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| Plan Name | ATLANTIC CITY LINEN SUPPLY, LLC WELFARE BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | ATLANTIC CITY LINEN SUPPLY, LLC |
| Employer identification number (EIN): | 222710775 |
| NAIC Classification: | 315990 |
| NAIC Description: | Apparel Accessories and Other Apparel Manufacturing |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2017-02-01 | ELENA WLALZOWSKI | ELENA WLALZOWSKI | 2018-11-15 | |
| 501 | 2016-02-01 | ||||
| 501 | 2015-02-01 | ELENA WLAZLOWSKI | |||
| 501 | 2014-02-01 | ELENA WLAZLOWSKI | |||
| 501 | 2013-02-01 | DANIEL M. GOLDBERG | |||
| 501 | 2012-02-01 | DAVID A. GOLDBERG | |||
| 501 | 2011-02-01 | DAVID A GOLDBERG | |||
| 501 | 2010-02-01 | DAVID A GOLDBERG | |||
| 501 | 2009-01-15 | DAVID A GOLDBERG |
| Measure | Date | Value |
|---|---|---|
| 2017: ATLANTIC CITY LINEN SUPPLY, LLC WELFARE BENEFIT PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-02-01 | 689 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-02-01 | 650 |
| Total of all active and inactive participants | 2017-02-01 | 650 |
| 2016: ATLANTIC CITY LINEN SUPPLY, LLC WELFARE BENEFIT PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-02-01 | 350 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-02-01 | 689 |
| Number of retired or separated participants receiving benefits | 2016-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-02-01 | 0 |
| Total of all active and inactive participants | 2016-02-01 | 689 |
| 2015: ATLANTIC CITY LINEN SUPPLY, LLC WELFARE BENEFIT PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-02-01 | 286 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-02-01 | 269 |
| Number of retired or separated participants receiving benefits | 2015-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-02-01 | 0 |
| Total of all active and inactive participants | 2015-02-01 | 269 |
| 2014: ATLANTIC CITY LINEN SUPPLY, LLC WELFARE BENEFIT PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-02-01 | 251 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-02-01 | 256 |
| Number of retired or separated participants receiving benefits | 2014-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-02-01 | 0 |
| Total of all active and inactive participants | 2014-02-01 | 256 |
| 2013: ATLANTIC CITY LINEN SUPPLY, LLC WELFARE BENEFIT PLAN 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-02-01 | 278 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-02-01 | 273 |
| Total of all active and inactive participants | 2013-02-01 | 273 |
| Total participants | 2013-02-01 | 0 |
| 2012: ATLANTIC CITY LINEN SUPPLY, LLC WELFARE BENEFIT PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-02-01 | 330 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-02-01 | 278 |
| Total of all active and inactive participants | 2012-02-01 | 278 |
| Total participants | 2012-02-01 | 0 |
| 2011: ATLANTIC CITY LINEN SUPPLY, LLC WELFARE BENEFIT PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-02-01 | 330 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-02-01 | 287 |
| Total of all active and inactive participants | 2011-02-01 | 287 |
| Total participants | 2011-02-01 | 287 |
| 2010: ATLANTIC CITY LINEN SUPPLY, LLC WELFARE BENEFIT PLAN 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-02-01 | 348 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-02-01 | 330 |
| Total of all active and inactive participants | 2010-02-01 | 330 |
| Total participants | 2010-02-01 | 330 |
| 2009: ATLANTIC CITY LINEN SUPPLY, LLC WELFARE BENEFIT PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-15 | 343 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-15 | 348 |
| Total of all active and inactive participants | 2009-01-15 | 348 |
| Total participants | 2009-01-15 | 348 |
| Measure | Date | Value |
|---|---|---|
| 2014 : ATLANTIC CITY LINEN SUPPLY, LLC WELFARE BENEFIT PLAN 2014 401k financial data | ||
| Value of total assets at end of year | 2014-01-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-01-31 | No |
| Was this plan covered by a fidelity bond | 2014-01-31 | No |
| If this is an individual account plan, was there a blackout period | 2014-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-01-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-01-31 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-01-31 | No |
| Value of interest in common/collective trusts at end of year | 2014-01-31 | $0 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-01-31 | No |
| Did the plan have assets held for investment | 2014-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-01-31 | No |
| 2017: ATLANTIC CITY LINEN SUPPLY, LLC WELFARE BENEFIT PLAN 2017 form 5500 responses | ||
|---|---|---|
| 2017-02-01 | Type of plan entity | Single employer plan |
| 2017-02-01 | Submission has been amended | No |
| 2017-02-01 | This submission is the final filing | No |
