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FANTASY SPRINGS RESORT CASINO 401(K) PLAN 401k Plan overview

Plan NameFANTASY SPRINGS RESORT CASINO 401(K) PLAN
Plan identification number 001

FANTASY SPRINGS RESORT CASINO 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

EAST VALLEY TOURIST DEVELOPMENT AUTHORITY DBA has sponsored the creation of one or more 401k plans.

Company Name:EAST VALLEY TOURIST DEVELOPMENT AUTHORITY DBA
Employer identification number (EIN):953835364
NAIC Classification:713200
NAIC Description: Gambling Industries

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FANTASY SPRINGS RESORT CASINO 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01CORRINA ESPINOSA CORRINA ESPINOSA2018-09-24
0012016-01-01SOLEDAD ARGUILEZ SOLEDAD ARGUILEZ2017-07-20
0012015-01-01SOLEDAD ARGUILEZ SOLEDAD ARGUILEZ2016-10-17
0012014-01-01SOLEDAD ARGUILEZ SOLEDAD ARGUILEZ2016-03-07
0012013-01-01SOLEDAD ARGUILEZ SOLEDAD ARGUILEZ2015-07-10
0012012-01-01SOLEDAD ARGUILEZ SOLEDAD ARGUILEZ2013-07-17
0012011-01-01MARTHA ROMERO MARTHA ROMERO2012-07-18
0012009-01-01MARTY ROMERO MARTY ROMERO2010-09-29
0012008-01-01SOLEDAD ARGUILEZ SOLEDAD ARGUILEZ2012-07-31

Plan Statistics for FANTASY SPRINGS RESORT CASINO 401(K) PLAN

401k plan membership statisitcs for FANTASY SPRINGS RESORT CASINO 401(K) PLAN

Measure Date Value
2022: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,118
Total number of active participants reported on line 7a of the Form 55002022-01-011,067
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0182
Total of all active and inactive participants2022-01-011,149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-011
Total participants2022-01-011,150
Number of participants with account balances2022-01-01621
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-015
2021: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,104
Total number of active participants reported on line 7a of the Form 55002021-01-01970
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0195
Total of all active and inactive participants2021-01-011,065
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-011,065
Number of participants with account balances2021-01-01654
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-015
2020: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,153
Total number of active participants reported on line 7a of the Form 55002020-01-011,033
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0159
Total of all active and inactive participants2020-01-011,092
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-011,092
Number of participants with account balances2020-01-01689
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-017
2019: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,157
Total number of active participants reported on line 7a of the Form 55002019-01-011,082
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0152
Total of all active and inactive participants2019-01-011,134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-011,134
Number of participants with account balances2019-01-01716
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-012
2018: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,188
Total number of active participants reported on line 7a of the Form 55002018-01-011,098
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0147
Total of all active and inactive participants2018-01-011,145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-011,145
Number of participants with account balances2018-01-01718
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,187
Total number of active participants reported on line 7a of the Form 55002017-01-011,026
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-01150
Total of all active and inactive participants2017-01-011,176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-011,176
Number of participants with account balances2017-01-01836
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-016
2016: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,035
Total number of active participants reported on line 7a of the Form 55002016-01-01967
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-01201
Total of all active and inactive participants2016-01-011,168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-011,168
Number of participants with account balances2016-01-01937
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-013
2015: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,065
Total number of active participants reported on line 7a of the Form 55002015-01-01985
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0139
Total of all active and inactive participants2015-01-011,024
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-011,024
Number of participants with account balances2015-01-01416
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-019
2014: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,055
Total number of active participants reported on line 7a of the Form 55002014-01-011,192
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0145
Total of all active and inactive participants2014-01-011,237
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-011,237
Number of participants with account balances2014-01-01417
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-013
2013: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,087
Total number of active participants reported on line 7a of the Form 55002013-01-011,016
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0168
Total of all active and inactive participants2013-01-011,084
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-011,084
Number of participants with account balances2013-01-01439
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0110
2012: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,042
Total number of active participants reported on line 7a of the Form 55002012-01-01996
Number of other retired or separated participants entitled to future benefits2012-01-0163
Total of all active and inactive participants2012-01-011,059
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-011,059
