Plan Name | BLUESTONE HOSPITALITY LLC WELFARE BENEFIT PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | BLUESTONE HOSPITALITY LLC |
Employer identification number (EIN): | 814605673 |
NAIC Classification: | 722511 |
NAIC Description: | Full-Service Restaurants |
Additional information about BLUESTONE HOSPITALITY LLC
Jurisdiction of Incorporation: | Texas Secretary of State |
Incorporation Date: | 2016-12-03 |
Company Identification Number: | 0802594797 |
Legal Registered Office Address: |
6705 W HIGHWAY 290 # 50296 AUSTIN United States of America (USA) 78735 |
More information about BLUESTONE HOSPITALITY LLC
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2018-07-01 | ||||
501 | 2018-07-01 | ||||
501 | 2017-07-01 | MICHELLE ABRAHAM | |||
501 | 2017-01-17 | MICHELLE ABRAHAM |
Measure | Date | Value |
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2018: BLUESTONE HOSPITALITY LLC WELFARE BENEFIT PLAN 2018 401k membership | ||
Total participants, beginning-of-year | 2018-07-01 | 117 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-07-01 | 0 |
Number of retired or separated participants receiving benefits | 2018-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2018-07-01 | 0 |
Total of all active and inactive participants | 2018-07-01 | 0 |
2017: BLUESTONE HOSPITALITY LLC WELFARE BENEFIT PLAN 2017 401k membership | ||
Total participants, beginning-of-year | 2017-07-01 | 124 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-07-01 | 91 |
Number of retired or separated participants receiving benefits | 2017-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2017-07-01 | 0 |
Total of all active and inactive participants | 2017-07-01 | 91 |
Total participants, beginning-of-year | 2017-01-17 | 110 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-01-17 | 108 |
Number of retired or separated participants receiving benefits | 2017-01-17 | 0 |
Number of other retired or separated participants entitled to future benefits | 2017-01-17 | 0 |
Total of all active and inactive participants | 2017-01-17 | 108 |
2018: BLUESTONE HOSPITALITY LLC WELFARE BENEFIT PLAN 2018 form 5500 responses | ||
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2018-07-01 | Type of plan entity | Single employer plan |
2018-07-01 | First time form 5500 has been submitted | Yes |
2018-07-01 | Submission has been amended | No |
2018-07-01 | This submission is the final filing | Yes |
2018-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2018-07-01 | Plan is a collectively bargained plan | No |
2018-07-01 | Plan funding arrangement – Insurance | Yes |
2018-07-01 | Plan benefit arrangement – Insurance | Yes |
2017: BLUESTONE HOSPITALITY LLC WELFARE BENEFIT PLAN 2017 form 5500 responses | ||
2017-07-01 | Type of plan entity | Single employer plan |
2017-07-01 | Submission has been amended | No |
2017-07-01 | This submission is the final filing | No |
2017-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2017-07-01 | Plan is a collectively bargained plan | No |
2017-07-01 | Plan funding arrangement – Insurance | Yes |
2017-07-01 | Plan benefit arrangement – Insurance | Yes |
2017-01-17 | Type of plan entity | Single employer plan |
2017-01-17 | First time form 5500 has been submitted | Yes |
2017-01-17 | Submission has been amended | No |
2017-01-17 | This submission is the final filing | No |
2017-01-17 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2017-01-17 | Plan is a collectively bargained plan | No |
2017-01-17 | Plan funding arrangement – Insurance | Yes |
2017-01-17 | Plan benefit arrangement – Insurance | Yes |
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 755093 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 233924 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 0755093 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 0755093 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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