401k Plan data: DENTAL PROGRAM plan

DENTAL PROGRAM 401k Plan overview

Plan Name	DENTAL PROGRAM
Plan identification number	503

DENTAL PROGRAM Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental

401k Sponsoring company profile

WOODSTOCK RESORT CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: WOODSTOCK RESORT CORPORATION

Employer identification number (EIN): 030220066

NAIC Classification: 721110
NAIC Description: Hotels (except Casino Hotels) and Motels

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DENTAL PROGRAM

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2017-04-01 ELAINE OLSON ELAINE OLSON 2018-10-31
503 2017-04-01
503 2016-04-01 ELAINE OLSON ELAINE OLSON 2017-10-31
503 2015-04-01 ELAINE OLSON ELAINE OLSON 2016-10-30
503 2014-04-01 ELAINE OLSON ELAINE OLSON 2015-10-29
503 2013-04-01 ELAINE OLSON ELAINE OLSON 2014-10-30
503 2012-04-01 JOHN WANNOP
503 2011-04-01 JOHN WANNOP
503 2009-04-01 JOHN WANNOP

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
503	2017-04-01	ELAINE OLSON	ELAINE OLSON	2018-10-31
503	2017-04-01
503	2016-04-01	ELAINE OLSON	ELAINE OLSON	2017-10-31
503	2015-04-01	ELAINE OLSON	ELAINE OLSON	2016-10-30
503	2014-04-01	ELAINE OLSON	ELAINE OLSON	2015-10-29
503	2013-04-01	ELAINE OLSON	ELAINE OLSON	2014-10-30
503	2012-04-01	JOHN WANNOP
503	2011-04-01	JOHN WANNOP
503	2009-04-01	JOHN WANNOP

Plan Statistics for DENTAL PROGRAM

401k plan membership statisitcs for DENTAL PROGRAM

Measure Date Value
2017: DENTAL PROGRAM 2017 401k membership
Total participants, beginning-of-year 2017-04-01 118
Total number of active participants reported on line 7a of the Form 5500 2017-04-01 127
Number of retired or separated participants receiving benefits 2017-04-01 0
Total of all active and inactive participants 2017-04-01 127
Total participants 2017-04-01 127
Number of other retired or separated participants entitled to future benefits 2017-04-01 0
2016: DENTAL PROGRAM 2016 401k membership
Total participants, beginning-of-year 2016-04-01 102
Total number of active participants reported on line 7a of the Form 5500 2016-04-01 117
Number of retired or separated participants receiving benefits 2016-04-01 1
Total of all active and inactive participants 2016-04-01 118
Total participants 2016-04-01 118
2015: DENTAL PROGRAM 2015 401k membership
Total participants, beginning-of-year 2015-04-01 83
Total number of active participants reported on line 7a of the Form 5500 2015-04-01 102
Total of all active and inactive participants 2015-04-01 102
Total participants 2015-04-01 102
2014: DENTAL PROGRAM 2014 401k membership
Total participants, beginning-of-year 2014-04-01 87
Total number of active participants reported on line 7a of the Form 5500 2014-04-01 83
Number of retired or separated participants receiving benefits 2014-04-01 0
Total of all active and inactive participants 2014-04-01 83
Total participants 2014-04-01 83
Number of employers contributing to the scheme 2014-04-01 0
2013: DENTAL PROGRAM 2013 401k membership
Total participants, beginning-of-year 2013-04-01 89
Total number of active participants reported on line 7a of the Form 5500 2013-04-01 87
Total of all active and inactive participants 2013-04-01 87
Total participants 2013-04-01 87
2012: DENTAL PROGRAM 2012 401k membership
Total participants, beginning-of-year 2012-04-01 91
Total number of active participants reported on line 7a of the Form 5500 2012-04-01 89
Total of all active and inactive participants 2012-04-01 89
Total participants 2012-04-01 89
2011: DENTAL PROGRAM 2011 401k membership
Total participants, beginning-of-year 2011-04-01 91
Total number of active participants reported on line 7a of the Form 5500 2011-04-01 93
Total of all active and inactive participants 2011-04-01 93
Total participants 2011-04-01 93
2009: DENTAL PROGRAM 2009 401k membership
Total participants, beginning-of-year 2009-04-01 76
Total number of active participants reported on line 7a of the Form 5500 2009-04-01 91
Number of retired or separated participants receiving benefits 2009-04-01 2
Total of all active and inactive participants 2009-04-01 93
Total participants 2009-04-01 93

