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QUAIL CREEK COUNTRY CLUB, INC. WELFARE BENEFIT PLAN 401k Plan overview

Plan NameQUAIL CREEK COUNTRY CLUB, INC. WELFARE BENEFIT PLAN
Plan identification number 501

QUAIL CREEK COUNTRY CLUB, INC. WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

QUAIL CREEK COUNTRY CLUB, INC. has sponsored the creation of one or more 401k plans.

Company Name:QUAIL CREEK COUNTRY CLUB, INC.
Employer identification number (EIN):592144636
NAIC Classification:713900

Additional information about QUAIL CREEK COUNTRY CLUB, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 1980-06-27
Company Identification Number: 753153
Legal Registered Office Address: 13300 VALEWOOD DRIVE

NAPLES

34119

More information about QUAIL CREEK COUNTRY CLUB, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan QUAIL CREEK COUNTRY CLUB, INC. WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-11-01ANA BURDGE
5012022-11-01
5012022-11-01MICHAEL MACDONALD

Plan Statistics for QUAIL CREEK COUNTRY CLUB, INC. WELFARE BENEFIT PLAN

401k plan membership statisitcs for QUAIL CREEK COUNTRY CLUB, INC. WELFARE BENEFIT PLAN

Measure Date Value
2022: QUAIL CREEK COUNTRY CLUB, INC. WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-11-01105
Total number of active participants reported on line 7a of the Form 55002022-11-01106
Number of retired or separated participants receiving benefits2022-11-014
Number of other retired or separated participants entitled to future benefits2022-11-010
Total of all active and inactive participants2022-11-01110

Form 5500 Responses for QUAIL CREEK COUNTRY CLUB, INC. WELFARE BENEFIT PLAN

2022: QUAIL CREEK COUNTRY CLUB, INC. WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-11-01Type of plan entitySingle employer plan
2022-11-01First time form 5500 has been submittedYes
2022-11-01Submission has been amendedNo
2022-11-01This submission is the final filingNo
2022-11-01This return/report is a short plan year return/report (less than 12 months)No
2022-11-01Plan is a collectively bargained planNo
2022-11-01Plan funding arrangement – InsuranceYes
2022-11-01Plan funding arrangement – General assets of the sponsorYes
2022-11-01Plan benefit arrangement – InsuranceYes
2022-11-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number28070
Policy instance 1
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number28070
Policy instance 2
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00578614
Policy instance 3

Potentially related plans

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