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THE ARIZONA COUNTRY CLUB WELFARE BENEFIT PLAN 401k Plan overview

Plan NameTHE ARIZONA COUNTRY CLUB WELFARE BENEFIT PLAN
Plan identification number 501

THE ARIZONA COUNTRY CLUB WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

THE ARIZONA COUNTRY CLUB has sponsored the creation of one or more 401k plans.

Company Name:THE ARIZONA COUNTRY CLUB
Employer identification number (EIN):860076993
NAIC Classification:713900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE ARIZONA COUNTRY CLUB WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-12-01BRITTANY FLOYD
5012022-12-01
5012022-12-01SHERYL TAYLOR
5012021-12-01
5012021-12-01SHERYL TAYLOR
5012020-12-01
5012019-12-01
5012016-12-01SHERYL TAYLOR
5012015-12-01SHERYL TAYLOR

Plan Statistics for THE ARIZONA COUNTRY CLUB WELFARE BENEFIT PLAN

401k plan membership statisitcs for THE ARIZONA COUNTRY CLUB WELFARE BENEFIT PLAN

Measure Date Value
2022: THE ARIZONA COUNTRY CLUB WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-12-01135
Total number of active participants reported on line 7a of the Form 55002022-12-01104
Number of retired or separated participants receiving benefits2022-12-011
Number of other retired or separated participants entitled to future benefits2022-12-017
Total of all active and inactive participants2022-12-01112
2021: THE ARIZONA COUNTRY CLUB WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-0193
Total number of active participants reported on line 7a of the Form 55002021-12-01103
Number of retired or separated participants receiving benefits2021-12-012
Number of other retired or separated participants entitled to future benefits2021-12-014
Total of all active and inactive participants2021-12-01109
2020: THE ARIZONA COUNTRY CLUB WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01118
Total number of active participants reported on line 7a of the Form 55002020-12-01115
Number of retired or separated participants receiving benefits2020-12-012
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-01117
2019: THE ARIZONA COUNTRY CLUB WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01109
Total number of active participants reported on line 7a of the Form 55002019-12-01108
Number of retired or separated participants receiving benefits2019-12-010
Number of other retired or separated participants entitled to future benefits2019-12-010
Total of all active and inactive participants2019-12-01108
2016: THE ARIZONA COUNTRY CLUB WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-12-01109
Total number of active participants reported on line 7a of the Form 55002016-12-01104
Total of all active and inactive participants2016-12-01104
2015: THE ARIZONA COUNTRY CLUB WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-12-01108
Total number of active participants reported on line 7a of the Form 55002015-12-01109
Number of retired or separated participants receiving benefits2015-12-010
Number of other retired or separated participants entitled to future benefits2015-12-010
Total of all active and inactive participants2015-12-01109

Form 5500 Responses for THE ARIZONA COUNTRY CLUB WELFARE BENEFIT PLAN

2022: THE ARIZONA COUNTRY CLUB WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-12-01Type of plan entitySingle employer plan
2022-12-01Submission has been amendedNo
2022-12-01This submission is the final filingNo
2022-12-01This return/report is a short plan year return/report (less than 12 months)No
2022-12-01Plan is a collectively bargained planNo
2022-12-01Plan funding arrangement – InsuranceYes
2022-12-01Plan benefit arrangement – InsuranceYes
2021: THE ARIZONA COUNTRY CLUB WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Submission has been amendedNo
2021-12-01This submission is the final filingNo
2021-12-01This return/report is a short plan year return/report (less than 12 months)No
2021-12-01Plan is a collectively bargained planNo
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – InsuranceYes
2020: THE ARIZONA COUNTRY CLUB WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Submission has been amendedNo
2020-12-01This submission is the final filingNo
2020-12-01This return/report is a short plan year return/report (less than 12 months)No
2020-12-01Plan is a collectively bargained planNo
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – InsuranceYes
2019: THE ARIZONA COUNTRY CLUB WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Submission has been amendedNo
2019-12-01This submission is the final filingNo
2019-12-01This return/report is a short plan year return/report (less than 12 months)No
2019-12-01Plan is a collectively bargained planNo
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – InsuranceYes
2016: THE ARIZONA COUNTRY CLUB WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01Submission has been amendedNo
2016-12-01This submission is the final filingNo
2016-12-01This return/report is a short plan year return/report (less than 12 months)No
2016-12-01Plan is a collectively bargained planNo
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan benefit arrangement – InsuranceYes
2015: THE ARIZONA COUNTRY CLUB WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01First time form 5500 has been submittedYes
2015-12-01Submission has been amendedNo
2015-12-01This submission is the final filingNo
2015-12-01This return/report is a short plan year return/report (less than 12 months)No
2015-12-01Plan is a collectively bargained planNo
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0169933
Policy instance 4
BANNER HEALTH AND AETNA HEALTH (National Association of Insurance Commissioners NAIC id number: 16058 )
Policy contract number0169933BH
Policy instance 3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number901640
Policy instance 2
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number242506
Policy instance 1
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0169933
Policy instance 4
BANNER HEALTH AND AETNA HEALTH (National Association of Insurance Commissioners NAIC id number: 16058 )
Policy contract number0169933BH
Policy instance 3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number901640
Policy instance 2
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number242506
Policy instance 1
BANNER HEALTH AND AETNA HEALTH (National Association of Insurance Commissioners NAIC id number: 16058 )
Policy contract number0169933BH
Policy instance 3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number901640
Policy instance 2
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number242506
Policy instance 1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number901640
Policy instance 2
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number242506
Policy instance 1

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