401k Plan data: LAKE REGION MEDICAL 401(K) PLAN plan

LAKE REGION MEDICAL 401(K) PLAN 401k Plan overview

Plan Name	LAKE REGION MEDICAL 401(K) PLAN
Plan identification number	001

LAKE REGION MEDICAL 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

LAKE REGION MANUFACTURING, INC. has sponsored the creation of one or more 401k plans.

Company Name: LAKE REGION MANUFACTURING, INC.

Employer identification number (EIN): 411765047

NAIC Classification: 339110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LAKE REGION MEDICAL 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 DEB OBER DEB OBER 2015-10-07
001 2014-01-01 DEB OBER
001 2013-01-01 DEB OBER
001 2012-01-01 DAVID MEYER DAVID MEYER 2013-08-01
001 2011-01-01 DAVID MEYER
001 2009-01-01 DAVID MEYER

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2014-01-01	DEB OBER	DEB OBER	2015-10-07
001	2014-01-01	DEB OBER
001	2013-01-01	DEB OBER
001	2012-01-01	DAVID MEYER	DAVID MEYER	2013-08-01
001	2011-01-01	DAVID MEYER
001	2009-01-01	DAVID MEYER

Plan Statistics for LAKE REGION MEDICAL 401(K) PLAN

401k plan membership statisitcs for LAKE REGION MEDICAL 401(K) PLAN

Measure Date Value
2014: LAKE REGION MEDICAL 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 860
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 726
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 93
Total of all active and inactive participants 2014-01-01 819
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 4
Total participants 2014-01-01 823
Number of participants with account balances 2014-01-01 764
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 8
2013: LAKE REGION MEDICAL 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 927
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 767
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 89
Total of all active and inactive participants 2013-01-01 856
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 2
Total participants 2013-01-01 858
Number of participants with account balances 2013-01-01 798
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 6
2012: LAKE REGION MEDICAL 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 866
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 783
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 98
Total of all active and inactive participants 2012-01-01 881
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 882
Number of participants with account balances 2012-01-01 818
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 10
2011: LAKE REGION MEDICAL 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 833
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 764
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 97
Total of all active and inactive participants 2011-01-01 861
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 862
Number of participants with account balances 2011-01-01 788
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 13
2009: LAKE REGION MEDICAL 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 814
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 725
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 88
Total of all active and inactive participants 2009-01-01 813
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 813
Number of participants with account balances 2009-01-01 742
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 7

Measure	Date	Value
2014: LAKE REGION MEDICAL 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	860
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	726
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	93
Total of all active and inactive participants	2014-01-01	819
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	4
Total participants	2014-01-01	823
Number of participants with account balances	2014-01-01	764
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	8
2013: LAKE REGION MEDICAL 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	927
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	767
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	89
Total of all active and inactive participants	2013-01-01	856
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	2
Total participants	2013-01-01	858
Number of participants with account balances	2013-01-01	798
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	6
2012: LAKE REGION MEDICAL 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	866
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	783
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	98
Total of all active and inactive participants	2012-01-01	881
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	882
Number of participants with account balances	2012-01-01	818
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	10
2011: LAKE REGION MEDICAL 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	833
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	764
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	97
Total of all active and inactive participants	2011-01-01	861
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	862
Number of participants with account balances	2011-01-01	788
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	13
2009: LAKE REGION MEDICAL 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	814
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	725
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	88
Total of all active and inactive participants	2009-01-01	813
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	813
Number of participants with account balances	2009-01-01	742
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	7

