ASCENTIA REAL ESTATE HOLDING CO. LLC GROUP BENEFIT PLAN 401k Plan overview
| Plan Name | ASCENTIA REAL ESTATE HOLDING CO. LLC GROUP BENEFIT PLAN |
| Plan identification number | 501 |
ASCENTIA REAL ESTATE HOLDING CO. LLC GROUP BENEFIT PLAN Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Health (other than dental or vision)
- Life insurance
- Temporary disability (accident and sickness)
- Long-term disability cover
- Death benefits (include travel accident but not life insurance)
- Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
|
401k Sponsoring company profile
ASCENTIA REAL ESTATE HOLDING COMPANY, LLC has sponsored the creation of one or more 401k plans.
Additional information about ASCENTIA REAL ESTATE HOLDING COMPANY, LLC
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2014-09-05 |
| Company Identification Number: | 0802063266 |
| Legal Registered Office Address: |
2 W DRY CREEK CIR STE 200
LITTLETON
United States of America (USA)
80120
|
More information about ASCENTIA REAL ESTATE HOLDING COMPANY, LLC
Form 5500 Filing Information
Submission information for form 5500 for 401k plan ASCENTIA REAL ESTATE HOLDING CO. LLC GROUP BENEFIT PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 501 | 2017-04-01 | | | | |
| 501 | 2017-04-01 | EMILY PATTERSON | 2020-01-17 | | |
Plan Statistics for ASCENTIA REAL ESTATE HOLDING CO. LLC GROUP BENEFIT PLAN
401k plan membership statisitcs for ASCENTIA REAL ESTATE HOLDING CO. LLC GROUP BENEFIT PLAN
| Measure | Date | Value |
|---|
| 2017: ASCENTIA REAL ESTATE HOLDING CO. LLC GROUP BENEFIT PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-04-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-04-01 | 100 |
| Number of retired or separated participants receiving benefits | 2017-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-04-01 | 0 |
| Total of all active and inactive participants | 2017-04-01 | 100 |
| Number of employers contributing to the scheme | 2017-04-01 | 0 |
Form 5500 Responses for ASCENTIA REAL ESTATE HOLDING CO. LLC GROUP BENEFIT PLAN
| 2017: ASCENTIA REAL ESTATE HOLDING CO. LLC GROUP BENEFIT PLAN 2017 form 5500 responses |
|---|
| 2017-04-01 | Type of plan entity | Single employer plan |
| 2017-04-01 | First time form 5500 has been submitted | Yes |
| 2017-04-01 | Submission has been amended | Yes |
| 2017-04-01 | Plan funding arrangement – Insurance | Yes |
| 2017-04-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-04-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
Insurance Providers Used on plan
| COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 ) |
| Policy contract number | 417004412864 |
| Policy instance | 1 |
| Insurance contract or identification number | 417004412864 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2017-02-01 | | Insurance policy end date | 2018-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,633 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GVTL029R7 |
| Policy instance | 2 |
| Insurance contract or identification number | GVTL029R7 | | Number of Individuals Covered | 85 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $50,502 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GVTL029R7 |
| Policy instance | 1 |
| Insurance contract or identification number | GVTL029R7 | | Number of Individuals Covered | 85 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $50,502 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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