401k Plan data: VALERIE WILSON TRAVEL, INC. plan

VALERIE WILSON TRAVEL, INC. 401k Plan overview

Plan Name	VALERIE WILSON TRAVEL, INC.
Plan identification number	502

VALERIE WILSON TRAVEL, INC. Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental Vision

401k Sponsoring company profile

VALERIE WILSON TRAVEL, INC. has sponsored the creation of one or more 401k plans.

Company Name: VALERIE WILSON TRAVEL, INC.

Employer identification number (EIN): 133072817

NAIC Classification: 561500

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VALERIE WILSON TRAVEL, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2011-01-01 JESSICA COOK
502 2010-01-01 JESSICA COOK
502 2009-01-01 JESSICA COOK

Plan id#	Filing Submission Date	Name of Administrator
502	2011-01-01	JESSICA COOK
502	2010-01-01	JESSICA COOK
502	2009-01-01	JESSICA COOK

Plan Statistics for VALERIE WILSON TRAVEL, INC.

401k plan membership statisitcs for VALERIE WILSON TRAVEL, INC.

Measure Date Value
2011: VALERIE WILSON TRAVEL, INC. 2011 401k membership
Total participants, beginning-of-year 2011-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 0
2010: VALERIE WILSON TRAVEL, INC. 2010 401k membership
Total participants, beginning-of-year 2010-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 99
Total of all active and inactive participants 2010-01-01 99
Total participants 2010-01-01 99
2009: VALERIE WILSON TRAVEL, INC. 2009 401k membership
Total participants, beginning-of-year 2009-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 100
Total of all active and inactive participants 2009-01-01 100
Total participants 2009-01-01 100

Measure	Date	Value
2011: VALERIE WILSON TRAVEL, INC. 2011 401k membership
Total participants, beginning-of-year	2011-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	0
2010: VALERIE WILSON TRAVEL, INC. 2010 401k membership
Total participants, beginning-of-year	2010-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	99
Total of all active and inactive participants	2010-01-01	99
Total participants	2010-01-01	99
2009: VALERIE WILSON TRAVEL, INC. 2009 401k membership
Total participants, beginning-of-year	2009-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	100
Total of all active and inactive participants	2009-01-01	100
Total participants	2009-01-01	100

Form 5500 Responses for VALERIE WILSON TRAVEL, INC.

2011: VALERIE WILSON TRAVEL, INC. 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
2011-01-01	This submission is the final filing	Yes
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: VALERIE WILSON TRAVEL, INC. 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 – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: VALERIE WILSON TRAVEL, INC. 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 – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

329110

Policy instance

Insurance contract or identification number	329110
Number of Individuals Covered	98
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $7,552
Total amount of fees paid to insurance company	USD $2,156
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	Yes
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
Welfare Benefit Premiums Paid to Carrier	USD $78,887
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,856
Amount paid for insurance broker fees	2156
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3
Insurance broker name	INTERNATIONAL PLANNING ALLIANCE, LL

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Company Name:	VALERIE WILSON TRAVEL, INC.
Employer identification number (EIN):	133072817
NAIC Classification:	561500