401k Plan data: ECLIPSE RECREATIONAL VEHICLES, INC. HEALTH AND WELFARE PLAN plan

ECLIPSE RECREATIONAL VEHICLES, INC. HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	ECLIPSE RECREATIONAL VEHICLES, INC. HEALTH AND WELFARE PLAN
Plan identification number	501

ECLIPSE RECREATIONAL VEHICLES, INC. HEALTH AND WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision

401k Sponsoring company profile

ECLIPSE RECREATIONAL VEHICLES, INC. has sponsored the creation of one or more 401k plans.

Company Name: ECLIPSE RECREATIONAL VEHICLES, INC.

Employer identification number (EIN): 532315716

NAIC Classification: 336210

Additional information about ECLIPSE RECREATIONAL VEHICLES, INC.

Jurisdiction of Incorporation: California Department of State

Incorporation Date: 2002-12-09

Company Identification Number: C2477378

Legal Registered Office Address: 950 Boardwalk Ste 201

San Marcos
United States of America (USA)
92078

More information about ECLIPSE RECREATIONAL VEHICLES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ECLIPSE RECREATIONAL VEHICLES, INC. HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2017-01-01 DANIEL ZACARIAS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2017-01-01	DANIEL ZACARIAS

Plan Statistics for ECLIPSE RECREATIONAL VEHICLES, INC. HEALTH AND WELFARE PLAN

401k plan membership statisitcs for ECLIPSE RECREATIONAL VEHICLES, INC. HEALTH AND WELFARE PLAN

Measure Date Value
2017: ECLIPSE RECREATIONAL VEHICLES, INC. HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 203
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 193
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 2017-01-01 193

Measure	Date	Value
2017: ECLIPSE RECREATIONAL VEHICLES, INC. HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	203
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	193
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	193

Form 5500 Responses for ECLIPSE RECREATIONAL VEHICLES, INC. HEALTH AND WELFARE PLAN

2017: ECLIPSE RECREATIONAL VEHICLES, INC. HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	First time form 5500 has been submitted	Yes
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 funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

529298

Policy instance

Insurance contract or identification number	529298
Number of Individuals Covered	157
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $7,567
Total amount of fees paid to insurance company	USD $704
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $37,843
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,540
Amount paid for insurance broker fees	704
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3
Insurance broker name	MARK S METTILLE

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Company Name:	ECLIPSE RECREATIONAL VEHICLES, INC.
Employer identification number (EIN):	532315716
NAIC Classification:	336210

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:	2002-12-09
Company Identification Number:	C2477378
Legal Registered Office Address:	950 Boardwalk Ste 201 San Marcos United States of America (USA) 92078