Number of participants with account balances2012-01-01424
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0113
2011: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,043
Total number of active participants reported on line 7a of the Form 55002011-01-01972
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0136
Total of all active and inactive participants2011-01-011,008
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-011
Total participants2011-01-011,009
Number of participants with account balances2011-01-01400
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0188
2009: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,144
Total number of active participants reported on line 7a of the Form 55002009-01-01983
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-01107
Total of all active and inactive participants2009-01-011,090
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-011,090
Number of participants with account balances2009-01-01341
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-01114
2008: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2008 401k membership
Total participants, beginning-of-year2008-01-011,059
Total number of active participants reported on line 7a of the Form 55002008-01-011,110
Number of other retired or separated participants entitled to future benefits2008-01-01103
Total of all active and inactive participants2008-01-011,213
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2008-01-010
Total participants2008-01-011,213
Number of participants with account balances2008-01-01494
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2008-01-0152

Financial Data on FANTASY SPRINGS RESORT CASINO 401(K) PLAN

Measure Date Value
2022 : FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-120,619
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$1,797,286
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,653,202
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$3,190,420
Value of total assets at end of year2022-12-31$23,247,807
Value of total assets at beginning of year2022-12-31$25,165,712
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$144,084
Total interest from all sources2022-12-31$140,197
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$206,748
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$206,748
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$2,495,194
Participant contributions at end of year2022-12-31$937,460
Participant contributions at beginning of year2022-12-31$918,312
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$71,425
Other income not declared elsewhere2022-12-31$574
Administrative expenses (other) incurred2022-12-31$900
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,917,905
Value of net assets at end of year (total assets less liabilities)2022-12-31$23,247,807
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$25,165,712
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$101,842
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$12,103,430
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$11,397,309
Value of interest in pooled separate accounts at end of year2022-12-31$4,435,426
Value of interest in pooled separate accounts at beginning of year2022-12-31$7,008,332
Interest on participant loans2022-12-31$44,935
Interest earned on other investments2022-12-31$95,262
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$5,771,491
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$5,841,759
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-2,615,687
Net investment gain/loss from pooled separate accounts2022-12-31$-1,042,871
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$623,801
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,653,202
Contract administrator fees2022-12-31$41,342
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MACIAS GINI & O'CONNELL, LLP
Accountancy firm EIN2022-12-31680300457
2021 : FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$5,181,536
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$936,449
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$800,412
Expenses. Certain deemed distributions of participant loans2021-12-31$-478
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$3,006,791
Value of total assets at end of year2021-12-31$25,165,712
Value of total assets at beginning of year2021-12-31$20,920,625
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$136,515
Total interest from all sources2021-12-31$139,511
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$233,191
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$233,191
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$2,313,340
Participant contributions at end of year2021-12-31$918,312
Participant contributions at beginning of year2021-12-31$819,119
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$115,116
Other income not declared elsewhere2021-12-31$2,382
Administrative expenses (other) incurred2021-12-31$136,515
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$4,245,087
Value of net assets at end of year (total assets less liabilities)2021-12-31$25,165,712
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$20,920,625
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$11,397,309
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$15,253,823
Value of interest in pooled separate accounts at end of year2021-12-31$7,008,332
Value of interest in pooled separate accounts at beginning of year2021-12-31$0
Interest on participant loans2021-12-31$49,755
Interest earned on other investments2021-12-31$89,756
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$5,841,759
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$4,847,683
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,797,930
Net investment gain/loss from pooled separate accounts2021-12-31$1,731
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$578,335
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$800,412
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31MACIAS GINI & O'CONNELL, LLP
Accountancy firm EIN2021-12-31680300457
2020 : FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$4,606,957
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$2,958,435