Financial Data on LAKE REGION MEDICAL 401(K) PLAN

Measure	Date	Value
2014 : LAKE REGION MEDICAL 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total transfer of assets from this plan	2014-12-31	$44,398,936
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$15,474
Total income from all sources (including contributions)	2014-12-31	$5,818,512
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$5,854,042
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$5,835,909
Value of total corrective distributions	2014-12-31	$18,133
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$3,650,206
Value of total assets at end of year	2014-12-31	$0
Value of total assets at beginning of year	2014-12-31	$44,449,940
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$0
Total interest from all sources	2014-12-31	$2,084,068
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2014-12-31	$0
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$2,724,077
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$5,929
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$15,474
Other income not declared elsewhere	2014-12-31	$6
Administrative expenses (other) incurred	2014-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-35,530
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$44,434,466
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$40,145,815
Income. Interest from corporate debt instruments	2014-12-31	$2,084,068
Value of interest in common/collective trusts at beginning of year	2014-12-31	$849,355
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$3,431,262
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$3,431,262
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$7,054
Net investment gain or loss from common/collective trusts	2014-12-31	$77,178
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$920,200
Employer contributions (assets) at beginning of year	2014-12-31	$23,508
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$5,835,909
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	GRANT THORNTON, LLP
Accountancy firm EIN	2014-12-31	366055558
2013 : LAKE REGION MEDICAL 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$15,474
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$10,715,206
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$3,071,993
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$3,071,993
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$3,512,393
Value of total assets at end of year	2013-12-31	$44,449,940
Value of total assets at beginning of year	2013-12-31	$36,791,253
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$0
Total interest from all sources	2013-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$468,343
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$468,343
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$2,540,471
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$75,434
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$15,474
Other income not declared elsewhere	2013-12-31	$57
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$7,643,213
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$44,434,466
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$36,791,253
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$40,145,815
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$32,560,964
Value of interest in common/collective trusts at end of year	2013-12-31	$849,355
Value of interest in common/collective trusts at beginning of year	2013-12-31	$363,499
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$3,431,262
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$3,844,388
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$3,844,388
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$6,584,587
Net investment gain or loss from common/collective trusts	2013-12-31	$149,826
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$896,488
Employer contributions (assets) at end of year	2013-12-31	$23,508
Employer contributions (assets) at beginning of year	2013-12-31	$22,402
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$3,071,993
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	GRANT THORNTON, LLP
Accountancy firm EIN	2013-12-31	366055558
2012 : LAKE REGION MEDICAL 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$7,855,828
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$2,202,827
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$2,202,827
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$3,470,773
Value of total assets at end of year	2012-12-31	$36,791,253
Value of total assets at beginning of year	2012-12-31	$31,138,252
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$0
Total interest from all sources	2012-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$650,127
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$650,127
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$2,418,245
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$187,284
Other income not declared elsewhere	2012-12-31	$458
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$5,653,001
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$36,791,253
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$31,138,252
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$32,560,964
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$27,054,446
Value of interest in common/collective trusts at end of year	2012-12-31	$363,499
Value of interest in common/collective trusts at beginning of year	2012-12-31	$325,844
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$3,844,388
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$3,740,760
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$3,740,760
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$3,678,167
Net investment gain or loss from common/collective trusts	2012-12-31	$56,303
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$865,244
Employer contributions (assets) at end of year	2012-12-31	$22,402
Employer contributions (assets) at beginning of year	2012-12-31	$17,202
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$2,202,827
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	GRANT THORNTON, LLP
Accountancy firm EIN	2012-12-31	366055558
2011 : LAKE REGION MEDICAL 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$1,853,002
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$2,457,050
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$2,457,050
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$3,119,168
Value of total assets at end of year	2011-12-31	$31,138,252
Value of total assets at beginning of year	2011-12-31	$31,742,300
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$0
Total interest from all sources	2011-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$484,125
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$484,125
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$2,279,867
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$6,328
Other income not declared elsewhere	2011-12-31	$157
Administrative expenses (other) incurred	2011-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-604,048
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$31,138,252
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$31,742,300
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$27,054,446
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$27,740,637
Value of interest in common/collective trusts at end of year	2011-12-31	$325,844
Value of interest in common/collective trusts at beginning of year	2011-12-31	$213,624
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$3,740,760
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$3,788,039
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$3,788,039
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-1,729,694
Net investment gain or loss from common/collective trusts	2011-12-31	$-20,754
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$832,973
Employer contributions (assets) at end of year	2011-12-31	$17,202
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$2,457,050
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	GRANT THORNTON, LLP
Accountancy firm EIN	2011-12-31	366055558
2010 : LAKE REGION MEDICAL 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$6,646,629
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$2,066,044
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$2,066,044
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$3,004,148
Value of total assets at end of year	2010-12-31	$31,742,300
Value of total assets at beginning of year	2010-12-31	$27,161,715
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$0
Total interest from all sources	2010-12-31	$408
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$480,410
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$480,410
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$2,197,630
Other income not declared elsewhere	2010-12-31	$0
Administrative expenses (other) incurred	2010-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$4,580,585
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$31,742,300
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$27,161,715
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$27,740,637
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$22,929,326
Value of interest in common/collective trusts at end of year	2010-12-31	$213,624
Value of interest in common/collective trusts at beginning of year	2010-12-31	$42,115
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$3,788,039
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$4,190,274
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$4,190,274
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$408
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$3,133,949
Net investment gain or loss from common/collective trusts	2010-12-31	$27,714
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$806,518
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$2,066,044
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	GRANT THORNTON, LLP
Accountancy firm EIN	2010-12-31	366055558
2009 : LAKE REGION MEDICAL 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for LAKE REGION MEDICAL 401(K) PLAN

2014: LAKE REGION MEDICAL 401(K) 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 – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: LAKE REGION MEDICAL 401(K) 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 – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: LAKE REGION MEDICAL 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: LAKE REGION MEDICAL 401(K) 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: LAKE REGION MEDICAL 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	LAKE REGION MANUFACTURING, INC.
Employer identification number (EIN):	411765047
NAIC Classification:	339110