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BLUESTONE HOSPITALITY LLC WELFARE BENEFIT PLAN 401k Plan overview

Plan NameBLUESTONE HOSPITALITY LLC WELFARE BENEFIT PLAN
Plan identification number 501

BLUESTONE HOSPITALITY LLC WELFARE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

BLUESTONE HOSPITALITY LLC has sponsored the creation of one or more 401k plans.

Company Name:BLUESTONE HOSPITALITY LLC
Employer identification number (EIN):814605673
NAIC Classification:722511
NAIC Description:Full-Service Restaurants

Additional information about BLUESTONE HOSPITALITY LLC

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2016-12-03
Company Identification Number: 0802594797
Legal Registered Office Address: 6705 W HIGHWAY 290 # 50296

AUSTIN
United States of America (USA)
78735

More information about BLUESTONE HOSPITALITY LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLUESTONE HOSPITALITY LLC WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-07-01
5012018-07-01
5012017-07-01MICHELLE ABRAHAM
5012017-01-17MICHELLE ABRAHAM

Form 5500 Responses for BLUESTONE HOSPITALITY LLC WELFARE BENEFIT PLAN

2018: BLUESTONE HOSPITALITY LLC WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01First time form 5500 has been submittedYes
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingYes
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: BLUESTONE HOSPITALITY LLC WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-01-17Type of plan entitySingle employer plan
2017-01-17First time form 5500 has been submittedYes
2017-01-17Submission has been amendedNo
2017-01-17This submission is the final filingNo
2017-01-17This return/report is a short plan year return/report (less than 12 months)Yes
2017-01-17Plan is a collectively bargained planNo
2017-01-17Plan funding arrangement – InsuranceYes
2017-01-17Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number755093
Policy instance 1
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number233924
Policy instance 2
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0755093
Policy instance 1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0755093
Policy instance 1

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