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| Plan Name | NEVADA GOLD & CASINOS LV, LLC DBA CLUB FORTUNE CASINO DENTAL/VISION/LIFE PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | NEVADA GOLD & CASINOS LV, LLC DBA CLUB FORTUNE CASINO |
| Employer identification number (EIN): | 273004970 |
| NAIC Classification: | 713200 |
| NAIC Description: | Gambling Industries |
Additional information about NEVADA GOLD & CASINOS LV, LLC DBA CLUB FORTUNE CASINO
| Jurisdiction of Incorporation: | Nevada Department of State |
| Incorporation Date: | 2010-02-16 |
| Company Identification Number: | 20101167936 |
| Legal Registered Office Address: |
50 WEST LIBERTY STREET SUITE 880 RENO United States of America (USA) 89501 |
More information about NEVADA GOLD & CASINOS LV, LLC DBA CLUB FORTUNE CASINO
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2017-01-01 | ||||
| 502 | 2016-01-01 | CHERI GOULD | |||
| 502 | 2015-01-01 | JAMES MEIER |
| Measure | Date | Value |
|---|---|---|
| 2017: NEVADA GOLD & CASINOS LV, LLC DBA CLUB FORTUNE CASINO DENTAL/VISION/LIFE PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 142 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 143 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 1 |
| 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 | 144 |
| 2016: NEVADA GOLD & CASINOS LV, LLC DBA CLUB FORTUNE CASINO DENTAL/VISION/LIFE PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-01-01 | 158 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 147 |
| 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 | 147 |
| 2015: NEVADA GOLD & CASINOS LV, LLC DBA CLUB FORTUNE CASINO DENTAL/VISION/LIFE PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-01-01 | 141 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 141 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 0 |
| 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 | 141 |
| 2017: NEVADA GOLD & CASINOS LV, LLC DBA CLUB FORTUNE CASINO DENTAL/VISION/LIFE PLAN 2017 form 5500 responses | ||
|---|---|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | No |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-01 | Plan is a collectively bargained plan | No |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: NEVADA GOLD & CASINOS LV, LLC DBA CLUB FORTUNE CASINO DENTAL/VISION/LIFE 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: NEVADA GOLD & CASINOS LV, LLC DBA CLUB FORTUNE CASINO DENTAL/VISION/LIFE 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 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 00483816 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| LIBERTY DENTAL PLAN (National Association of Insurance Commissioners NAIC id number: 13566 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 483816 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 00483816 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| LIBERTY DENTAL PLAN (National Association of Insurance Commissioners NAIC id number: 13566 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 483816 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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