401k Plan data: RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN plan

RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN
Plan identification number	001

RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined 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.
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

RACE BROOK COUNTRY CLUB, INC. has sponsored the creation of one or more 401k plans.

Company Name: RACE BROOK COUNTRY CLUB, INC.

Employer identification number (EIN): 060503510

NAIC Classification: 713900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2020-01-01 JENNIFER BIHARY 2021-10-14
001 2019-01-01 JENNIFER BIHARY 2020-07-29
001 2018-01-01 JOHN KEALEY 2019-10-10 JOHN KEALEY 2019-10-10
001 2017-01-01 JOHN KEALEY 2018-10-05 JOHN KEALEY 2018-10-05
001 2016-01-01 JOHN KEALEY 2017-09-29 JOHN KEALEY 2017-09-29
001 2015-01-01 JOHN KEALEY 2016-07-08 JOHN KEALEY 2016-07-08
001 2014-01-01 JOHN KEALEY JOHN KEALEY 2015-06-04
001 2013-01-01 JOHN KEALEY JOHN KEALEY 2014-07-15
001 2012-01-01 SEAN MCLAUGHLIN SEAN MCLAUGHLIN 2013-03-08
001 2011-01-01 SEAN MCLAUGHLIN SEAN MCLAUGHLIN 2012-08-24
001 2010-01-01 SEAN MCLAUGHLIN SEAN MCLAUGHLIN 2011-08-19
001 2009-01-01 SEAN MCLAUGHLIN SEAN MCLAUGHLIN 2010-07-28
001 2009-01-01 SEAN MCLAUGHLIN SEAN MCLAUGHLIN 2010-07-28

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2020-01-01	JENNIFER BIHARY	2021-10-14
001	2019-01-01	JENNIFER BIHARY	2020-07-29
001	2018-01-01	JOHN KEALEY	2019-10-10	JOHN KEALEY	2019-10-10
001	2017-01-01	JOHN KEALEY	2018-10-05	JOHN KEALEY	2018-10-05
001	2016-01-01	JOHN KEALEY	2017-09-29	JOHN KEALEY	2017-09-29
001	2015-01-01	JOHN KEALEY	2016-07-08	JOHN KEALEY	2016-07-08
001	2014-01-01	JOHN KEALEY		JOHN KEALEY	2015-06-04
001	2013-01-01	JOHN KEALEY		JOHN KEALEY	2014-07-15
001	2012-01-01	SEAN MCLAUGHLIN		SEAN MCLAUGHLIN	2013-03-08
001	2011-01-01	SEAN MCLAUGHLIN		SEAN MCLAUGHLIN	2012-08-24
001	2010-01-01	SEAN MCLAUGHLIN		SEAN MCLAUGHLIN	2011-08-19
001	2009-01-01	SEAN MCLAUGHLIN		SEAN MCLAUGHLIN	2010-07-28
001	2009-01-01	SEAN MCLAUGHLIN		SEAN MCLAUGHLIN	2010-07-28

Plan Statistics for RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN

Measure Date Value
2014: RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 34
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 39
Number of other retired or separated participants entitled to future benefits 2014-01-01 7
Total of all active and inactive participants 2014-01-01 46
Total participants 2014-01-01 46
Number of participants with account balances 2014-01-01 29
2013: RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 35
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 24
Number of other retired or separated participants entitled to future benefits 2013-01-01 10
Total of all active and inactive participants 2013-01-01 34
Total participants 2013-01-01 34
Number of participants with account balances 2013-01-01 34
2012: RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 38
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 29
Number of other retired or separated participants entitled to future benefits 2012-01-01 6
Total of all active and inactive participants 2012-01-01 35
Total participants 2012-01-01 35
Number of participants with account balances 2012-01-01 35
2011: RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 45
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 31
Number of other retired or separated participants entitled to future benefits 2011-01-01 7
Total of all active and inactive participants 2011-01-01 38
Total participants 2011-01-01 38
Number of participants with account balances 2011-01-01 38
2010: RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 39
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 41
Number of other retired or separated participants entitled to future benefits 2010-01-01 4
Total of all active and inactive participants 2010-01-01 45
Total participants 2010-01-01 45
Number of participants with account balances 2010-01-01 45
2009: RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 30
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 33
Number of other retired or separated participants entitled to future benefits 2009-01-01 6
Total of all active and inactive participants 2009-01-01 39
Total participants 2009-01-01 39
Number of participants with account balances 2009-01-01 39

Measure	Date	Value
2014: RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	34
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	39
Number of other retired or separated participants entitled to future benefits	2014-01-01	7
Total of all active and inactive participants	2014-01-01	46
Total participants	2014-01-01	46
Number of participants with account balances	2014-01-01	29
2013: RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	35
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	24
Number of other retired or separated participants entitled to future benefits	2013-01-01	10
Total of all active and inactive participants	2013-01-01	34
Total participants	2013-01-01	34
Number of participants with account balances	2013-01-01	34
2012: RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	38
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	29
Number of other retired or separated participants entitled to future benefits	2012-01-01	6
Total of all active and inactive participants	2012-01-01	35
Total participants	2012-01-01	35
Number of participants with account balances	2012-01-01	35
2011: RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	45
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	31
Number of other retired or separated participants entitled to future benefits	2011-01-01	7
Total of all active and inactive participants	2011-01-01	38
Total participants	2011-01-01	38
Number of participants with account balances	2011-01-01	38
2010: RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	39
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	41
Number of other retired or separated participants entitled to future benefits	2010-01-01	4
Total of all active and inactive participants	2010-01-01	45
Total participants	2010-01-01	45
Number of participants with account balances	2010-01-01	45
2009: RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	30
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	33
Number of other retired or separated participants entitled to future benefits	2009-01-01	6
Total of all active and inactive participants	2009-01-01	39
Total participants	2009-01-01	39
Number of participants with account balances	2009-01-01	39

