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REVEL HEALTH, LLC RETIREMENT SAVINGS PLAN 401k Plan overview

Plan NameREVEL HEALTH, LLC RETIREMENT SAVINGS PLAN
Plan identification number 002

REVEL HEALTH, LLC RETIREMENT SAVINGS PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

REVEL HEALTH, LLC. has sponsored the creation of one or more 401k plans.

Company Name:REVEL HEALTH, LLC.
Employer identification number (EIN):721620748
NAIC Classification:541511
NAIC Description:Custom Computer Programming Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan REVEL HEALTH, LLC RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022021-01-01ANDREW LEINFELDER2022-09-05 ANDREW LEINFELDER2022-09-05
0022020-01-01LIZ SEEMAN2021-02-24 LIZ SEEMAN2021-02-24
0022019-01-01BRIANNA DURFEE2020-11-05 BRIANNA DURFEE2020-11-05

Financial Data on REVEL HEALTH, LLC RETIREMENT SAVINGS PLAN

Measure Date Value
2021 : REVEL HEALTH, LLC RETIREMENT SAVINGS PLAN 2021 401k financial data
Unrealized appreciation/depreciation of real estate assets2021-03-19$0
Unrealized appreciation/depreciation of other (non real estate) assets2021-03-19$0
Total unrealized appreciation/depreciation of assets2021-03-19$0
Total transfer of assets to this plan2021-03-19$0
Total transfer of assets from this plan2021-03-19$4,772,650
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-03-19$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-03-19$0
Total income from all sources (including contributions)2021-03-19$568,289
Total loss/gain on sale of assets2021-03-19$0
Total of all expenses incurred2021-03-19$53,549
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-03-19$49,251
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-03-19$380,727
Value of total assets at end of year2021-03-19$0
Value of total assets at beginning of year2021-03-19$4,257,910
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-03-19$4,298
Total interest from all sources2021-03-19$347
Total dividends received (eg from common stock, registered investment company shares)2021-03-19$147
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-03-19Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2021-03-19$0
Total dividends received from registered investment company shares (eg mutual funds)2021-03-19$147
Administrative expenses professional fees incurred2021-03-19$0
Was this plan covered by a fidelity bond2021-03-19No
If this is an individual account plan, was there a blackout period2021-03-19Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-03-19$0
Were there any nonexempt tranactions with any party-in-interest2021-03-19No
Contributions received from participants2021-03-19$247,133
Participant contributions at end of year2021-03-19$0
Participant contributions at beginning of year2021-03-19$5,033
Participant contributions at end of year2021-03-19$0
Participant contributions at beginning of year2021-03-19$0
Income. Received or receivable in cash from other sources (including rollovers)2021-03-19$11,984
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-03-19$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-03-19$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-03-19$0
Other income not declared elsewhere2021-03-19$0
Administrative expenses (other) incurred2021-03-19$0
Total non interest bearing cash at end of year2021-03-19$0
Total non interest bearing cash at beginning of year2021-03-19$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-19No
Value of net income/loss2021-03-19$514,740
Value of net assets at end of year (total assets less liabilities)2021-03-19$0
Value of net assets at beginning of year (total assets less liabilities)2021-03-19$4,257,910
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-03-19No
Were any loans by the plan or fixed income obligations due to the plan in default2021-03-19No
Were any leases to which the plan was party in default or uncollectible2021-03-19No
Investment advisory and management fees2021-03-19$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-03-19$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-03-19$1,067,524
Value of interest in pooled separate accounts at end of year2021-03-19$0
Value of interest in pooled separate accounts at beginning of year2021-03-19$179,442
Interest on participant loans2021-03-19$43
Income. Interest from loans (other than to participants)2021-03-19$0
Interest earned on other investments2021-03-19$304
Income. Interest from US Government securities2021-03-19$0
Income. Interest from corporate debt instruments2021-03-19$0
Value of interest in common/collective trusts at end of year2021-03-19$0
Value of interest in common/collective trusts at beginning of year2021-03-19$2,921,346
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-03-19$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-03-19$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-03-19$84,565
Expenses. Payments to insurance carriers foe the provision of benefits2021-03-19$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-03-19$25,104
Net investment gain/loss from pooled separate accounts2021-03-19$32,423
Net investment gain or loss from common/collective trusts2021-03-19$129,541
Net gain/loss from 103.12 investment entities2021-03-19$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-03-19No
Was there a failure to transmit to the plan any participant contributions2021-03-19No
Has the plan failed to provide any benefit when due under the plan2021-03-19No
Contributions received in cash from employer2021-03-19$121,610
Employer contributions (assets) at end of year2021-03-19$0
Employer contributions (assets) at beginning of year2021-03-19$0
Income. Dividends from preferred stock2021-03-19$0
Income. Dividends from common stock2021-03-19$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-03-19$49,251
Contract administrator fees2021-03-19$4,298
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-03-19Yes
Did the plan have assets held for investment2021-03-19No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-19No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-03-19Yes
Aggregate proceeds on sale of assets2021-03-19$0
Aggregate carrying amount (costs) on sale of assets2021-03-19$0
Opinion of an independent qualified public accountant for this plan2021-03-19Disclaimer
Accountancy firm name2021-03-19LURIE, LLP
Accountancy firm EIN2021-03-19410721734

Form 5500 Responses for REVEL HEALTH, LLC RETIREMENT SAVINGS PLAN

2021: REVEL HEALTH, LLC RETIREMENT SAVINGS PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingYes
2021-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number627942
Policy instance 2

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