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| Plan Name | NORTHLAKES COMMUNITY CLINIC |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | THE LAKES COMMUNITY HEALTH CENTER, INC |
| Employer identification number (EIN): | 352297925 |
| NAIC Classification: | 621498 |
| NAIC Description: | All Other Outpatient Care Centers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2014-01-01 | BRIAN AHLGREN | BRIAN AHLGREN | 2017-11-29 |
| Measure | Date | Value |
|---|---|---|
| 2014: NORTHLAKES COMMUNITY CLINIC 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-01-01 | 93 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 105 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 3 |
| Total of all active and inactive participants | 2014-01-01 | 108 |
| Total participants | 2014-01-01 | 108 |
| 2014: NORTHLAKES COMMUNITY CLINIC 2014 form 5500 responses | ||
|---|---|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | First time form 5500 has been submitted | Yes |
| 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 |
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