BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND DISABILITY PLANS
|
2015
|
840155150
|
2016-09-06
|
BROADMOOR HOTEL, INC.
|
1092
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1975-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
7196347711
|
Plan sponsor’s mailing address |
P.O. BOX 1439, COLORADO SPRINGS, CO, 80906
|
Plan sponsor’s
address |
1 LAKE AVENUE, COLORADO SPRINGS, CO, 80906
|
Number of participants as of the end of the plan year
Active participants |
1008 |
Retired or separated participants receiving
benefits |
99 |
Signature of
Role |
Plan administrator |
Date |
2016-09-06 |
Name of individual signing |
TIM HANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-06 |
Name of individual signing |
TIM HANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS
|
2015
|
840155150
|
2016-09-06
|
BROADMOOR HOTEL, INC.
|
683
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1978-02-01
|
Business code |
721110
|
Sponsor’s telephone number |
7196347711
|
Plan sponsor’s mailing address |
P.O. BOX 1439, COLORADO SPRINGS, CO, 80906
|
Plan sponsor’s
address |
1 LAKE AVENUE, COLORADO SPRINGS, CO, 80906
|
Number of participants as of the end of the plan year
Active participants |
712 |
Retired or separated participants receiving
benefits |
21 |
Signature of
Role |
Plan administrator |
Date |
2016-09-06 |
Name of individual signing |
TIM HANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-06 |
Name of individual signing |
TIM HANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND DISABILITY PLANS
|
2014
|
840155150
|
2015-09-16
|
BROADMOOR HOTEL, INC.
|
986
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1975-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
7196347711
|
Plan sponsor’s mailing address |
P.O. BOX 1439, COLORADO SPRINGS, CO, 80906
|
Plan sponsor’s
address |
1 LAKE AVENUE, COLORADO SPRINGS, CO, 80906
|
Number of participants as of the end of the plan year
Active participants |
1004 |
Retired or separated participants receiving
benefits |
88 |
Signature of
Role |
Plan administrator |
Date |
2015-09-16 |
Name of individual signing |
TIM HANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-16 |
Name of individual signing |
TIM HANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS
|
2014
|
840155150
|
2015-09-16
|
BROADMOOR HOTEL, INC.
|
645
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1978-02-01
|
Business code |
721110
|
Sponsor’s telephone number |
7196347711
|
Plan sponsor’s mailing address |
P.O. BOX 1439, COLORADO SPRINGS, CO, 80906
|
Plan sponsor’s
address |
1 LAKE AVENUE, COLORADO SPRINGS, CO, 80906
|
Number of participants as of the end of the plan year
Active participants |
668 |
Retired or separated participants receiving
benefits |
15 |
Signature of
Role |
Plan administrator |
Date |
2015-09-16 |
Name of individual signing |
TIM HANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-16 |
Name of individual signing |
TIM HANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS
|
2013
|
840155150
|
2014-08-11
|
BROADMOOR HOTEL, INC.
|
671
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1978-02-01
|
Business code |
721110
|
Sponsor’s telephone number |
7196347711
|
Plan sponsor’s mailing address |
P.O. BOX 1439, COLORADO SPRINGS, CO, 80906
|
Plan sponsor’s
address |
1 LAKE AVENUE, COLORADO SPRINGS, CO, 80906
|
Number of participants as of the end of the plan year
Active participants |
637 |
Retired or separated participants receiving
benefits |
8 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-08-11 |
Name of individual signing |
TIM HANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-08-11 |
Name of individual signing |
TIM HANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND DISABILITY PLANS
|
2013
|
840155150
|
2014-08-11
|
BROADMOOR HOTEL, INC.
