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NORTH FORTY LODGING LLC DBA ALDERBROOK RESORT & SPA WELFARE PLAN 401k Plan overview

Plan NameNORTH FORTY LODGING LLC DBA ALDERBROOK RESORT & SPA WELFARE PLAN
Plan identification number 501

NORTH FORTY LODGING LLC DBA ALDERBROOK RESORT & SPA WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

NORTH FORTY LODGING LLC has sponsored the creation of one or more 401k plans.

Company Name:NORTH FORTY LODGING LLC
Employer identification number (EIN):912155756
NAIC Classification:721110
NAIC Description:Hotels (except Casino Hotels) and Motels

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH FORTY LODGING LLC DBA ALDERBROOK RESORT & SPA WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-02-01ELIZABETH RUSSELL2023-08-18
5012021-02-01ELIZABETH RUSSELL2022-07-28
5012020-02-01ELIZABETH RUSSELL2021-06-29
5012019-02-01ELIZABETH RUSSELL2021-06-29
5012017-02-01ELIZABETH RUSSELL2021-06-29
5012016-02-01ELIZABETH RUSSELL2021-06-29
5012011-02-01ELIZABETH RUSSELL2021-06-29

Plan Statistics for NORTH FORTY LODGING LLC DBA ALDERBROOK RESORT & SPA WELFARE PLAN

401k plan membership statisitcs for NORTH FORTY LODGING LLC DBA ALDERBROOK RESORT & SPA WELFARE PLAN

Measure Date Value
2022: NORTH FORTY LODGING LLC DBA ALDERBROOK RESORT & SPA WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-02-01107
Total number of active participants reported on line 7a of the Form 55002022-02-01148
Number of retired or separated participants receiving benefits2022-02-010
Number of other retired or separated participants entitled to future benefits2022-02-010
Total of all active and inactive participants2022-02-01148
Number of employers contributing to the scheme2022-02-010
2021: NORTH FORTY LODGING LLC DBA ALDERBROOK RESORT & SPA WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-02-01102
Total number of active participants reported on line 7a of the Form 55002021-02-01107
Number of retired or separated participants receiving benefits2021-02-012
Number of other retired or separated participants entitled to future benefits2021-02-010
Total of all active and inactive participants2021-02-01109
Number of employers contributing to the scheme2021-02-010
2020: NORTH FORTY LODGING LLC DBA ALDERBROOK RESORT & SPA WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-02-01102
Total number of active participants reported on line 7a of the Form 55002020-02-01102
Number of retired or separated participants receiving benefits2020-02-010
Number of other retired or separated participants entitled to future benefits2020-02-010
Total of all active and inactive participants2020-02-01102
Number of employers contributing to the scheme2020-02-010
2019: NORTH FORTY LODGING LLC DBA ALDERBROOK RESORT & SPA WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-02-01103
Total number of active participants reported on line 7a of the Form 55002019-02-01103
Number of retired or separated participants receiving benefits2019-02-010
Number of other retired or separated participants entitled to future benefits2019-02-010
Total of all active and inactive participants2019-02-01103
Number of employers contributing to the scheme2019-02-010
2017: NORTH FORTY LODGING LLC DBA ALDERBROOK RESORT & SPA WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-02-01108
Total number of active participants reported on line 7a of the Form 55002017-02-01108
Number of retired or separated participants receiving benefits2017-02-010
Number of other retired or separated participants entitled to future benefits2017-02-010
Total of all active and inactive participants2017-02-01108
Number of employers contributing to the scheme2017-02-010
2016: NORTH FORTY LODGING LLC DBA ALDERBROOK RESORT & SPA WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-02-01118
Total number of active participants reported on line 7a of the Form 55002016-02-01108
Number of retired or separated participants receiving benefits2016-02-010
Number of other retired or separated participants entitled to future benefits2016-02-010
Total of all active and inactive participants2016-02-01108
Number of employers contributing to the scheme2016-02-010
2011: NORTH FORTY LODGING LLC DBA ALDERBROOK RESORT & SPA WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-02-01104
Total number of active participants reported on line 7a of the Form 55002011-02-01102
Number of retired or separated participants receiving benefits2011-02-010
Number of other retired or separated participants entitled to future benefits2011-02-010
Total of all active and inactive participants2011-02-01102
Number of employers contributing to the scheme2011-02-010

