401k Plan data: ELK VALLEY RANCHERIA MEDICAL PLAN plan

ELK VALLEY RANCHERIA MEDICAL PLAN 401k Plan overview

Plan Name	ELK VALLEY RANCHERIA MEDICAL PLAN
Plan identification number	501

ELK VALLEY RANCHERIA MEDICAL PLAN Benefits

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

401k Sponsoring company profile

ELK VALLEY RANCHERIA, CALIFORNIA has sponsored the creation of one or more 401k plans.

Company Name: ELK VALLEY RANCHERIA, CALIFORNIA

Employer identification number (EIN): 680074968

NAIC Classification: 713200
NAIC Description: Gambling Industries

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ELK VALLEY RANCHERIA MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2013-11-01 KERRI VUE
501 2013-01-01 KERRI VUE
501 2012-01-01 KERRI VUE
501 2011-01-01 KERRI VUE
501 2010-01-01 KERRI VUE
501 2009-01-01 KERRI VUE
501 2008-01-01 KERRI VUE
501 2007-01-01 KERRI VUE

Plan id#	Filing Submission Date	Name of Administrator
501	2013-11-01	KERRI VUE
501	2013-01-01	KERRI VUE
501	2012-01-01	KERRI VUE
501	2011-01-01	KERRI VUE
501	2010-01-01	KERRI VUE
501	2009-01-01	KERRI VUE
501	2008-01-01	KERRI VUE
501	2007-01-01	KERRI VUE

Plan Statistics for ELK VALLEY RANCHERIA MEDICAL PLAN

401k plan membership statisitcs for ELK VALLEY RANCHERIA MEDICAL PLAN

Measure Date Value
2013: ELK VALLEY RANCHERIA MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-11-01 89
Total number of active participants reported on line 7a of the Form 5500 2013-11-01 239
Total of all active and inactive participants 2013-11-01 239
Total participants 2013-11-01 239
Total participants, beginning-of-year 2013-01-01 89
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 89
Total of all active and inactive participants 2013-01-01 89
Total participants 2013-01-01 89
2012: ELK VALLEY RANCHERIA MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 143
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 89
Total of all active and inactive participants 2012-01-01 89
Total participants 2012-01-01 89
2011: ELK VALLEY RANCHERIA MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 112
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 165
Total of all active and inactive participants 2011-01-01 165
Total participants 2011-01-01 165
2010: ELK VALLEY RANCHERIA MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 110
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 112
Total of all active and inactive participants 2010-01-01 112
Total participants 2010-01-01 112
2009: ELK VALLEY RANCHERIA MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 115
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 110
Total of all active and inactive participants 2009-01-01 110
Total participants 2009-01-01 110
2008: ELK VALLEY RANCHERIA MEDICAL PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 114
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 115
Total of all active and inactive participants 2008-01-01 115
Total participants 2008-01-01 115
2007: ELK VALLEY RANCHERIA MEDICAL PLAN 2007 401k membership
Total participants, beginning-of-year 2007-01-01 114
Total number of active participants reported on line 7a of the Form 5500 2007-01-01 114
Total of all active and inactive participants 2007-01-01 114
Total participants 2007-01-01 114

Measure	Date	Value
2013: ELK VALLEY RANCHERIA MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-11-01	89
Total number of active participants reported on line 7a of the Form 5500	2013-11-01	239
Total of all active and inactive participants	2013-11-01	239
Total participants	2013-11-01	239
Total participants, beginning-of-year	2013-01-01	89
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	89
Total of all active and inactive participants	2013-01-01	89
Total participants	2013-01-01	89
2012: ELK VALLEY RANCHERIA MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	143
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	89
Total of all active and inactive participants	2012-01-01	89
Total participants	2012-01-01	89
2011: ELK VALLEY RANCHERIA MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	112
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	165
Total of all active and inactive participants	2011-01-01	165
Total participants	2011-01-01	165
2010: ELK VALLEY RANCHERIA MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	110
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	112
Total of all active and inactive participants	2010-01-01	112
Total participants	2010-01-01	112
2009: ELK VALLEY RANCHERIA MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	115
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	110
Total of all active and inactive participants	2009-01-01	110
Total participants	2009-01-01	110
2008: ELK VALLEY RANCHERIA MEDICAL PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	114
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	115
Total of all active and inactive participants	2008-01-01	115
Total participants	2008-01-01	115
2007: ELK VALLEY RANCHERIA MEDICAL PLAN 2007 401k membership
Total participants, beginning-of-year	2007-01-01	114
Total number of active participants reported on line 7a of the Form 5500	2007-01-01	114
Total of all active and inactive participants	2007-01-01	114
Total participants	2007-01-01	114

Form 5500 Responses for ELK VALLEY RANCHERIA MEDICAL PLAN

2013: ELK VALLEY RANCHERIA MEDICAL PLAN 2013 form 5500 responses
2013-11-01	Type of plan entity	Single employer plan
2013-11-01	Submission has been amended	No
2013-11-01	This submission is the final filing	Yes
2013-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-11-01	Plan is a collectively bargained plan	No
2013-11-01	Plan funding arrangement – Insurance	Yes
2013-11-01	Plan benefit arrangement – Insurance	Yes
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)	Yes
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: ELK VALLEY RANCHERIA MEDICAL PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: ELK VALLEY RANCHERIA MEDICAL 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: ELK VALLEY RANCHERIA MEDICAL 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
2009: ELK VALLEY RANCHERIA MEDICAL PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2008: ELK VALLEY RANCHERIA MEDICAL PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
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
2007: ELK VALLEY RANCHERIA MEDICAL PLAN 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	First time form 5500 has been submitted	Yes
2007-01-01	Submission has been amended	No
2007-01-01	This submission is the final filing	No
2007-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-01-01	Plan is a collectively bargained plan	No
2007-01-01	Plan funding arrangement – Insurance	Yes
2007-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	ELK VALLEY RANCHERIA, CALIFORNIA
Employer identification number (EIN):	680074968
NAIC Classification:	713200
NAIC Description:	Gambling Industries