401k Plan data: THE VIZZA WASH, LP WELFARE BENEFIT PLAN plan

THE VIZZA WASH, LP WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	THE VIZZA WASH, LP WELFARE BENEFIT PLAN
Plan identification number	520

THE VIZZA WASH, LP WELFARE BENEFIT 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) Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

VIZZA WASH, L.P. has sponsored the creation of one or more 401k plans.

Company Name: VIZZA WASH, L.P.

Employer identification number (EIN): 742397010

NAIC Classification: 811190

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE VIZZA WASH, LP WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
520 2013-03-01 GARY STINNETT GARY STINNETT 2018-03-20
520 2012-03-01 GARY STINNETT GARY STINNETT 2018-03-20
520 2011-03-01 GARY STINNETT GARY STINNETT 2018-03-20
520 2010-03-01 GARY STINNETT GARY STINNETT 2018-03-20
520 2009-03-01 GARY STINNETT GARY STINNETT 2018-03-20
520 2008-03-01 GARY STINNETT GARY STINNETT 2018-03-20
520 2007-03-01 GARY STINNETT GARY STINNETT 2018-03-20
520 2006-03-01 GARY STINNETT GARY STINNETT 2018-03-20
520 2005-03-01 GARY STINNETT GARY STINNETT 2018-03-20
520 2004-03-01 GARY STINNETT GARY STINNETT 2018-03-20

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
520	2013-03-01	GARY STINNETT	GARY STINNETT	2018-03-20
520	2012-03-01	GARY STINNETT	GARY STINNETT	2018-03-20
520	2011-03-01	GARY STINNETT	GARY STINNETT	2018-03-20
520	2010-03-01	GARY STINNETT	GARY STINNETT	2018-03-20
520	2009-03-01	GARY STINNETT	GARY STINNETT	2018-03-20
520	2008-03-01	GARY STINNETT	GARY STINNETT	2018-03-20
520	2007-03-01	GARY STINNETT	GARY STINNETT	2018-03-20
520	2006-03-01	GARY STINNETT	GARY STINNETT	2018-03-20
520	2005-03-01	GARY STINNETT	GARY STINNETT	2018-03-20
520	2004-03-01	GARY STINNETT	GARY STINNETT	2018-03-20

Plan Statistics for THE VIZZA WASH, LP WELFARE BENEFIT PLAN

401k plan membership statisitcs for THE VIZZA WASH, LP WELFARE BENEFIT PLAN

Measure Date Value
2013: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-03-01 100
Total number of active participants reported on line 7a of the Form 5500 2013-03-01 105
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 2013-03-01 105
2012: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-03-01 99
Total number of active participants reported on line 7a of the Form 5500 2012-03-01 100
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 2012-03-01 100
2011: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-03-01 100
Total number of active participants reported on line 7a of the Form 5500 2011-03-01 99
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 99
2010: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 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 2010-03-01 100
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 2010-03-01 100
2009: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-03-01 100
Total number of active participants reported on line 7a of the Form 5500 2009-03-01 100
Number of retired or separated participants receiving benefits 2009-03-01 0
Number of other retired or separated participants entitled to future benefits 2009-03-01 0
Total of all active and inactive participants 2009-03-01 100
2008: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 2008 401k membership
Total participants, beginning-of-year 2008-03-01 100
Total number of active participants reported on line 7a of the Form 5500 2008-03-01 100
Number of retired or separated participants receiving benefits 2008-03-01 0
Number of other retired or separated participants entitled to future benefits 2008-03-01 0
Total of all active and inactive participants 2008-03-01 100
2007: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 2007 401k membership
Total participants, beginning-of-year 2007-03-01 100
Total number of active participants reported on line 7a of the Form 5500 2007-03-01 100
Number of retired or separated participants receiving benefits 2007-03-01 0
Number of other retired or separated participants entitled to future benefits 2007-03-01 0
Total of all active and inactive participants 2007-03-01 100
2006: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 2006 401k membership
Total participants, beginning-of-year 2006-03-01 100
Total number of active participants reported on line 7a of the Form 5500 2006-03-01 100
Number of retired or separated participants receiving benefits 2006-03-01 0
Number of other retired or separated participants entitled to future benefits 2006-03-01 0
Total of all active and inactive participants 2006-03-01 100
2005: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 2005 401k membership
Total participants, beginning-of-year 2005-03-01 100
Total number of active participants reported on line 7a of the Form 5500 2005-03-01 100
Number of retired or separated participants receiving benefits 2005-03-01 0
Number of other retired or separated participants entitled to future benefits 2005-03-01 0
Total of all active and inactive participants 2005-03-01 100
2004: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 2004 401k membership
Total participants, beginning-of-year 2004-03-01 100
Total number of active participants reported on line 7a of the Form 5500 2004-03-01 100
Number of retired or separated participants receiving benefits 2004-03-01 0
Number of other retired or separated participants entitled to future benefits 2004-03-01 0
Total of all active and inactive participants 2004-03-01 100