| 2017-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-02-01 | Plan is a collectively bargained plan | No |
| 2017-02-01 | Plan funding arrangement – Insurance | Yes |
| 2017-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: ATLANTIC CITY LINEN SUPPLY, LLC WELFARE BENEFIT PLAN 2016 form 5500 responses | ||
| 2016-02-01 | Type of plan entity | Single employer plan |
| 2016-02-01 | Submission has been amended | No |
| 2016-02-01 | This submission is the final filing | No |
| 2016-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-02-01 | Plan is a collectively bargained plan | No |
| 2016-02-01 | Plan funding arrangement – Insurance | Yes |
| 2016-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: ATLANTIC CITY LINEN SUPPLY, LLC WELFARE BENEFIT PLAN 2015 form 5500 responses | ||
| 2015-02-01 | Type of plan entity | Single employer plan |
| 2015-02-01 | Submission has been amended | No |
| 2015-02-01 | This submission is the final filing | No |
| 2015-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-02-01 | Plan is a collectively bargained plan | No |
| 2015-02-01 | Plan funding arrangement – Insurance | Yes |
| 2015-02-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-02-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: ATLANTIC CITY LINEN SUPPLY, LLC WELFARE BENEFIT PLAN 2014 form 5500 responses | ||
| 2014-02-01 | Type of plan entity | Single employer plan |
| 2014-02-01 | Submission has been amended | No |
| 2014-02-01 | This submission is the final filing | No |
| 2014-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-02-01 | Plan is a collectively bargained plan | No |
| 2014-02-01 | Plan funding arrangement – Insurance | Yes |
| 2014-02-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-02-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: ATLANTIC CITY LINEN SUPPLY, LLC WELFARE BENEFIT PLAN 2013 form 5500 responses | ||
| 2013-02-01 | Type of plan entity | Single employer plan |
| 2013-02-01 | Plan funding arrangement – Insurance | Yes |
| 2013-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: ATLANTIC CITY LINEN SUPPLY, LLC WELFARE BENEFIT PLAN 2012 form 5500 responses | ||
| 2012-02-01 | Type of plan entity | Single employer plan |
| 2012-02-01 | Plan funding arrangement – Insurance | Yes |
| 2012-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: ATLANTIC CITY LINEN SUPPLY, LLC WELFARE BENEFIT PLAN 2011 form 5500 responses | ||
| 2011-02-01 | Type of plan entity | Single employer plan |
| 2011-02-01 | Plan funding arrangement – Insurance | Yes |
| 2011-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: ATLANTIC CITY LINEN SUPPLY, LLC WELFARE BENEFIT PLAN 2010 form 5500 responses | ||
| 2010-02-01 | Type of plan entity | Single employer plan |
| 2010-02-01 | Plan funding arrangement – Insurance | Yes |
| 2010-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: ATLANTIC CITY LINEN SUPPLY, LLC WELFARE BENEFIT PLAN 2009 form 5500 responses | ||
| 2009-01-15 | Type of plan entity | Single employer plan |
| 2009-01-15 | Plan funding arrangement – Insurance | Yes |
| 2009-01-15 | Plan benefit arrangement – Insurance | Yes |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |
| Policy contract number | 30056292 |
| Policy instance | 2 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 00394079 |
| Policy instance | 1 |
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) | |
| Policy contract number | F012841 |
| Policy instance | 3 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) | |
| Policy contract number | E7837826 |
| Policy instance | 2 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) | |
| Policy contract number | E7352719 |
| Policy instance | 3 |
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) | |
| Policy contract number | F012841 |
| Policy instance | 4 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 00394079 |
| Policy instance | 5 |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |
| Policy contract number | 223974 |
| Policy instance | 6 |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |
| Policy contract number | 30056292 |
| Policy instance | 7 |
| AMERIHEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60061 ) | |
| Policy contract number | 0002096138 |
| Policy instance | 1 |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |
| Policy contract number | 223976 |
| Policy instance | 1 |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |
| Policy contract number | 223974 |
| Policy instance | 2 |
| FIDELITY LIFE ASSOCIATION (National Association of Insurance Commissioners NAIC id number: 63290 ) | |
| Policy contract number | UL |
| Policy instance | 3 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) | |
| Policy contract number | E7352719 |
| Policy instance | 4 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) | |
| Policy contract number | E7837826 |
| Policy instance | 5 |
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) | |
