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| Plan Name | LIGHTHOUSE AMENITIES, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | LIGHTHOUSE AMENITIES, LLC |
| Employer identification number (EIN): | 824339051 |
| NAIC Classification: | 424100 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2018-05-01 |
| Measure | Date | Value |
|---|---|---|
| 2018: LIGHTHOUSE AMENITIES, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-05-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-05-01 | 0 |
| Number of retired or separated participants receiving benefits | 2018-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-05-01 | 0 |
| Total of all active and inactive participants | 2018-05-01 | 0 |
| Measure | Date | Value |
|---|---|---|
| 2019 : LIGHTHOUSE AMENITIES, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2019 401k financial data | ||
| Total income from all sources | 2019-04-30 | $43,972 |
| Expenses. Total of all expenses incurred | 2019-04-30 | $44,241 |
| Benefits paid (including direct rollovers) | 2019-04-30 | $44,241 |
| Total plan assets at end of year | 2019-04-30 | $0 |
| Total plan assets at beginning of year | 2019-04-30 | $269 |
| Other income received | 2019-04-30 | $4 |
| Net income (gross income less expenses) | 2019-04-30 | $-269 |
| Net plan assets at end of year (total assets less liabilities) | 2019-04-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-04-30 | $269 |
| Total contributions received or receivable from employer(s) | 2019-04-30 | $43,968 |
| 2018: LIGHTHOUSE AMENITIES, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2018 form 5500 responses | ||
|---|---|---|
| 2018-05-01 | Type of plan entity | Single employer plan |
| 2018-05-01 | This submission is the final filing | Yes |
| 2018-05-01 | Plan funding arrangement – Trust | Yes |
| 2018-05-01 | Plan benefit arrangement - Trust | Yes |
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