Measure	Date	Value
2013: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-03-01	100
Total number of active participants reported on line 7a of the Form 5500	2013-03-01	105
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	105
2012: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-03-01	99
Total number of active participants reported on line 7a of the Form 5500	2012-03-01	100
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	100
2011: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-03-01	100
Total number of active participants reported on line 7a of the Form 5500	2011-03-01	99
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	99
2010: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 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	100
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	100
2009: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-03-01	100
Total number of active participants reported on line 7a of the Form 5500	2009-03-01	100
Number of retired or separated participants receiving benefits	2009-03-01	0
Number of other retired or separated participants entitled to future benefits	2009-03-01	0
Total of all active and inactive participants	2009-03-01	100
2008: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 2008 401k membership
Total participants, beginning-of-year	2008-03-01	100
Total number of active participants reported on line 7a of the Form 5500	2008-03-01	100
Number of retired or separated participants receiving benefits	2008-03-01	0
Number of other retired or separated participants entitled to future benefits	2008-03-01	0
Total of all active and inactive participants	2008-03-01	100
2007: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 2007 401k membership
Total participants, beginning-of-year	2007-03-01	100
Total number of active participants reported on line 7a of the Form 5500	2007-03-01	100
Number of retired or separated participants receiving benefits	2007-03-01	0
Number of other retired or separated participants entitled to future benefits	2007-03-01	0
Total of all active and inactive participants	2007-03-01	100
2006: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 2006 401k membership
Total participants, beginning-of-year	2006-03-01	100
Total number of active participants reported on line 7a of the Form 5500	2006-03-01	100
Number of retired or separated participants receiving benefits	2006-03-01	0
Number of other retired or separated participants entitled to future benefits	2006-03-01	0
Total of all active and inactive participants	2006-03-01	100
2005: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 2005 401k membership
Total participants, beginning-of-year	2005-03-01	100
Total number of active participants reported on line 7a of the Form 5500	2005-03-01	100
Number of retired or separated participants receiving benefits	2005-03-01	0
Number of other retired or separated participants entitled to future benefits	2005-03-01	0
Total of all active and inactive participants	2005-03-01	100
2004: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 2004 401k membership
Total participants, beginning-of-year	2004-03-01	100
Total number of active participants reported on line 7a of the Form 5500	2004-03-01	100
Number of retired or separated participants receiving benefits	2004-03-01	0
Number of other retired or separated participants entitled to future benefits	2004-03-01	0
Total of all active and inactive participants	2004-03-01	100

