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| Plan Name | VAN DIEST SUPPLY COMPANY DENTAL PLAN |
| Plan identification number | 506 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | VAN DIEST SUPPLY COMPANY |
| Employer identification number (EIN): | 420934178 |
| NAIC Classification: | 115110 |
Additional information about VAN DIEST SUPPLY COMPANY
| Jurisdiction of Incorporation: | Iowa Secretary of State Business Entities |
| Incorporation Date: | 1968-01-01 |
| Company Identification Number: | 041941 |
| Legal Registered Office Address: |
505 5TH AVE STE 729 DES MOINES United States of America (USA) 50309 |
More information about VAN DIEST SUPPLY COMPANY
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 506 | 2023-07-01 | LISA SEVERE | 2024-12-17 | ||
| 506 | 2022-07-01 | LISA SEVERE | 2024-02-06 | ||
| 506 | 2021-07-01 | LISA SEVERE | 2024-02-06 |
| 2023: VAN DIEST SUPPLY COMPANY DENTAL PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-07-01 | Type of plan entity | Single employer plan |
| 2023-07-01 | Plan funding arrangement – Insurance | Yes |
| 2023-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: VAN DIEST SUPPLY COMPANY DENTAL PLAN 2022 form 5500 responses | ||
| 2022-07-01 | Type of plan entity | Single employer plan |
| 2022-07-01 | Plan funding arrangement – Insurance | Yes |
| 2022-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: VAN DIEST SUPPLY COMPANY DENTAL PLAN 2021 form 5500 responses | ||
| 2021-07-01 | Type of plan entity | Single employer plan |
| 2021-07-01 | First time form 5500 has been submitted | Yes |
| 2021-07-01 | Plan funding arrangement – Insurance | Yes |
| 2021-07-01 | Plan benefit arrangement – Insurance | Yes |
| DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 ) | |||||||||||||||||||
| Policy contract number | 41114 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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| DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 ) | |||||||||||||||||||
| Policy contract number | 41114 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 ) | |||||||||||||||||||
| Policy contract number | 41114 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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