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$2,831,262
Expenses. Certain deemed distributions of participant loans2020-12-31$9,237
Value of total corrective distributions2020-12-31$3,668
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$2,410,028
Value of total assets at end of year2020-12-31$20,920,625
Value of total assets at beginning of year2020-12-31$19,272,103
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$114,268
Total interest from all sources2020-12-31$138,090
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$191,523
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$191,523
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$1,905,199
Participant contributions at end of year2020-12-31$819,119
Participant contributions at beginning of year2020-12-31$1,100,084
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$23,590
Other income not declared elsewhere2020-12-31$1,784
Administrative expenses (other) incurred2020-12-31$114,268
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,648,522
Value of net assets at end of year (total assets less liabilities)2020-12-31$20,920,625
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$19,272,103
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$15,253,823
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$13,862,759
Interest on participant loans2020-12-31$48,911
Interest earned on other investments2020-12-31$89,179
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$4,847,683
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$4,309,260
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,865,532
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$481,239
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$2,831,262
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31MACIAS GINI & O'CONNELL, LLP
Accountancy firm EIN2020-12-31680300457
2019 : FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$5,503,519
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$1,713,825
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,542,470
Expenses. Certain deemed distributions of participant loans2019-12-31$5,246
Value of total corrective distributions2019-12-31$9,490
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,749,988
Value of total assets at end of year2019-12-31$19,272,103
Value of total assets at beginning of year2019-12-31$15,482,409
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$156,619
Total interest from all sources2019-12-31$146,352
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$255,448
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$255,448
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$2,185,784
Participant contributions at end of year2019-12-31$1,100,084
Participant contributions at beginning of year2019-12-31$1,032,190
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$11,589
Other income not declared elsewhere2019-12-31$1,677
Administrative expenses (other) incurred2019-12-31$156,619
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$3,789,694
Value of net assets at end of year (total assets less liabilities)2019-12-31$19,272,103
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$15,482,409
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$13,862,759
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$11,093,535
Interest on participant loans2019-12-31$61,049
Interest earned on other investments2019-12-31$85,303
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$4,309,260
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$3,356,684
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$2,350,054
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$552,615
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,542,470
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31MACIAS GINI & O'CONNELL, LLP
Accountancy firm EIN2019-12-31680300457
2018 : FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$1,763,910
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$1,339,852
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,157,412
Value of total corrective distributions2018-12-31$4,703
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$2,467,845
Value of total assets at end of year2018-12-31$15,482,409
Value of total assets at beginning of year2018-12-31$15,058,351
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$177,737
Total interest from all sources2018-12-31$114,408
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$215,455
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$215,455
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$1,845,653
Participant contributions at end of year2018-12-31$1,032,190
Participant contributions at beginning of year2018-12-31$938,677
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$160,776
Other income not declared elsewhere2018-12-31$35,632
Administrative expenses (other) incurred2018-12-31$177,737
Total non interest bearing cash at end of year2018-12-31$0
Total non interest bearing cash at beginning of year2018-12-31$21
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$424,058
Value of net assets at end of year (total assets less liabilities)2018-12-31$15,482,409
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$15,058,351
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$11,093,535
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$11,317,543
Interest on participant loans2018-12-31$50,401
Interest earned on other investments2018-12-31$64,007
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$3,356,684
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$2,802,110
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-1,069,430
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$461,416
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,157,412
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31MACIAS GINI & O'CONNELL, LLP
Accountancy firm EIN2018-12-31680300457
2017 : FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$3,709,150
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$1,071,969
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,049,180
