OLYMPIA HOTELS MANAGEMENT, LLC DBA SAFETY HARBOR RESORT & SPA 401(K) PLAN
|
2014
|
204232722
|
2015-10-15
|
OLYMPIA HOTELS MANAGEMENT, LLC
|
100
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
7277261161
|
Plan
sponsor’s DBA name |
SAFETY HARBOR RESORT & SPA
|
Plan sponsor’s mailing address |
105 N BAYSHORE DRIVE, SAFETY HARBOR, FL, 34695
|
Plan sponsor’s
address |
105 N BAYSHORE DRIVE, SAFETY HARBOR, FL, 34695
|
Number of participants as of the end of the plan year
Active participants |
124 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
10 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
28 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
AJITH DISSANAYAKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-15 |
Name of individual signing |
AJITH DISSANAYAKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OLYMPIA HOTELS MANAGEMENT, LLC DBA SAFETY HARBOR RESORT & SPA 401(K) PLAN
|
2013
|
204232722
|
2014-10-15
|
OLYMPIA HOTELS MANAGEMENT, LLC
|
130
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
7277261161
|
Plan
sponsor’s DBA name |
SAFETY HARBOR RESORT & SPA
|
Plan sponsor’s mailing address |
105 N BAYSHORE DRIVE, SAFETY HARBOR, FL, 34695
|
Plan sponsor’s
address |
105 N BAYSHORE DRIVE, SAFETY HARBOR, FL, 34695
|
Plan administrator’s name and address
Administrator’s EIN |
204232722 |
Plan administrator’s name |
OLYMPIA HOTELS MANAGEMENT, LLC |
Plan administrator’s
address |
105 N BAYSHORE DRIVE, SAFETY HARBOR, FL, 34695 |
Administrator’s telephone number |
7277261161 |
Number of participants as of the end of the plan year
Active participants |
99 |
Retired or separated participants receiving
benefits |
11 |
Number of
participants
with
account balances as of the end of the plan year |
34 |
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
AJITH DISSANAYAKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OLYMPIA HOTELS MANAGEMENT, LLC DBA SAFETY HARBOR RESORT & SPA 401(K) PLAN
|
2012
|
204232722
|
2013-10-14
|
OLYMPIA HOTELS MANAGEMENT, LLC
|
165
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
7277261161
|
Plan
sponsor’s DBA name |
SAFETY HARBOR RESORT & SPA
|
Plan sponsor’s mailing address |
105 N BAYSHORE DRIVE, SAFETY HARBOR, FL, 34695
|
Plan sponsor’s
address |
105 N BAYSHORE DRIVE, SAFETY HARBOR, FL, 34695
|
Plan administrator’s name and address
Administrator’s EIN |
204232722 |
Plan administrator’s name |
OLYMPIA HOTELS MANAGEMENT, LLC |
Plan administrator’s
address |
105 N BAYSHORE DRIVE, SAFETY HARBOR, FL, 34695 |
Administrator’s telephone number |
7277261161 |
Number of participants as of the end of the plan year
Active participants |
159 |
Other
retired or separated participants entitled to future benefits |
6 |
Number of
participants
with
account balances as of the end of the plan year |
40 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
NAVAID SIDDIQUI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-14 |
Name of individual signing |
NAVAID SIDDIQUI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OLYMPIA HOTELS MANAGEMENT, LLC DBA SAFETY HARBOR RESORT & SPA 401(K) PLAN
|
2011
|
204232722
|
2013-12-30
|
OLYMPIA HOTELS MANAGEMENT, LLC
|
180
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
7277261161
|
Plan
sponsor’s DBA name |
SAFETY HARBOR RESORT & SPA
|
Plan sponsor’s mailing address |
105 N BAYSHORE DRIVE, SAFETY HARBOR, FL, 34695
|
Plan sponsor’s
address |
105 N BAYSHORE DRIVE, SAFETY HARBOR, FL, 34695
|
Plan administrator’s name and address
Administrator’s EIN |
204232722 |
Plan administrator’s name |
OLYMPIA HOTELS MANAGEMENT, LLC |
Plan administrator’s
address |
105 N BAYSHORE DRIVE, SAFETY HARBOR, FL, 34695 |
Administrator’s telephone number |
7277261161 |
Number of participants as of the end of the plan year
Active participants |
159 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
11 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
47 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
AJITH DISSANAYAKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OLYMPIA HOTELS MANAGEMENT, LLC DBA SAFETY HARBOR RESORT & SPA 401(K) PLAN
|
2011
|
204232722
|
2012-06-20
|
OLYMPIA HOTELS MANAGEMENT, LLC