|
953
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1975-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
7196347711
|
Plan sponsor’s mailing address |
P.O. BOX 1439, COLORADO SPRINGS, CO, 80906
|
Plan sponsor’s
address |
1 LAKE AVENUE, COLORADO SPRINGS, CO, 80906
|
Number of participants as of the end of the plan year
Active participants |
897 |
Retired or separated participants receiving
benefits |
89 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-08-11 |
Name of individual signing |
TIM HANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-08-11 |
Name of individual signing |
TIM HANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401(K) RETIREMENT SAVINGS PLAN OF BROADMOOR HOTEL, INC. TRUST
|
2012
|
840155150
|
2013-08-22
|
BROADMOOR HOTEL, INC.
|
1187
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
7194716180
|
Plan sponsor’s mailing address |
1 LAKE AVENUE, COLORADO SPRINGS, CO, 80906
|
Plan sponsor’s
address |
1 LAKE AVENUE, COLORADO SPRINGS, CO, 80906
|
Plan administrator’s name and address
Administrator’s EIN |
840155150 |
Plan administrator’s name |
BROADMOOR HOTEL, INC. |
Plan administrator’s
address |
1 LAKE AVENUE, COLORADO SPRINGS, CO, 80906 |
Administrator’s telephone number |
7194716180 |
Number of participants as of the end of the plan year
Active participants |
1018 |
Retired or separated participants receiving
benefits |
13 |
Other
retired or separated participants entitled to future benefits |
173 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
1073 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
167 |
Signature of
Role |
Plan administrator |
Date |
2013-08-22 |
Name of individual signing |
KARI J. ALLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-08-22 |
Name of individual signing |
KARI J. ALLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS
|
2012
|
840155150
|
2013-06-14
|
BROADMOOR HOTEL, INC.
|
710
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1978-02-01
|
Business code |
721110
|
Sponsor’s telephone number |
7196347711
|
Plan sponsor’s mailing address |
P.O. BOX 1439, COLORADO SPRINGS, CO, 80906
|
Plan sponsor’s
address |
1 LAKE AVENUE, COLORADO SPRINGS, CO, 80906
|
Number of participants as of the end of the plan year
Active participants |
651 |
Retired or separated participants receiving
benefits |
10 |
Other
retired or separated participants entitled to future benefits |
10 |
Signature of
Role |
Plan administrator |
Date |
2013-06-14 |
Name of individual signing |
JAMES FLOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-14 |
Name of individual signing |
JAMES FLOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND DISABILITY PLANS
|
2012
|
840155150
|
2013-06-14
|
BROADMOOR HOTEL, INC.
|
933
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1975-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
7196347711
|
Plan sponsor’s mailing address |
P.O. BOX 1439, COLORADO SPRINGS, CO, 80906
|
Plan sponsor’s
address |
1 LAKE AVENUE, COLORADO SPRINGS, CO, 80906
|
Number of participants as of the end of the plan year
Active participants |
866 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
87 |
Signature of
Role |
Plan administrator |
Date |
2013-06-14 |
Name of individual signing |
JAMES FLOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-14 |
Name of individual signing |
JAMES FLOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401(K) RETIREMENT SAVINGS PLAN OF BROADMOOR HOTEL, INC. TRUST
|
2011
|
840155150
|
2012-09-21
|
BROADMOOR HOTEL, INC.
|
1159
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
7194716180
|
Plan sponsor’s mailing address |
1 LAKE AVENUE, COLORADO SPRINGS, CO, 80906
|
Plan sponsor’s
address |
1 LAKE AVENUE, COLORADO SPRINGS, CO, 80906
|
Plan administrator’s name and address
Administrator’s EIN |
840155150 |
Plan administrator’s name |
BROADMOOR HOTEL, INC. |
Plan administrator’s
address |
1 LAKE AVENUE, COLORADO SPRINGS, CO, 80906 |
Administrator’s telephone number |
7194716180 |
Number of participants as of the end of the plan year
Active participants |
983 |
Retired or separated participants receiving
benefits |
14 |
Other
retired or separated participants entitled to future benefits |
188 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
1138 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
180 |
Signature of
Role |
Plan administrator |
Date |
2012-09-21 |
Name of individual signing |
KARI J. ALLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|