Form 5500 Responses for NORTH FORTY LODGING LLC DBA ALDERBROOK RESORT & SPA WELFARE PLAN

2022: NORTH FORTY LODGING LLC DBA ALDERBROOK RESORT & SPA WELFARE PLAN 2022 form 5500 responses
2022-02-01Type of plan entitySingle employer plan
2022-02-01Plan funding arrangement – InsuranceYes
2022-02-01Plan benefit arrangement – InsuranceYes
2021: NORTH FORTY LODGING LLC DBA ALDERBROOK RESORT & SPA WELFARE PLAN 2021 form 5500 responses
2021-02-01Type of plan entitySingle employer plan
2021-02-01Plan funding arrangement – InsuranceYes
2021-02-01Plan benefit arrangement – InsuranceYes
2020: NORTH FORTY LODGING LLC DBA ALDERBROOK RESORT & SPA WELFARE PLAN 2020 form 5500 responses
2020-02-01Type of plan entitySingle employer plan
2020-02-01Plan funding arrangement – InsuranceYes
2020-02-01Plan benefit arrangement – InsuranceYes
2019: NORTH FORTY LODGING LLC DBA ALDERBROOK RESORT & SPA WELFARE PLAN 2019 form 5500 responses
2019-02-01Type of plan entitySingle employer plan
2019-02-01Plan funding arrangement – InsuranceYes
2019-02-01Plan benefit arrangement – InsuranceYes
2017: NORTH FORTY LODGING LLC DBA ALDERBROOK RESORT & SPA WELFARE PLAN 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – InsuranceYes
2016: NORTH FORTY LODGING LLC DBA ALDERBROOK RESORT & SPA WELFARE PLAN 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – InsuranceYes
2011: NORTH FORTY LODGING LLC DBA ALDERBROOK RESORT & SPA WELFARE PLAN 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01First time form 5500 has been submittedYes
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5720565
Policy instance 1
Insurance contract or identification number5720565
Number of Individuals Covered188
Insurance policy start date2022-02-01
Insurance policy end date2023-01-31
Total amount of commissions paid to insurance brokerUSD $10,490
Total amount of fees paid to insurance companyUSD $734
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $58,692
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,794
Amount paid for insurance broker fees734
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05720565
Policy instance 1
Insurance contract or identification numberKM05720565
Number of Individuals Covered156
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $10,054
Total amount of fees paid to insurance companyUSD $1,538
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $60,915
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,267
Amount paid for insurance broker fees793
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION, SUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5720565
Policy instance 1
Insurance contract or identification number5720565
Number of Individuals Covered155
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $11,519
Total amount of fees paid to insurance companyUSD $1,005
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $53,876
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,315
Amount paid for insurance broker fees1005
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION NON-MONETARY COMPENSATION
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5720565
Policy instance 1
Insurance contract or identification number5720565
Number of Individuals Covered152
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $10,438
Total amount of fees paid to insurance companyUSD $698
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $62,607
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,817
Amount paid for insurance broker fees684
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION, NON-MONETARY COMPENSATION
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05720565
Policy instance 1
Insurance contract or identification numberKM05720565
Number of Individuals Covered149
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $5,503
Total amount of fees paid to insurance companyUSD $51
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $54,074
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,503
Amount paid for insurance broker fees51
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05720565
Policy instance 1
Insurance contract or identification numberKM05720565
Number of Individuals Covered164
Insurance policy start date2016-02-01
Insurance policy end date2017-01-31
Total amount of commissions paid to insurance brokerUSD $7,876
Total amount of fees paid to insurance companyUSD $1,165
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $63,819
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,876
Amount paid for insurance broker fees1165
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05720565
Policy instance 1
Insurance contract or identification numberKM05720565
Number of Individuals Covered102
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $4,400
Total amount of fees paid to insurance companyUSD $752
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $37,462
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,400
Amount paid for insurance broker fees752
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3

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