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,874,440
Value of total assets at end of year2017-12-31$15,058,351
Value of total assets at beginning of year2017-12-31$12,421,170
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$22,789
Total interest from all sources2017-12-31$56,100
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$77,982
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$77,982
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$1,490,908
Participant contributions at end of year2017-12-31$938,677
Participant contributions at beginning of year2017-12-31$837,674
Participant contributions at end of year2017-12-31$0
Participant contributions at beginning of year2017-12-31$19,167
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$10,739
Other income not declared elsewhere2017-12-31$-30,517
Administrative expenses (other) incurred2017-12-31$22,789
Total non interest bearing cash at end of year2017-12-31$21
Total non interest bearing cash at beginning of year2017-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$2,637,181
Value of net assets at end of year (total assets less liabilities)2017-12-31$15,058,351
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$12,421,170
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$11,317,543
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$883,613
Value of interest in pooled separate accounts at end of year2017-12-31$0
Value of interest in pooled separate accounts at beginning of year2017-12-31$9,498,753
Interest earned on other investments2017-12-31$8,774
Income. Interest from US Government securities2017-12-31$46,240
Value of interest in common/collective trusts at end of year2017-12-31$0
Value of interest in common/collective trusts at beginning of year2017-12-31$1,177,171
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$1,086
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$2,802,110
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,720,649
Net investment gain or loss from common/collective trusts2017-12-31$10,496
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$372,793
Employer contributions (assets) at end of year2017-12-31$0
Employer contributions (assets) at beginning of year2017-12-31$4,792
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,049,180
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31MACIAS GINI & O'CONNELL, LLP
Accountancy firm EIN2017-12-31680300457
2016 : FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets2016-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$0
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total transfer of assets to this plan2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$2,410,793
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$1,300,543
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,222,675
Value of total corrective distributions2016-12-31$30,421
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,836,869
Value of total assets at end of year2016-12-31$12,421,170
Value of total assets at beginning of year2016-12-31$11,310,920
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$47,447
Total income from rents2016-12-31$0
Total interest from all sources2016-12-31$42,036
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$5,744
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$5,744
Administrative expenses professional fees incurred2016-12-31$0
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$1,366,693
Participant contributions at end of year2016-12-31$837,674
Participant contributions at beginning of year2016-12-31$799,621
Participant contributions at end of year2016-12-31$19,167
Participant contributions at beginning of year2016-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$15,335
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$0
Administrative expenses (other) incurred2016-12-31$0
Liabilities. Value of operating payables at beginning of year2016-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$1,110,250
Value of net assets at end of year (total assets less liabilities)2016-12-31$12,421,170
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$11,310,920
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$883,613
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$839,269
Value of interest in pooled separate accounts at end of year2016-12-31$9,498,753
Value of interest in pooled separate accounts at beginning of year2016-12-31$8,448,373
Interest on participant loans2016-12-31$42,036
Income. Interest from loans (other than to participants)2016-12-31$0
Interest earned on other investments2016-12-31$0
Income. Interest from US Government securities2016-12-31$0
Income. Interest from corporate debt instruments2016-12-31$0
Value of interest in common/collective trusts at end of year2016-12-31$1,177,171
Value of interest in common/collective trusts at beginning of year2016-12-31$1,223,657
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$57,660
Net investment gain/loss from pooled separate accounts2016-12-31$460,659
Net investment gain or loss from common/collective trusts2016-12-31$7,825
Net gain/loss from 103.12 investment entities2016-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$454,841
Employer contributions (assets) at end of year2016-12-31$4,792
Employer contributions (assets) at beginning of year2016-12-31$0
Income. Dividends from preferred stock2016-12-31$0
Income. Dividends from common stock2016-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$1,222,675
Contract administrator fees2016-12-31$47,447
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$0
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$0
Aggregate carrying amount (costs) on sale of assets2016-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2016-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31MACIAS GINI & O'CONNELL, LLP
Accountancy firm EIN2016-12-31680300457
2015 : FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets2015-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$0
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total transfer of assets to this plan2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$1,564,741
