401k Plan data: PRAIRIE LAKES MANAGEMENT LTD PLAN plan

PRAIRIE LAKES MANAGEMENT LTD PLAN 401k Plan overview

Plan Name	PRAIRIE LAKES MANAGEMENT LTD PLAN
Plan identification number	550

PRAIRIE LAKES MANAGEMENT LTD PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Long-term disability cover

401k Sponsoring company profile

PRAIRIE LAKES HEALTHCARE SYSTEM has sponsored the creation of one or more 401k plans.

Company Name: PRAIRIE LAKES HEALTHCARE SYSTEM

Employer identification number (EIN): 460391067

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PRAIRIE LAKES MANAGEMENT LTD PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
550 2014-01-01 DAWN MILLER
550 2013-01-01 DAWN MILLER
550 2012-01-01 DAWN MILLER
550 2011-01-01 DAWN MILLER

Plan id#	Filing Submission Date	Name of Administrator
550	2014-01-01	DAWN MILLER
550	2013-01-01	DAWN MILLER
550	2012-01-01	DAWN MILLER
550	2011-01-01	DAWN MILLER

Plan Statistics for PRAIRIE LAKES MANAGEMENT LTD PLAN

401k plan membership statisitcs for PRAIRIE LAKES MANAGEMENT LTD PLAN

Measure Date Value
2014: PRAIRIE LAKES MANAGEMENT LTD PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 49
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 52
Total of all active and inactive participants 2014-01-01 52
Total participants 2014-01-01 52
2013: PRAIRIE LAKES MANAGEMENT LTD PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 46
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 49
Total of all active and inactive participants 2013-01-01 49
Total participants 2013-01-01 49
2012: PRAIRIE LAKES MANAGEMENT LTD PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 32
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 46
Total of all active and inactive participants 2012-01-01 46
Total participants 2012-01-01 46
2011: PRAIRIE LAKES MANAGEMENT LTD PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 32
Total of all active and inactive participants 2011-01-01 32
Total participants 2011-01-01 32

Measure	Date	Value
2014: PRAIRIE LAKES MANAGEMENT LTD PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	49
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	52
Total of all active and inactive participants	2014-01-01	52
Total participants	2014-01-01	52
2013: PRAIRIE LAKES MANAGEMENT LTD PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	46
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	49
Total of all active and inactive participants	2013-01-01	49
Total participants	2013-01-01	49
2012: PRAIRIE LAKES MANAGEMENT LTD PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	32
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	46
Total of all active and inactive participants	2012-01-01	46
Total participants	2012-01-01	46
2011: PRAIRIE LAKES MANAGEMENT LTD PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	32
Total of all active and inactive participants	2011-01-01	32
Total participants	2011-01-01	32

Form 5500 Responses for PRAIRIE LAKES MANAGEMENT LTD PLAN

2014: PRAIRIE LAKES MANAGEMENT LTD PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: PRAIRIE LAKES MANAGEMENT LTD PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: PRAIRIE LAKES MANAGEMENT LTD PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	First time form 5500 has been submitted	Yes
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: PRAIRIE LAKES MANAGEMENT LTD PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	PRAIRIE LAKES HEALTHCARE SYSTEM
Employer identification number (EIN):	460391067
NAIC Classification:	622000
NAIC Description:	Hospitals