401k Plan data: JAY PEAK RESORT, INC. LIFE AND DISABILITY PLAN plan

JAY PEAK RESORT, INC. LIFE AND DISABILITY PLAN 401k Plan overview

Plan Name	JAY PEAK RESORT, INC. LIFE AND DISABILITY PLAN
Plan identification number	502

JAY PEAK RESORT, INC. LIFE AND DISABILITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

JAY PEAK , INC. has sponsored the creation of one or more 401k plans.

Company Name: JAY PEAK , INC.

Employer identification number (EIN): 030194601

NAIC Classification: 713100
NAIC Description: Amusement Parks and Arcades

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JAY PEAK RESORT, INC. LIFE AND DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2016-06-01 ALLYSON BATHALON
502 2015-06-01 ALLYSON BATHALON ALLYSON BATHALON 2018-03-06
502 2014-06-01 ALLYSON BATHALON ALLYSON BATHALON 2018-03-06
502 2013-06-01 ALLYSON BATHALON
502 2012-06-01 ALLYSON BATHALON

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
502	2016-06-01	ALLYSON BATHALON
502	2015-06-01	ALLYSON BATHALON	ALLYSON BATHALON	2018-03-06
502	2014-06-01	ALLYSON BATHALON	ALLYSON BATHALON	2018-03-06
502	2013-06-01	ALLYSON BATHALON
502	2012-06-01	ALLYSON BATHALON

Plan Statistics for JAY PEAK RESORT, INC. LIFE AND DISABILITY PLAN

401k plan membership statisitcs for JAY PEAK RESORT, INC. LIFE AND DISABILITY PLAN

Measure Date Value
2016: JAY PEAK RESORT, INC. LIFE AND DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year 2016-06-01 158
Total of all active and inactive participants 2016-06-01 0
Total participants 2016-06-01 0
2015: JAY PEAK RESORT, INC. LIFE AND DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-06-01 164
Total number of active participants reported on line 7a of the Form 5500 2015-06-01 158
Total of all active and inactive participants 2015-06-01 158
Total participants 2015-06-01 158
2014: JAY PEAK RESORT, INC. LIFE AND DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-06-01 153
Total number of active participants reported on line 7a of the Form 5500 2014-06-01 164
Total of all active and inactive participants 2014-06-01 164
Total participants 2014-06-01 164
2013: JAY PEAK RESORT, INC. LIFE AND DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-06-01 136
Total number of active participants reported on line 7a of the Form 5500 2013-06-01 153
Total of all active and inactive participants 2013-06-01 153
Total participants 2013-06-01 153
2012: JAY PEAK RESORT, INC. LIFE AND DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-06-01 0
Total number of active participants reported on line 7a of the Form 5500 2012-06-01 136
Total of all active and inactive participants 2012-06-01 136
Total participants 2012-06-01 136

Measure	Date	Value
2016: JAY PEAK RESORT, INC. LIFE AND DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-06-01	158
Total of all active and inactive participants	2016-06-01	0
Total participants	2016-06-01	0
2015: JAY PEAK RESORT, INC. LIFE AND DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-06-01	164
Total number of active participants reported on line 7a of the Form 5500	2015-06-01	158
Total of all active and inactive participants	2015-06-01	158
Total participants	2015-06-01	158
2014: JAY PEAK RESORT, INC. LIFE AND DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-06-01	153
Total number of active participants reported on line 7a of the Form 5500	2014-06-01	164
Total of all active and inactive participants	2014-06-01	164
Total participants	2014-06-01	164
2013: JAY PEAK RESORT, INC. LIFE AND DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-06-01	136
Total number of active participants reported on line 7a of the Form 5500	2013-06-01	153
Total of all active and inactive participants	2013-06-01	153
Total participants	2013-06-01	153
2012: JAY PEAK RESORT, INC. LIFE AND DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-06-01	0
Total number of active participants reported on line 7a of the Form 5500	2012-06-01	136
Total of all active and inactive participants	2012-06-01	136
Total participants	2012-06-01	136

Form 5500 Responses for JAY PEAK RESORT, INC. LIFE AND DISABILITY PLAN

2016: JAY PEAK RESORT, INC. LIFE AND DISABILITY PLAN 2016 form 5500 responses
2016-06-01	Type of plan entity	Single employer plan
2016-06-01	This submission is the final filing	Yes
2016-06-01	Plan funding arrangement – Insurance	Yes
2016-06-01	Plan benefit arrangement – Insurance	Yes
2015: JAY PEAK RESORT, INC. LIFE AND DISABILITY PLAN 2015 form 5500 responses
2015-06-01	Type of plan entity	Single employer plan
2015-06-01	Plan funding arrangement – Insurance	Yes
2015-06-01	Plan benefit arrangement – Insurance	Yes
2014: JAY PEAK RESORT, INC. LIFE AND DISABILITY PLAN 2014 form 5500 responses
2014-06-01	Type of plan entity	Single employer plan
2014-06-01	Plan funding arrangement – Insurance	Yes
2014-06-01	Plan benefit arrangement – Insurance	Yes
2013: JAY PEAK RESORT, INC. LIFE AND DISABILITY PLAN 2013 form 5500 responses
2013-06-01	Type of plan entity	Single employer plan
2013-06-01	Plan funding arrangement – Insurance	Yes
2013-06-01	Plan benefit arrangement – Insurance	Yes
2012: JAY PEAK RESORT, INC. LIFE AND DISABILITY PLAN 2012 form 5500 responses
2012-06-01	Type of plan entity	Single employer plan
2012-06-01	First time form 5500 has been submitted	Yes
2012-06-01	Plan funding arrangement – Insurance	Yes
2012-06-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	JAY PEAK , INC.
Employer identification number (EIN):	030194601
NAIC Classification:	713100
NAIC Description:	Amusement Parks and Arcades