401k Plan data: SUGARHOUSE CASINO VISION PLAN plan

SUGARHOUSE CASINO VISION PLAN 401k Plan overview

Plan Name	SUGARHOUSE CASINO VISION PLAN
Plan identification number	503

SUGARHOUSE CASINO VISION PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Vision

401k Sponsoring company profile

SUGARHOUSE HSP GAMING, LP has sponsored the creation of one or more 401k plans.

Company Name: SUGARHOUSE HSP GAMING, LP

Employer identification number (EIN): 270177081

NAIC Classification: 713200
NAIC Description: Gambling Industries

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SUGARHOUSE CASINO VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2017-01-01
503 2017-01-01 PATRICIA SMYLIE 2019-10-11
503 2016-01-01
503 2015-01-01 PATRICIA TUCK
503 2014-01-01 PATRICIA S. TUCK
503 2013-01-01 PATRICIA TUCK
503 2012-01-01 PATRICIA TUCK
503 2011-09-01 PATRICIA S. TUCK

Plan Statistics for SUGARHOUSE CASINO VISION PLAN

401k plan membership statisitcs for SUGARHOUSE CASINO VISION PLAN

Measure Date Value
2017: SUGARHOUSE CASINO VISION PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1,270
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 1,141
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 1,141
Number of employers contributing to the scheme 2017-01-01 0
2016: SUGARHOUSE CASINO VISION PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1,105
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 1,270
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 1,270
2015: SUGARHOUSE CASINO VISION PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,017
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1,102
Number of retired or separated participants receiving benefits 2015-01-01 3
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 1,105
2014: SUGARHOUSE CASINO VISION PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 964
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 994
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 994
2013: SUGARHOUSE CASINO VISION PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 983
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 983
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 983
2012: SUGARHOUSE CASINO VISION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,053
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 983
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 983
2011: SUGARHOUSE CASINO VISION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-09-01 735
Total number of active participants reported on line 7a of the Form 5500 2011-09-01 1,053
Number of retired or separated participants receiving benefits 2011-09-01 0
Number of other retired or separated participants entitled to future benefits 2011-09-01 0
Total of all active and inactive participants 2011-09-01 1,053

Measure	Date	Value
2017: SUGARHOUSE CASINO VISION PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1,270
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	1,141
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	1,141
Number of employers contributing to the scheme	2017-01-01	0
2016: SUGARHOUSE CASINO VISION PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1,105
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	1,270
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	1,270
2015: SUGARHOUSE CASINO VISION PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,017
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1,102
Number of retired or separated participants receiving benefits	2015-01-01	3
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	1,105
2014: SUGARHOUSE CASINO VISION PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	964
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	994
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	994
2013: SUGARHOUSE CASINO VISION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	983
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	983
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	983
2012: SUGARHOUSE CASINO VISION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,053
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	983
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	983
2011: SUGARHOUSE CASINO VISION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-09-01	735
Total number of active participants reported on line 7a of the Form 5500	2011-09-01	1,053
Number of retired or separated participants receiving benefits	2011-09-01	0
Number of other retired or separated participants entitled to future benefits	2011-09-01	0
Total of all active and inactive participants	2011-09-01	1,053

Form 5500 Responses for SUGARHOUSE CASINO VISION PLAN

2017: SUGARHOUSE CASINO VISION PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	Yes
2017-01-01	This submission is the final filing	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: SUGARHOUSE CASINO VISION PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: SUGARHOUSE CASINO VISION PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: SUGARHOUSE CASINO VISION PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: SUGARHOUSE CASINO VISION PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: SUGARHOUSE CASINO VISION PLAN 2012 form 5500 responses
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: SUGARHOUSE CASINO VISION PLAN 2011 form 5500 responses
2011-09-01	Type of plan entity	Single employer plan
2011-09-01	First time form 5500 has been submitted	Yes
2011-09-01	Submission has been amended	No
2011-09-01	This submission is the final filing	No
2011-09-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2011-09-01	Plan is a collectively bargained plan	No
2011-09-01	Plan funding arrangement – Insurance	Yes
2011-09-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )

Policy contract number

1370894

Policy instance

Insurance contract or identification number	1370894
Number of Individuals Covered	1859
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $81,566
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	SUGARHOUSE HSP GAMING, LP
Employer identification number (EIN):	270177081
NAIC Classification:	713200
NAIC Description:	Gambling Industries

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
503	2017-01-01
503	2017-01-01	PATRICIA SMYLIE	2019-10-11
503	2016-01-01
503	2015-01-01	PATRICIA TUCK
503	2014-01-01	PATRICIA S. TUCK
503	2013-01-01	PATRICIA TUCK
503	2012-01-01	PATRICIA TUCK
503	2011-09-01	PATRICIA S. TUCK