401k Plan data: SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY plan

SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY 401k Plan overview

Plan Name	SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY
Plan identification number	504

SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Temporary disability (accident and sickness)

401k Sponsoring company profile

SHAMIN HOTELS, INC. has sponsored the creation of one or more 401k plans.

Company Name: SHAMIN HOTELS, INC.

Employer identification number (EIN): 541868092

NAIC Classification: 721110
NAIC Description: Hotels (except Casino Hotels) and Motels

Additional information about SHAMIN HOTELS, INC.

Jurisdiction of Incorporation: Virginia Secretary of State

Incorporation Date: 1997-08-06

Company Identification Number: 0488911

Legal Registered Office Address: 2000 WARE BOTTOM SPRING RD

CHESTER
United States of America (USA)
23836

More information about SHAMIN HOTELS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2016-03-01 EILEEN LAMB
504 2016-03-01
504 2015-03-01 EILEEN LAMB
504 2014-03-01 EILEEN LAMB
504 2013-03-01 EILEEN LAMB GRAYSON OWEN 2014-09-23
504 2012-03-01 EILEEN LAMB GRAYSON OWEN 2013-09-25
504 2011-03-01 EILEEN LAMB GRAYSON OWEN 2012-09-25
504 2010-03-01 GRAYSON OWEN

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
504	2016-03-01	EILEEN LAMB
504	2016-03-01
504	2015-03-01	EILEEN LAMB
504	2014-03-01	EILEEN LAMB
504	2013-03-01	EILEEN LAMB	GRAYSON OWEN	2014-09-23
504	2012-03-01	EILEEN LAMB	GRAYSON OWEN	2013-09-25
504	2011-03-01	EILEEN LAMB	GRAYSON OWEN	2012-09-25
504	2010-03-01	GRAYSON OWEN

Plan Statistics for SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY

401k plan membership statisitcs for SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY

Measure Date Value
2016: SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY 2016 401k membership
Total participants, beginning-of-year 2016-03-01 128
Total number of active participants reported on line 7a of the Form 5500 2016-03-01 112
Number of retired or separated participants receiving benefits 2016-03-01 5
Number of other retired or separated participants entitled to future benefits 2016-03-01 5
Total of all active and inactive participants 2016-03-01 122
2015: SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY 2015 401k membership
Total participants, beginning-of-year 2015-03-01 94
Total number of active participants reported on line 7a of the Form 5500 2015-03-01 71
Number of retired or separated participants receiving benefits 2015-03-01 0
Number of other retired or separated participants entitled to future benefits 2015-03-01 0
Total of all active and inactive participants 2015-03-01 71
2014: SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY 2014 401k membership
Total participants, beginning-of-year 2014-03-01 100
Total number of active participants reported on line 7a of the Form 5500 2014-03-01 114
Number of retired or separated participants receiving benefits 2014-03-01 0
Number of other retired or separated participants entitled to future benefits 2014-03-01 0
Total of all active and inactive participants 2014-03-01 114
2013: SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY 2013 401k membership
Total participants, beginning-of-year 2013-03-01 121
Total number of active participants reported on line 7a of the Form 5500 2013-03-01 100
Number of retired or separated participants receiving benefits 2013-03-01 0
Number of other retired or separated participants entitled to future benefits 2013-03-01 0
Total of all active and inactive participants 2013-03-01 100
2012: SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY 2012 401k membership
Total participants, beginning-of-year 2012-03-01 164
Total number of active participants reported on line 7a of the Form 5500 2012-03-01 121
Number of retired or separated participants receiving benefits 2012-03-01 0
Number of other retired or separated participants entitled to future benefits 2012-03-01 0
Total of all active and inactive participants 2012-03-01 121
2011: SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY 2011 401k membership
Total participants, beginning-of-year 2011-03-01 171
Total number of active participants reported on line 7a of the Form 5500 2011-03-01 164
Number of retired or separated participants receiving benefits 2011-03-01 0
Number of other retired or separated participants entitled to future benefits 2011-03-01 0
Total of all active and inactive participants 2011-03-01 164
2010: SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY 2010 401k membership
Total participants, beginning-of-year 2010-03-01 100
Total number of active participants reported on line 7a of the Form 5500 2010-03-01 171
Number of retired or separated participants receiving benefits 2010-03-01 0
Number of other retired or separated participants entitled to future benefits 2010-03-01 0
Total of all active and inactive participants 2010-03-01 171

