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| Plan Name | GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | MARGARITAVILLE ENTERPRISES, LLC. |
| Employer identification number (EIN): | 770706262 |
| NAIC Classification: | 722511 |
| NAIC Description: | Full-Service Restaurants |
Additional information about MARGARITAVILLE ENTERPRISES, LLC.
| Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
| Incorporation Date: | 2004-04-13 |
| Company Identification Number: | 602386070 |
| Legal Registered Office Address: |
61 SE MAJESTIC VIEW DR SHELTON United States of America (USA) 985840000 |
More information about MARGARITAVILLE ENTERPRISES, LLC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2019-08-01 | ADAM BOCKEN | 2021-02-18 | ||
| 501 | 2017-08-01 | ||||
| 501 | 2016-08-01 | ||||
| 501 | 2015-08-01 | ADAM BOCKEN | |||
| 501 | 2014-08-01 | ADAM BOCKEN | |||
| 501 | 2014-07-01 | ADAM BOCKEN | |||
| 501 | 2013-07-01 | ADAM BOCKEN | ADAM BOCKEN | 2015-04-01 | |
| 501 | 2012-07-01 | ADAM BOCKEN | ADAM BOCKEN | 2015-04-01 | |
| 501 | 2011-07-01 | MARK ROBINOW | MARK ROBINOW | 2013-12-30 | |
| 501 | 2010-07-01 | MARK ROBINOW | MARK ROBINOW | 2013-12-30 | |
| 501 | 2009-07-01 | MARK ROBINOW | MARK ROBINOW | 2013-12-30 | |
| 501 | 2008-07-01 | MARK ROBINOW | MARK ROBINOW | 2013-12-30 | |
| 501 | 2007-07-01 | MARK ROBINOW | MARK ROBINOW | 2013-12-30 |
| Measure | Date | Value |
|---|---|---|
| 2019: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-08-01 | 65 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-08-01 | 0 |
| Number of retired or separated participants receiving benefits | 2019-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-08-01 | 0 |
| Total of all active and inactive participants | 2019-08-01 | 0 |
| Number of employers contributing to the scheme | 2019-08-01 | 0 |
| 2017: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-08-01 | 60 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-08-01 | 26 |
| Number of retired or separated participants receiving benefits | 2017-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-08-01 | 0 |
| Total of all active and inactive participants | 2017-08-01 | 26 |
| Number of employers contributing to the scheme | 2017-08-01 | 0 |
| 2016: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-08-01 | 78 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-08-01 | 58 |
| Number of retired or separated participants receiving benefits | 2016-08-01 | 60 |
| Number of other retired or separated participants entitled to future benefits | 2016-08-01 | 0 |
| Total of all active and inactive participants | 2016-08-01 | 118 |
| 2015: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-08-01 | 78 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-08-01 | 58 |
| Number of retired or separated participants receiving benefits | 2015-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-08-01 | 0 |
| Total of all active and inactive participants | 2015-08-01 | 58 |
| 2014: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-08-01 | 123 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-08-01 | 48 |
| Number of retired or separated participants receiving benefits | 2014-08-01 | 3 |
| Number of other retired or separated participants entitled to future benefits | 2014-08-01 | 0 |
| Total of all active and inactive participants | 2014-08-01 | 51 |
| Total participants, beginning-of-year | 2014-07-01 | 123 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-07-01 | 123 |
| Number of retired or separated participants receiving benefits | 2014-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-07-01 | 0 |
| Total of all active and inactive participants | 2014-07-01 | 123 |
| 2013: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-07-01 | 188 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-07-01 | 123 |
| Total of all active and inactive participants | 2013-07-01 | 123 |
| 2012: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-07-01 | 354 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 308 |
| Total of all active and inactive participants | 2012-07-01 | 308 |
| 2011: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-07-01 | 390 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-07-01 | 362 |
| Total of all active and inactive participants | 2011-07-01 | 362 |
| Total participants | 2011-07-01 | 362 |
| 2010: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-07-01 | 349 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-07-01 | 390 |
| Total of all active and inactive participants | 2010-07-01 | 390 |
| Total participants | 2010-07-01 | 390 |
| 2009: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-07-01 | 405 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-07-01 | 349 |
| Total of all active and inactive participants | 2009-07-01 | 349 |
| Total participants | 2009-07-01 | 349 |
| 2008: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2008 401k membership | ||
| Total participants, beginning-of-year | 2008-07-01 | 278 |
| Total number of active participants reported on line 7a of the Form 5500 | 2008-07-01 | 405 |
| Total of all active and inactive participants | 2008-07-01 | 405 |
| Total participants | 2008-07-01 | 405 |
| 2007: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2007 401k membership | ||
| Total participants, beginning-of-year | 2007-07-01 | 172 |
| Total number of active participants reported on line 7a of the Form 5500 | 2007-07-01 | 278 |
| Total of all active and inactive participants | 2007-07-01 | 278 |
| Total participants | 2007-07-01 | 278 |
| 2019: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2019 form 5500 responses | ||
|---|---|---|
| 2019-08-01 | Type of plan entity | Single employer plan |
| 2019-08-01 | This submission is the final filing | Yes |
| 2019-08-01 | Plan funding arrangement – Insurance | Yes |
| 2019-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2017 form 5500 responses | ||
| 2017-08-01 | Type of plan entity | Single employer plan |
| 2017-08-01 | Plan funding arrangement – Insurance | Yes |
| 2017-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2016 form 5500 responses | ||
| 2016-08-01 | Type of plan entity | Single employer plan |
| 2016-08-01 | Submission has been amended | No |
| 2016-08-01 | This submission is the final filing | No |