Financial Data on RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2014 : RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$19,484
Expenses. Total of all expenses incurred	2014-12-31	$30,978
Benefits paid (including direct rollovers)	2014-12-31	$30,978
Total plan assets at end of year	2014-12-31	$252,186
Total plan assets at beginning of year	2014-12-31	$263,680
Value of fidelity bond covering the plan	2014-12-31	$20,000
Total contributions received or receivable from participants	2014-12-31	$16,737
Other income received	2014-12-31	$4,170
Net income (gross income less expenses)	2014-12-31	$-11,494
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$252,186
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$263,680
Assets. Value of participant loans	2014-12-31	$339
Total contributions received or receivable from employer(s)	2014-12-31	$-1,423
2013 : RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$54,142
Expenses. Total of all expenses incurred	2013-12-31	$161
Benefits paid (including direct rollovers)	2013-12-31	$161
Total plan assets at end of year	2013-12-31	$263,680
Total plan assets at beginning of year	2013-12-31	$209,699
Value of fidelity bond covering the plan	2013-12-31	$20,000
Total contributions received or receivable from participants	2013-12-31	$17,091
Other income received	2013-12-31	$37,292
Net income (gross income less expenses)	2013-12-31	$53,981
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$263,680
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$209,699
Assets. Value of participant loans	2013-12-31	$531
Total contributions received or receivable from employer(s)	2013-12-31	$-241
2012 : RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$39,038
Expenses. Total of all expenses incurred	2012-12-31	$33,285
Benefits paid (including direct rollovers)	2012-12-31	$33,285
Total plan assets at end of year	2012-12-31	$209,699
Total plan assets at beginning of year	2012-12-31	$203,946
Value of fidelity bond covering the plan	2012-12-31	$20,000
Total contributions received or receivable from participants	2012-12-31	$16,559
Other income received	2012-12-31	$22,701
Net income (gross income less expenses)	2012-12-31	$5,753
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$209,699
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$203,946
Assets. Value of participant loans	2012-12-31	$726
Total contributions received or receivable from employer(s)	2012-12-31	$-222
2011 : RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$9,388
Expenses. Total of all expenses incurred	2011-12-31	$14,094
Benefits paid (including direct rollovers)	2011-12-31	$14,094
Total plan assets at end of year	2011-12-31	$203,946
Total plan assets at beginning of year	2011-12-31	$208,652
Value of fidelity bond covering the plan	2011-12-31	$20,000
Total contributions received or receivable from participants	2011-12-31	$23,778
Other income received	2011-12-31	$-7,915
Net income (gross income less expenses)	2011-12-31	$-4,706
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$203,946
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$208,652
Assets. Value of participant loans	2011-12-31	$8,969
Total contributions received or receivable from employer(s)	2011-12-31	$-6,475
2010 : RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$61,652
Expenses. Total of all expenses incurred	2010-12-31	$7,669
Benefits paid (including direct rollovers)	2010-12-31	$7,669
Total plan assets at end of year	2010-12-31	$208,652
Total plan assets at beginning of year	2010-12-31	$154,669
Value of fidelity bond covering the plan	2010-12-31	$20,000
Total contributions received or receivable from participants	2010-12-31	$27,246
Other income received	2010-12-31	$17,985
Net income (gross income less expenses)	2010-12-31	$53,983
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$208,652
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$154,669
Assets. Value of participant loans	2010-12-31	$2,698
Total contributions received or receivable from employer(s)	2010-12-31	$16,421

Form 5500 Responses for RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN

2014: RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: RACE BROOK COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

55418

Policy instance

Insurance contract or identification number	55418
Number of Individuals Covered	33
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $866
Total amount of fees paid to insurance company	USD $0
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 guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $866
Insurance broker name	CONTESSA INSURANCE AGENCY

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

55418

Policy instance

Insurance contract or identification number	55418
Number of Individuals Covered	38
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $770
Total amount of fees paid to insurance company	USD $0
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 guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $770
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker name	CONTESSA INSURANCE AGENCY

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

55418

Policy instance

Insurance contract or identification number	55418
Number of Individuals Covered	39
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $665
Total amount of fees paid to insurance company	USD $0
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 guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $665
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker name	CONTESSA INSURANCE AGENCY

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

55418

Policy instance

Insurance contract or identification number	55418
Number of Individuals Covered	42
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $938
Total amount of fees paid to insurance company	USD $0
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 guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

55418

Policy instance

Insurance contract or identification number	55418
Number of Individuals Covered	31
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $817
Total amount of fees paid to insurance company	USD $0
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 guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	RACE BROOK COUNTRY CLUB, INC.
Employer identification number (EIN):	060503510
NAIC Classification:	713900