Measure	Date	Value
2016: SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY 2016 401k membership
Total participants, beginning-of-year	2016-03-01	128
Total number of active participants reported on line 7a of the Form 5500	2016-03-01	112
Number of retired or separated participants receiving benefits	2016-03-01	5
Number of other retired or separated participants entitled to future benefits	2016-03-01	5
Total of all active and inactive participants	2016-03-01	122
2015: SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY 2015 401k membership
Total participants, beginning-of-year	2015-03-01	94
Total number of active participants reported on line 7a of the Form 5500	2015-03-01	71
Number of retired or separated participants receiving benefits	2015-03-01	0
Number of other retired or separated participants entitled to future benefits	2015-03-01	0
Total of all active and inactive participants	2015-03-01	71
2014: SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY 2014 401k membership
Total participants, beginning-of-year	2014-03-01	100
Total number of active participants reported on line 7a of the Form 5500	2014-03-01	114
Number of retired or separated participants receiving benefits	2014-03-01	0
Number of other retired or separated participants entitled to future benefits	2014-03-01	0
Total of all active and inactive participants	2014-03-01	114
2013: SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY 2013 401k membership
Total participants, beginning-of-year	2013-03-01	121
Total number of active participants reported on line 7a of the Form 5500	2013-03-01	100
Number of retired or separated participants receiving benefits	2013-03-01	0
Number of other retired or separated participants entitled to future benefits	2013-03-01	0
Total of all active and inactive participants	2013-03-01	100
2012: SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY 2012 401k membership
Total participants, beginning-of-year	2012-03-01	164
Total number of active participants reported on line 7a of the Form 5500	2012-03-01	121
Number of retired or separated participants receiving benefits	2012-03-01	0
Number of other retired or separated participants entitled to future benefits	2012-03-01	0
Total of all active and inactive participants	2012-03-01	121
2011: SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY 2011 401k membership
Total participants, beginning-of-year	2011-03-01	171
Total number of active participants reported on line 7a of the Form 5500	2011-03-01	164
Number of retired or separated participants receiving benefits	2011-03-01	0
Number of other retired or separated participants entitled to future benefits	2011-03-01	0
Total of all active and inactive participants	2011-03-01	164
2010: SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY 2010 401k membership
Total participants, beginning-of-year	2010-03-01	100
Total number of active participants reported on line 7a of the Form 5500	2010-03-01	171
Number of retired or separated participants receiving benefits	2010-03-01	0
Number of other retired or separated participants entitled to future benefits	2010-03-01	0
Total of all active and inactive participants	2010-03-01	171

Form 5500 Responses for SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY

2016: SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY 2016 form 5500 responses
2016-03-01	Type of plan entity	Single employer plan
2016-03-01	Submission has been amended	No
2016-03-01	This submission is the final filing	No
2016-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-03-01	Plan is a collectively bargained plan	No
2016-03-01	Plan funding arrangement – Insurance	Yes
2016-03-01	Plan benefit arrangement – Insurance	Yes
2015: SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY 2015 form 5500 responses
2015-03-01	Type of plan entity	Single employer plan
2015-03-01	Submission has been amended	No
2015-03-01	This submission is the final filing	No
2015-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-03-01	Plan is a collectively bargained plan	No
2015-03-01	Plan funding arrangement – Insurance	Yes
2015-03-01	Plan benefit arrangement – Insurance	Yes
2014: SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY 2014 form 5500 responses
2014-03-01	Type of plan entity	Single employer plan
2014-03-01	Submission has been amended	No
2014-03-01	This submission is the final filing	No
2014-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-03-01	Plan is a collectively bargained plan	No
2014-03-01	Plan funding arrangement – Insurance	Yes
2014-03-01	Plan benefit arrangement – Insurance	Yes
2013: SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY 2013 form 5500 responses
2013-03-01	Type of plan entity	Single employer plan
2013-03-01	Submission has been amended	No
2013-03-01	This submission is the final filing	No
2013-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-03-01	Plan is a collectively bargained plan	No
2013-03-01	Plan funding arrangement – Insurance	Yes
2013-03-01	Plan benefit arrangement – Insurance	Yes
2012: SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY 2012 form 5500 responses
2012-03-01	Type of plan entity	Single employer plan
2012-03-01	Submission has been amended	No
2012-03-01	This submission is the final filing	No
2012-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-03-01	Plan is a collectively bargained plan	No
2012-03-01	Plan funding arrangement – Insurance	Yes
2012-03-01	Plan benefit arrangement – Insurance	Yes
2011: SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY 2011 form 5500 responses
2011-03-01	Type of plan entity	Single employer plan
2011-03-01	Submission has been amended	No
2011-03-01	This submission is the final filing	No
2011-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-03-01	Plan is a collectively bargained plan	No
2011-03-01	Plan funding arrangement – Insurance	Yes
2011-03-01	Plan benefit arrangement – Insurance	Yes
2010: SHAMIN HOTELS INC. GROUP SHORT TERM DISABILITY 2010 form 5500 responses
2010-03-01	Type of plan entity	Single employer plan
2010-03-01	First time form 5500 has been submitted	Yes
2010-03-01	Submission has been amended	No
2010-03-01	This submission is the final filing	No
2010-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-03-01	Plan is a collectively bargained plan	No
2010-03-01	Plan funding arrangement – Insurance	Yes
2010-03-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	FAE10213*
Policy instance	1
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	FAE10213*
Policy instance	1
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	FAE10213*
Policy instance	1
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	FAE10213*
Policy instance	1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	400002000 02376
Policy instance	1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	400002000 02376
Policy instance	1

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Company Name:	SHAMIN HOTELS, INC.
Employer identification number (EIN):	541868092
NAIC Classification:	721110
NAIC Description:	Hotels (except Casino Hotels) and Motels

Jurisdiction of Incorporation:	Virginia Secretary of State
Incorporation Date:	1997-08-06
Company Identification Number:	0488911
Legal Registered Office Address:	2000 WARE BOTTOM SPRING RD CHESTER United States of America (USA) 23836