D1 SPORTS HOLDINGS, LLC WELFARE BENEFIT PLAN 401k Plan overview
Plan Name | D1 SPORTS HOLDINGS, LLC WELFARE BENEFIT PLAN |
Plan identification number | 501 |
D1 SPORTS HOLDINGS, LLC WELFARE BENEFIT PLAN Benefits
401k Plan Type | Welfare Benefit |
Plan Features/Benefits | - Health (other than dental or vision)
- Life insurance
- Dental
- Vision
- Temporary disability (accident and sickness)
- Long-term disability cover
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401k Sponsoring company profile
D1 SPORTS HOLDINGS, LLC has sponsored the creation of one or more 401k plans.
Additional information about D1 SPORTS HOLDINGS, LLC
Jurisdiction of Incorporation: | Texas Secretary of State |
Incorporation Date: | 2011-01-27 |
Company Identification Number: | 0801377212 |
Legal Registered Office Address: |
7115 S SPRINGS DR C/O DAN MURPHY
FRANKLIN
United States of America (USA)
37067
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More information about D1 SPORTS HOLDINGS, LLC
Form 5500 Filing Information
Submission information for form 5500 for 401k plan D1 SPORTS HOLDINGS, LLC WELFARE BENEFIT PLAN
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2017-01-01 | MICHAEL ABRAMSON | | | |
501 | 2016-01-01 | DAN MURPHY | | | |
501 | 2015-01-01 | DAN MURPHY | | | |
501 | 2014-01-01 | DAN MURPHY | | | |
Plan Statistics for D1 SPORTS HOLDINGS, LLC WELFARE BENEFIT PLAN
401k plan membership statisitcs for D1 SPORTS HOLDINGS, LLC WELFARE BENEFIT PLAN
Measure | Date | Value |
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2017: D1 SPORTS HOLDINGS, LLC WELFARE BENEFIT PLAN 2017 401k membership |
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Total participants, beginning-of-year | 2017-01-01 | 149 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 6 |
Total of all active and inactive participants | 2017-01-01 | 6 |
Total participants | 2017-01-01 | 6 |
2016: D1 SPORTS HOLDINGS, LLC WELFARE BENEFIT PLAN 2016 401k membership |
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Total participants, beginning-of-year | 2016-01-01 | 283 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 149 |
Total of all active and inactive participants | 2016-01-01 | 149 |
Total participants | 2016-01-01 | 149 |
2015: D1 SPORTS HOLDINGS, LLC WELFARE BENEFIT PLAN 2015 401k membership |
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Total participants, beginning-of-year | 2015-01-01 | 250 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 283 |
Total of all active and inactive participants | 2015-01-01 | 283 |
Total participants | 2015-01-01 | 0 |
2014: D1 SPORTS HOLDINGS, LLC WELFARE BENEFIT PLAN 2014 401k membership |
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Total participants, beginning-of-year | 2014-01-01 | 234 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 250 |
Total of all active and inactive participants | 2014-01-01 | 250 |
Total participants | 2014-01-01 | 0 |
Form 5500 Responses for D1 SPORTS HOLDINGS, LLC WELFARE BENEFIT PLAN
2017: D1 SPORTS HOLDINGS, LLC WELFARE BENEFIT PLAN 2017 form 5500 responses |
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2017-01-01 | Type of plan entity | Single employer plan |
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: D1 SPORTS HOLDINGS, LLC WELFARE BENEFIT PLAN 2016 form 5500 responses |
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2016-01-01 | Type of plan entity | Single employer plan |
2016-01-01 | Plan funding arrangement – Insurance | Yes |
2016-01-01 | Plan benefit arrangement – Insurance | Yes |
2015: D1 SPORTS HOLDINGS, LLC WELFARE BENEFIT PLAN 2015 form 5500 responses |
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2015-01-01 | Type of plan entity | Single employer plan |
2015-01-01 | Plan funding arrangement – Insurance | Yes |
2015-01-01 | Plan benefit arrangement – Insurance | Yes |
2014: D1 SPORTS HOLDINGS, LLC WELFARE BENEFIT PLAN 2014 form 5500 responses |
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2014-01-01 | Type of plan entity | Single employer plan |
2014-01-01 | Plan funding arrangement – Insurance | Yes |
2014-01-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
Policy contract number | 114585 |
Policy instance | 1 |
Insurance contract or identification number | 114585 | Number of Individuals Covered | 8 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $10,128 | Health Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $480,548 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $10,128 | Insurance broker organization code? | 3 | Insurance broker name | TRINITY BENEFIT ADVISORS, INC. |
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THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
Policy contract number | 00417606 |
Policy instance | 2 |
Insurance contract or identification number | 00417606 | Number of Individuals Covered | 124 | Insurance policy start date | 2016-09-01 | Insurance policy end date | 2017-08-31 | Total amount of fees paid to insurance company | USD $10,128 | Dental Insurance Welfare Benefit | Yes | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $135,117 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 10128 | Insurance broker organization code? | 3 | Insurance broker name | TRINITY BENEFIT ADVISORS, INC. |
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