|
180
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
7277261161
|
Plan
sponsor’s DBA name |
SAFETY HARBOR RESORT & SPA
|
Plan sponsor’s mailing address |
105 N BAYSHORE DRIVE, SAFETY HARBOR, FL, 34695
|
Plan sponsor’s
address |
105 N BAYSHORE DRIVE, SAFETY HARBOR, FL, 34695
|
Plan administrator’s name and address
Administrator’s EIN |
204232722 |
Plan administrator’s name |
OLYMPIA HOTELS MANAGEMENT, LLC |
Plan administrator’s
address |
105 N BAYSHORE DRIVE, SAFETY HARBOR, FL, 34695 |
Administrator’s telephone number |
7277261161 |
Number of participants as of the end of the plan year
Active participants |
159 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
11 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
47 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2012-06-14 |
Name of individual signing |
AJITH DISSANAYAKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OLYMPIA HOTELS MANAGEMENT, LLC DBA SAFETY HARBOR RESORT & SPA 401(K) PLAN
|
2010
|
204232722
|
2012-01-13
|
OLYMPIA HOTELS MANAGEMENT, LLC
|
198
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
7277247672
|
Plan
sponsor’s DBA name |
SAFETY HARBOR RESORT & SPA
|
Plan sponsor’s mailing address |
105 N BAYSHORE DRIVE, SAFETY HARBOR, FL, 34695
|
Plan sponsor’s
address |
105 N BAYSHORE DRIVE, SAFETY HARBOR, FL, 34695
|
Plan administrator’s name and address
Administrator’s EIN |
204232722 |
Plan administrator’s name |
OLYMPIA HOTELS MANAGEMENT, LLC |
Plan administrator’s
address |
105 N BAYSHORE DRIVE, SAFETY HARBOR, FL, 34695 |
Administrator’s telephone number |
7277247672 |
Number of participants as of the end of the plan year
Active participants |
163 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
16 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
55 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
3 |
Signature of
Role |
Plan administrator |
Date |
2012-01-13 |
Name of individual signing |
AJITH DISSANAYAKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OLYMPIA HOTELS MANAGEMENT, LLC DBA SAFETY HARBOR RESORT & SPA 401(K) PLAN
|
2009
|
204232722
|
2012-01-13
|
OLYMPIA HOTELS MANAGEMENT, LLC
|
202
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
7277247672
|
Plan
sponsor’s DBA name |
SAFETY HARBOR RESORT & SPA
|
Plan sponsor’s mailing address |
105 N BAYSHORE DRIVE, SAFETY HARBOR, FL, 34695
|
Plan sponsor’s
address |
105 N BAYSHORE DRIVE, SAFETY HARBOR, FL, 34695
|
Plan administrator’s name and address
Administrator’s EIN |
204232722 |
Plan administrator’s name |
OLYMPIA HOTELS MANAGEMENT, LLC |
Plan administrator’s
address |
105 N BAYSHORE DRIVE, SAFETY HARBOR, FL, 34695 |
Administrator’s telephone number |
7277247672 |
Number of participants as of the end of the plan year
Active participants |
190 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
13 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
60 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2012-01-13 |
Name of individual signing |
AJITH DISSANAYAKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OLYMPIA HOTELS MANAGEMENT, LLC DBA SAFETY HARBOR RESORT & SPA 401(K) PLAN
|
2009
|
204232722
|
2012-01-13
|
OLYMPIA HOTELS MANAGEMENT, LLC
|
177
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
7277247672
|
Plan
sponsor’s DBA name |
SAFETY HARBOR RESORT & SPA
|
Plan sponsor’s mailing address |
105 N BAYSHORE DRIVE, SAFETY HARBOR, FL, 34695
|
Plan sponsor’s
address |
105 N BAYSHORE DRIVE, SAFETY HARBOR, FL, 34695
|
Plan administrator’s name and address
Administrator’s EIN |
204232722 |
Plan administrator’s name |
OLYMPIA HOTELS MANAGEMENT, LLC |
Plan administrator’s
address |
105 N BAYSHORE DRIVE, SAFETY HARBOR, FL, 34695 |
Administrator’s telephone number |
7277247672 |
Number of participants as of the end of the plan year
Active participants |
187 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
11 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
64 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
4 |
Signature of
Role |
Plan administrator |
Date |
2012-01-13 |
Name of individual signing |
AJITH DISSANAYAKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|