401k Plan data: GGP PARKS MEDICAL AND LIFE PLAN plan

GGP PARKS MEDICAL AND LIFE PLAN 401k Plan overview

Plan Name	GGP PARKS MEDICAL AND LIFE PLAN
Plan identification number	501

GGP PARKS MEDICAL AND LIFE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

GGP PARKS has sponsored the creation of one or more 401k plans.

Company Name: GGP PARKS

Employer identification number (EIN): 471050440

NAIC Classification: 713900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GGP PARKS MEDICAL AND LIFE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2019-01-01 KRISTIN KARLIN 2020-08-22

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2019-01-01	KRISTIN KARLIN	2020-08-22

Plan Statistics for GGP PARKS MEDICAL AND LIFE PLAN

401k plan membership statisitcs for GGP PARKS MEDICAL AND LIFE PLAN

Measure Date Value
2019: GGP PARKS MEDICAL AND LIFE PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 118
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 0
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 0
Number of employers contributing to the scheme 2019-01-01 0

Measure	Date	Value
2019: GGP PARKS MEDICAL AND LIFE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	118
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	0
Number of employers contributing to the scheme	2019-01-01	0

Form 5500 Responses for GGP PARKS MEDICAL AND LIFE PLAN

2019: GGP PARKS MEDICAL AND LIFE PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	First time form 5500 has been submitted	Yes
2019-01-01	This submission is the final filing	Yes
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1089655

Policy instance

Insurance contract or identification number	1089655
Number of Individuals Covered	118
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $2,227
Total amount of fees paid to insurance company	USD $200
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $12,765
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,292
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	BONUS

COMMUNITY CARE (National Association of Insurance Commissioners NAIC id number: 1001 )

Policy contract number

C01A21

Policy instance

Insurance contract or identification number	C01A21
Number of Individuals Covered	182
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $28,700
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $970,827
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	28700
Additional information about fees paid to insurance broker	SERVICE FEE
Insurance broker organization code?	3

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Company Name:	GGP PARKS
Employer identification number (EIN):	471050440
NAIC Classification:	713900