401k Plan data: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT plan

WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 401k Plan overview

Plan Name	WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT
Plan identification number	506

WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Vision Other welfare benefit cover

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 WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
506 2017-04-01 ELAINE OLSON ELAINE OLSON 2018-10-31
506 2017-04-01
506 2016-04-01 ELAINE OLSON ELAINE OLSON 2017-10-31
506 2015-04-01 ELAINE OLSON ELAINE OLSON 2016-10-30
506 2014-04-01 ELAINE OLSON ELAINE OLSON 2015-10-30
506 2014-01-01 ELAINE OLSON ELAINE OLSON 2015-10-30
506 2013-04-01 ELAINE OLSON ELAINE OLSON 2014-10-30
506 2013-01-01 ELAINE OLSON
506 2012-04-01 JOHN WANNOP JOHN WANNOP 2013-10-03
506 2011-04-01 JOHN WANNOP
506 2010-01-01 JOHN WANNOP
506 2009-01-01 JOHN WANNOP JOHN WANNOP 2010-07-09

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
506	2017-04-01	ELAINE OLSON	ELAINE OLSON	2018-10-31
506	2017-04-01
506	2016-04-01	ELAINE OLSON	ELAINE OLSON	2017-10-31
506	2015-04-01	ELAINE OLSON	ELAINE OLSON	2016-10-30
506	2014-04-01	ELAINE OLSON	ELAINE OLSON	2015-10-30
506	2014-01-01	ELAINE OLSON	ELAINE OLSON	2015-10-30
506	2013-04-01	ELAINE OLSON	ELAINE OLSON	2014-10-30
506	2013-01-01	ELAINE OLSON
506	2012-04-01	JOHN WANNOP	JOHN WANNOP	2013-10-03
506	2011-04-01	JOHN WANNOP
506	2010-01-01	JOHN WANNOP
506	2009-01-01	JOHN WANNOP	JOHN WANNOP	2010-07-09

Plan Statistics for WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT

401k plan membership statisitcs for WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT

Measure Date Value
2017: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 2017 401k membership
Total participants, beginning-of-year 2017-04-01 133
Total number of active participants reported on line 7a of the Form 5500 2017-04-01 136
Number of retired or separated participants receiving benefits 2017-04-01 1
Total of all active and inactive participants 2017-04-01 137
Total participants 2017-04-01 137
Number of other retired or separated participants entitled to future benefits 2017-04-01 0
2016: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 2016 401k membership
Total participants, beginning-of-year 2016-04-01 162
Total number of active participants reported on line 7a of the Form 5500 2016-04-01 178
Number of retired or separated participants receiving benefits 2016-04-01 1
Number of other retired or separated participants entitled to future benefits 2016-04-01 0
Total of all active and inactive participants 2016-04-01 179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-04-01 0
Total participants 2016-04-01 179
Number of employers contributing to the scheme 2016-04-01 0
2015: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 2015 401k membership
Total participants, beginning-of-year 2015-04-01 119
Total number of active participants reported on line 7a of the Form 5500 2015-04-01 113
Number of other retired or separated participants entitled to future benefits 2015-04-01 1
Total of all active and inactive participants 2015-04-01 114
Total participants 2015-04-01 114
2014: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 2014 401k membership
Total participants, beginning-of-year 2014-04-01 112
Total number of active participants reported on line 7a of the Form 5500 2014-04-01 117
Number of retired or separated participants receiving benefits 2014-04-01 2
Total of all active and inactive participants 2014-04-01 119
Total participants 2014-04-01 119
Total participants, beginning-of-year 2014-01-01 183
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 151
Number of retired or separated participants receiving benefits 2014-01-01 42
Total of all active and inactive participants 2014-01-01 193
Total participants 2014-01-01 193
2013: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 2013 401k membership
Total participants, beginning-of-year 2013-04-01 145
Total number of active participants reported on line 7a of the Form 5500 2013-04-01 151
Total of all active and inactive participants 2013-04-01 151
Total participants 2013-04-01 151
Total participants, beginning-of-year 2013-01-01 183
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 135
Number of retired or separated participants receiving benefits 2013-01-01 48
Total of all active and inactive participants 2013-01-01 183
Total participants 2013-01-01 183
Number of employers contributing to the scheme 2013-01-01 0
2012: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 2012 401k membership
Total participants, beginning-of-year 2012-04-01 103
Total number of active participants reported on line 7a of the Form 5500 2012-04-01 103
Total of all active and inactive participants 2012-04-01 103
Total participants 2012-04-01 103
2011: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 2011 401k membership
Total participants, beginning-of-year 2011-04-01 111
Total number of active participants reported on line 7a of the Form 5500 2011-04-01 101
Total of all active and inactive participants 2011-04-01 101
Total participants 2011-04-01 101
2010: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 2010 401k membership
Total participants, beginning-of-year 2010-01-01 126
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 129
Number of retired or separated participants receiving benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 129
Total participants 2010-01-01 129
2009: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 2009 401k membership
Total participants, beginning-of-year 2009-01-01 105
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 126
Total of all active and inactive participants 2009-01-01 126
Total participants 2009-01-01 126

