401k Plan data: MIDWAY HOLDINGS, LP ANCILLARY PLAN plan

MIDWAY HOLDINGS, LP ANCILLARY PLAN 401k Plan overview

Plan Name	MIDWAY HOLDINGS, LP ANCILLARY PLAN
Plan identification number	502

MIDWAY HOLDINGS, LP ANCILLARY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

MIDWAY HOLDINGS LP has sponsored the creation of one or more 401k plans.

Company Name: MIDWAY HOLDINGS LP

Employer identification number (EIN): 760635055

NAIC Classification: 531390
NAIC Description: Other Activities Related to Real Estate

Additional information about MIDWAY HOLDINGS LP

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 3070287

More information about MIDWAY HOLDINGS LP

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MIDWAY HOLDINGS, LP ANCILLARY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2021-02-01
502 2020-02-01
502 2019-02-01 PAM JESSE 2020-07-29
502 2018-02-01 PAM L. JESSE 2019-10-08
502 2017-02-01 PAM L JESSE 2019-10-08

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
502	2021-02-01
502	2020-02-01
502	2019-02-01	PAM JESSE	2020-07-29
502	2018-02-01	PAM L. JESSE	2019-10-08
502	2017-02-01	PAM L JESSE	2019-10-08

Plan Statistics for MIDWAY HOLDINGS, LP ANCILLARY PLAN

401k plan membership statisitcs for MIDWAY HOLDINGS, LP ANCILLARY PLAN

Measure Date Value
2021: MIDWAY HOLDINGS, LP ANCILLARY PLAN 2021 401k membership
Total participants, beginning-of-year 2021-02-01 167
Total number of active participants reported on line 7a of the Form 5500 2021-02-01 0
Number of retired or separated participants receiving benefits 2021-02-01 0
Number of other retired or separated participants entitled to future benefits 2021-02-01 0
Total of all active and inactive participants 2021-02-01 0
2020: MIDWAY HOLDINGS, LP ANCILLARY PLAN 2020 401k membership
Total participants, beginning-of-year 2020-02-01 143
Total number of active participants reported on line 7a of the Form 5500 2020-02-01 137
Number of retired or separated participants receiving benefits 2020-02-01 1
Number of other retired or separated participants entitled to future benefits 2020-02-01 29
Total of all active and inactive participants 2020-02-01 167
2019: MIDWAY HOLDINGS, LP ANCILLARY PLAN 2019 401k membership
Total participants, beginning-of-year 2019-02-01 126
Total number of active participants reported on line 7a of the Form 5500 2019-02-01 143
Number of retired or separated participants receiving benefits 2019-02-01 0
Number of other retired or separated participants entitled to future benefits 2019-02-01 0
Total of all active and inactive participants 2019-02-01 143
Number of employers contributing to the scheme 2019-02-01 0
2018: MIDWAY HOLDINGS, LP ANCILLARY PLAN 2018 401k membership
Total participants, beginning-of-year 2018-02-01 122
Total number of active participants reported on line 7a of the Form 5500 2018-02-01 126
Number of retired or separated participants receiving benefits 2018-02-01 0
Number of other retired or separated participants entitled to future benefits 2018-02-01 0
Total of all active and inactive participants 2018-02-01 126
Number of employers contributing to the scheme 2018-02-01 0
2017: MIDWAY HOLDINGS, LP ANCILLARY PLAN 2017 401k membership
Total participants, beginning-of-year 2017-02-01 100
Total number of active participants reported on line 7a of the Form 5500 2017-02-01 122
Number of retired or separated participants receiving benefits 2017-02-01 0
Number of other retired or separated participants entitled to future benefits 2017-02-01 0
Total of all active and inactive participants 2017-02-01 122
Number of employers contributing to the scheme 2017-02-01 0

Measure	Date	Value
2021: MIDWAY HOLDINGS, LP ANCILLARY PLAN 2021 401k membership
Total participants, beginning-of-year	2021-02-01	167
Total number of active participants reported on line 7a of the Form 5500	2021-02-01	0
Number of retired or separated participants receiving benefits	2021-02-01	0
Number of other retired or separated participants entitled to future benefits	2021-02-01	0
Total of all active and inactive participants	2021-02-01	0
2020: MIDWAY HOLDINGS, LP ANCILLARY PLAN 2020 401k membership
Total participants, beginning-of-year	2020-02-01	143
Total number of active participants reported on line 7a of the Form 5500	2020-02-01	137
Number of retired or separated participants receiving benefits	2020-02-01	1
Number of other retired or separated participants entitled to future benefits	2020-02-01	29
Total of all active and inactive participants	2020-02-01	167
2019: MIDWAY HOLDINGS, LP ANCILLARY PLAN 2019 401k membership
Total participants, beginning-of-year	2019-02-01	126
Total number of active participants reported on line 7a of the Form 5500	2019-02-01	143
Number of retired or separated participants receiving benefits	2019-02-01	0
Number of other retired or separated participants entitled to future benefits	2019-02-01	0
Total of all active and inactive participants	2019-02-01	143
Number of employers contributing to the scheme	2019-02-01	0
2018: MIDWAY HOLDINGS, LP ANCILLARY PLAN 2018 401k membership
Total participants, beginning-of-year	2018-02-01	122
Total number of active participants reported on line 7a of the Form 5500	2018-02-01	126
Number of retired or separated participants receiving benefits	2018-02-01	0
Number of other retired or separated participants entitled to future benefits	2018-02-01	0
Total of all active and inactive participants	2018-02-01	126
Number of employers contributing to the scheme	2018-02-01	0
2017: MIDWAY HOLDINGS, LP ANCILLARY PLAN 2017 401k membership
Total participants, beginning-of-year	2017-02-01	100
Total number of active participants reported on line 7a of the Form 5500	2017-02-01	122
Number of retired or separated participants receiving benefits	2017-02-01	0
Number of other retired or separated participants entitled to future benefits	2017-02-01	0
Total of all active and inactive participants	2017-02-01	122
Number of employers contributing to the scheme	2017-02-01	0