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$970,890
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$914,695
Expenses. Certain deemed distributions of participant loans2015-12-31$21,255
Value of total corrective distributions2015-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,628,661
Value of total assets at end of year2015-12-31$11,310,920
Value of total assets at beginning of year2015-12-31$10,717,069
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$34,940
Total income from rents2015-12-31$0
Total interest from all sources2015-12-31$40,455
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$5,097
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$5,097
Administrative expenses professional fees incurred2015-12-31$12,887
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$1,302,890
Participant contributions at end of year2015-12-31$799,621
Participant contributions at beginning of year2015-12-31$710,798
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$9
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$0
Other income not declared elsewhere2015-12-31$0
Administrative expenses (other) incurred2015-12-31$0
Liabilities. Value of operating payables at beginning of year2015-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$593,851
Value of net assets at end of year (total assets less liabilities)2015-12-31$11,310,920
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$10,717,069
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$839,269
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$775,707
Value of interest in pooled separate accounts at end of year2015-12-31$8,448,373
Value of interest in pooled separate accounts at beginning of year2015-12-31$8,111,886
Interest on participant loans2015-12-31$40,455
Income. Interest from loans (other than to participants)2015-12-31$0
Interest earned on other investments2015-12-31$0
Income. Interest from US Government securities2015-12-31$0
Income. Interest from corporate debt instruments2015-12-31$0
Value of interest in common/collective trusts at end of year2015-12-31$1,223,657
Value of interest in common/collective trusts at beginning of year2015-12-31$1,118,678
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-4,022
Net investment gain/loss from pooled separate accounts2015-12-31$-105,286
Net investment gain or loss from common/collective trusts2015-12-31$-164
Net gain/loss from 103.12 investment entities2015-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$325,771
Income. Dividends from preferred stock2015-12-31$0
Income. Dividends from common stock2015-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$914,686
Contract administrator fees2015-12-31$22,053
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$0
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$0
Aggregate carrying amount (costs) on sale of assets2015-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2015-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31MACIAS GINI & O'CONNELL, LLP
Accountancy firm EIN2015-12-31680300457
2014 : FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total transfer of assets to this plan2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$2,101,209
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$1,284,211
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,217,081
Expenses. Certain deemed distributions of participant loans2014-12-31$30,765
Value of total corrective distributions2014-12-31$822
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,593,636
Value of total assets at end of year2014-12-31$10,717,069
Value of total assets at beginning of year2014-12-31$9,900,071
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$35,543
Total income from rents2014-12-31$0
Total interest from all sources2014-12-31$36,117
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$5,134
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$5,134
Administrative expenses professional fees incurred2014-12-31$14,562
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$2,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$1,201,741
Participant contributions at end of year2014-12-31$710,798
Participant contributions at beginning of year2014-12-31$657,800
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$91,433
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$0
Other income not declared elsewhere2014-12-31$0
Administrative expenses (other) incurred2014-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$816,998
Value of net assets at end of year (total assets less liabilities)2014-12-31$10,717,069
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$9,900,071
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$775,707
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$847,583
Value of interest in pooled separate accounts at end of year2014-12-31$8,111,886
Value of interest in pooled separate accounts at beginning of year2014-12-31$7,023,621
Interest on participant loans2014-12-31$36,117
Value of interest in common/collective trusts at end of year2014-12-31$1,118,678
Value of interest in common/collective trusts at beginning of year2014-12-31$1,371,067
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$43,773
Net investment gain/loss from pooled separate accounts2014-12-31$413,382
Net investment gain or loss from common/collective trusts2014-12-31$9,167
Net gain/loss from 103.12 investment entities2014-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$300,462
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,217,081
Contract administrator fees2014-12-31$20,981
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31MACIAS GINI & O'CONNELL, LLP
Accountancy firm EIN2014-12-31680300457
2013 : FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$967
Total income from all sources (including contributions)2013-12-31$2,784,061
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$776,029
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$747,100
Expenses. Certain deemed distributions of participant loans2013-12-31$2,894
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,511,543
Value of total assets at end of year2013-12-31$9,900,071