Measure	Date	Value
2017: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 2017 401k membership
Total participants, beginning-of-year	2017-04-01	133
Total number of active participants reported on line 7a of the Form 5500	2017-04-01	136
Number of retired or separated participants receiving benefits	2017-04-01	1
Total of all active and inactive participants	2017-04-01	137
Total participants	2017-04-01	137
Number of other retired or separated participants entitled to future benefits	2017-04-01	0
2016: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 2016 401k membership
Total participants, beginning-of-year	2016-04-01	162
Total number of active participants reported on line 7a of the Form 5500	2016-04-01	178
Number of retired or separated participants receiving benefits	2016-04-01	1
Number of other retired or separated participants entitled to future benefits	2016-04-01	0
Total of all active and inactive participants	2016-04-01	179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-04-01	0
Total participants	2016-04-01	179
Number of employers contributing to the scheme	2016-04-01	0
2015: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 2015 401k membership
Total participants, beginning-of-year	2015-04-01	119
Total number of active participants reported on line 7a of the Form 5500	2015-04-01	113
Number of other retired or separated participants entitled to future benefits	2015-04-01	1
Total of all active and inactive participants	2015-04-01	114
Total participants	2015-04-01	114
2014: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 2014 401k membership
Total participants, beginning-of-year	2014-04-01	112
Total number of active participants reported on line 7a of the Form 5500	2014-04-01	117
Number of retired or separated participants receiving benefits	2014-04-01	2
Total of all active and inactive participants	2014-04-01	119
Total participants	2014-04-01	119
Total participants, beginning-of-year	2014-01-01	183
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	151
Number of retired or separated participants receiving benefits	2014-01-01	42
Total of all active and inactive participants	2014-01-01	193
Total participants	2014-01-01	193
2013: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 2013 401k membership
Total participants, beginning-of-year	2013-04-01	145
Total number of active participants reported on line 7a of the Form 5500	2013-04-01	151
Total of all active and inactive participants	2013-04-01	151
Total participants	2013-04-01	151
Total participants, beginning-of-year	2013-01-01	183
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	135
Number of retired or separated participants receiving benefits	2013-01-01	48
Total of all active and inactive participants	2013-01-01	183
Total participants	2013-01-01	183
Number of employers contributing to the scheme	2013-01-01	0
2012: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 2012 401k membership
Total participants, beginning-of-year	2012-04-01	103
Total number of active participants reported on line 7a of the Form 5500	2012-04-01	103
Total of all active and inactive participants	2012-04-01	103
Total participants	2012-04-01	103
2011: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 2011 401k membership
Total participants, beginning-of-year	2011-04-01	111
Total number of active participants reported on line 7a of the Form 5500	2011-04-01	101
Total of all active and inactive participants	2011-04-01	101
Total participants	2011-04-01	101
2010: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 2010 401k membership
Total participants, beginning-of-year	2010-01-01	126
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	129
Number of retired or separated participants receiving benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	129
Total participants	2010-01-01	129
2009: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 2009 401k membership
Total participants, beginning-of-year	2009-01-01	105
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	126
Total of all active and inactive participants	2009-01-01	126
Total participants	2009-01-01	126

Form 5500 Responses for WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT

2017: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 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 – General assets of the sponsor	Yes
2017-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 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 – General assets of the sponsor	Yes
2016-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 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 – General assets of the sponsor	Yes
2015-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 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 – General assets of the sponsor	Yes
2014-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 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 – General assets of the sponsor	Yes
2013-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 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 – General assets of the sponsor	Yes
2012-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 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 – General assets of the sponsor	Yes
2010: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: WOODSTOCK RESORT CORPORATION HEALTH REIMBURSEMENT ARRANGEMENT 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	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	193
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $2,740
Are there contracts with allocated funds for individual policies?	No
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	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,086
Amount paid for insurance broker fees	654
Additional information about fees paid to insurance broker	CONTINGENT COMPENSATION PAID
Insurance broker organization code?	3
Insurance broker name	DIGITAL INSURANCE INC

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

144193

Policy instance

Insurance contract or identification number	144193
Number of Individuals Covered	183
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $2,699
Total amount of fees paid to insurance company	USD $700
Are there contracts with allocated funds for individual policies?	No
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	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $34,977
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,699
Amount paid for insurance broker fees	700
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker organization code?	3
Insurance broker name	DIGITAL INSURANCE INC

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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