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DOLCE INT'L/ST. CHARLES, LLC GROUP HEALTH PLAN 401k Plan overview

Plan NameDOLCE INT'L/ST. CHARLES, LLC GROUP HEALTH PLAN
Plan identification number 501

DOLCE INT'L/ST. CHARLES, LLC GROUP HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

DOLCE INTERNATIONAL/ST. CHARLES, LLC has sponsored the creation of one or more 401k plans.

Company Name:DOLCE INTERNATIONAL/ST. CHARLES, LLC
Employer identification number (EIN):611743815
NAIC Classification:721110
NAIC Description:Hotels (except Casino Hotels) and Motels

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DOLCE INT'L/ST. CHARLES, LLC GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-01-01
5012015-01-01

Plan Statistics for DOLCE INT'L/ST. CHARLES, LLC GROUP HEALTH PLAN

401k plan membership statisitcs for DOLCE INT'L/ST. CHARLES, LLC GROUP HEALTH PLAN

Measure Date Value
2016: DOLCE INT'L/ST. CHARLES, LLC GROUP HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01471
Total of all active and inactive participants2016-01-010
Total participants2016-01-010
2015: DOLCE INT'L/ST. CHARLES, LLC GROUP HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01239
Total number of active participants reported on line 7a of the Form 55002015-01-01471
Total of all active and inactive participants2015-01-01471
Total participants2015-01-01471

Financial Data on DOLCE INT'L/ST. CHARLES, LLC GROUP HEALTH PLAN

Measure Date Value
2016 : DOLCE INT'L/ST. CHARLES, LLC GROUP HEALTH PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-04-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-04-30$7,500
Total income from all sources (including contributions)2016-04-30$206,914
Total of all expenses incurred2016-04-30$1,094,714
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-04-30$1,094,479
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-04-30$206,383
Value of total assets at end of year2016-04-30$0
Value of total assets at beginning of year2016-04-30$895,300
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-04-30$235
Total interest from all sources2016-04-30$531
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-04-30Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2016-04-30$0
Was this plan covered by a fidelity bond2016-04-30No
Were there any nonexempt tranactions with any party-in-interest2016-04-30No
Contributions received from participants2016-04-30$166,596
Assets. Other investments not covered elsewhere at end of year2016-04-30$0
Assets. Other investments not covered elsewhere at beginning of year2016-04-30$272,651
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-04-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-04-30$132
Liabilities. Value of operating payables at end of year2016-04-30$0
Liabilities. Value of operating payables at beginning of year2016-04-30$7,500
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-30No
Value of net income/loss2016-04-30$-887,800
Value of net assets at end of year (total assets less liabilities)2016-04-30$0
Value of net assets at beginning of year (total assets less liabilities)2016-04-30$887,800
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-04-30No
Were any leases to which the plan was party in default or uncollectible2016-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-04-30$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-04-30$622,517
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-04-30$622,517
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-04-30$531
Expenses. Payments to insurance carriers foe the provision of benefits2016-04-30$1,094,479
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-04-30Yes
Was there a failure to transmit to the plan any participant contributions2016-04-30No
Has the plan failed to provide any benefit when due under the plan2016-04-30No
Contributions received in cash from employer2016-04-30$39,787
Contract administrator fees2016-04-30$235
Did the plan have assets held for investment2016-04-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-04-30Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-04-30No
Opinion of an independent qualified public accountant for this plan2016-04-30Unqualified
Accountancy firm name2016-04-30BKD, LLP
Accountancy firm EIN2016-04-30440160260
2015 : DOLCE INT'L/ST. CHARLES, LLC GROUP HEALTH PLAN 2015 401k financial data
Total transfer of assets to this plan2015-12-31$3,381,870
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$7,500
Total income from all sources (including contributions)2015-12-31$437,209
Total of all expenses incurred2015-12-31$2,931,279
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$2,893,527
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$424,808
Value of total assets at end of year2015-12-31$895,300
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$37,752
Total interest from all sources2015-12-31$4,002
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$424,808
Assets. Other investments not covered elsewhere at end of year2015-12-31$272,651
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$132
Other income not declared elsewhere2015-12-31$8,399
Liabilities. Value of operating payables at end of year2015-12-31$7,500
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-2,494,070
Value of net assets at end of year (total assets less liabilities)2015-12-31$887,800
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$622,517
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$4,002
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$2,893,527
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contract administrator fees2015-12-31$37,752
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31BKD, LLP
Accountancy firm EIN2015-12-31440160260

Form 5500 Responses for DOLCE INT'L/ST. CHARLES, LLC GROUP HEALTH PLAN

2016: DOLCE INT'L/ST. CHARLES, LLC GROUP HEALTH PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01This submission is the final filingYes
2016-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: DOLCE INT'L/ST. CHARLES, LLC GROUP HEALTH PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01First time form 5500 has been submittedYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberPA3904 PA4278
Policy instance 1
Insurance contract or identification numberPA3904 PA4278
Number of Individuals Covered498
Insurance policy start date2016-01-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $87,481
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,091,981
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $87,481
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberPA3904 PA4278
Policy instance 1
Insurance contract or identification numberPA3904 PA4278
Number of Individuals Covered471
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $41,980
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,895,406
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $41,980
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC

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