BRECKENRIDGE GRAND VACATIONS MEDICAL BENEFIT PLUS PLAN
|
2014
|
203313006
|
2015-07-09
|
PEAK 7 LLC
|
280
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2001-02-01
|
Business code |
531390
|
Sponsor’s telephone number |
8887838883
|
Plan
sponsor’s DBA name |
BRECKENRIDGE GRAND VACATIONS
|
Plan sponsor’s mailing address |
P O BOX 6879, BRECKENRIDGE, CO, 80424
|
Plan sponsor’s
address |
1625 AIRPORT ROAD, BRECKENRIDGE, CO, 80424
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-07-09 |
Name of individual signing |
JANE HYEON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-09 |
Name of individual signing |
MICHAEL MILLISOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL, DENTAL AND VISION BENEFIT PLAN AND PRE-TAX PREMIUM PLAN
|
2013
|
203313006
|
2014-07-28
|
PEAK 7, LLC
|
241
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2001-02-01
|
Business code |
531390
|
Sponsor’s telephone number |
9705474004
|
Plan
sponsor’s DBA name |
BRECKENRIDGE GRAND VACATIONS
|
Plan sponsor’s mailing address |
P.O. BOX 6879, BRECKENRIDGE, CO, 80424
|
Plan sponsor’s
address |
100 S MAIN STREET, BRECKENRIDGE, CO, 80424
|
Number of participants as of the end of the plan year
Active participants |
257 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-22 |
Name of individual signing |
JANE HYEON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-22 |
Name of individual signing |
MICHAEL MILLISOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL, DENTAL AND VISION BENEFIT PLAN AND PRE-TAX PREMIUM PLAN
|
2012
|
203313006
|
2013-07-23
|
PEAK 7, LLC
|
237
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2001-02-01
|
Business code |
531390
|
Sponsor’s telephone number |
9705474004
|
Plan
sponsor’s DBA name |
BRECKENRIDGE GRAND VACATIONS
|
Plan sponsor’s mailing address |
P.O. BOX 6879, BRECKENRIDGE, CO, 80424
|
Plan sponsor’s
address |
100 S MAIN STREET, BRECKENRIDGE, CO, 80424
|
Number of participants as of the end of the plan year
Active participants |
233 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2013-07-23 |
Name of individual signing |
HILARY CHU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL, DENTAL AND VISION BENEFIT PLAN AND PRE-TAX PREMIUM PLAN
|
2011
|
203313006
|
2012-06-14
|
PEAK 7, LLC
|
201
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2001-02-01
|
Business code |
531390
|
Sponsor’s telephone number |
9705474004
|
Plan
sponsor’s DBA name |
BRECKENRIDGE GRAND VACATIONS
|
Plan sponsor’s mailing address |
P.O. BOX 6879, BRECKENRIDGE, CO, 80424
|
Plan sponsor’s
address |
100 S MAIN STREET, BRECKENRIDGE, CO, 80424
|
Plan administrator’s name and address
Administrator’s EIN |
203313006 |
Plan administrator’s name |
PEAK 7, LLC |
Plan administrator’s
address |
P.O. BOX 6879, BRECKENRIDGE, CO, 80424 |
Administrator’s telephone number |
9705474004 |
Number of participants as of the end of the plan year
Active participants |
225 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-06-14 |
Name of individual signing |
HILARY CHU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-14 |
Name of individual signing |
MICHAEL MILLISOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL, DENTAL AND VISION BENEFIT PLAN AND PRE-TAX PREMIUM PLAN
|
2010
|
203313006
|
2011-06-09
|
PEAK 7, LLC
|
179
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2001-02-01
|
Business code |
531390
|
Sponsor’s telephone number |
9705474004
|
Plan
sponsor’s DBA name |
BRECKENRIDGE GRAND VACATIONS
|
Plan sponsor’s mailing address |
P.O. BOX 6879, BRECKENRIDGE, CO, 80424
|
Plan sponsor’s
address |
100 S MAIN STREET, BRECKENRIDGE, CO, 80424
|
Plan administrator’s name and address
Administrator’s EIN |
203313006 |
Plan administrator’s name |
PEAK 7, LLC |
Plan administrator’s
address |
P.O. BOX 6879, BRECKENRIDGE, CO, 80424 |
Administrator’s telephone number |
9705474004 |
Number of participants as of the end of the plan year
Active participants |
180 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-06-06 |
Name of individual signing |
HILARY CHU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-06 |
Name of individual signing |
MICHAEL MILLISOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL, DENTAL AND VISION BENEFIT PLAN AND PRE-TAX PREMIUM PLAN
|
2009
|
203313006
|
2010-07-23
|
PEAK 7, LLC
|
154
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2001-02-01
|
Business code |
531390
|
Sponsor’s telephone number |
9705474004
|
Plan
sponsor’s DBA name |
BRECKENRIDGE GRAND VACATIONS
|
Plan sponsor’s mailing address |
P.O. BOX 6879, BRECKENRIDGE, CO, 80424
|
Plan sponsor’s
address |
100 S MAIN STREET, BRECKENRIDGE, CO, 80424
|
Plan administrator’s name and address
Administrator’s EIN |
203313006 |
Plan administrator’s name |
PEAK 7, LLC |
Plan administrator’s
address |
P.O. BOX 6879, BRECKENRIDGE, CO, 80424 |
Administrator’s telephone number |
9705474004 |
Number of participants as of the end of the plan year
Active participants |
162 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-07-23 |
Name of individual signing |
HILARY CHU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|