401k Plan data: INFORMATION SYSTEMS LABORATORIES, INC. GROUP DENTAL PLAN plan

INFORMATION SYSTEMS LABORATORIES, INC. GROUP DENTAL PLAN 401k Plan overview

Plan Name	INFORMATION SYSTEMS LABORATORIES, INC. GROUP DENTAL PLAN
Plan identification number	506

INFORMATION SYSTEMS LABORATORIES, INC. GROUP DENTAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

INFORMATION SYSTEMS LABORATORIES, INC. has sponsored the creation of one or more 401k plans.

Company Name: INFORMATION SYSTEMS LABORATORIES, INC.

Employer identification number (EIN): 541198316

NAIC Classification: 541700

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INFORMATION SYSTEMS LABORATORIES, INC. GROUP DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
506 2011-10-01 PETER KUEBLER PETER KUEBLER 2013-04-04
506 2009-10-01 PETER KUEBLER PETER KUEBLER 2011-03-16
506 2007-10-01 PETER KUEBLER 2010-04-16

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
506	2011-10-01	PETER KUEBLER	PETER KUEBLER	2013-04-04
506	2009-10-01	PETER KUEBLER	PETER KUEBLER	2011-03-16
506	2007-10-01		PETER KUEBLER	2010-04-16

Plan Statistics for INFORMATION SYSTEMS LABORATORIES, INC. GROUP DENTAL PLAN

401k plan membership statisitcs for INFORMATION SYSTEMS LABORATORIES, INC. GROUP DENTAL PLAN

Measure Date Value
2011: INFORMATION SYSTEMS LABORATORIES, INC. GROUP DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 101
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 91
Number of retired or separated participants receiving benefits 2011-10-01 0
Number of other retired or separated participants entitled to future benefits 2011-10-01 0
Total of all active and inactive participants 2011-10-01 91
2009: INFORMATION SYSTEMS LABORATORIES, INC. GROUP DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 109
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 117
Number of retired or separated participants receiving benefits 2009-10-01 0
Number of other retired or separated participants entitled to future benefits 2009-10-01 0
Total of all active and inactive participants 2009-10-01 117
2007: INFORMATION SYSTEMS LABORATORIES, INC. GROUP DENTAL PLAN 2007 401k membership
Total participants, beginning-of-year 2007-10-01 119
Total number of active participants reported on line 7a of the Form 5500 2007-10-01 115
Number of retired or separated participants receiving benefits 2007-10-01 0
Number of other retired or separated participants entitled to future benefits 2007-10-01 0
Total of all active and inactive participants 2007-10-01 115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2007-10-01 0
Total participants 2007-10-01 115

Measure	Date	Value
2011: INFORMATION SYSTEMS LABORATORIES, INC. GROUP DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	101
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	91
Number of retired or separated participants receiving benefits	2011-10-01	0
Number of other retired or separated participants entitled to future benefits	2011-10-01	0
Total of all active and inactive participants	2011-10-01	91
2009: INFORMATION SYSTEMS LABORATORIES, INC. GROUP DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	109
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	117
Number of retired or separated participants receiving benefits	2009-10-01	0
Number of other retired or separated participants entitled to future benefits	2009-10-01	0
Total of all active and inactive participants	2009-10-01	117
2007: INFORMATION SYSTEMS LABORATORIES, INC. GROUP DENTAL PLAN 2007 401k membership
Total participants, beginning-of-year	2007-10-01	119
Total number of active participants reported on line 7a of the Form 5500	2007-10-01	115
Number of retired or separated participants receiving benefits	2007-10-01	0
Number of other retired or separated participants entitled to future benefits	2007-10-01	0
Total of all active and inactive participants	2007-10-01	115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2007-10-01	0
Total participants	2007-10-01	115

Form 5500 Responses for INFORMATION SYSTEMS LABORATORIES, INC. GROUP DENTAL PLAN

2011: INFORMATION SYSTEMS LABORATORIES, INC. GROUP DENTAL PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Submission has been amended	No
2011-10-01	This submission is the final filing	No
2011-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-10-01	Plan is a collectively bargained plan	No
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan benefit arrangement – Insurance	Yes
2009: INFORMATION SYSTEMS LABORATORIES, INC. GROUP DENTAL PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Submission has been amended	No
2009-10-01	This submission is the final filing	No
2009-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-10-01	Plan is a collectively bargained plan	No
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan benefit arrangement – Insurance	Yes
2007: INFORMATION SYSTEMS LABORATORIES, INC. GROUP DENTAL PLAN 2007 form 5500 responses
2007-10-01	Type of plan entity	Single employer plan
2007-10-01	Submission has been amended	No
2007-10-01	This submission is the final filing	No
2007-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-10-01	Plan is a collectively bargained plan	No
2007-10-01	Plan funding arrangement – Insurance	Yes
2007-10-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	INFORMATION SYSTEMS LABORATORIES, INC.
Employer identification number (EIN):	541198316
NAIC Classification:	541700