401k Plan data: WHITE EARTH RESERVATION HEALTH CARE WELLNESS PLAN FOR COMMERCIAL EMPLOYEES plan

WHITE EARTH RESERVATION HEALTH CARE WELLNESS PLAN FOR COMMERCIAL EMPLOYEES 401k Plan overview

Plan Name	WHITE EARTH RESERVATION HEALTH CARE WELLNESS PLAN FOR COMMERCIAL EMPLOYEES
Plan identification number	501

WHITE EARTH RESERVATION HEALTH CARE WELLNESS PLAN FOR COMMERCIAL EMPLOYEES Benefits

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

401k Sponsoring company profile

WHITE EARTH RESERVATION TRIBAL COUNCIL has sponsored the creation of one or more 401k plans.

Company Name: WHITE EARTH RESERVATION TRIBAL COUNCIL

Employer identification number (EIN): 411737979

NAIC Classification: 921000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WHITE EARTH RESERVATION HEALTH CARE WELLNESS PLAN FOR COMMERCIAL EMPLOYEES

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2012-10-01 LARRY KINDSETH
501 2011-10-01 LARRY KINDSETH
501 2009-10-01 LARRY KINDSETH
501 2008-10-01 LARRY KINDSETH
501 2007-10-01 LARRY KINDSETH

Plan id#	Filing Submission Date	Name of Administrator
501	2012-10-01	LARRY KINDSETH
501	2011-10-01	LARRY KINDSETH
501	2009-10-01	LARRY KINDSETH
501	2008-10-01	LARRY KINDSETH
501	2007-10-01	LARRY KINDSETH

Plan Statistics for WHITE EARTH RESERVATION HEALTH CARE WELLNESS PLAN FOR COMMERCIAL EMPLOYEES

401k plan membership statisitcs for WHITE EARTH RESERVATION HEALTH CARE WELLNESS PLAN FOR COMMERCIAL EMPLOYEES

Measure Date Value
2012: WHITE EARTH RESERVATION HEALTH CARE WELLNESS PLAN FOR COMMERCIAL EMPLOYEES 2012 401k membership
Total participants, beginning-of-year 2012-10-01 540
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 0
Number of retired or separated participants receiving benefits 2012-10-01 0
Number of other retired or separated participants entitled to future benefits 2012-10-01 0
Total of all active and inactive participants 2012-10-01 0
2011: WHITE EARTH RESERVATION HEALTH CARE WELLNESS PLAN FOR COMMERCIAL EMPLOYEES 2011 401k membership
Total participants, beginning-of-year 2011-10-01 414
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 533
Number of retired or separated participants receiving benefits 2011-10-01 7
Number of other retired or separated participants entitled to future benefits 2011-10-01 0
Total of all active and inactive participants 2011-10-01 540
2009: WHITE EARTH RESERVATION HEALTH CARE WELLNESS PLAN FOR COMMERCIAL EMPLOYEES 2009 401k membership
Total participants, beginning-of-year 2009-10-01 471
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 412
Number of retired or separated participants receiving benefits 2009-10-01 11
Number of other retired or separated participants entitled to future benefits 2009-10-01 0
Total of all active and inactive participants 2009-10-01 423
2008: WHITE EARTH RESERVATION HEALTH CARE WELLNESS PLAN FOR COMMERCIAL EMPLOYEES 2008 401k membership
Total participants, beginning-of-year 2008-10-01 486
Total number of active participants reported on line 7a of the Form 5500 2008-10-01 476
Number of retired or separated participants receiving benefits 2008-10-01 14
Number of other retired or separated participants entitled to future benefits 2008-10-01 0
Total of all active and inactive participants 2008-10-01 490
2007: WHITE EARTH RESERVATION HEALTH CARE WELLNESS PLAN FOR COMMERCIAL EMPLOYEES 2007 401k membership
Total participants, beginning-of-year 2007-10-01 561
Total number of active participants reported on line 7a of the Form 5500 2007-10-01 491
Number of retired or separated participants receiving benefits 2007-10-01 14
Number of other retired or separated participants entitled to future benefits 2007-10-01 0
Total of all active and inactive participants 2007-10-01 505

Measure	Date	Value
2012: WHITE EARTH RESERVATION HEALTH CARE WELLNESS PLAN FOR COMMERCIAL EMPLOYEES 2012 401k membership
Total participants, beginning-of-year	2012-10-01	540
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	0
Number of retired or separated participants receiving benefits	2012-10-01	0
Number of other retired or separated participants entitled to future benefits	2012-10-01	0
Total of all active and inactive participants	2012-10-01	0
2011: WHITE EARTH RESERVATION HEALTH CARE WELLNESS PLAN FOR COMMERCIAL EMPLOYEES 2011 401k membership
Total participants, beginning-of-year	2011-10-01	414
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	533
Number of retired or separated participants receiving benefits	2011-10-01	7
Number of other retired or separated participants entitled to future benefits	2011-10-01	0
Total of all active and inactive participants	2011-10-01	540
2009: WHITE EARTH RESERVATION HEALTH CARE WELLNESS PLAN FOR COMMERCIAL EMPLOYEES 2009 401k membership
Total participants, beginning-of-year	2009-10-01	471
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	412
Number of retired or separated participants receiving benefits	2009-10-01	11
Number of other retired or separated participants entitled to future benefits	2009-10-01	0
Total of all active and inactive participants	2009-10-01	423
2008: WHITE EARTH RESERVATION HEALTH CARE WELLNESS PLAN FOR COMMERCIAL EMPLOYEES 2008 401k membership
Total participants, beginning-of-year	2008-10-01	486
Total number of active participants reported on line 7a of the Form 5500	2008-10-01	476
Number of retired or separated participants receiving benefits	2008-10-01	14
Number of other retired or separated participants entitled to future benefits	2008-10-01	0
Total of all active and inactive participants	2008-10-01	490
2007: WHITE EARTH RESERVATION HEALTH CARE WELLNESS PLAN FOR COMMERCIAL EMPLOYEES 2007 401k membership
Total participants, beginning-of-year	2007-10-01	561
Total number of active participants reported on line 7a of the Form 5500	2007-10-01	491
Number of retired or separated participants receiving benefits	2007-10-01	14
Number of other retired or separated participants entitled to future benefits	2007-10-01	0
Total of all active and inactive participants	2007-10-01	505

Form 5500 Responses for WHITE EARTH RESERVATION HEALTH CARE WELLNESS PLAN FOR COMMERCIAL EMPLOYEES

2012: WHITE EARTH RESERVATION HEALTH CARE WELLNESS PLAN FOR COMMERCIAL EMPLOYEES 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	Yes
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-10-01	Plan is a collectively bargained plan	No
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: WHITE EARTH RESERVATION HEALTH CARE WELLNESS PLAN FOR COMMERCIAL EMPLOYEES 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	No
2011-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: WHITE EARTH RESERVATION HEALTH CARE WELLNESS PLAN FOR COMMERCIAL EMPLOYEES 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	No
2009-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2008: WHITE EARTH RESERVATION HEALTH CARE WELLNESS PLAN FOR COMMERCIAL EMPLOYEES 2008 form 5500 responses
2008-10-01	Type of plan entity	Single employer plan
2008-10-01	Submission has been amended	No
2008-10-01	This submission is the final filing	No
2008-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-10-01	Plan is a collectively bargained plan	No
2008-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2008-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2007: WHITE EARTH RESERVATION HEALTH CARE WELLNESS PLAN FOR COMMERCIAL EMPLOYEES 2007 form 5500 responses
2007-10-01	Type of plan entity	Single employer plan
2007-10-01	First time form 5500 has been submitted	Yes
2007-10-01	Submission has been amended	No
2007-10-01	This submission is the final filing	No
2007-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-10-01	Plan is a collectively bargained plan	No
2007-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2007-10-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	WHITE EARTH RESERVATION TRIBAL COUNCIL
Employer identification number (EIN):	411737979
NAIC Classification:	921000