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| Plan Name | LA CROSSE LUMBER HEALTH PLAN |
| Plan identification number | 540 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | LA CROSSE LUMBER COMPANY |
| Employer identification number (EIN): | 430367502 |
| NAIC Classification: | 444130 |
| NAIC Description: | Hardware Stores |
Additional information about LA CROSSE LUMBER COMPANY
| Jurisdiction of Incorporation: | Missouri Secretary of State |
| Incorporation Date: | |
| Company Identification Number: | 00003765 |
More information about LA CROSSE LUMBER COMPANY
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 540 | 2022-07-01 | ||||
| 540 | 2021-07-01 | ||||
| 540 | 2020-07-01 | ||||
| 540 | 2019-07-01 | ||||
| 540 | 2018-07-01 | ||||
| 540 | 2017-07-01 | KRISTEN BAKER | |||
| 540 | 2016-07-01 | HEATHER CRAIG | |||
| 540 | 2015-07-01 | HEATHER CRAIG |
| Measure | Date | Value |
|---|---|---|
| 2017: LA CROSSE LUMBER HEALTH PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-07-01 | 87 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-07-01 | 73 |
| Number of retired or separated participants receiving benefits | 2017-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-07-01 | 0 |
| Total of all active and inactive participants | 2017-07-01 | 73 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2017-07-01 | 0 |
| Total participants | 2017-07-01 | 73 |
| 2016: LA CROSSE LUMBER HEALTH PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-07-01 | 77 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-07-01 | 83 |
| Total of all active and inactive participants | 2016-07-01 | 83 |
| Total participants | 2016-07-01 | 83 |
| 2015: LA CROSSE LUMBER HEALTH PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-07-01 | 81 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-07-01 | 74 |
| Total of all active and inactive participants | 2015-07-01 | 74 |
| Total participants | 2015-07-01 | 74 |
| 2017: LA CROSSE LUMBER HEALTH PLAN 2017 form 5500 responses | ||
|---|---|---|
| 2017-07-01 | Type of plan entity | Single employer plan |
| 2017-07-01 | Submission has been amended | No |
| 2017-07-01 | This submission is the final filing | No |
| 2017-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-07-01 | Plan is a collectively bargained plan | No |
| 2017-07-01 | Plan funding arrangement – Insurance | Yes |
| 2017-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: LA CROSSE LUMBER HEALTH PLAN 2016 form 5500 responses | ||
| 2016-07-01 | Type of plan entity | Single employer plan |
| 2016-07-01 | Submission has been amended | No |
| 2016-07-01 | This submission is the final filing | No |
| 2016-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-07-01 | Plan is a collectively bargained plan | No |
| 2016-07-01 | Plan funding arrangement – Insurance | Yes |
| 2016-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: LA CROSSE LUMBER HEALTH PLAN 2015 form 5500 responses | ||
| 2015-07-01 | Type of plan entity | Single employer plan |
| 2015-07-01 | First time form 5500 has been submitted | Yes |
| 2015-07-01 | Submission has been amended | No |
| 2015-07-01 | This submission is the final filing | No |
| 2015-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-07-01 | Plan is a collectively bargained plan | No |
| 2015-07-01 | Plan funding arrangement – Insurance | Yes |
| 2015-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | ECU-0250-GL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | ECU-0207-GL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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