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| Plan Name | BRENK BROTHERS INC DENTAL PLAN |
| Plan identification number | 505 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | BRENK BROTHERS, INC. |
| Employer identification number (EIN): | 411643597 |
| NAIC Classification: | 332700 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 505 | 2022-01-01 | ||||
| 505 | 2021-01-01 | ||||
| 505 | 2021-01-01 | ||||
| 505 | 2020-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2022: BRENK BROTHERS INC DENTAL PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-01-01 | 110 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 110 |
| Total of all active and inactive participants | 2022-01-01 | 110 |
| Total participants | 2022-01-01 | 110 |
| 2021: BRENK BROTHERS INC DENTAL PLAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-01-01 | 112 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 110 |
| Total of all active and inactive participants | 2021-01-01 | 110 |
| Total participants | 2021-01-01 | 110 |
| 2020: BRENK BROTHERS INC DENTAL PLAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-01-01 | 126 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 112 |
| Total of all active and inactive participants | 2020-01-01 | 112 |
| Total participants | 2020-01-01 | 112 |
| 2022: BRENK BROTHERS INC DENTAL PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | This submission is the final filing | Yes |
| 2022-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: BRENK BROTHERS INC DENTAL PLAN 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Submission has been amended | Yes |
| 2021-01-01 | This submission is the final filing | Yes |
| 2021-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: BRENK BROTHERS INC DENTAL PLAN 2020 form 5500 responses | ||
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | First time form 5500 has been submitted | Yes |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| DELTA DENTAL PLAN OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||
| Policy contract number | 100496 | ||||||||||||||||
| Policy instance | 1 | ||||||||||||||||
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| DELTA DENTAL OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 ) | |||||||||||||||||
| Policy contract number | T00316 | ||||||||||||||||
| Policy instance | 1 | ||||||||||||||||
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| DELTA DENTAL OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 ) | |||||||||||||||||
| Policy contract number | T00317 | ||||||||||||||||
| Policy instance | 2 | ||||||||||||||||
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