401k Plan data: BENNINGTON GLEN VOLUNTARY DENTAL PLAN plan

BENNINGTON GLEN VOLUNTARY DENTAL PLAN 401k Plan overview

Plan Name	BENNINGTON GLEN VOLUNTARY DENTAL PLAN
Plan identification number	504

BENNINGTON GLEN VOLUNTARY 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

DEARTH MANAGEMENT, INC. has sponsored the creation of one or more 401k plans.

Company Name: DEARTH MANAGEMENT, INC.

Employer identification number (EIN): 341286757

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BENNINGTON GLEN VOLUNTARY DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2013-01-01 TAMARA SHEPHERD TAMARA SHEPHERD 2015-08-10
504 2012-01-01 TAMARA SHEPHERD
504 2011-01-01 TAMARA SHEPHERD
504 2010-01-01 TAMARA SHEPHERD
504 2009-01-01 TAMARA SHEPHERD

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
504	2013-01-01	TAMARA SHEPHERD	TAMARA SHEPHERD	2015-08-10
504	2012-01-01	TAMARA SHEPHERD
504	2011-01-01	TAMARA SHEPHERD
504	2010-01-01	TAMARA SHEPHERD
504	2009-01-01	TAMARA SHEPHERD

Plan Statistics for BENNINGTON GLEN VOLUNTARY DENTAL PLAN

401k plan membership statisitcs for BENNINGTON GLEN VOLUNTARY DENTAL PLAN

Measure Date Value
2013: BENNINGTON GLEN VOLUNTARY DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 28
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 29
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 0
Total of all active and inactive participants 2013-01-01 29
Total participants 2013-01-01 29
2012: BENNINGTON GLEN VOLUNTARY DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 31
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 28
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 0
Total of all active and inactive participants 2012-01-01 28
Total participants 2012-01-01 28
2011: BENNINGTON GLEN VOLUNTARY DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 26
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 28
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 0
Total of all active and inactive participants 2011-01-01 28
Total participants 2011-01-01 28
2010: BENNINGTON GLEN VOLUNTARY DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 29
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 26
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 26
Total participants 2010-01-01 26
2009: BENNINGTON GLEN VOLUNTARY DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 27
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 29
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 0
Total of all active and inactive participants 2009-01-01 29
Total participants 2009-01-01 29

Measure	Date	Value
2013: BENNINGTON GLEN VOLUNTARY DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	28
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	29
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	0
Total of all active and inactive participants	2013-01-01	29
Total participants	2013-01-01	29
2012: BENNINGTON GLEN VOLUNTARY DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	31
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	28
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	0
Total of all active and inactive participants	2012-01-01	28
Total participants	2012-01-01	28
2011: BENNINGTON GLEN VOLUNTARY DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	26
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	28
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	0
Total of all active and inactive participants	2011-01-01	28
Total participants	2011-01-01	28
2010: BENNINGTON GLEN VOLUNTARY DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	29
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	26
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	26
Total participants	2010-01-01	26
2009: BENNINGTON GLEN VOLUNTARY DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	27
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	29
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	0
Total of all active and inactive participants	2009-01-01	29
Total participants	2009-01-01	29

Form 5500 Responses for BENNINGTON GLEN VOLUNTARY DENTAL PLAN

2013: BENNINGTON GLEN VOLUNTARY DENTAL PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
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 – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: BENNINGTON GLEN VOLUNTARY DENTAL 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 – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: BENNINGTON GLEN VOLUNTARY DENTAL 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 – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: BENNINGTON GLEN VOLUNTARY DENTAL PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: BENNINGTON GLEN VOLUNTARY DENTAL 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 – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	DEARTH MANAGEMENT, INC.
Employer identification number (EIN):	341286757
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities