401k Plan data: GREEN GOLF MANAGEMENT 401(K) PLAN plan

GREEN GOLF MANAGEMENT 401(K) PLAN 401k Plan overview

Plan Name	GREEN GOLF MANAGEMENT 401(K) PLAN
Plan identification number	001

GREEN GOLF MANAGEMENT 401(K) 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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

GREEN GOLF MANAGEMENT, LLC has sponsored the creation of one or more 401k plans.

Company Name: GREEN GOLF MANAGEMENT, LLC

Employer identification number (EIN): 451015007

NAIC Classification: 531310

Additional information about GREEN GOLF MANAGEMENT, LLC

Jurisdiction of Incorporation: Georgia Department of States Corporations Division

Incorporation Date:

Company Identification Number: 1471864

More information about GREEN GOLF MANAGEMENT, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GREEN GOLF MANAGEMENT 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01
001 2020-01-01
001 2019-01-01 MICHAEL SHAW 2020-07-13 MICHAEL SHAW 2020-07-13
001 2018-01-01 MICHAEL SHAW 2019-07-16 MICHAEL SHAW 2019-07-16
001 2017-01-01 MICHAEL SHAW 2018-06-11 MICHAEL SHAW 2018-06-11
001 2016-01-01 MICHAEL SHAW 2017-03-28 MICHAEL SHAW 2017-03-28
001 2015-01-01 MICHAEL SHAW 2016-06-09 MICHAEL SHAW 2016-06-09
001 2014-01-01 THOMAS RODEMS 2015-10-03 THOMAS RODEMS 2015-10-03
001 2013-01-01 THOMAS RODEMS 2014-08-25 THOMAS RODEMS 2014-08-25
001 2012-01-01 THOMAS RODEMS 2013-08-20 THOMAS RODEMS 2013-08-20
001 2011-01-01 THOMAS RODEMS 2012-08-01 THOMAS RODEMS 2012-08-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2021-01-01
001	2020-01-01
001	2019-01-01	MICHAEL SHAW	2020-07-13	MICHAEL SHAW	2020-07-13
001	2018-01-01	MICHAEL SHAW	2019-07-16	MICHAEL SHAW	2019-07-16
001	2017-01-01	MICHAEL SHAW	2018-06-11	MICHAEL SHAW	2018-06-11
001	2016-01-01	MICHAEL SHAW	2017-03-28	MICHAEL SHAW	2017-03-28
001	2015-01-01	MICHAEL SHAW	2016-06-09	MICHAEL SHAW	2016-06-09
001	2014-01-01	THOMAS RODEMS	2015-10-03	THOMAS RODEMS	2015-10-03
001	2013-01-01	THOMAS RODEMS	2014-08-25	THOMAS RODEMS	2014-08-25
001	2012-01-01	THOMAS RODEMS	2013-08-20	THOMAS RODEMS	2013-08-20
001	2011-01-01	THOMAS RODEMS	2012-08-01	THOMAS RODEMS	2012-08-01

Plan Statistics for GREEN GOLF MANAGEMENT 401(K) PLAN

401k plan membership statisitcs for GREEN GOLF MANAGEMENT 401(K) PLAN

Measure Date Value
2021: GREEN GOLF MANAGEMENT 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 146
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 0
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 0
Number of participants with account balances 2021-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 1
2020: GREEN GOLF MANAGEMENT 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 145
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 122
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 11
Total of all active and inactive participants 2020-01-01 133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 133
Number of participants with account balances 2020-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0

Measure	Date	Value
2021: GREEN GOLF MANAGEMENT 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	146
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	0
Number of participants with account balances	2021-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	1
2020: GREEN GOLF MANAGEMENT 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	145
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	122
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	11
Total of all active and inactive participants	2020-01-01	133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	133
Number of participants with account balances	2020-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0

Financial Data on GREEN GOLF MANAGEMENT 401(K) PLAN

Measure	Date	Value
2021 : GREEN GOLF MANAGEMENT 401(K) PLAN 2021 401k financial data
Total transfer of assets from this plan	2021-12-31	$981,527
Total income from all sources (including contributions)	2021-12-31	$188,642
Total of all expenses incurred	2021-12-31	$92,710
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$77,104
Expenses. Certain deemed distributions of participant loans	2021-12-31	$4,308
Value of total corrective distributions	2021-12-31	$461
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$35,629
Value of total assets at end of year	2021-12-31	$0
Value of total assets at beginning of year	2021-12-31	$885,595
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$10,837
Total interest from all sources	2021-12-31	$280
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$31,303
Participant contributions at end of year	2021-12-31	$0
Participant contributions at beginning of year	2021-12-31	$11,491
Participant contributions at beginning of year	2021-12-31	$1,392
Total non interest bearing cash at end of year	2021-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$95,932
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$885,595
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$10,837
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$814,367
Interest on participant loans	2021-12-31	$280
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$58,206
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$152,733
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$4,326
Employer contributions (assets) at end of year	2021-12-31	$0
Employer contributions (assets) at beginning of year	2021-12-31	$139
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$77,104
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	MAYER HOFFMAN MCCANN P.C.
Accountancy firm EIN	2021-12-31	431947695
2020 : GREEN GOLF MANAGEMENT 401(K) PLAN 2020 401k financial data
Total income from all sources (including contributions)	2020-12-31	$225,593
Total of all expenses incurred	2020-12-31	$195,676
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$158,341
Expenses. Certain deemed distributions of participant loans	2020-12-31	$27,628
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$54,646
Value of total assets at end of year	2020-12-31	$885,595
Value of total assets at beginning of year	2020-12-31	$855,678
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$9,707
Total interest from all sources	2020-12-31	$2,240
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Administrative expenses professional fees incurred	2020-12-31	$2,372
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$37,015
Participant contributions at end of year	2020-12-31	$11,491
Participant contributions at beginning of year	2020-12-31	$46,022
Participant contributions at end of year	2020-12-31	$1,392
Participant contributions at beginning of year	2020-12-31	$2,125
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$12,560
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$29,917
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$885,595
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$855,678
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$2,445
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$814,367
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$788,570
Interest on participant loans	2020-12-31	$1,630
Interest earned on other investments	2020-12-31	$610
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$58,206
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$18,749
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$168,707
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$5,071
Employer contributions (assets) at end of year	2020-12-31	$139
Employer contributions (assets) at beginning of year	2020-12-31	$212
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$158,341
Contract administrator fees	2020-12-31	$4,890
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	MAYER HOFFMAN MCCANN P.C.
Accountancy firm EIN	2020-12-31	431947695

Form 5500 Responses for GREEN GOLF MANAGEMENT 401(K) PLAN

2021: GREEN GOLF MANAGEMENT 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	Yes
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: GREEN GOLF MANAGEMENT 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-CP-HV1I

Policy instance

Insurance contract or identification number	GAP-CP-HV1I
Number of Individuals Covered	0
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Insurance broker organization code?	4

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-CP-HV1I

Policy instance

Insurance contract or identification number	GAP-CP-HV1I
Number of Individuals Covered	18
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $40
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $40
Amount paid for insurance broker fees	0
Insurance broker organization code?	4

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Company Name:	GREEN GOLF MANAGEMENT, LLC
Employer identification number (EIN):	451015007
NAIC Classification:	531310

Jurisdiction of Incorporation:	Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number:	1471864