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TWIN LAKES GOLF CLUB, INC. EMPLOYEE GROUP HEALTH PLAN 401k Plan overview

Plan NameTWIN LAKES GOLF CLUB, INC. EMPLOYEE GROUP HEALTH PLAN
Plan identification number 501

TWIN LAKES GOLF CLUB, INC. EMPLOYEE GROUP HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

TWIN LAKES GOLF CLUB, INC. has sponsored the creation of one or more 401k plans.

Company Name:TWIN LAKES GOLF CLUB, INC.
Employer identification number (EIN):351638695
NAIC Classification:713900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TWIN LAKES GOLF CLUB, INC. EMPLOYEE GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-01-01
5012018-01-01CHRISTIAN BROWN CHRISTIAN BROWN2019-07-22
5012017-01-01CHRISTIAN BROWN CHRISTIAN BROWN2018-08-29

Plan Statistics for TWIN LAKES GOLF CLUB, INC. EMPLOYEE GROUP HEALTH PLAN

401k plan membership statisitcs for TWIN LAKES GOLF CLUB, INC. EMPLOYEE GROUP HEALTH PLAN

Measure Date Value
2019: TWIN LAKES GOLF CLUB, INC. EMPLOYEE GROUP HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-010
Total number of active participants reported on line 7a of the Form 55002019-01-014
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-014
2018: TWIN LAKES GOLF CLUB, INC. EMPLOYEE GROUP HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-013
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-010
2017: TWIN LAKES GOLF CLUB, INC. EMPLOYEE GROUP HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-013
Total number of active participants reported on line 7a of the Form 55002017-01-013
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-013

Financial Data on TWIN LAKES GOLF CLUB, INC. EMPLOYEE GROUP HEALTH PLAN

Measure Date Value
2019 : TWIN LAKES GOLF CLUB, INC. EMPLOYEE GROUP HEALTH PLAN 2019 401k financial data
Total income from all sources2019-12-31$0
Total plan assets at end of year2019-12-31$0
Total plan assets at beginning of year2019-12-31$0
Net plan assets at end of year (total assets less liabilities)2019-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$0
2018 : TWIN LAKES GOLF CLUB, INC. EMPLOYEE GROUP HEALTH PLAN 2018 401k financial data
Total income from all sources2018-12-31$48,796
Expenses. Total of all expenses incurred2018-12-31$49,259
Benefits paid (including direct rollovers)2018-12-31$4,005
Total plan assets at end of year2018-12-31$3,531
Total plan assets at beginning of year2018-12-31$3,994
Expenses. Other expenses not covered elsewhere2018-12-31$33,858
Net income (gross income less expenses)2018-12-31$-463
Net plan assets at end of year (total assets less liabilities)2018-12-31$3,531
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$3,994
Total contributions received or receivable from employer(s)2018-12-31$48,796
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$11,396
2017 : TWIN LAKES GOLF CLUB, INC. EMPLOYEE GROUP HEALTH PLAN 2017 401k financial data
Total income from all sources2017-12-31$46,137
Expenses. Total of all expenses incurred2017-12-31$42,769
Benefits paid (including direct rollovers)2017-12-31$4,467
Total plan assets at end of year2017-12-31$3,994
Total plan assets at beginning of year2017-12-31$626
Expenses. Other expenses not covered elsewhere2017-12-31$27,487
Net income (gross income less expenses)2017-12-31$3,368
Net plan assets at end of year (total assets less liabilities)2017-12-31$3,994
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$626
Total contributions received or receivable from employer(s)2017-12-31$46,137
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$10,815

Form 5500 Responses for TWIN LAKES GOLF CLUB, INC. EMPLOYEE GROUP HEALTH PLAN

2019: TWIN LAKES GOLF CLUB, INC. EMPLOYEE GROUP HEALTH PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: TWIN LAKES GOLF CLUB, INC. EMPLOYEE GROUP HEALTH PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: TWIN LAKES GOLF CLUB, INC. EMPLOYEE GROUP HEALTH PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01First time form 5500 has been submittedYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ALLIED NATIONAL COMPANIES (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance 1
Number of Individuals Covered4
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $7,461
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,739
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,461
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
ALLIED NATIONAL COMPANIES (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance 1
Number of Individuals Covered3
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $2,904
Total amount of fees paid to insurance companyUSD $5,588
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $48,976
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees5588
Additional information about fees paid to insurance brokerFEES
Commission paid to Insurance BrokerUSD $2,904
Insurance broker organization code?3
ALLIED NATIONAL COMPANIES (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance 1
Number of Individuals Covered3
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,739
Total amount of fees paid to insurance companyUSD $5,337
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $46,137
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees5337
Additional information about fees paid to insurance brokerFEES
Commission paid to Insurance BrokerUSD $2,739
Insurance broker organization code?3
Insurance broker nameEXACT INSURANCE INSURANCE GRP

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