Value of total assets at beginning of year2013-12-31$7,893,006
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$26,035
Total interest from all sources2013-12-31$30,397
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$4,701
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$4,701
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$1,150,797
Participant contributions at end of year2013-12-31$657,800
Participant contributions at beginning of year2013-12-31$619,029
Participant contributions at beginning of year2013-12-31$16,177
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$72,999
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$967
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$2,008,032
Value of net assets at end of year (total assets less liabilities)2013-12-31$9,900,071
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$7,892,039
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$847,583
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$805,171
Value of interest in pooled separate accounts at end of year2013-12-31$7,023,621
Value of interest in pooled separate accounts at beginning of year2013-12-31$5,197,650
Interest on participant loans2013-12-31$30,397
Value of interest in common/collective trusts at end of year2013-12-31$1,371,067
Value of interest in common/collective trusts at beginning of year2013-12-31$1,250,933
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$145,728
Net investment gain/loss from pooled separate accounts2013-12-31$1,105,288
Net investment gain or loss from common/collective trusts2013-12-31$-13,596
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$287,747
Employer contributions (assets) at beginning of year2013-12-31$4,046
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$747,100
Contract administrator fees2013-12-31$26,035
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31MACIAS GINI & O'CONNELL LLP
Accountancy firm EIN2013-12-31680300457
2012 : FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$967
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$2,037,286
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$682,934
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$662,394
Value of total corrective distributions2012-12-31$1,400
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,303,158
Value of total assets at end of year2012-12-31$7,893,006
Value of total assets at beginning of year2012-12-31$6,537,687
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$19,140
Total interest from all sources2012-12-31$30,665
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$5,851
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$5,851
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$1,015,481
Participant contributions at end of year2012-12-31$619,029
Participant contributions at beginning of year2012-12-31$529,890
Participant contributions at end of year2012-12-31$16,177
Participant contributions at beginning of year2012-12-31$17,303
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$34,543
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$967
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$1,354,352
Value of net assets at end of year (total assets less liabilities)2012-12-31$7,892,039
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$6,537,687
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$805,171
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$772,214
Value of interest in pooled separate accounts at end of year2012-12-31$5,197,650
Value of interest in pooled separate accounts at beginning of year2012-12-31$4,070,327
Interest on participant loans2012-12-31$30,665
Value of interest in common/collective trusts at end of year2012-12-31$1,250,933
Value of interest in common/collective trusts at beginning of year2012-12-31$1,143,627
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$75,135
Net investment gain/loss from pooled separate accounts2012-12-31$607,884
Net investment gain or loss from common/collective trusts2012-12-31$14,593
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$253,134
Employer contributions (assets) at end of year2012-12-31$4,046
Employer contributions (assets) at beginning of year2012-12-31$4,326
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$662,394
Contract administrator fees2012-12-31$19,140
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31MACIAS GINI & O'CONNELL LLP
Accountancy firm EIN2012-12-31680300457
2011 : FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets2011-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$0
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total transfer of assets to this plan2011-12-31$0
Total transfer of assets from this plan2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$1,158,162
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$443,200
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$426,911
Expenses. Certain deemed distributions of participant loans2011-12-31$0
Value of total corrective distributions2011-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,239,965
Value of total assets at end of year2011-12-31$6,537,687
Value of total assets at beginning of year2011-12-31$5,822,725
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$16,289
Total income from rents2011-12-31$0
Total interest from all sources2011-12-31$26,451
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$6,608
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$6,608
Administrative expenses professional fees incurred2011-12-31$0
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Amount of non-exempt transactions with any party-in-interest2011-12-31$0
Contributions received from participants2011-12-31$961,960
Participant contributions at end of year2011-12-31$529,890
Participant contributions at beginning of year2011-12-31$473,138
Participant contributions at end of year2011-12-31$17,303
Participant contributions at beginning of year2011-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$72,914
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$0
Other income not declared elsewhere2011-12-31$4
Administrative expenses (other) incurred2011-12-31$0