Measure	Date	Value
2017: DENTAL PROGRAM 2017 401k membership
Total participants, beginning-of-year	2017-04-01	118
Total number of active participants reported on line 7a of the Form 5500	2017-04-01	127
Number of retired or separated participants receiving benefits	2017-04-01	0
Total of all active and inactive participants	2017-04-01	127
Total participants	2017-04-01	127
Number of other retired or separated participants entitled to future benefits	2017-04-01	0
2016: DENTAL PROGRAM 2016 401k membership
Total participants, beginning-of-year	2016-04-01	102
Total number of active participants reported on line 7a of the Form 5500	2016-04-01	117
Number of retired or separated participants receiving benefits	2016-04-01	1
Total of all active and inactive participants	2016-04-01	118
Total participants	2016-04-01	118
2015: DENTAL PROGRAM 2015 401k membership
Total participants, beginning-of-year	2015-04-01	83
Total number of active participants reported on line 7a of the Form 5500	2015-04-01	102
Total of all active and inactive participants	2015-04-01	102
Total participants	2015-04-01	102
2014: DENTAL PROGRAM 2014 401k membership
Total participants, beginning-of-year	2014-04-01	87
Total number of active participants reported on line 7a of the Form 5500	2014-04-01	83
Number of retired or separated participants receiving benefits	2014-04-01	0
Total of all active and inactive participants	2014-04-01	83
Total participants	2014-04-01	83
Number of employers contributing to the scheme	2014-04-01	0
2013: DENTAL PROGRAM 2013 401k membership
Total participants, beginning-of-year	2013-04-01	89
Total number of active participants reported on line 7a of the Form 5500	2013-04-01	87
Total of all active and inactive participants	2013-04-01	87
Total participants	2013-04-01	87
2012: DENTAL PROGRAM 2012 401k membership
Total participants, beginning-of-year	2012-04-01	91
Total number of active participants reported on line 7a of the Form 5500	2012-04-01	89
Total of all active and inactive participants	2012-04-01	89
Total participants	2012-04-01	89
2011: DENTAL PROGRAM 2011 401k membership
Total participants, beginning-of-year	2011-04-01	91
Total number of active participants reported on line 7a of the Form 5500	2011-04-01	93
Total of all active and inactive participants	2011-04-01	93
Total participants	2011-04-01	93
2009: DENTAL PROGRAM 2009 401k membership
Total participants, beginning-of-year	2009-04-01	76
Total number of active participants reported on line 7a of the Form 5500	2009-04-01	91
Number of retired or separated participants receiving benefits	2009-04-01	2
Total of all active and inactive participants	2009-04-01	93
Total participants	2009-04-01	93

Form 5500 Responses for DENTAL PROGRAM

2017: DENTAL PROGRAM 2017 form 5500 responses
2017-04-01	Type of plan entity	Single employer plan
2017-04-01	Submission has been amended	No
2017-04-01	This submission is the final filing	No
2017-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-04-01	Plan is a collectively bargained plan	No
2017-04-01	Plan funding arrangement – Insurance	Yes
2017-04-01	Plan benefit arrangement – Insurance	Yes
2016: DENTAL PROGRAM 2016 form 5500 responses
2016-04-01	Type of plan entity	Single employer plan
2016-04-01	Submission has been amended	No
2016-04-01	This submission is the final filing	No
2016-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-04-01	Plan is a collectively bargained plan	No
2016-04-01	Plan funding arrangement – Insurance	Yes
2016-04-01	Plan benefit arrangement – Insurance	Yes
2015: DENTAL PROGRAM 2015 form 5500 responses
2015-04-01	Type of plan entity	Single employer plan
2015-04-01	Submission has been amended	No
2015-04-01	This submission is the final filing	No
2015-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-04-01	Plan is a collectively bargained plan	No
2015-04-01	Plan funding arrangement – Insurance	Yes
2015-04-01	Plan benefit arrangement – Insurance	Yes
2014: DENTAL PROGRAM 2014 form 5500 responses
2014-04-01	Type of plan entity	Single employer plan
2014-04-01	Submission has been amended	No
2014-04-01	This submission is the final filing	No
2014-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-04-01	Plan is a collectively bargained plan	No
2014-04-01	Plan funding arrangement – Insurance	Yes
2014-04-01	Plan benefit arrangement – Insurance	Yes
2013: DENTAL PROGRAM 2013 form 5500 responses
2013-04-01	Type of plan entity	Single employer plan
2013-04-01	Submission has been amended	No
2013-04-01	This submission is the final filing	No
2013-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-04-01	Plan is a collectively bargained plan	No
2013-04-01	Plan funding arrangement – Insurance	Yes
2013-04-01	Plan benefit arrangement – Insurance	Yes
2012: DENTAL PROGRAM 2012 form 5500 responses
2012-04-01	Type of plan entity	Single employer plan
2012-04-01	Submission has been amended	No
2012-04-01	This submission is the final filing	No
2012-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-04-01	Plan is a collectively bargained plan	No
2012-04-01	Plan funding arrangement – Insurance	Yes
2012-04-01	Plan benefit arrangement – Insurance	Yes
2011: DENTAL PROGRAM 2011 form 5500 responses
2011-04-01	Type of plan entity	Single employer plan
2011-04-01	Submission has been amended	No
2011-04-01	This submission is the final filing	No
2011-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-04-01	Plan is a collectively bargained plan	No
2011-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-04-01	Plan benefit arrangement – Insurance	Yes
2009: DENTAL PROGRAM 2009 form 5500 responses
2009-04-01	Type of plan entity	Single employer plan
2009-04-01	Submission has been amended	No
2009-04-01	This submission is the final filing	No
2009-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-04-01	Plan is a collectively bargained plan	No
2009-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-04-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

157095

Policy instance

Insurance contract or identification number	157095
Number of Individuals Covered	127
Insurance policy start date	2017-04-01
Insurance policy end date	2018-03-31
Total amount of commissions paid to insurance broker	USD $2,353
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $2,353
Insurance broker organization code?	3
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker name	DIGITAL IINSURANCE INC

Potentially related plans

DENTAL PROGRAM FITCHBURG HOURLY [EIN = 132759891]

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Company Name:	WOODSTOCK RESORT CORPORATION
Employer identification number (EIN):	030220066
NAIC Classification:	721110
NAIC Description:	Hotels (except Casino Hotels) and Motels