accountancy firm EIN2012-11-25910189318
2011 : LEVI STRAUSS & CO. MEDICAL LEAVE PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-11-27$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-11-27$131,732
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-11-27$119,453
Total income from all sources (including contributions)2011-11-27$669,163
Total loss/gain on sale of assets2011-11-27$0
Total of all expenses incurred2011-11-27$704,634
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-11-27$704,634
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-11-27$669,000
Value of total assets at end of year2011-11-27$104,156
Value of total assets at beginning of year2011-11-27$127,348
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-11-27$0
Total interest from all sources2011-11-27$163
Total dividends received (eg from common stock, registered investment company shares)2011-11-27$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-11-27No
Was this plan covered by a fidelity bond2011-11-27Yes
Value of fidelity bond cover2011-11-27$30,000,000
If this is an individual account plan, was there a blackout period2011-11-27No
Were there any nonexempt tranactions with any party-in-interest2011-11-27No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-11-27$12,279
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-11-27$8
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-11-27$15
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-11-27No
Value of net income/loss2011-11-27$-35,471
Value of net assets at end of year (total assets less liabilities)2011-11-27$-27,576
Value of net assets at beginning of year (total assets less liabilities)2011-11-27$7,895
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-11-27No
Were any loans by the plan or fixed income obligations due to the plan in default2011-11-27No
Were any leases to which the plan was party in default or uncollectible2011-11-27No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-11-27$104,148
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-11-27$127,333
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-11-27$127,333
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-11-27$163
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-11-27Yes
Was there a failure to transmit to the plan any participant contributions2011-11-27No
Has the plan failed to provide any benefit when due under the plan2011-11-27No
Contributions received in cash from employer2011-11-27$669,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-11-27$692,355
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-11-27No
Liabilities. Value of benefit claims payable at end of year2011-11-27$131,732
Liabilities. Value of benefit claims payable at beginning of year2011-11-27$119,453
Did the plan have assets held for investment2011-11-27Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-11-27No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-11-27No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-11-27Yes
Opinion of an independent qualified public accountant for this plan2011-11-27Disclaimer
Accountancy firm name2011-11-27MOSS ADAMS LLP
Accountancy firm EIN2011-11-27910189318

Form 5500 Responses for LEVI STRAUSS & CO. MEDICAL LEAVE PLAN

2016: LEVI STRAUSS & CO. MEDICAL LEAVE PLAN 2016 form 5500 responses
2016-11-28Type of plan entitySingle employer plan
2016-11-28This submission is the final filingYes
2016-11-28This return/report is a short plan year return/report (less than 12 months)Yes
2016-11-28Plan funding arrangement – TrustYes
2016-11-28Plan benefit arrangement - TrustYes
2015: LEVI STRAUSS & CO. MEDICAL LEAVE PLAN 2015 form 5500 responses
2015-11-30Type of plan entitySingle employer plan
2015-11-30This return/report is a short plan year return/report (less than 12 months)Yes
2015-11-30Plan funding arrangement – TrustYes
2015-11-30Plan benefit arrangement - TrustYes
2014: LEVI STRAUSS & CO. MEDICAL LEAVE PLAN 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01This return/report is a short plan year return/report (less than 12 months)Yes
2014-12-01Plan funding arrangement – TrustYes
2014-12-01Plan benefit arrangement - TrustYes
2013: LEVI STRAUSS & CO. MEDICAL LEAVE PLAN 2013 form 5500 responses
2013-11-25Type of plan entitySingle employer plan
2013-11-25Submission has been amendedYes
2013-11-25Plan funding arrangement – TrustYes
2013-11-25Plan benefit arrangement - TrustYes
2012: LEVI STRAUSS & CO. MEDICAL LEAVE PLAN 2012 form 5500 responses
2012-11-26Type of plan entitySingle employer plan
2012-11-26This return/report is a short plan year return/report (less than 12 months)Yes
2012-11-26Plan funding arrangement – TrustYes
2012-11-26Plan benefit arrangement - TrustYes
2011: LEVI STRAUSS & CO. MEDICAL LEAVE PLAN 2011 form 5500 responses
2011-11-28Type of plan entitySingle employer plan
2011-11-28Submission has been amendedNo
2011-11-28This submission is the final filingNo
2011-11-28This return/report is a short plan year return/report (less than 12 months)Yes
2011-11-28Plan is a collectively bargained planNo
2011-11-28Plan funding arrangement – TrustYes
2011-11-28Plan benefit arrangement - TrustYes
2009: LEVI STRAUSS & CO. MEDICAL LEAVE PLAN 2009 form 5500 responses
2009-11-30Type of plan entitySingle employer plan
2009-11-30Submission has been amendedYes
2009-11-30This submission is the final filingNo
2009-11-30This return/report is a short plan year return/report (less than 12 months)Yes
2009-11-30Plan is a collectively bargained planNo
2009-11-30Plan funding arrangement – TrustYes
2009-11-30Plan benefit arrangement - TrustYes
2008: LEVI STRAUSS & CO. MEDICAL LEAVE PLAN 2008 form 5500 responses
2008-12-01Type of plan entitySingle employer plan
2008-12-01Submission has been amendedNo
2008-12-01This submission is the final filingNo
2008-12-01This return/report is a short plan year return/report (less than 12 months)No
2008-12-01Plan is a collectively bargained planNo

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