Form 5500 Responses for THE VIZZA WASH, LP WELFARE BENEFIT PLAN

2013: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 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)	Yes
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: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 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: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 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: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 2010 form 5500 responses
2010-03-01	Type of plan entity	Single employer plan
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
2009: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-03-01	Type of plan entity	Single employer plan
2009-03-01	Submission has been amended	No
2009-03-01	This submission is the final filing	No
2009-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-03-01	Plan is a collectively bargained plan	No
2009-03-01	Plan funding arrangement – Insurance	Yes
2009-03-01	Plan benefit arrangement – Insurance	Yes
2008: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 2008 form 5500 responses
2008-03-01	Type of plan entity	Single employer plan
2008-03-01	Submission has been amended	No
2008-03-01	This submission is the final filing	No
2008-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-03-01	Plan is a collectively bargained plan	No
2008-03-01	Plan funding arrangement – Insurance	Yes
2008-03-01	Plan benefit arrangement – Insurance	Yes
2007: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 2007 form 5500 responses
2007-03-01	Type of plan entity	Single employer plan
2007-03-01	Submission has been amended	No
2007-03-01	This submission is the final filing	No
2007-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-03-01	Plan is a collectively bargained plan	No
2007-03-01	Plan funding arrangement – Insurance	Yes
2007-03-01	Plan benefit arrangement – Insurance	Yes
2006: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 2006 form 5500 responses
2006-03-01	Type of plan entity	Single employer plan
2006-03-01	Submission has been amended	No
2006-03-01	This submission is the final filing	No
2006-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-03-01	Plan is a collectively bargained plan	No
2006-03-01	Plan funding arrangement – Insurance	Yes
2006-03-01	Plan benefit arrangement – Insurance	Yes
2005: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 2005 form 5500 responses
2005-03-01	Type of plan entity	Single employer plan
2005-03-01	Submission has been amended	No
2005-03-01	This submission is the final filing	No
2005-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2005-03-01	Plan is a collectively bargained plan	No
2005-03-01	Plan funding arrangement – Insurance	Yes
2005-03-01	Plan benefit arrangement – Insurance	Yes
2004: THE VIZZA WASH, LP WELFARE BENEFIT PLAN 2004 form 5500 responses
2004-03-01	Type of plan entity	Single employer plan
2004-03-01	Submission has been amended	No
2004-03-01	This submission is the final filing	No
2004-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2004-03-01	Plan is a collectively bargained plan	No
2004-03-01	Plan funding arrangement – Insurance	Yes
2004-03-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	466498
Policy instance	1
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number	590697
Policy instance	2
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	466498
Policy instance	1
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number	590697
Policy instance	2
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	466498
Policy instance	2
QCD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number	0150VIZZA
Policy instance	1
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number	590697
Policy instance	3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number	7506447
Policy instance	4
CONTINTAL ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62413 )
Policy contract number	00
Policy instance	2
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number	1026737
Policy instance	3
QCD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number	0150VIZZA
Policy instance	1
QCD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number	0150VIZZA
Policy instance	1
CONTINTAL ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62413 )
Policy contract number	00
Policy instance	2
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number	1026737
Policy instance	3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number	7506447
Policy instance	4
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number	7506447
Policy instance	4
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number	1026737
Policy instance	3
CONTINTAL ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62413 )
Policy contract number	00
Policy instance	2
QCD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number	0150VIZZA
Policy instance	1
CONTINTAL ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62413 )
Policy contract number	00
Policy instance	2
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number	7506447
Policy instance	4
QCD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number	0150VIZZA
Policy instance	1
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number	1026737
Policy instance	3
QCD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number	0150VIZZA
Policy instance	1
CONTINTAL ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62413 )
Policy contract number	00
Policy instance	2
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number	1026737
Policy instance	3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number	7506447
Policy instance	4
CONTINTAL ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62413 )
Policy contract number	00
Policy instance	2
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number	7506447
Policy instance	4
QCD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number	0150VIZZA
Policy instance	1
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number	1026737
Policy instance	3
CONTINTAL ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62413 )
Policy contract number	00
Policy instance	2
QCD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number	0150VIZZA
Policy instance	1
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number	7506447
Policy instance	4
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number	1026737
Policy instance	3

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Company Name:	VIZZA WASH, L.P.
Employer identification number (EIN):	742397010
NAIC Classification:	811190