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BOSSIER CASINO VENTURE 401k Plan overview

Plan NameBOSSIER CASINO VENTURE
Plan identification number 513

BOSSIER CASINO VENTURE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

BOSSIER CASINO VENTURE, INC. has sponsored the creation of one or more 401k plans.

Company Name:BOSSIER CASINO VENTURE, INC.
Employer identification number (EIN):721235423
NAIC Classification:721120
NAIC Description:Casino Hotels

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BOSSIER CASINO VENTURE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5132017-07-01SANDRA JEANPIERRE

Plan Statistics for BOSSIER CASINO VENTURE

401k plan membership statisitcs for BOSSIER CASINO VENTURE

Measure Date Value
2017: BOSSIER CASINO VENTURE 2017 401k membership
Total participants, beginning-of-year2017-07-01305
Total number of active participants reported on line 7a of the Form 55002017-07-01281
Total of all active and inactive participants2017-07-01281
Total participants2017-07-01281

Financial Data on BOSSIER CASINO VENTURE

Measure Date Value
2018 : BOSSIER CASINO VENTURE 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-07-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-07-01$98,997
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-07-01$0
Total income from all sources (including contributions)2018-07-01$84,317
Total loss/gain on sale of assets2018-07-01$0
Total of all expenses incurred2018-07-01$98,997
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-07-01$84,317
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-07-01$84,317
Value of total assets at end of year2018-07-01$84,317
Value of total assets at beginning of year2018-07-01$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-07-01$14,680
Total interest from all sources2018-07-01$0
Total dividends received (eg from common stock, registered investment company shares)2018-07-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-07-01No
Was this plan covered by a fidelity bond2018-07-01No
If this is an individual account plan, was there a blackout period2018-07-01No
Were there any nonexempt tranactions with any party-in-interest2018-07-01No
Contributions received from participants2018-07-01$84,317
Participant contributions at end of year2018-07-01$84,317
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-07-01$14,680
Administrative expenses (other) incurred2018-07-01$14,680
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-07-01No
Value of net income/loss2018-07-01$-14,680
Value of net assets at end of year (total assets less liabilities)2018-07-01$-14,680
Value of net assets at beginning of year (total assets less liabilities)2018-07-01$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-07-01No
Were any loans by the plan or fixed income obligations due to the plan in default2018-07-01No
Were any leases to which the plan was party in default or uncollectible2018-07-01No
Expenses. Payments to insurance carriers foe the provision of benefits2018-07-01$84,317
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-07-01No
Was there a failure to transmit to the plan any participant contributions2018-07-01No
Has the plan failed to provide any benefit when due under the plan2018-07-01No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-07-01No
Liabilities. Value of benefit claims payable at end of year2018-07-01$84,317
Did the plan have assets held for investment2018-07-01No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-07-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-07-01No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-07-01No
Opinion of an independent qualified public accountant for this plan2018-07-01Unqualified

Form 5500 Responses for BOSSIER CASINO VENTURE

2017: BOSSIER CASINO VENTURE 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01First time form 5500 has been submittedYes
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number9889055
Policy instance 1
Insurance contract or identification number9889055
Number of Individuals Covered281
Insurance policy start date2017-07-01
Insurance policy end date2018-07-01
Total amount of commissions paid to insurance brokerUSD $14,680
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $84,317
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $84,317
Amount paid for insurance broker fees12416
Additional information about fees paid to insurance brokerSALES COMMISSION PAID
Insurance broker organization code?3
Insurance broker nameOPTIBEN LLC

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