401k Plan data: HOOSIER PARK HEALTH & WELLNESS CENTER ON-SITE CLINIC PLAN plan

HOOSIER PARK HEALTH & WELLNESS CENTER ON-SITE CLINIC PLAN 401k Plan overview

Plan Name	HOOSIER PARK HEALTH & WELLNESS CENTER ON-SITE CLINIC PLAN
Plan identification number	525

HOOSIER PARK HEALTH & WELLNESS CENTER ON-SITE CLINIC PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

NEW CENTAUR, LLC has sponsored the creation of one or more 401k plans.

Company Name: NEW CENTAUR, LLC

Employer identification number (EIN): 451272553

NAIC Classification: 713200
NAIC Description: Gambling Industries

Additional information about NEW CENTAUR, LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 4961395

More information about NEW CENTAUR, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOOSIER PARK HEALTH & WELLNESS CENTER ON-SITE CLINIC PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
525 2016-01-01 ROLAND LUCIANI ROLAND LUCIANI 2018-02-23
525 2015-01-01 ROLAND LUCIANI ROLAND LUCIANI 2018-02-23
525 2014-01-01 ROLAND LUCIANI ROLAND LUCIANI 2018-02-23
525 2013-01-01 ROLAND LUCIANI ROLAND LUCIANI 2018-02-23
525 2012-09-01 ROLAND LUCIANI ROLAND LUCIANI 2018-02-23

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
525	2016-01-01	ROLAND LUCIANI	ROLAND LUCIANI	2018-02-23
525	2015-01-01	ROLAND LUCIANI	ROLAND LUCIANI	2018-02-23
525	2014-01-01	ROLAND LUCIANI	ROLAND LUCIANI	2018-02-23
525	2013-01-01	ROLAND LUCIANI	ROLAND LUCIANI	2018-02-23
525	2012-09-01	ROLAND LUCIANI	ROLAND LUCIANI	2018-02-23

Plan Statistics for HOOSIER PARK HEALTH & WELLNESS CENTER ON-SITE CLINIC PLAN

401k plan membership statisitcs for HOOSIER PARK HEALTH & WELLNESS CENTER ON-SITE CLINIC PLAN

Measure Date Value
2016: HOOSIER PARK HEALTH & WELLNESS CENTER ON-SITE CLINIC PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 863
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
2015: HOOSIER PARK HEALTH & WELLNESS CENTER ON-SITE CLINIC PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 904
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 863
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 863
2014: HOOSIER PARK HEALTH & WELLNESS CENTER ON-SITE CLINIC PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 928
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 904
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 904
2013: HOOSIER PARK HEALTH & WELLNESS CENTER ON-SITE CLINIC PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 987
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 928
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 928
2012: HOOSIER PARK HEALTH & WELLNESS CENTER ON-SITE CLINIC PLAN 2012 401k membership
Total participants, beginning-of-year 2012-09-01 1,100
Total number of active participants reported on line 7a of the Form 5500 2012-09-01 987
Number of retired or separated participants receiving benefits 2012-09-01 0
Number of other retired or separated participants entitled to future benefits 2012-09-01 0
Total of all active and inactive participants 2012-09-01 987

Measure	Date	Value
2016: HOOSIER PARK HEALTH & WELLNESS CENTER ON-SITE CLINIC PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	863
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
2015: HOOSIER PARK HEALTH & WELLNESS CENTER ON-SITE CLINIC PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	904
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	863
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	863
2014: HOOSIER PARK HEALTH & WELLNESS CENTER ON-SITE CLINIC PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	928
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	904
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	904
2013: HOOSIER PARK HEALTH & WELLNESS CENTER ON-SITE CLINIC PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	987
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	928
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	928
2012: HOOSIER PARK HEALTH & WELLNESS CENTER ON-SITE CLINIC PLAN 2012 401k membership
Total participants, beginning-of-year	2012-09-01	1,100
Total number of active participants reported on line 7a of the Form 5500	2012-09-01	987
Number of retired or separated participants receiving benefits	2012-09-01	0
Number of other retired or separated participants entitled to future benefits	2012-09-01	0
Total of all active and inactive participants	2012-09-01	987

Form 5500 Responses for HOOSIER PARK HEALTH & WELLNESS CENTER ON-SITE CLINIC PLAN

2016: HOOSIER PARK HEALTH & WELLNESS CENTER ON-SITE CLINIC PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: HOOSIER PARK HEALTH & WELLNESS CENTER ON-SITE CLINIC PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: HOOSIER PARK HEALTH & WELLNESS CENTER ON-SITE CLINIC PLAN 2014 form 5500 responses
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 – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: HOOSIER PARK HEALTH & WELLNESS CENTER ON-SITE CLINIC PLAN 2013 form 5500 responses
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 – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: HOOSIER PARK HEALTH & WELLNESS CENTER ON-SITE CLINIC PLAN 2012 form 5500 responses
2012-09-01	Type of plan entity	Single employer plan
2012-09-01	First time form 5500 has been submitted	Yes
2012-09-01	Submission has been amended	No
2012-09-01	This submission is the final filing	No
2012-09-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-09-01	Plan is a collectively bargained plan	No
2012-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-09-01	Plan benefit arrangement – General assets of the sponsor	Yes

Potentially related plans

HOOSIER PARK, LLC 401(K) RETIREMENT PLAN [EIN = 451272380]

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Company Name:	NEW CENTAUR, LLC
Employer identification number (EIN):	451272553
NAIC Classification:	713200
NAIC Description:	Gambling Industries

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	4961395