Liabilities. Value of operating payables at beginning of year2011-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$714,962
Value of net assets at end of year (total assets less liabilities)2011-12-31$6,537,687
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$5,822,725
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2011-12-31$0
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2011-12-31$0
Investment advisory and management fees2011-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$772,214
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$689,330
Value of interest in pooled separate accounts at end of year2011-12-31$4,070,327
Value of interest in pooled separate accounts at beginning of year2011-12-31$3,609,070
Interest on participant loans2011-12-31$26,451
Income. Interest from loans (other than to participants)2011-12-31$0
Interest earned on other investments2011-12-31$0
Income. Interest from US Government securities2011-12-31$0
Income. Interest from corporate debt instruments2011-12-31$0
Value of interest in common/collective trusts at end of year2011-12-31$1,143,627
Value of interest in common/collective trusts at beginning of year2011-12-31$1,051,187
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-1,610
Net investment gain/loss from pooled separate accounts2011-12-31$-133,942
Net investment gain or loss from common/collective trusts2011-12-31$20,686
Net gain/loss from 103.12 investment entities2011-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31Yes
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$205,091
Employer contributions (assets) at end of year2011-12-31$4,326
Employer contributions (assets) at beginning of year2011-12-31$0
Income. Dividends from preferred stock2011-12-31$0
Income. Dividends from common stock2011-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$426,911
Contract administrator fees2011-12-31$16,289
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$0
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$0
Aggregate carrying amount (costs) on sale of assets2011-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2011-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31MACIAS GINI & O'CONNELL LLP
Accountancy firm EIN2011-12-31680300457
2010 : FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2010 401k financial data
Unrealized appreciation/depreciation of real estate assets2010-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$0
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total transfer of assets to this plan2010-12-31$0
Total transfer of assets from this plan2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$1,507,154
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$440,664
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$418,545
Expenses. Certain deemed distributions of participant loans2010-12-31$0
Value of total corrective distributions2010-12-31$14
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$923,414
Value of total assets at end of year2010-12-31$5,822,725
Value of total assets at beginning of year2010-12-31$4,756,235
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$22,105
Total income from rents2010-12-31$0
Total interest from all sources2010-12-31$24,442
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$5,903
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$5,903
Administrative expenses professional fees incurred2010-12-31$0
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$250,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Amount of non-exempt transactions with any party-in-interest2010-12-31$0
Contributions received from participants2010-12-31$737,912
Participant contributions at end of year2010-12-31$473,138
Participant contributions at beginning of year2010-12-31$388,925
Participant contributions at end of year2010-12-31$0
Participant contributions at beginning of year2010-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$32,573
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$0
Other income not declared elsewhere2010-12-31$4
Administrative expenses (other) incurred2010-12-31$0
Liabilities. Value of operating payables at beginning of year2010-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$1,066,490
Value of net assets at end of year (total assets less liabilities)2010-12-31$5,822,725
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$4,756,235
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2010-12-31$0
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2010-12-31$0
Investment advisory and management fees2010-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$689,330
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$554,718
Value of interest in pooled separate accounts at end of year2010-12-31$3,609,070
Value of interest in pooled separate accounts at beginning of year2010-12-31$2,640,738
Interest on participant loans2010-12-31$24,442
Income. Interest from loans (other than to participants)2010-12-31$0
Interest earned on other investments2010-12-31$0
Income. Interest from US Government securities2010-12-31$0
Income. Interest from corporate debt instruments2010-12-31$0
Value of interest in common/collective trusts at end of year2010-12-31$1,051,187
Value of interest in common/collective trusts at beginning of year2010-12-31$1,171,854
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$55,452
Net investment gain/loss from pooled separate accounts2010-12-31$464,334
Net investment gain or loss from common/collective trusts2010-12-31$33,605
Net gain/loss from 103.12 investment entities2010-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31Yes
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$152,929
Employer contributions (assets) at end of year2010-12-31$0
Employer contributions (assets) at beginning of year2010-12-31$0
Income. Dividends from preferred stock2010-12-31$0
Income. Dividends from common stock2010-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$418,545
Contract administrator fees2010-12-31$22,105
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$0
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$0
