AMERICAN DENTAL PLAN OF WISCONSIN INC 401k Plan overview

AMERICAN DENTAL PLAN OF WISCONSIN INC Benefits

401k Sponsoring company profile

Company Name:	ST. CLARE MEADOWS CARE CENTER
Employer identification number (EIN):	430688874
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
505	2011-01-01	SANDIE FERRIGNO		SANDIE FERRIGNO	2013-03-08
505	2010-01-01	CRAIG BRENHOLT

Plan Statistics for AMERICAN DENTAL PLAN OF WISCONSIN INC

Measure	Date	Value
2011: AMERICAN DENTAL PLAN OF WISCONSIN INC 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,480
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,483
Total of all active and inactive participants	2011-01-01	1,483
Total participants	2011-01-01	1,483
2010: AMERICAN DENTAL PLAN OF WISCONSIN INC 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,470
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,463
Total of all active and inactive participants	2010-01-01	1,463
Total participants	2010-01-01	1,463

Form 5500 Responses for AMERICAN DENTAL PLAN OF WISCONSIN INC

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