| 2016-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-08-01 | Plan is a collectively bargained plan | No |
| 2016-08-01 | Plan funding arrangement – Insurance | Yes |
| 2016-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2015 form 5500 responses | ||
| 2015-08-01 | Type of plan entity | Single employer plan |
| 2015-08-01 | Submission has been amended | No |
| 2015-08-01 | This submission is the final filing | No |
| 2015-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-08-01 | Plan is a collectively bargained plan | No |
| 2015-08-01 | Plan funding arrangement – Insurance | Yes |
| 2015-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2014 form 5500 responses | ||
| 2014-08-01 | Type of plan entity | Single employer plan |
| 2014-08-01 | Submission has been amended | No |
| 2014-08-01 | This submission is the final filing | No |
| 2014-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-08-01 | Plan is a collectively bargained plan | No |
| 2014-08-01 | Plan funding arrangement – Insurance | Yes |
| 2014-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-07-01 | Type of plan entity | Single employer plan |
| 2014-07-01 | Submission has been amended | No |
| 2014-07-01 | This submission is the final filing | No |
| 2014-07-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2014-07-01 | Plan is a collectively bargained plan | No |
| 2014-07-01 | Plan funding arrangement – Insurance | Yes |
| 2014-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2013 form 5500 responses | ||
| 2013-07-01 | Type of plan entity | Single employer plan |
| 2013-07-01 | Submission has been amended | No |
| 2013-07-01 | This submission is the final filing | No |
| 2013-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-07-01 | Plan is a collectively bargained plan | No |
| 2013-07-01 | Plan funding arrangement – Insurance | Yes |
| 2013-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2012 form 5500 responses | ||
| 2012-07-01 | Type of plan entity | Single employer plan |
| 2012-07-01 | Submission has been amended | No |
| 2012-07-01 | This submission is the final filing | No |
| 2012-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-07-01 | Plan is a collectively bargained plan | No |
| 2012-07-01 | Plan funding arrangement – Insurance | Yes |
| 2012-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2011 form 5500 responses | ||
| 2011-07-01 | Type of plan entity | Single employer plan |
| 2011-07-01 | Submission has been amended | No |
| 2011-07-01 | This submission is the final filing | No |
| 2011-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-07-01 | Plan is a collectively bargained plan | No |
| 2011-07-01 | Plan funding arrangement – Insurance | Yes |
| 2011-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2010 form 5500 responses | ||
| 2010-07-01 | Type of plan entity | Single employer plan |
| 2010-07-01 | Submission has been amended | No |
| 2010-07-01 | This submission is the final filing | No |
| 2010-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-07-01 | Plan is a collectively bargained plan | No |
| 2010-07-01 | Plan funding arrangement – Insurance | Yes |
| 2010-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2009 form 5500 responses | ||
| 2009-07-01 | Type of plan entity | Single employer plan |
| 2009-07-01 | Submission has been amended | No |
| 2009-07-01 | This submission is the final filing | No |
| 2009-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-07-01 | Plan is a collectively bargained plan | No |
| 2009-07-01 | Plan funding arrangement – Insurance | Yes |
| 2009-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2008: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2008 form 5500 responses | ||
| 2008-07-01 | Type of plan entity | Single employer plan |
| 2008-07-01 | Submission has been amended | No |
| 2008-07-01 | This submission is the final filing | No |
| 2008-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2008-07-01 | Plan is a collectively bargained plan | No |
| 2008-07-01 | Plan funding arrangement – Insurance | Yes |
| 2008-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2007: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2007 form 5500 responses | ||
| 2007-07-01 | Type of plan entity | Single employer plan |
| 2007-07-01 | First time form 5500 has been submitted | Yes |
| 2007-07-01 | Submission has been amended | No |
| 2007-07-01 | This submission is the final filing | No |
| 2007-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2007-07-01 | Plan is a collectively bargained plan | No |
| 2007-07-01 | Plan funding arrangement – Insurance | Yes |
| 2007-07-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 ) | |
| Policy contract number | B8773 |
| Policy instance | 2 |
| BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) | |
| Policy contract number | B8773 |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) | |
| Policy contract number | B8773 |
| Policy instance | 2 |
| BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 ) | |
| Policy contract number | B8773 |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 ) | |
| Policy contract number | B8773 |
| Policy instance | 2 |
| BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) | |
| Policy contract number | B8773 |
| Policy instance | 1 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |
| Policy contract number | 662545 |
| Policy instance | 1 |
| BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 ) | |
| Policy contract number | 0661 |
| Policy instance | 1 |
| BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 ) | |
| Policy contract number | 0661 |
| Policy instance | 1 |
| BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 ) | |
| Policy contract number | 0661 |
| Policy instance | 1 |
| BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 ) | |
| Policy contract number | 0661 |
| Policy instance | 1 |
| BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 ) | |
| Policy contract number | 0661 |
| Policy instance | 1 |
| BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 ) | |
| Policy contract number | 0661 |
| Policy instance | 1 |
| BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 ) | |
| Policy contract number | 0661 |
| Policy instance | 1 |