401k Plan data: OPPORTUNITY VILLAGE DENTAL PLAN plan

OPPORTUNITY VILLAGE DENTAL PLAN 401k Plan overview

Plan Name	OPPORTUNITY VILLAGE DENTAL PLAN
Plan identification number	504

OPPORTUNITY VILLAGE DENTAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental

401k Sponsoring company profile

HANDICAP VILLAGE DBA ONE VISION has sponsored the creation of one or more 401k plans.

Company Name: HANDICAP VILLAGE DBA ONE VISION

Employer identification number (EIN): 420953968

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about HANDICAP VILLAGE DBA ONE VISION

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities

Incorporation Date: 1966-11-21

Company Identification Number: 058407

Legal Registered Office Address: 1200 N 9TH STREET W

CLEAR LAKE
United States of America (USA)
50428

More information about HANDICAP VILLAGE DBA ONE VISION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OPPORTUNITY VILLAGE DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2022-01-01 MARIO VAN DIJK 2023-07-28 MARIO VAN DIJK 2023-07-28
504 2021-01-01 MARIO VAN DJIK 2022-06-24 MARIO VAN DJIK 2022-06-24
504 2020-01-01 MARIO VAN DIJK 2021-07-23 MARIO VAN DIJK 2021-07-23
504 2019-01-01 MARK DODD 2020-10-05 MARK DODD 2020-10-05
504 2018-01-01 MARK DODD 2019-09-30 MARK DODD 2019-09-30
504 2017-01-01
504 2016-01-01
504 2015-01-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
504	2022-01-01	MARIO VAN DIJK	2023-07-28	MARIO VAN DIJK	2023-07-28
504	2021-01-01	MARIO VAN DJIK	2022-06-24	MARIO VAN DJIK	2022-06-24
504	2020-01-01	MARIO VAN DIJK	2021-07-23	MARIO VAN DIJK	2021-07-23
504	2019-01-01	MARK DODD	2020-10-05	MARK DODD	2020-10-05
504	2018-01-01	MARK DODD	2019-09-30	MARK DODD	2019-09-30
504	2017-01-01
504	2016-01-01
504	2015-01-01

Plan Statistics for OPPORTUNITY VILLAGE DENTAL PLAN

401k plan membership statisitcs for OPPORTUNITY VILLAGE DENTAL PLAN

Measure Date Value
2022: OPPORTUNITY VILLAGE DENTAL PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 178
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 160
Number of retired or separated participants receiving benefits 2022-01-01 4
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 164
2021: OPPORTUNITY VILLAGE DENTAL PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 224
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 185
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 185
2020: OPPORTUNITY VILLAGE DENTAL PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 249
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 216
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 216
2019: OPPORTUNITY VILLAGE DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 245
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 219
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 219
2018: OPPORTUNITY VILLAGE DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 265
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 244
Total of all active and inactive participants 2018-01-01 244
2017: OPPORTUNITY VILLAGE DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 276
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 239
Total of all active and inactive participants 2017-01-01 239
2016: OPPORTUNITY VILLAGE DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 297
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 247
Total of all active and inactive participants 2016-01-01 247
2015: OPPORTUNITY VILLAGE DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 234
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 258
Total of all active and inactive participants 2015-01-01 258

Measure	Date	Value
2022: OPPORTUNITY VILLAGE DENTAL PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	178
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	160
Number of retired or separated participants receiving benefits	2022-01-01	4
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	164
2021: OPPORTUNITY VILLAGE DENTAL PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	224
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	185
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	185
2020: OPPORTUNITY VILLAGE DENTAL PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	249
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	216
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	216
2019: OPPORTUNITY VILLAGE DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	245
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	219
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	219
2018: OPPORTUNITY VILLAGE DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	265
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	244
Total of all active and inactive participants	2018-01-01	244
2017: OPPORTUNITY VILLAGE DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	276
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	239
Total of all active and inactive participants	2017-01-01	239
2016: OPPORTUNITY VILLAGE DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	297
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	247
Total of all active and inactive participants	2016-01-01	247
2015: OPPORTUNITY VILLAGE DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	234
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	258
Total of all active and inactive participants	2015-01-01	258

Form 5500 Responses for OPPORTUNITY VILLAGE DENTAL PLAN

2022: OPPORTUNITY VILLAGE DENTAL PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
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: OPPORTUNITY VILLAGE DENTAL PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
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: OPPORTUNITY VILLAGE DENTAL PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: OPPORTUNITY VILLAGE DENTAL PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: OPPORTUNITY VILLAGE DENTAL PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: OPPORTUNITY VILLAGE DENTAL PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: OPPORTUNITY VILLAGE DENTAL PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: OPPORTUNITY VILLAGE DENTAL PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	First time form 5500 has been submitted	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )

Policy contract number

92297

Policy instance

Insurance contract or identification number	92297
Number of Individuals Covered	258
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $5,868
Total amount of fees paid to insurance company	USD $3,570
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,868
Amount paid for insurance broker fees	3570
Additional information about fees paid to insurance broker	SALES AND PERSISTENCY BONUS
Insurance broker organization code?	3
Insurance broker name	HOLMES MURPHY & ASSOCIATES

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Company Name:	HANDICAP VILLAGE DBA ONE VISION
Employer identification number (EIN):	420953968
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	Iowa Secretary of State Business Entities
Incorporation Date:	1966-11-21
Company Identification Number:	058407
Legal Registered Office Address:	1200 N 9TH STREET W CLEAR LAKE United States of America (USA) 50428