Form 5500 Responses for MIDWAY HOLDINGS, LP ANCILLARY PLAN

2021: MIDWAY HOLDINGS, LP ANCILLARY PLAN 2021 form 5500 responses
2021-02-01	Type of plan entity	Single employer plan
2021-02-01	Submission has been amended	No
2021-02-01	This submission is the final filing	Yes
2021-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-02-01	Plan is a collectively bargained plan	No
2021-02-01	Plan funding arrangement – Insurance	Yes
2021-02-01	Plan benefit arrangement – Insurance	Yes
2020: MIDWAY HOLDINGS, LP ANCILLARY PLAN 2020 form 5500 responses
2020-02-01	Type of plan entity	Single employer plan
2020-02-01	Submission has been amended	No
2020-02-01	This submission is the final filing	No
2020-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-02-01	Plan is a collectively bargained plan	No
2020-02-01	Plan funding arrangement – Insurance	Yes
2020-02-01	Plan benefit arrangement – Insurance	Yes
2019: MIDWAY HOLDINGS, LP ANCILLARY PLAN 2019 form 5500 responses
2019-02-01	Type of plan entity	Single employer plan
2019-02-01	Plan funding arrangement – Insurance	Yes
2019-02-01	Plan benefit arrangement – Insurance	Yes
2018: MIDWAY HOLDINGS, LP ANCILLARY PLAN 2018 form 5500 responses
2018-02-01	Type of plan entity	Single employer plan
2018-02-01	Plan funding arrangement – Insurance	Yes
2018-02-01	Plan benefit arrangement – Insurance	Yes
2017: MIDWAY HOLDINGS, LP ANCILLARY PLAN 2017 form 5500 responses
2017-02-01	Type of plan entity	Single employer plan
2017-02-01	First time form 5500 has been submitted	Yes
2017-02-01	Plan funding arrangement – Insurance	Yes
2017-02-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

893202G

Policy instance

Insurance contract or identification number	893202G
Number of Individuals Covered	45
Insurance policy start date	2021-02-01
Insurance policy end date	2022-01-31
Total amount of commissions paid to insurance broker	USD $2,724
Total amount of fees paid to insurance company	USD $1,175
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENT, CRITICAL ILLNESS
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $13,619
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,724
Amount paid for insurance broker fees	1175
Additional information about fees paid to insurance broker	FEES AND BONUS
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1073468

Policy instance

Insurance contract or identification number	1073468
Number of Individuals Covered	298
Insurance policy start date	2021-02-01
Insurance policy end date	2022-01-31
Total amount of commissions paid to insurance broker	USD $16,479
Total amount of fees paid to insurance company	USD $11,302
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $168,161
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,557
Amount paid for insurance broker fees	9401
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1073468

Policy instance

Insurance contract or identification number	1073468
Number of Individuals Covered	137
Insurance policy start date	2020-02-01
Insurance policy end date	2021-01-31
Total amount of commissions paid to insurance broker	USD $18,422
Total amount of fees paid to insurance company	USD $5,208
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $198,515
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $11,278
Amount paid for insurance broker fees	5208
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1073468

Policy instance

Insurance contract or identification number	1073468
Number of Individuals Covered	280
Insurance policy start date	2019-02-01
Insurance policy end date	2020-01-31
Total amount of commissions paid to insurance broker	USD $13,549
Total amount of fees paid to insurance company	USD $1,488
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $184,086
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,549
Amount paid for insurance broker fees	1488
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1073468

Policy instance

Insurance contract or identification number	1073468
Number of Individuals Covered	228
Insurance policy start date	2018-02-01
Insurance policy end date	2019-01-31
Total amount of commissions paid to insurance broker	USD $12,942
Total amount of fees paid to insurance company	USD $6,816
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $171,133
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,942
Amount paid for insurance broker fees	6816
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1073468

Policy instance

Insurance contract or identification number	1073468
Number of Individuals Covered	208
Insurance policy start date	2017-02-01
Insurance policy end date	2018-01-31
Total amount of commissions paid to insurance broker	USD $11,854
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $149,879
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	MIDWAY HOLDINGS LP
Employer identification number (EIN):	760635055
NAIC Classification:	531390
NAIC Description:	Other Activities Related to Real Estate

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	3070287