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Form 5500 · Retirement plan · TIPTON, MO

GREAT WESTERN DINING SERVICE, INC.

The filing calls this plan 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF GREAT WESTERN DINING SERVICE, INC.

GREAT WESTERN DINING SERVICE, INC. of TIPTON, MO files a Form 5500 for its retirement plan. Schedule A discloses 1 annuity or guaranteed-interest contract held by the plan, written by MUTUAL OF AMERICA SEC. CORP LLC. These are investment and funding contracts, not group health or welfare coverage. No medical, dental or life benefit is reported on this filing.

Agent of record (Schedule A)
Contract year ends
Mayas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 43-1592237 · plan 001 · plan year 2024, filed Mar 13, 2025

Participants at the start of the year
1,223
Contracts on file
1
Contract value
—
Plan year end
May

Plan brief

Schedule A lists 1 insurance contract held by the plan — an annuity, a guaranteed-interest account or a similar funding vehicle, with MUTUAL OF AMERICA SEC. CORP LLC.

The filing discloses no agent commission on these contracts.

A Schedule A is filed for a retirement plan when plan assets sit in an insurance company contract. It reports the contract's balances and any agent commission. It does not report a health, dental or life premium, and it does not give a group renewal date.

The contract year ended in May.

Schedule A insurance contracts

CarrierContract typeCoveredYear endsContract valueCommission
MUTUAL OF AMERICA SEC. CORP LLCAnnuity / GIC0May—$0

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
GREAT WESTERN DINING SERVICE, INC.
EIN 43-1592237

The plan administrator is from line 3a of the main form. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 1,012 employees, 16 recordable cases, 137 days away from work.

EmployeesThe company's own average for the year
1,012
Hours worked
1,193,342
Recordable cases
16
Days away from work
137
Establishments filed under this EIN
86

Source: OSHA Injury Tracking Application establishment data, 2025.

One establishment filed under this EIN is left out of these figures: the hours and employees it reported could not both be right.

What the plan holds

Paid out in benefits
$158,393
Participants at the start of the year
1,223
Participants with account balances
0

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H

Who runs the plan

Independent accountantEIN 44-0160260
FORVIS MAZARS LLP
Accountant's opinion (Schedule H, line 3a)
Unmodified

From Schedule H of this filing.

The filing reports that employee contributions were not forwarded to the plan on time (line 4a).

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