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401k Plan overview

Plan NameOLYMPIA SPORT CENTER, INC.
Plan identification number 503

OLYMPIA SPORT CENTER, INC. Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

OLYMPIA SPORT CENTER, INC has sponsored the creation of one or more 401k plans.

Company Name:OLYMPIA SPORT CENTER, INC
Employer identification number (EIN):010346485
NAIC Classification:451110
NAIC Description:Sporting Goods Stores

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 SignedName of Company SponsorDate Sponsor Signed
5032012-01-01JOHN LESNIAK JOHN LESNIAK2013-10-15
5032011-01-01JOHN LESNIAK
5032009-01-01JOHN LESNIAK
5032009-01-01JOHN LESNIAK JOHN LESNIAK2013-04-16
5032009-01-01 JOHN LESNIAK2010-10-15

Plan Statistics for OLYMPIA SPORT CENTER, INC.

401k plan membership statisitcs for OLYMPIA SPORT CENTER, INC.

Measure Date Value
2012
Total participants, beginning-of-year2012-01-01687
Total number of active participants reported on line 7a of the Form 55002012-01-01730
Total of all active and inactive participants2012-01-01730
Total participants2012-01-01730
2011
Total participants, beginning-of-year2011-01-01665
Total number of active participants reported on line 7a of the Form 55002011-01-01687
Total of all active and inactive participants2011-01-01687
Total participants2011-01-01687
2009
Total participants, beginning-of-year2009-01-01692
Total number of active participants reported on line 7a of the Form 55002009-01-01671
Total of all active and inactive participants2009-01-01671
Total participants2009-01-01671

Form 5500 Responses

2012
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 benefit arrangement – InsuranceYes
2011
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
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 benefit arrangement – InsuranceYes
2009
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
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 benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number502270
Policy instance 1
Insurance contract or identification number502270
Number of Individuals Covered730
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $13,139
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $219,428
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $564
Insurance broker nameTHE BUCKLEY GROUP OF PORTLAND
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number502270
Policy instance 1
Insurance contract or identification number502270
Number of Individuals Covered687
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $12,909
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $239,392
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number502270
Policy instance 1
Insurance contract or identification number502270
Number of Individuals Covered666
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $15,244
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $260,655
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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