| Plan Name | LAKE COUNTRY HOMES RETIREMENT SAVINGS PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | LAKE COUNTRY HOMES, INC. |
| Employer identification number (EIN): | 200586386 |
| NAIC Classification: | 453930 |
| NAIC Description: | Manufactured (Mobile) Home Dealers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2010-01-01 | ESPARZA RANDALL | 2010-10-29 |