DELTA DENTAL PLAN OF WISCONSIN 401k Plan overview

DELTA DENTAL PLAN OF WISCONSIN Benefits

401k Sponsoring company profile

Company Name:	LINCOLN LUTHERAN OF RACINE
Employer identification number (EIN):	390874802
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2014-01-01	MICHAEL POLSKY
501	2013-01-01	JENNIFER GETCHE-LAMMERT
501	2012-01-01	RICK BOVA		RICK BOVA	2013-07-02
501	2011-01-01	RICK BOVA		RICK BOVA	2012-10-04
501	2010-01-01	RICK BOVA
501	2009-01-01			DANIEL RISCH	2010-10-11
501	2009-01-01			DANIEL RISCH	2010-10-04
501	2009-01-01	DANIEL RISCH
501	2009-01-01	DANIEL RISCH
501	2009-01-01			DANIEL RISCH	2010-10-11

Plan Statistics for DELTA DENTAL PLAN OF WISCONSIN

Measure	Date	Value
2014: DELTA DENTAL PLAN OF WISCONSIN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	146
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	138
Total of all active and inactive participants	2014-01-01	138
Total participants	2014-01-01	138
2013: DELTA DENTAL PLAN OF WISCONSIN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	179
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	146
Total of all active and inactive participants	2013-01-01	146
Total participants	2013-01-01	146
2012: DELTA DENTAL PLAN OF WISCONSIN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	188
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	179
Total of all active and inactive participants	2012-01-01	179
Total participants	2012-01-01	179
2011: DELTA DENTAL PLAN OF WISCONSIN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	214
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	188
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	188
Total participants	2011-01-01	188
2010: DELTA DENTAL PLAN OF WISCONSIN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	231
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	214
Total of all active and inactive participants	2010-01-01	214
Total participants	2010-01-01	214
2009: DELTA DENTAL PLAN OF WISCONSIN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	231
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	231
Total of all active and inactive participants	2009-01-01	231
Total participants	2009-01-01	231

Form 5500 Responses for DELTA DENTAL PLAN OF WISCONSIN

Insurance Providers Used on plan

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