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THE CLUB AT ROLLING HILLS 401(K) PLAN 401k Plan overview

Plan NameTHE CLUB AT ROLLING HILLS 401(K) PLAN
Plan identification number 001

THE CLUB AT ROLLING HILLS 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

THE CLUB AT ROLLING HILLS has sponsored the creation of one or more 401k plans.

Company Name:THE CLUB AT ROLLING HILLS
Employer identification number (EIN):840455272
NAIC Classification:713900

Additional information about THE CLUB AT ROLLING HILLS

Jurisdiction of Incorporation: Colorado Department of State
Incorporation Date: 1955-11-18
Company Identification Number: 19871130793
Legal Registered Office Address: 15707 W 26TH AVE

GOLDEN
United States of America (USA)
80401

More information about THE CLUB AT ROLLING HILLS

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE CLUB AT ROLLING HILLS 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01PATTI WARREN2024-02-14
0012022-01-01PATTI WARREN2023-10-12
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01
0012016-01-01RACHEL EGO2017-07-12
0012015-01-01RACHEL EGO2016-07-19
0012014-01-01RACHEL EGO2015-07-07
0012013-01-01GINA POLNIAK2014-07-08
0012012-01-01GINA POLNIAK2013-07-11
0012011-01-01GINA POLNIAK2012-07-23
0012010-01-01GINA POLNIAK2011-07-28

Plan Statistics for THE CLUB AT ROLLING HILLS 401(K) PLAN

401k plan membership statisitcs for THE CLUB AT ROLLING HILLS 401(K) PLAN

Measure Date Value
2023: THE CLUB AT ROLLING HILLS 401(K) PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01119
Total number of active participants reported on line 7a of the Form 55002023-01-010
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-010
Number of participants with account balances2023-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-010
2022: THE CLUB AT ROLLING HILLS 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01129
Total number of active participants reported on line 7a of the Form 55002022-01-0163
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0155
Total of all active and inactive participants2022-01-01118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01118
Number of participants with account balances2022-01-01100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0111

Financial Data on THE CLUB AT ROLLING HILLS 401(K) PLAN

Measure Date Value
2023 : THE CLUB AT ROLLING HILLS 401(K) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-04-01$0
Total transfer of assets from this plan2023-04-01$3,098,396
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-04-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-04-01$0
Total income from all sources (including contributions)2023-04-01$287,353
Total loss/gain on sale of assets2023-04-01$0
Total of all expenses incurred2023-04-01$794,191
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-04-01$773,962
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-04-01$69,501
Value of total assets at end of year2023-04-01$0
Value of total assets at beginning of year2023-04-01$3,605,234
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-04-01$20,229
Total interest from all sources2023-04-01$2,609
Total dividends received (eg from common stock, registered investment company shares)2023-04-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-04-01Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2023-04-01$0
Was this plan covered by a fidelity bond2023-04-01Yes
Value of fidelity bond cover2023-04-01$250,000
If this is an individual account plan, was there a blackout period2023-04-01Yes
Were there any nonexempt tranactions with any party-in-interest2023-04-01No
Contributions received from participants2023-04-01$44,597
Participant contributions at end of year2023-04-01$0
Participant contributions at beginning of year2023-04-01$50,715
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-04-01No
Value of net income/loss2023-04-01$-506,838
Value of net assets at end of year (total assets less liabilities)2023-04-01$0
Value of net assets at beginning of year (total assets less liabilities)2023-04-01$3,605,234
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-04-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-04-01No
Were any leases to which the plan was party in default or uncollectible2023-04-01No
Value of interest in pooled separate accounts at end of year2023-04-01$0
Value of interest in pooled separate accounts at beginning of year2023-04-01$3,176,283
Interest on participant loans2023-04-01$932
Interest earned on other investments2023-04-01$1,677
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-04-01$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-04-01$378,236
Net investment gain/loss from pooled separate accounts2023-04-01$215,243
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-04-01No
Was there a failure to transmit to the plan any participant contributions2023-04-01No
Has the plan failed to provide any benefit when due under the plan2023-04-01No
Contributions received in cash from employer2023-04-01$24,904
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-04-01$773,962
Contract administrator fees2023-04-01$20,229
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32023-04-01Yes
Did the plan have assets held for investment2023-04-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-04-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-04-01No
Opinion of an independent qualified public accountant for this plan2023-04-01Unqualified
Accountancy firm name2023-04-01BROCK AND COMPANY, CPAS, P.C.
Accountancy firm EIN2023-04-01840930288
2022 : THE CLUB AT ROLLING HILLS 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-635,666
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$119,548
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$104,777
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$234,817
Value of total assets at end of year2022-12-31$3,605,234
Value of total assets at beginning of year2022-12-31$4,360,448
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$14,771
Total interest from all sources2022-12-31$6,979
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$250,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$144,738
Participant contributions at end of year2022-12-31$50,715
Participant contributions at beginning of year2022-12-31$24,647
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$858
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-755,214
Value of net assets at end of year (total assets less liabilities)2022-12-31$3,605,234
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$4,360,448
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in pooled separate accounts at end of year2022-12-31$3,176,283
Value of interest in pooled separate accounts at beginning of year2022-12-31$3,960,847
Interest on participant loans2022-12-31$1,026
Interest earned on other investments2022-12-31$5,953
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$378,236
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$374,954
Net investment gain/loss from pooled separate accounts2022-12-31$-877,462
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$89,221
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$104,777
Contract administrator fees2022-12-31$14,771
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31BROCK AND COMPANY, CPAS, P.C.
Accountancy firm EIN2022-12-31840930288

Form 5500 Responses for THE CLUB AT ROLLING HILLS 401(K) PLAN

2023: THE CLUB AT ROLLING HILLS 401(K) PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingYes
2023-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: THE CLUB AT ROLLING HILLS 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedYes
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number802443
Policy instance 1
Insurance contract or identification number802443
Number of Individuals Covered0
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number802443
Policy instance 1
Insurance contract or identification number802443
Number of Individuals Covered118
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No

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