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| Plan Name | PARK MEADOWS COUNTRY CLUB 401(K) PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | PARK MEADOWS CLUB INC |
| Employer identification number (EIN): | 522382593 |
| NAIC Classification: | 713900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2022-01-01 | JOHN STABLER | 2023-07-21 | ||
| 001 | 2021-01-01 | TABITHA FEARN | 2022-02-18 | ||
| 001 | 2020-01-01 | TABITHA FEARN | 2021-03-03 | ||
| 001 | 2019-01-01 | TABITHA FEARN | 2020-04-10 | ||
| 001 | 2018-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2018: PARK MEADOWS COUNTRY CLUB 401(K) PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-01-01 | 8 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 16 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 0 |
| Total of all active and inactive participants | 2018-01-01 | 16 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2018-01-01 | 0 |
| Total participants | 2018-01-01 | 16 |
| Number of participants with account balances | 2018-01-01 | 15 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2018-01-01 | 0 |
| Measure | Date | Value |
|---|---|---|
| 2018 : PARK MEADOWS COUNTRY CLUB 401(K) PLAN 2018 401k financial data | ||
| Total income from all sources | 2018-12-31 | $58,130 |
| Expenses. Total of all expenses incurred | 2018-12-31 | $452 |
| Total plan assets at end of year | 2018-12-31 | $57,678 |
| Total plan assets at beginning of year | 2018-12-31 | $0 |
| Value of fidelity bond covering the plan | 2018-12-31 | $150,000 |
| Total contributions received or receivable from participants | 2018-12-31 | $26,795 |
| Contributions received from other sources (not participants or employers) | 2018-12-31 | $12,540 |
| Other income received | 2018-12-31 | $-4,677 |
| Net income (gross income less expenses) | 2018-12-31 | $57,678 |
| Net plan assets at end of year (total assets less liabilities) | 2018-12-31 | $57,678 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2018-12-31 | $23,472 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2018-12-31 | $452 |
| 2018: PARK MEADOWS COUNTRY CLUB 401(K) PLAN 2018 form 5500 responses | ||
|---|---|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | First time form 5500 has been submitted | Yes |
| 2018-01-01 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | No |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-01 | Plan is a collectively bargained plan | No |
| 2018-01-01 | Plan funding arrangement – Trust | Yes |
| 2018-01-01 | Plan benefit arrangement - Trust | Yes |
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 134170 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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