401k Plan data: N BALANCE INC DBA MASSAGE ENVY plan

N BALANCE INC DBA MASSAGE ENVY 401k Plan overview

Plan Name	N BALANCE INC DBA MASSAGE ENVY
Plan identification number	501

N BALANCE INC DBA MASSAGE ENVY Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

N BALANCE, INC. has sponsored the creation of one or more 401k plans.

Company Name: N BALANCE, INC.

Employer identification number (EIN): 841680170

NAIC Classification: 621399
NAIC Description: Offices of All Other Miscellaneous Health Practitioners

Additional information about N BALANCE, INC.

Jurisdiction of Incorporation: California Department of State

Incorporation Date: 2004-10-08

Company Identification Number: C2706517

Legal Registered Office Address: 37-675 Peacock Cir

Rancho Mirage
United States of America (USA)
92270

More information about N BALANCE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan N BALANCE INC DBA MASSAGE ENVY

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2019-01-01

Plan Statistics for N BALANCE INC DBA MASSAGE ENVY

401k plan membership statisitcs for N BALANCE INC DBA MASSAGE ENVY

Measure Date Value
2019: N BALANCE INC DBA MASSAGE ENVY 2019 401k membership
Total participants, beginning-of-year 2019-01-01 47
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 47
Number of retired or separated participants receiving benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 47
Total participants 2019-01-01 47
Number of employers contributing to the scheme 2019-01-01 0

Measure	Date	Value
2019: N BALANCE INC DBA MASSAGE ENVY 2019 401k membership
Total participants, beginning-of-year	2019-01-01	47
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	47
Number of retired or separated participants receiving benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	47
Total participants	2019-01-01	47
Number of employers contributing to the scheme	2019-01-01	0

Form 5500 Responses for N BALANCE INC DBA MASSAGE ENVY

2019: N BALANCE INC DBA MASSAGE ENVY 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	First time form 5500 has been submitted	Yes
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Section 412(e)(3) insurance Contracts	Yes
2019-01-01	Plan benefit arrangement – Section 412(e)(3) insurance Contracts	Yes

Insurance Providers Used on plan

AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

0716513HNO

Policy instance

Insurance contract or identification number	0716513HNO
Number of Individuals Covered	47
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $11,149
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
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 $215,672
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $11,149

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Company Name:	N BALANCE, INC.
Employer identification number (EIN):	841680170
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:	2004-10-08
Company Identification Number:	C2706517
Legal Registered Office Address:	37-675 Peacock Cir Rancho Mirage United States of America (USA) 92270