2019-11-14T14:09:58-06:00 2018-12-31 231980475 KREISCHER MILLER 100 WITMER ROAD SUITE 350 HORSHAM PA 190442369 990 2018-01-01 561575344 KRISPY KREME DOUGHNUT CORPORATION WELFARE BENEFIT PLAN KRIS 3367252981 PO BOX 83 WINSTONSALEM NC 27102 JOEY PRUITT CAO 3367252981 2019-11-13 1 CHRISTOPHER M PEKULA P00734965 2154414600 64.55.30.226 2019-11-13 18:16:15 ES P 653D8AAEE75DEC61EAFDBDFBB1549F883FF0C945 41751D55C13ADD5C61F7A5404F8B933FBF8D3200 2018 2020-03-31 21:24:44Z JOEY PRUITT PO BOX 83 WINSTONSALEM NC 27102 3213674 0 X N/A X HEALTH CARE BENEFIT PLAN NC THIS PLAN IS A DEFINED HEALTH AND WELFARE PLAN WHICH HAS BOTH SELF-INSURED AND FULLY-INSURED COMPONENTS. 0 0 0 0 0 0 0 0 16201444 3204832 252 8842 0 0 16201696 3213674 0 0 14543459 3076818 0 0 0 0 0 1584592 1430 16128051 3078248 73645 135426 73645 209071 0 0 73645 209071 PROVIDE FUNDS TO PAY BENEFICIARY CLAIMS AND INSURANCE PREMIUMS 0 0 3076818 3204832 PAYMENT OF INSURANCE PREMIUMS AND HEALTHCARE CLAIMS 3076818 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X SAM HAUSER TAX DIRECTOR 3367252981 370 KNOLLWOOD STREET WINSTONSALEM NC 27103 X BRANCH BANKING AND TRUST TRUSTEE 0.00 X 0 0 0 0 0 0 0 0 0 0 CIGNA 900 COTTAGE GROVE ROAD HARTFORD CT 06152 CLAIM PAYMENTS TO PARTICIPANTS 2984066 1 EMPLOYER AND EMPLOYEE 525100 3204832 3204832 3204832 8842 8842 3213674 3204832 0 8842 3076818 3076818 1430 1430 3078248 3076818 1430 0 73645 209071 73645 209071 0 0 X 73645 209071 0 0 0 0 73645 209071 73645 209071 135426 0 X X 0 1 X 0 0 0 X 3213674 0 3213674 0 3213674 3078248 0 3078248 0 3078248 PART X, LINE 2: THE TRUST ESTABLISHED TO HOLD THE PLAN'S ASSETS IS INTENDED TO QUALIFY PURSUANT TO SECTION 501(C)9 OF THE INTERNAL REVENUE CODE (IRC), AND ACCORDINGLY, NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE TRUST HAS OBTAINED A FAVORABLE TAX DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS), AND THE COMPANY BELIEVES THAT THE TRUST, AS AMENDED, CONTINUES TO QUALIFY AND TO OPERATE IN ACCORDANCE WITH APPLICABLE PROVISIONS OF THE IRC TO MAINTAIN ITS TAX-EXEMPT STATUS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. FORM 990, PART VI, SECTION A, LINE 8A THERE ARE NO MEETINGS. THIS IS A HEALTHCARE PLAN. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO MEETINGS. THIS IS A HEALTHCARE PLAN. FORM 990, PART VI, SECTION B, LINE 11B ONCE KREISCHER MILLER HAS COMPLETED ITS AUDIT OF THE FINANCIAL STATEMENTS, KREISCHER MILLER PREPARES THE FORM 990. THE TAX DIRECTOR REVIEWS THE FORM 990 AND PROVIDES COMMENTS AS NEEDED TO KREISCHER MILLER. KREISCHER MILLER FINALIZES THE FORM 990 AND THEN AN OFFICER SIGNS THE FORM 990. FORM 990, PART VI, SECTION C, LINE 19 THESE STATEMENTS ARE MADE AVAILABLE UPON WRITTEN REQUEST. FORM 990, PART XII, LINE 1 THE FINANCIAL STATEMENTS OF THE PLAN ARE PREPARED ON THE MODIFIED CASH BASIS OF ACCOUNTING. THIS BASIS OF ACCOUNTING IS PERMITTED BY THE DEPARTMENT OF LABOR'S RULES AND REGULATIONS FOR REPORTING AND DISCLOSURE UNDER ERISA, AND IS A COMPREHENSIVE BASIS OF ACCOUNTING OTHER THAN ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA. THIS BASIS RECOGNIZES ALL TRANSACTIONS WHEN CASH IS EITHER RECEIVED OR DISBURSED AND REPORTS INVESTMENTS AT FAIR VALUE. CONSEQUENTLY, CERTAIN ADDITIONS TO NET ASSETS ARE RECOGNIZED WHEN RECEIVED RATHER THAN WHEN EARNED AND CERTAIN DEDUCTIONS FROM NET ASSETS ARE RECOGNIZED WHEN PAID RATHER THAN WHEN THE OBLIGATION IS INCURRED. SPECIFICALLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT INCLUDE ACCRUALS FOR CLAIMS PAYABLE OR PREMIUMS DUE TO INSURANCE ENTITIES. KRISPY KREME DOUGNUT CORPORATION PO BOX 83 WINSTONSALEM NC 27102 561318322 MANUFACTURING AND SALE OF DOUGHNUTS NC C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0