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| Plan Name | LAKE CABLE LLC DENTAL PLAN |
| Plan identification number | 506 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | LAKE CABLE LLC |
| Employer identification number (EIN): | 364036023 |
| NAIC Classification: | 339900 |
Additional information about LAKE CABLE LLC
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2015-09-11 |
| Company Identification Number: | 0802289065 |
| Legal Registered Office Address: |
529 THOMAS DR BENSENVILLE United States of America (USA) 60106 |
More information about LAKE CABLE LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 506 | 2015-06-01 | MARY OZIEMKOWSKI | MARY OZIEMKOWSKI | 2017-03-14 | |
| 506 | 2014-06-01 | MARY OZIEMKOWSKI | MARY OZIEMKOWSKI | 2016-03-11 | |
| 506 | 2013-06-01 | ||||
| 506 | 2012-06-01 | MARY OZIEMKOWSKI |
| Measure | Date | Value |
|---|---|---|
| 2015: LAKE CABLE LLC DENTAL PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-06-01 | 121 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-06-01 | 0 |
| Number of retired or separated participants receiving benefits | 2015-06-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-06-01 | 0 |
| Total of all active and inactive participants | 2015-06-01 | 0 |
| 2014: LAKE CABLE LLC DENTAL PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-06-01 | 150 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-06-01 | 121 |
| Number of retired or separated participants receiving benefits | 2014-06-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-06-01 | 0 |
| Total of all active and inactive participants | 2014-06-01 | 121 |
| 2013: LAKE CABLE LLC DENTAL PLAN 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-06-01 | 136 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-06-01 | 150 |
| Total of all active and inactive participants | 2013-06-01 | 150 |
| 2012: LAKE CABLE LLC DENTAL PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-06-01 | 75 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-06-01 | 136 |
| Total of all active and inactive participants | 2012-06-01 | 136 |
| 2015: LAKE CABLE LLC DENTAL PLAN 2015 form 5500 responses | ||
|---|---|---|
| 2015-06-01 | Type of plan entity | Single employer plan |
| 2015-06-01 | Submission has been amended | No |
| 2015-06-01 | This submission is the final filing | Yes |
| 2015-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-06-01 | Plan is a collectively bargained plan | No |
| 2015-06-01 | Plan funding arrangement – Insurance | Yes |
| 2015-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: LAKE CABLE LLC DENTAL PLAN 2014 form 5500 responses | ||
| 2014-06-01 | Type of plan entity | Single employer plan |
| 2014-06-01 | Submission has been amended | No |
| 2014-06-01 | This submission is the final filing | No |
| 2014-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-06-01 | Plan is a collectively bargained plan | No |
| 2014-06-01 | Plan funding arrangement – Insurance | Yes |
| 2014-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: LAKE CABLE LLC DENTAL PLAN 2013 form 5500 responses | ||
| 2013-06-01 | Type of plan entity | Single employer plan |
| 2013-06-01 | Plan funding arrangement – Insurance | Yes |
| 2013-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: LAKE CABLE LLC DENTAL PLAN 2012 form 5500 responses | ||
| 2012-06-01 | Type of plan entity | Single employer plan |
| 2012-06-01 | Plan funding arrangement – Insurance | Yes |
| 2012-06-01 | Plan benefit arrangement – Insurance | Yes |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 383127 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 0002E713 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 0002E713 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 0002E713 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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