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GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 401k Plan overview

Plan NameGROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC
Plan identification number 501

GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

MARGARITAVILLE ENTERPRISES, LLC. has sponsored the creation of one or more 401k plans.

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.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-08-01ADAM BOCKEN2021-02-18
5012017-08-01
5012016-08-01
5012015-08-01ADAM BOCKEN
5012014-08-01ADAM BOCKEN
5012014-07-01ADAM BOCKEN
5012013-07-01ADAM BOCKEN ADAM BOCKEN2015-04-01
5012012-07-01ADAM BOCKEN ADAM BOCKEN2015-04-01
5012011-07-01MARK ROBINOW MARK ROBINOW2013-12-30
5012010-07-01MARK ROBINOW MARK ROBINOW2013-12-30
5012009-07-01MARK ROBINOW MARK ROBINOW2013-12-30
5012008-07-01MARK ROBINOW MARK ROBINOW2013-12-30
5012007-07-01MARK ROBINOW MARK ROBINOW2013-12-30

Plan Statistics for GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC

401k plan membership statisitcs for GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC

Measure Date Value
2019: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2019 401k membership
Total participants, beginning-of-year2019-08-0165
Total number of active participants reported on line 7a of the Form 55002019-08-010
Number of retired or separated participants receiving benefits2019-08-010
Number of other retired or separated participants entitled to future benefits2019-08-010
Total of all active and inactive participants2019-08-010
Number of employers contributing to the scheme2019-08-010
2017: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2017 401k membership
Total participants, beginning-of-year2017-08-0160
Total number of active participants reported on line 7a of the Form 55002017-08-0126
Number of retired or separated participants receiving benefits2017-08-010
Number of other retired or separated participants entitled to future benefits2017-08-010
Total of all active and inactive participants2017-08-0126
Number of employers contributing to the scheme2017-08-010
2016: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2016 401k membership
Total participants, beginning-of-year2016-08-0178
Total number of active participants reported on line 7a of the Form 55002016-08-0158
Number of retired or separated participants receiving benefits2016-08-0160
Number of other retired or separated participants entitled to future benefits2016-08-010
Total of all active and inactive participants2016-08-01118
2015: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2015 401k membership
Total participants, beginning-of-year2015-08-0178
Total number of active participants reported on line 7a of the Form 55002015-08-0158
Number of retired or separated participants receiving benefits2015-08-010
Number of other retired or separated participants entitled to future benefits2015-08-010
Total of all active and inactive participants2015-08-0158
2014: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2014 401k membership
Total participants, beginning-of-year2014-08-01123
Total number of active participants reported on line 7a of the Form 55002014-08-0148
Number of retired or separated participants receiving benefits2014-08-013
Number of other retired or separated participants entitled to future benefits2014-08-010
Total of all active and inactive participants2014-08-0151
Total participants, beginning-of-year2014-07-01123
Total number of active participants reported on line 7a of the Form 55002014-07-01123
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-010
Total of all active and inactive participants2014-07-01123
2013: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2013 401k membership
Total participants, beginning-of-year2013-07-01188
Total number of active participants reported on line 7a of the Form 55002013-07-01123
Total of all active and inactive participants2013-07-01123
2012: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2012 401k membership
Total participants, beginning-of-year2012-07-01354
Total number of active participants reported on line 7a of the Form 55002012-07-01308
Total of all active and inactive participants2012-07-01308
2011: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2011 401k membership
Total participants, beginning-of-year2011-07-01390
Total number of active participants reported on line 7a of the Form 55002011-07-01362
Total of all active and inactive participants2011-07-01362
Total participants2011-07-01362
2010: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2010 401k membership
Total participants, beginning-of-year2010-07-01349
Total number of active participants reported on line 7a of the Form 55002010-07-01390
Total of all active and inactive participants2010-07-01390
Total participants2010-07-01390
2009: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2009 401k membership
Total participants, beginning-of-year2009-07-01405
Total number of active participants reported on line 7a of the Form 55002009-07-01349
Total of all active and inactive participants2009-07-01349
Total participants2009-07-01349
2008: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2008 401k membership
Total participants, beginning-of-year2008-07-01278
Total number of active participants reported on line 7a of the Form 55002008-07-01405
Total of all active and inactive participants2008-07-01405
Total participants2008-07-01405
2007: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2007 401k membership
Total participants, beginning-of-year2007-07-01172
Total number of active participants reported on line 7a of the Form 55002007-07-01278
Total of all active and inactive participants2007-07-01278
Total participants2007-07-01278

Form 5500 Responses for GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC

2019: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01This submission is the final filingYes
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan benefit arrangement – InsuranceYes
2017: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2016: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Submission has been amendedNo
2016-08-01This submission is the final filingNo
2016-08-01This return/report is a short plan year return/report (less than 12 months)No
2016-08-01Plan is a collectively bargained planNo
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes
2015: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Submission has been amendedNo
2015-08-01This submission is the final filingNo
2015-08-01This return/report is a short plan year return/report (less than 12 months)No
2015-08-01Plan is a collectively bargained planNo
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – InsuranceYes
2014: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Submission has been amendedNo
2014-08-01This submission is the final filingNo
2014-08-01This return/report is a short plan year return/report (less than 12 months)No
2014-08-01Plan is a collectively bargained planNo
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – InsuranceYes
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2010: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Submission has been amendedNo
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planNo
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan benefit arrangement – InsuranceYes
2009: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes
2008: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2008 form 5500 responses
2008-07-01Type of plan entitySingle employer plan
2008-07-01Submission has been amendedNo
2008-07-01This submission is the final filingNo
2008-07-01This return/report is a short plan year return/report (less than 12 months)No
2008-07-01Plan is a collectively bargained planNo
2008-07-01Plan funding arrangement – InsuranceYes
2008-07-01Plan benefit arrangement – InsuranceYes
2007: GROUP MEDICAL PLAN FOR EMPLOYEES OF MARGARITAVILLE ENTERPRISES, LLC 2007 form 5500 responses
2007-07-01Type of plan entitySingle employer plan
2007-07-01First time form 5500 has been submittedYes
2007-07-01Submission has been amendedNo
2007-07-01This submission is the final filingNo
2007-07-01This return/report is a short plan year return/report (less than 12 months)No
2007-07-01Plan is a collectively bargained planNo
2007-07-01Plan funding arrangement – InsuranceYes
2007-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract numberB8773
Policy instance 2
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract numberB8773
Policy instance 1
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract numberB8773
Policy instance 2
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract numberB8773
Policy instance 1
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract numberB8773
Policy instance 2
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract numberB8773
Policy instance 1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number662545
Policy instance 1
BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )
Policy contract number0661
Policy instance 1
BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )
Policy contract number0661
Policy instance 1
BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )
Policy contract number0661
Policy instance 1
BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )
Policy contract number0661
Policy instance 1
BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )
Policy contract number0661
Policy instance 1
BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )
Policy contract number0661
Policy instance 1
BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )
Policy contract number0661
Policy instance 1

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