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HILLCREST COUNTRY CLUB WELFARE PLAN 401k Plan overview

Plan NameHILLCREST COUNTRY CLUB WELFARE PLAN
Plan identification number 504

HILLCREST COUNTRY CLUB WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Death benefits (include travel accident but not life insurance)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

HILLCREST COUNTRY CLUB has sponsored the creation of one or more 401k plans.

Company Name:HILLCREST COUNTRY CLUB
Employer identification number (EIN):950831590
NAIC Classification:713900

Additional information about HILLCREST COUNTRY CLUB

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C0091949

More information about HILLCREST COUNTRY CLUB

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HILLCREST COUNTRY CLUB WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042023-01-01TOM DREIFUS2024-09-05

Plan Statistics for HILLCREST COUNTRY CLUB WELFARE PLAN

401k plan membership statisitcs for HILLCREST COUNTRY CLUB WELFARE PLAN

Measure Date Value
2023: HILLCREST COUNTRY CLUB WELFARE PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01100
Total number of active participants reported on line 7a of the Form 55002023-01-0154
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-0154
Number of employers contributing to the scheme2023-01-010

Form 5500 Responses for HILLCREST COUNTRY CLUB WELFARE PLAN

2023: HILLCREST COUNTRY CLUB WELFARE PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01First time form 5500 has been submittedYes
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number40000100013309
Policy instance 1
Insurance contract or identification number40000100013309
Number of Individuals Covered54
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $3,709
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $24,725
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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