OLYMPIA SPORT CENTER, INC. 401k Plan overview
Plan Name | OLYMPIA SPORT CENTER, INC. |
Plan identification number | 503 |
OLYMPIA SPORT CENTER, INC. Benefits
401k Plan Type | Welfare Benefit |
Plan Features/Benefits | - Life insurance
- Temporary disability (accident and sickness)
- Long-term disability cover
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401k Sponsoring company profile
OLYMPIA SPORT CENTER, INC has sponsored the creation of one or more 401k plans.
Additional information about OLYMPIA SPORT CENTER, INC
Jurisdiction of Incorporation: | State of Delaware Division of Corporations |
Incorporation Date: | |
Company Identification Number: | 2760937 |
More information about OLYMPIA SPORT CENTER, INC
Form 5500 Filing Information
Submission information for form 5500 for 401k plan OLYMPIA SPORT CENTER, INC.
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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503 | 2012-01-01 | JOHN LESNIAK | | JOHN LESNIAK | 2013-10-15 |
503 | 2011-01-01 | JOHN LESNIAK | | | |
503 | 2009-01-01 | JOHN LESNIAK | | | |
503 | 2009-01-01 | JOHN LESNIAK | | JOHN LESNIAK | 2013-04-16 |
503 | 2009-01-01 | | | JOHN LESNIAK | 2010-10-15 |
Plan Statistics for OLYMPIA SPORT CENTER, INC.
401k plan membership statisitcs for OLYMPIA SPORT CENTER, INC.
Measure | Date | Value |
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2012: OLYMPIA SPORT CENTER, INC. 2012 401k membership |
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Total participants, beginning-of-year | 2012-01-01 | 687 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 730 |
Total of all active and inactive participants | 2012-01-01 | 730 |
Total participants | 2012-01-01 | 730 |
2011: OLYMPIA SPORT CENTER, INC. 2011 401k membership |
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Total participants, beginning-of-year | 2011-01-01 | 665 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 687 |
Total of all active and inactive participants | 2011-01-01 | 687 |
Total participants | 2011-01-01 | 687 |
2009: OLYMPIA SPORT CENTER, INC. 2009 401k membership |
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Total participants, beginning-of-year | 2009-01-01 | 692 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 671 |
Total of all active and inactive participants | 2009-01-01 | 671 |
Total participants | 2009-01-01 | 671 |
Form 5500 Responses for OLYMPIA SPORT CENTER, INC.
2012: OLYMPIA SPORT CENTER, INC. 2012 form 5500 responses |
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2012-01-01 | Type of plan entity | Single employer plan |
2012-01-01 | Submission has been amended | No |
2012-01-01 | This submission is the final filing | No |
2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2012-01-01 | Plan is a collectively bargained plan | No |
2012-01-01 | Plan funding arrangement – Insurance | Yes |
2012-01-01 | Plan benefit arrangement – Insurance | Yes |
2011: OLYMPIA SPORT CENTER, INC. 2011 form 5500 responses |
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2011-01-01 | Type of plan entity | Single employer plan |
2011-01-01 | Submission has been amended | No |
2011-01-01 | This submission is the final filing | No |
2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2011-01-01 | Plan is a collectively bargained plan | No |
2011-01-01 | Plan funding arrangement – Insurance | Yes |
2011-01-01 | Plan benefit arrangement – Insurance | Yes |
2009: OLYMPIA SPORT CENTER, INC. 2009 form 5500 responses |
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2009-01-01 | Type of plan entity | Single employer plan |
2009-01-01 | Submission has been amended | Yes |
2009-01-01 | This submission is the final filing | No |
2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2009-01-01 | Plan is a collectively bargained plan | No |
2009-01-01 | Plan funding arrangement – Insurance | Yes |
2009-01-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 502270 |
Policy instance | 1 |
Insurance contract or identification number | 502270 | Number of Individuals Covered | 730 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $13,139 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $219,428 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $564 | Insurance broker name | THE BUCKLEY GROUP OF PORTLAND |
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UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 502270 |
Policy instance | 1 |
Insurance contract or identification number | 502270 | Number of Individuals Covered | 687 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $12,909 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $239,392 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 502270 |
Policy instance | 1 |
Insurance contract or identification number | 502270 | Number of Individuals Covered | 666 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $15,244 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $260,655 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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