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| Plan Name | GRAND FALLS CASINO RESORT DENTAL PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | GRAND FALLS CASINO RESORT, LLC |
| Employer identification number (EIN): | 273042857 |
| NAIC Classification: | 713200 |
| NAIC Description: | Gambling Industries |
Additional information about GRAND FALLS CASINO RESORT, LLC
| Jurisdiction of Incorporation: | Iowa Secretary of State Business Entities |
| Incorporation Date: | 2010-07-14 |
| Company Identification Number: | 401449 |
| Legal Registered Office Address: |
220 N MAIN ST STE 600 DAVENPORT United States of America (USA) 52801 |
More information about GRAND FALLS CASINO RESORT, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2012-01-01 | PAT LUND |
| Measure | Date | Value |
|---|---|---|
| 2012: GRAND FALLS CASINO RESORT DENTAL PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-01-01 | 255 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 128 |
| Total of all active and inactive participants | 2012-01-01 | 128 |
| 2012: GRAND FALLS CASINO RESORT DENTAL PLAN 2012 form 5500 responses | ||
|---|---|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | First time form 5500 has been submitted | Yes |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 ) | |
| Policy contract number | 929-1 |
| Policy instance | 1 |