Aggregate carrying amount (costs) on sale of assets2010-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2010-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31MACIAS GINI AND O'CONNELL LLP
Accountancy firm EIN2010-12-31680300457
2009 : FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0
2008 : FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2008 401k financial data
Total unrealized appreciation/depreciation of assets2008-12-31$0
Total transfer of assets to this plan2008-12-31$6,161
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2008-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2008-12-31$3,726
Total income from all sources (including contributions)2008-12-31$118,707
Total loss/gain on sale of assets2008-12-31$0
Total of all expenses incurred2008-12-31$767,005
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2008-12-31$740,204
Total contributions o plan (from employers,participants, others, non cash contrinutions)2008-12-31$1,425,693
Value of total assets at end of year2008-12-31$3,653,246
Value of total assets at beginning of year2008-12-31$4,299,109
Total of administrative expenses incurred including professional, contract, advisory and management fees2008-12-31$26,801
Total interest from all sources2008-12-31$39,087
Total dividends received (eg from common stock, registered investment company shares)2008-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2008-12-31No
Was this plan covered by a fidelity bond2008-12-31Yes
Value of fidelity bond cover2008-12-31$250,000
If this is an individual account plan, was there a blackout period2008-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2008-12-31No
Contributions received from participants2008-12-31$967,694
Participant contributions at end of year2008-12-31$290,779
Participant contributions at end of year2008-12-31$18,971
Participant contributions at beginning of year2008-12-31$17,485
Income. Received or receivable in cash from other sources (including rollovers)2008-12-31$215,948
Other income not declared elsewhere2008-12-31$-16,070
Administrative expenses (other) incurred2008-12-31$16,300
Liabilities. Value of operating payables at beginning of year2008-12-31$3,726
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2008-12-31No
Value of net income/loss2008-12-31$-648,298
Value of net assets at end of year (total assets less liabilities)2008-12-31$3,653,246
Value of net assets at beginning of year (total assets less liabilities)2008-12-31$4,295,383
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2008-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2008-12-31No
Were any leases to which the plan was party in default or uncollectible2008-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2008-12-31$396,237
Value of interest in pooled separate accounts at end of year2008-12-31$1,856,038
Value of interest in pooled separate accounts at beginning of year2008-12-31$3,215,342
Interest on participant loans2008-12-31$4,340
Interest earned on other investments2008-12-31$34,747
Value of interest in common/collective trusts at end of year2008-12-31$1,086,478
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2008-12-31$1,062,157
Net investment gain/loss from registered investment companies (e.g. mutual funds)2008-12-31$-102,557
Net investment gain/loss from pooled separate accounts2008-12-31$-1,190,294
Net investment gain or loss from common/collective trusts2008-12-31$-37,152
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2008-12-31No
Was there a failure to transmit to the plan any participant contributions2008-12-31No
Has the plan failed to provide any benefit when due under the plan2008-12-31No
Contributions received in cash from employer2008-12-31$242,051
Employer contributions (assets) at end of year2008-12-31$4,743
Employer contributions (assets) at beginning of year2008-12-31$4,125
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2008-12-31$740,204
Contract administrator fees2008-12-31$10,501
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32008-12-31Yes
Did the plan have assets held for investment2008-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2008-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2008-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2008-12-31Yes
Opinion of an independent qualified public accountant for this plan2008-12-31Disclaimer
Accountancy firm name2008-12-31MACIAS GINI AND O'CONNELL LLP
Accountancy firm EIN2008-12-31680300457

Form 5500 Responses for FANTASY SPRINGS RESORT CASINO 401(K) PLAN

2022: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes
2008: FANTASY SPRINGS RESORT CASINO 401(K) PLAN 2008 form 5500 responses
2008-01-01Type of plan entitySingle employer plan
2008-01-01Submission has been amendedNo
2008-01-01This submission is the final filingNo
2008-01-01This return/report is a short plan year return/report (less than 12 months)No
2008-01-01Plan is a collectively bargained planNo
2008-01-01Plan funding arrangement – InsuranceYes
2008-01-01Plan funding arrangement – TrustYes
2008-01-01Plan benefit arrangement – InsuranceYes
2008-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number075118
Policy instance 1
Insurance contract or identification number075118
Number of Individuals Covered1150
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number075118
Policy instance 1
Insurance contract or identification number075118
Number of Individuals Covered1065
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number075118
Policy instance 1
Insurance contract or identification number075118
Number of Individuals Covered1092
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number075118
Policy instance 1
Insurance contract or identification number075118
Number of Individuals Covered1134
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number075118
Policy instance 1
Insurance contract or identification number075118
Number of Individuals Covered1145
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number075118
Policy instance 1
Insurance contract or identification number075118
Number of Individuals Covered1176
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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