401k Plan data: HOOTERS HOURLY MINI MED PLAN plan

HOOTERS HOURLY MINI MED PLAN 401k Plan overview

Plan Name	HOOTERS HOURLY MINI MED PLAN
Plan identification number	503

HOOTERS HOURLY MINI MED PLAN Benefits

401k Plan Type

Welfare Benefit

Plan Features/Benefits

Health (other than dental or vision)
Life insurance
Dental
Vision
Temporary disability (accident and sickness)
Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

HMC HOSPITALITY GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name: HMC HOSPITALITY GROUP, INC.

Employer identification number (EIN): 593081926

NAIC Classification: 561110
NAIC Description: Office Administrative Services

Additional information about HMC HOSPITALITY GROUP, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 1991-08-15

Company Identification Number: S73454

Legal Registered Office Address: 107 HAMPTON ROAD

CLEARWATER

33759

More information about HMC HOSPITALITY GROUP, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOOTERS HOURLY MINI MED PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2011-01-01 JENNIFER GIOVANNONI
503 2010-01-01 BRUCE W CLARK
503 2008-01-01 BRUCE W. CLARK

Plan id#	Filing Submission Date	Name of Administrator
503	2011-01-01	JENNIFER GIOVANNONI
503	2010-01-01	BRUCE W CLARK
503	2008-01-01	BRUCE W. CLARK

Plan Statistics for HOOTERS HOURLY MINI MED PLAN

401k plan membership statisitcs for HOOTERS HOURLY MINI MED PLAN

Measure Date Value
2011: HOOTERS HOURLY MINI MED PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 111
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 88
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 88
2010: HOOTERS HOURLY MINI MED PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 103
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 97
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 97
2008: HOOTERS HOURLY MINI MED PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 105
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 41
Number of retired or separated participants receiving benefits 2008-01-01 0
Number of other retired or separated participants entitled to future benefits 2008-01-01 0
Total of all active and inactive participants 2008-01-01 41

Measure	Date	Value
2011: HOOTERS HOURLY MINI MED PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	111
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	88
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	88
2010: HOOTERS HOURLY MINI MED PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	103
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	97
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	97
2008: HOOTERS HOURLY MINI MED PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	105
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	41
Number of retired or separated participants receiving benefits	2008-01-01	0
Number of other retired or separated participants entitled to future benefits	2008-01-01	0
Total of all active and inactive participants	2008-01-01	41

Form 5500 Responses for HOOTERS HOURLY MINI MED PLAN

2011: HOOTERS HOURLY MINI MED PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
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: HOOTERS HOURLY MINI MED PLAN 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
2008: HOOTERS HOURLY MINI MED PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	Yes
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – Insurance	Yes
2008-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	HMC HOSPITALITY GROUP, INC.
Employer identification number (EIN):	593081926
NAIC Classification:	561110
NAIC Description:	Office Administrative Services

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	1991-08-15
Company Identification Number:	S73454
Legal Registered Office Address:	107 HAMPTON ROAD CLEARWATER 33759