401k Plan data: CHIP GANASSI RACING TEAMS, EMPLOYEE BENEFIT PLAN plan

CHIP GANASSI RACING TEAMS, EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	CHIP GANASSI RACING TEAMS, EMPLOYEE BENEFIT PLAN
Plan identification number	501

CHIP GANASSI RACING TEAMS, EMPLOYEE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

CHIP GANASSI RACING TEAMS, INC has sponsored the creation of one or more 401k plans.

Company Name: CHIP GANASSI RACING TEAMS, INC

Employer identification number (EIN): 814847426

NAIC Classification: 711210
NAIC Description: Spectator Sports

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHIP GANASSI RACING TEAMS, EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-02-01 SARAH STEERS 2024-10-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-02-01	SARAH STEERS	2024-10-15

Plan Statistics for CHIP GANASSI RACING TEAMS, EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for CHIP GANASSI RACING TEAMS, EMPLOYEE BENEFIT PLAN

Measure Date Value
2023: CHIP GANASSI RACING TEAMS, EMPLOYEE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year 2023-02-01 265
Total number of active participants reported on line 7a of the Form 5500 2023-02-01 106
Number of retired or separated participants receiving benefits 2023-02-01 0
Number of other retired or separated participants entitled to future benefits 2023-02-01 0
Total of all active and inactive participants 2023-02-01 106
Number of employers contributing to the scheme 2023-02-01 0

Measure	Date	Value
2023: CHIP GANASSI RACING TEAMS, EMPLOYEE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year	2023-02-01	265
Total number of active participants reported on line 7a of the Form 5500	2023-02-01	106
Number of retired or separated participants receiving benefits	2023-02-01	0
Number of other retired or separated participants entitled to future benefits	2023-02-01	0
Total of all active and inactive participants	2023-02-01	106
Number of employers contributing to the scheme	2023-02-01	0

Form 5500 Responses for CHIP GANASSI RACING TEAMS, EMPLOYEE BENEFIT PLAN

2023: CHIP GANASSI RACING TEAMS, EMPLOYEE BENEFIT PLAN 2023 form 5500 responses
2023-02-01	Type of plan entity	Single employer plan
2023-02-01	Plan funding arrangement – Insurance	Yes
2023-02-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-02-01	Plan benefit arrangement – Insurance	Yes
2023-02-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

DELTA DENTAL OF INDIANA (National Association of Insurance Commissioners NAIC id number: 52634 )

Policy contract number

10226

Policy instance

Insurance contract or identification number	10226
Number of Individuals Covered	250
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

1000967

Policy instance

Insurance contract or identification number	1000967
Number of Individuals Covered	240
Insurance policy start date	2024-01-01
Insurance policy end date	2024-01-31
Total amount of commissions paid to insurance broker	USD $-346
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,212
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DELTA DENTAL OF INDIANA (National Association of Insurance Commissioners NAIC id number: 52634 )

Policy contract number

10226

Policy instance

Insurance contract or identification number	10226
Number of Individuals Covered	246
Insurance policy start date	2024-01-01
Insurance policy end date	2024-01-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

FLX0969746

Policy instance

Insurance contract or identification number	FLX0969746
Number of Individuals Covered	106
Insurance policy start date	2023-02-01
Insurance policy end date	2024-01-31
Total amount of commissions paid to insurance broker	USD $1,769
Total amount of fees paid to insurance company	USD $1,442
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $54,561
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

Potentially related plans

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Company Name:	CHIP GANASSI RACING TEAMS, INC
Employer identification number (EIN):	814847426
NAIC Classification:	711210
NAIC Description:	Spectator Sports