| Policy contract number | F012841 |
| Policy instance | 7 |
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) | |
| Policy contract number | F005355 |
| Policy instance | 8 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 00394079 |
| Policy instance | 9 |
| HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 ) | |
| Policy contract number | 96981 |
| Policy instance | 6 |
| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) | |
| Policy contract number | 50003583 |
| Policy instance | 10 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) | |
| Policy contract number | E7352719 |
| Policy instance | 11 |
| BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 ) | |
| Policy contract number | ERLL13100732002 |
| Policy instance | 10 |
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) | |
| Policy contract number | F005355 |
| Policy instance | 1 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 00394079 |
| Policy instance | 2 |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |
| Policy contract number | 223976 |
| Policy instance | 12 |
| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) | |
| Policy contract number | 50003583 |
| Policy instance | 4 |
| HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 ) | |
| Policy contract number | 096981 |
| Policy instance | 5 |
| INDEPENDENCE ADMINISTRATORS (National Association of Insurance Commissioners NAIC id number: ) | |
| Policy contract number | 102000 |
| Policy instance | 6 |
| EXPRESS SCRIPTS, INC. (National Association of Insurance Commissioners NAIC id number: 60025 ) | |
| Policy contract number | |
| Policy instance | 7 |
| FIDELITY LIFE ASSOCIATION (National Association of Insurance Commissioners NAIC id number: 63290 ) | |
| Policy contract number | UL |
| Policy instance | 8 |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |
| Policy contract number | 223974 |
| Policy instance | 9 |
| BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 ) | |
| Policy contract number | ERLL12100732001 |
| Policy instance | 3 |
| NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 ) | |
| Policy contract number | 280-9808 |
| Policy instance | 7 |
| INDEPENDENCE ADMINISTRATORS (National Association of Insurance Commissioners NAIC id number: ) | |
| Policy contract number | 102000 |
| Policy instance | 4 |
| EXPRESS SCRIPTS, INC. (National Association of Insurance Commissioners NAIC id number: 60025 ) | |
| Policy contract number | |
| Policy instance | 3 |
| FIDELITY LIFE ASSOCIATION (National Association of Insurance Commissioners NAIC id number: 63290 ) | |
| Policy contract number | UL |
| Policy instance | 2 |
| HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 ) | |
| Policy contract number | 096981 |
| Policy instance | 5 |
| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) | |
| Policy contract number | 50003583 |
| Policy instance | 6 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) | |
| Policy contract number | E7352719 |
| Policy instance | 8 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 00394079 |
| Policy instance | 9 |
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) | |
| Policy contract number | F005355 |
| Policy instance | 10 |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |
| Policy contract number | 223976 |
| Policy instance | 1 |
| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) | |
| Policy contract number | 50003583 |
| Policy instance | 3 |
| HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 ) | |
| Policy contract number | 096981 |
| Policy instance | 2 |
| INDEPENDENCE ADMINISTRATORS (National Association of Insurance Commissioners NAIC id number: ) | |
| Policy contract number | 102000 |
| Policy instance | 1 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) | |
| Policy contract number | |
| Policy instance | 5 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 00394079 |
| Policy instance | 6 |
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) | |
| Policy contract number | F005355 |
| Policy instance | 7 |
| NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 ) | |
| Policy contract number | 280-9808 |
| Policy instance | 4 |
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) | |
| Policy contract number | F005355 |
| Policy instance | 6 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 00394079 |
| Policy instance | 5 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) | |
| Policy contract number | |
| Policy instance | 3 |
| NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 ) | |
| Policy contract number | 280-9542 |
| Policy instance | 2 |
| ATLANTICARE ADMINISTRATORS, INC (National Association of Insurance Commissioners NAIC id number: 52429 ) | |
| Policy contract number | 1053 |
| Policy instance | 1 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |
| Policy contract number | 002181 |
| Policy instance | 4 |
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