401k Plan data: ELITE PROPERTIES OF AMERICA, INC. plan

ELITE PROPERTIES OF AMERICA, INC. 401k Plan overview

Plan Name	ELITE PROPERTIES OF AMERICA, INC.
Plan identification number	506

ELITE PROPERTIES OF AMERICA, INC. Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

ELITE PROPERTIES OF AMERICA, INC. has sponsored the creation of one or more 401k plans.

Company Name: ELITE PROPERTIES OF AMERICA, INC.

Employer identification number (EIN): 841130622

NAIC Classification: 236110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ELITE PROPERTIES OF AMERICA, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
506 2023-01-01 SARAH STEPH 2024-08-16 SARAH STEPH 2024-08-16
506 2023-01-01 SARAH STEPH 2024-12-13 SARAH STEPH 2024-12-13

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
506	2023-01-01	SARAH STEPH	2024-08-16	SARAH STEPH	2024-08-16
506	2023-01-01	SARAH STEPH	2024-12-13	SARAH STEPH	2024-12-13

Plan Statistics for ELITE PROPERTIES OF AMERICA, INC.

401k plan membership statisitcs for ELITE PROPERTIES OF AMERICA, INC.

Measure Date Value
2023: ELITE PROPERTIES OF AMERICA, INC. 2023 401k membership
Total participants, beginning-of-year 2023-01-01 237
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 254
Total of all active and inactive participants 2023-01-01 254

Measure	Date	Value
2023: ELITE PROPERTIES OF AMERICA, INC. 2023 401k membership
Total participants, beginning-of-year	2023-01-01	237
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	254
Total of all active and inactive participants	2023-01-01	254

Form 5500 Responses for ELITE PROPERTIES OF AMERICA, INC.

2023: ELITE PROPERTIES OF AMERICA, INC. 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Submission has been amended	Yes
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

000000497150

Policy instance

Insurance contract or identification number	000000497150
Number of Individuals Covered	282
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $8,800
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $99,039
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

000000497151

Policy instance

Insurance contract or identification number	000000497151
Number of Individuals Covered	160
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $8,209
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $59,693
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

5957591

Policy instance

Insurance contract or identification number	5957591
Number of Individuals Covered	445
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $27,882
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $189,611
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30044844

Policy instance

Insurance contract or identification number	30044844
Number of Individuals Covered	169
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $1,221
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $23,853
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

00627695

Policy instance

Insurance contract or identification number	00627695
Number of Individuals Covered	320
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $95,410
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	ELITE PROPERTIES OF AMERICA, INC.
Employer identification number (EIN):	841130622
NAIC Classification:	236110