401k Plan data: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN plan

MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 401k Plan overview

Plan Name	MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN
Plan identification number	505

MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision

401k Sponsoring company profile

MINN-DAK FARMERS COOPERATIVE has sponsored the creation of one or more 401k plans.

Company Name: MINN-DAK FARMERS COOPERATIVE

Employer identification number (EIN): 237222188

NAIC Classification: 311300
NAIC Description: Sugar and Confectionery Product Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2017-01-01 SHEILA KLOSE
505 2016-10-01 OFELIA WEGLEY
505 2015-10-01 OFELIA WEGLEY
505 2014-10-01 OFELIA WEGLEY OFELIA WEGLEY 2016-04-26
505 2014-10-01 OFELIA WEGLEY
505 2013-10-01 GREG SCHMALZ GREG SCHMALZ 2015-04-21
505 2012-10-01 GREG SCHMALZ GREG SCHMALZ 2014-04-09
505 2011-10-01 GREG SCHMALZ GREG SCHMALZ 2013-04-23
505 2010-10-01 GREG SCHMALZ
505 2009-10-01 GREG SCHMALZ

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
505	2017-01-01	SHEILA KLOSE
505	2016-10-01	OFELIA WEGLEY
505	2015-10-01	OFELIA WEGLEY
505	2014-10-01	OFELIA WEGLEY	OFELIA WEGLEY	2016-04-26
505	2014-10-01	OFELIA WEGLEY
505	2013-10-01	GREG SCHMALZ	GREG SCHMALZ	2015-04-21
505	2012-10-01	GREG SCHMALZ	GREG SCHMALZ	2014-04-09
505	2011-10-01	GREG SCHMALZ	GREG SCHMALZ	2013-04-23
505	2010-10-01	GREG SCHMALZ
505	2009-10-01	GREG SCHMALZ

Plan Statistics for MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN

401k plan membership statisitcs for MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN

Measure Date Value
2017: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 367
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
2016: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2016 401k membership
Total participants, beginning-of-year 2016-10-01 384
Total number of active participants reported on line 7a of the Form 5500 2016-10-01 358
Number of retired or separated participants receiving benefits 2016-10-01 9
Number of other retired or separated participants entitled to future benefits 2016-10-01 0
Total of all active and inactive participants 2016-10-01 367
2015: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 377
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 357
Number of retired or separated participants receiving benefits 2015-10-01 27
Total of all active and inactive participants 2015-10-01 384
2014: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 323
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 374
Number of retired or separated participants receiving benefits 2014-10-01 3
Total of all active and inactive participants 2014-10-01 377
2013: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 313
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 315
Number of retired or separated participants receiving benefits 2013-10-01 8
Total of all active and inactive participants 2013-10-01 323
2012: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 313
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 313
Number of retired or separated participants receiving benefits 2012-10-01 3
Total of all active and inactive participants 2012-10-01 316
2011: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 326
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 305
Number of retired or separated participants receiving benefits 2011-10-01 8
Total of all active and inactive participants 2011-10-01 313
Total participants 2011-10-01 313
2010: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2010 401k membership
Total participants, beginning-of-year 2010-10-01 308
Total number of active participants reported on line 7a of the Form 5500 2010-10-01 322
Number of retired or separated participants receiving benefits 2010-10-01 4
Total of all active and inactive participants 2010-10-01 326
Total participants 2010-10-01 326
2009: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 309
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 304
Number of retired or separated participants receiving benefits 2009-10-01 4
Total of all active and inactive participants 2009-10-01 308
Total participants 2009-10-01 308

Measure	Date	Value
2017: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	367
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
2016: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2016 401k membership
Total participants, beginning-of-year	2016-10-01	384
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	358
Number of retired or separated participants receiving benefits	2016-10-01	9
Number of other retired or separated participants entitled to future benefits	2016-10-01	0
Total of all active and inactive participants	2016-10-01	367
2015: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	377
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	357
Number of retired or separated participants receiving benefits	2015-10-01	27
Total of all active and inactive participants	2015-10-01	384
2014: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	323
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	374
Number of retired or separated participants receiving benefits	2014-10-01	3
Total of all active and inactive participants	2014-10-01	377
2013: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	313
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	315
Number of retired or separated participants receiving benefits	2013-10-01	8
Total of all active and inactive participants	2013-10-01	323
2012: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	313
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	313
Number of retired or separated participants receiving benefits	2012-10-01	3
Total of all active and inactive participants	2012-10-01	316
2011: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	326
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	305
Number of retired or separated participants receiving benefits	2011-10-01	8
Total of all active and inactive participants	2011-10-01	313
Total participants	2011-10-01	313
2010: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2010 401k membership
Total participants, beginning-of-year	2010-10-01	308
Total number of active participants reported on line 7a of the Form 5500	2010-10-01	322
Number of retired or separated participants receiving benefits	2010-10-01	4
Total of all active and inactive participants	2010-10-01	326
Total participants	2010-10-01	326
2009: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	309
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	304
Number of retired or separated participants receiving benefits	2009-10-01	4
Total of all active and inactive participants	2009-10-01	308
Total participants	2009-10-01	308

Form 5500 Responses for MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN

2017: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	Submission has been amended	No
2016-10-01	This submission is the final filing	No
2016-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2016-10-01	Plan is a collectively bargained plan	No
2016-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Submission has been amended	No
2015-10-01	This submission is the final filing	No
2015-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-10-01	Plan is a collectively bargained plan	Yes
2015-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	Yes
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	Yes
2014-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	Yes
2013-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	Yes
2012-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Submission has been amended	No
2011-10-01	This submission is the final filing	No
2011-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-10-01	Plan is a collectively bargained plan	Yes
2011-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2010 form 5500 responses
2010-10-01	Type of plan entity	Single employer plan
2010-10-01	Submission has been amended	No
2010-10-01	This submission is the final filing	No
2010-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-10-01	Plan is a collectively bargained plan	Yes
2010-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: MINN-DAK FARMERS COOPERATIVE HEALTH, DENTAL AND VISION PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Submission has been amended	No
2009-10-01	This submission is the final filing	No
2009-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-10-01	Plan is a collectively bargained plan	Yes
2009-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-10-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )

Policy contract number

19553&19554

Policy instance

Insurance contract or identification number	19553&19554
Number of Individuals Covered	326
Insurance policy start date	2010-10-01
Insurance policy end date	2011-09-30
Total amount of fees paid to insurance company	USD $173,424
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE DENTAL SERVICE CORPORATION OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 47054 )

Policy contract number

19533&19554

Policy instance

Insurance contract or identification number	19533&19554
Number of Individuals Covered	323
Insurance policy start date	2010-10-01
Insurance policy end date	2011-09-30
Total amount of fees paid to insurance company	USD $13,615
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE VISION SERVICE CORPORATION OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 47053 )

Policy contract number

19553&19554

Policy instance

Insurance contract or identification number	19553&19554
Number of Individuals Covered	323
Insurance policy start date	2010-10-01
Insurance policy end date	2011-09-30
Total amount of fees paid to insurance company	USD $3,444
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	MINN-DAK FARMERS COOPERATIVE
Employer identification number (EIN):	237222188
NAIC Classification:	311300
NAIC Description:	Sugar and Confectionery Product Manufacturing