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BLUE CROSS BLUE SHIELD 401k Plan overview

Plan NameBLUE CROSS BLUE SHIELD
Plan identification number 506

BLUE CROSS BLUE SHIELD Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

ROME SNOWBOARDS CORP. has sponsored the creation of one or more 401k plans.

Company Name:ROME SNOWBOARDS CORP.
Employer identification number (EIN):030369958
NAIC Classification:423910
NAIC Description:Sporting and Recreational Goods and Supplies Merchant Wholesalers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLUE CROSS BLUE SHIELD

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062014-03-01ERIN PRESCOTT
5062013-03-01ERIN PRESCOTT
5062011-03-01MATTHEW SIEGEL

Plan Statistics for BLUE CROSS BLUE SHIELD

401k plan membership statisitcs for BLUE CROSS BLUE SHIELD

Measure Date Value
2014: BLUE CROSS BLUE SHIELD 2014 401k membership
Total participants, beginning-of-year2014-03-019
Total number of active participants reported on line 7a of the Form 55002014-03-018
Number of retired or separated participants receiving benefits2014-03-010
Number of other retired or separated participants entitled to future benefits2014-03-010
Total of all active and inactive participants2014-03-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-03-010
Total participants2014-03-018
Number of participants with account balances2014-03-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-03-010
2013: BLUE CROSS BLUE SHIELD 2013 401k membership
Total participants, beginning-of-year2013-03-0112
Total number of active participants reported on line 7a of the Form 55002013-03-018
Number of retired or separated participants receiving benefits2013-03-010
Number of other retired or separated participants entitled to future benefits2013-03-010
Total of all active and inactive participants2013-03-018
2011: BLUE CROSS BLUE SHIELD 2011 401k membership
Total participants, beginning-of-year2011-03-0114
Total number of active participants reported on line 7a of the Form 55002011-03-0113
Number of retired or separated participants receiving benefits2011-03-010
Number of other retired or separated participants entitled to future benefits2011-03-010
Total of all active and inactive participants2011-03-0113

Financial Data on BLUE CROSS BLUE SHIELD

Measure Date Value
2014 : BLUE CROSS BLUE SHIELD 2014 401k financial data
Total income from all sources2014-02-28$19,280
Expenses. Total of all expenses incurred2014-02-28$19,318
Benefits paid (including direct rollovers)2014-02-28$15,292
Total plan assets at end of year2014-02-28$6,136
Total plan assets at beginning of year2014-02-28$6,174
Value of fidelity bond covering the plan2014-02-28$25,000
Total contributions received or receivable from participants2014-02-28$4,349
Other income received2014-02-28$5
Net income (gross income less expenses)2014-02-28$-38
Net plan assets at end of year (total assets less liabilities)2014-02-28$6,136
Net plan assets at beginning of year (total assets less liabilities)2014-02-28$6,174
Total contributions received or receivable from employer(s)2014-02-28$14,926
Expenses. Administrative service providers (salaries,fees and commissions)2014-02-28$4,026
2012 : BLUE CROSS BLUE SHIELD 2012 401k financial data
Total income from all sources2012-02-29$34,186
Expenses. Total of all expenses incurred2012-02-29$19,266
Benefits paid (including direct rollovers)2012-02-29$12,465
Total plan assets at end of year2012-02-29$14,920
Total plan assets at beginning of year2012-02-29$0
Total contributions received or receivable from participants2012-02-29$7,276
Other income received2012-02-29$2
Net income (gross income less expenses)2012-02-29$14,920
Net plan assets at end of year (total assets less liabilities)2012-02-29$14,920
Net plan assets at beginning of year (total assets less liabilities)2012-02-29$0
Total contributions received or receivable from employer(s)2012-02-29$26,908
Expenses. Administrative service providers (salaries,fees and commissions)2012-02-29$6,801

Form 5500 Responses for BLUE CROSS BLUE SHIELD

2014: BLUE CROSS BLUE SHIELD 2014 form 5500 responses
2014-03-01Type of plan entitySingle employer plan
2014-03-01Submission has been amendedNo
2014-03-01This submission is the final filingNo
2014-03-01This return/report is a short plan year return/report (less than 12 months)No
2014-03-01Plan is a collectively bargained planNo
2014-03-01Plan funding arrangement – InsuranceYes
2014-03-01Plan benefit arrangement – InsuranceYes
2013: BLUE CROSS BLUE SHIELD 2013 form 5500 responses
2013-03-01Type of plan entitySingle employer plan
2013-03-01Plan funding arrangement – TrustYes
2013-03-01Plan benefit arrangement - TrustYes
2011: BLUE CROSS BLUE SHIELD 2011 form 5500 responses
2011-03-01Type of plan entitySingle employer plan
2011-03-01First time form 5500 has been submittedYes
2011-03-01Plan funding arrangement – TrustYes
2011-03-01Plan benefit arrangement - TrustYes

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