401k Plan data: MARINE VIEW BEVERAGE, INC. HEALTH CARE BENEFITS PLAN plan

MARINE VIEW BEVERAGE, INC. HEALTH CARE BENEFITS PLAN 401k Plan overview

Plan Name	MARINE VIEW BEVERAGE, INC. HEALTH CARE BENEFITS PLAN
Plan identification number	502

MARINE VIEW BEVERAGE, INC. HEALTH CARE BENEFITS 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 Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

MARINE VIEW BEVERAGE, INC. has sponsored the creation of one or more 401k plans.

Company Name: MARINE VIEW BEVERAGE, INC.

Employer identification number (EIN): 912178372

NAIC Classification: 424800

Additional information about MARINE VIEW BEVERAGE, INC.

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 2002-07-16

Company Identification Number: 602219986

Legal Registered Office Address: 13716 116TH STREET CT E

PUYALLUP
United States of America (USA)
983742461

More information about MARINE VIEW BEVERAGE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MARINE VIEW BEVERAGE, INC. HEALTH CARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2018-01-01
502 2017-01-01

Plan Statistics for MARINE VIEW BEVERAGE, INC. HEALTH CARE BENEFITS PLAN

401k plan membership statisitcs for MARINE VIEW BEVERAGE, INC. HEALTH CARE BENEFITS PLAN

Measure Date Value
2018: MARINE VIEW BEVERAGE, INC. HEALTH CARE BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 267
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 0
Number of employers contributing to the scheme 2018-01-01 0
2017: MARINE VIEW BEVERAGE, INC. HEALTH CARE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 270
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 267
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 267

Measure	Date	Value
2018: MARINE VIEW BEVERAGE, INC. HEALTH CARE BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	267
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	0
Number of employers contributing to the scheme	2018-01-01	0
2017: MARINE VIEW BEVERAGE, INC. HEALTH CARE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	270
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	267
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	267

Form 5500 Responses for MARINE VIEW BEVERAGE, INC. HEALTH CARE BENEFITS PLAN

2018: MARINE VIEW BEVERAGE, INC. HEALTH CARE BENEFITS PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	This submission is the final filing	Yes
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: MARINE VIEW BEVERAGE, INC. HEALTH CARE BENEFITS PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	First time form 5500 has been submitted	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

10222912

Policy instance

Insurance contract or identification number	10222912
Number of Individuals Covered	244
Insurance policy start date	2018-01-01
Insurance policy end date	2018-04-30
Total amount of commissions paid to insurance broker	USD $4,128
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $27,521
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,128
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

10222912

Policy instance

Insurance contract or identification number	10222912
Number of Individuals Covered	267
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $12,691
Total amount of fees paid to insurance company	USD $3,126
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $84,606
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,691
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	BROKER BONUS
Insurance broker name	BROWN AND BROWN OF FLORIDA, INC.

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Company Name:	MARINE VIEW BEVERAGE, INC.
Employer identification number (EIN):	912178372
NAIC Classification:	424800

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	2002-07-16
Company Identification Number:	602219986
Legal Registered Office Address:	13716 116TH STREET CT E PUYALLUP United States of America (USA) 983742461