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| Plan Name | ST. JOHNSVILLE REHABILITATION AND NURSING CENTER DENTAL PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | ST JOHNSVILLE A |
| Employer identification number (EIN): | 201388111 |
| NAIC Classification: | 623000 |
| NAIC Description: | Nursing and Residential Care Facilities |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2012-07-01 | MICHELE DYGERT | MICHELE DYGERT | 2014-01-31 | |
| 501 | 2011-07-01 | MICHELE DYGERT | MICHELE DYGERT | 2014-01-31 | |
| 501 | 2010-07-01 | LISA VOLK | LISA VOLK | 2012-05-23 | |
| 501 | 2009-07-01 | LISA VOLK | LISA VOLK | 2011-06-03 |
| Measure | Date | Value |
|---|---|---|
| 2012: ST. JOHNSVILLE REHABILITATION AND NURSING CENTER DENTAL PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-07-01 | 77 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 69 |
| Total of all active and inactive participants | 2012-07-01 | 69 |
| 2011: ST. JOHNSVILLE REHABILITATION AND NURSING CENTER DENTAL PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-07-01 | 81 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-07-01 | 77 |
| Total of all active and inactive participants | 2011-07-01 | 77 |
| 2010: ST. JOHNSVILLE REHABILITATION AND NURSING CENTER DENTAL PLAN 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-07-01 | 126 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-07-01 | 82 |
| Total of all active and inactive participants | 2010-07-01 | 82 |
| 2009: ST. JOHNSVILLE REHABILITATION AND NURSING CENTER DENTAL PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-07-01 | 126 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-07-01 | 126 |
| Total of all active and inactive participants | 2009-07-01 | 126 |
| 2012: ST. JOHNSVILLE REHABILITATION AND NURSING CENTER DENTAL PLAN 2012 form 5500 responses | ||
|---|---|---|
| 2012-07-01 | Type of plan entity | Single employer plan |
| 2012-07-01 | Plan funding arrangement – Insurance | Yes |
| 2012-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: ST. JOHNSVILLE REHABILITATION AND NURSING CENTER DENTAL PLAN 2011 form 5500 responses | ||
| 2011-07-01 | Type of plan entity | Single employer plan |
| 2011-07-01 | Submission has been amended | Yes |
| 2011-07-01 | Plan funding arrangement – Insurance | Yes |
| 2011-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: ST. JOHNSVILLE REHABILITATION AND NURSING CENTER DENTAL PLAN 2010 form 5500 responses | ||
| 2010-07-01 | Type of plan entity | Single employer plan |
| 2010-07-01 | Plan funding arrangement – Insurance | Yes |
| 2010-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: ST. JOHNSVILLE REHABILITATION AND NURSING CENTER DENTAL PLAN 2009 form 5500 responses | ||
| 2009-07-01 | Type of plan entity | Single employer plan |
| 2009-07-01 | First time form 5500 has been submitted | Yes |
| 2009-07-01 | Submission has been amended | Yes |
| 2009-07-01 | This submission is the final filing | No |
| 2009-07-01 | Plan funding arrangement – Insurance | Yes |
| 2009-07-01 | Plan benefit arrangement – Insurance | Yes |
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