401k Plan data: LAD LAKE, INC. EMPLOYEE TAX DEFERRED SAVINGS PLAN plan

LAD LAKE, INC. EMPLOYEE TAX DEFERRED SAVINGS PLAN 401k Plan overview

Plan Name	LAD LAKE, INC. EMPLOYEE TAX DEFERRED SAVINGS PLAN
Plan identification number	003

LAD LAKE, INC. EMPLOYEE TAX DEFERRED SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

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

Company Name: LAD LAKE, INC.

Employer identification number (EIN): 390806398

NAIC Classification: 624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LAD LAKE, INC. EMPLOYEE TAX DEFERRED SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2012-01-01 GARYL ERDMANN GARYL ERDMANN 2013-01-15
003 2011-01-01 GARYL. ERDMANN GARYL. ERDMANN 2012-09-25
003 2009-01-01 GARY L ERDMANN GARY L ERDMANN 2010-10-12

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2012-01-01	GARYL ERDMANN	GARYL ERDMANN	2013-01-15
003	2011-01-01	GARYL. ERDMANN	GARYL. ERDMANN	2012-09-25
003	2009-01-01	GARY L ERDMANN	GARY L ERDMANN	2010-10-12

Plan Statistics for LAD LAKE, INC. EMPLOYEE TAX DEFERRED SAVINGS PLAN

401k plan membership statisitcs for LAD LAKE, INC. EMPLOYEE TAX DEFERRED SAVINGS PLAN

Measure Date Value
2012: LAD LAKE, INC. EMPLOYEE TAX DEFERRED SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 145
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 0
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: LAD LAKE, INC. EMPLOYEE TAX DEFERRED SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 175
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 82
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 63
Total of all active and inactive participants 2011-01-01 145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 145
Number of participants with account balances 2011-01-01 66
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: LAD LAKE, INC. EMPLOYEE TAX DEFERRED SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 169
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 165
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 10
Total of all active and inactive participants 2009-01-01 175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 175
Number of participants with account balances 2009-01-01 80
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2012: LAD LAKE, INC. EMPLOYEE TAX DEFERRED SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	145
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	0
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: LAD LAKE, INC. EMPLOYEE TAX DEFERRED SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	175
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	82
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	63
Total of all active and inactive participants	2011-01-01	145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	145
Number of participants with account balances	2011-01-01	66
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: LAD LAKE, INC. EMPLOYEE TAX DEFERRED SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	169
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	165
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	10
Total of all active and inactive participants	2009-01-01	175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	175
Number of participants with account balances	2009-01-01	80
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on LAD LAKE, INC. EMPLOYEE TAX DEFERRED SAVINGS PLAN

Measure	Date	Value
2012 : LAD LAKE, INC. EMPLOYEE TAX DEFERRED SAVINGS PLAN 2012 401k financial data
Unrealized appreciation/depreciation of real estate assets	2012-03-14	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2012-03-14	$0
Total unrealized appreciation/depreciation of assets	2012-03-14	$0
Total transfer of assets to this plan	2012-03-14	$0
Total transfer of assets from this plan	2012-03-14	$1,118,655
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-03-14	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-03-14	$0
Total income from all sources (including contributions)	2012-03-14	$18,488
Total loss/gain on sale of assets	2012-03-14	$0
Total of all expenses incurred	2012-03-14	$173,201
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-03-14	$173,163
Expenses. Certain deemed distributions of participant loans	2012-03-14	$0
Value of total corrective distributions	2012-03-14	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-03-14	$0
Value of total assets at end of year	2012-03-14	$0
Value of total assets at beginning of year	2012-03-14	$1,273,368
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-03-14	$38
Total income from rents	2012-03-14	$0
Total interest from all sources	2012-03-14	$49
Total dividends received (eg from common stock, registered investment company shares)	2012-03-14	$8
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-03-14	Yes
Total dividends received from registered investment company shares (eg mutual funds)	2012-03-14	$8
Administrative expenses professional fees incurred	2012-03-14	$0
Was this plan covered by a fidelity bond	2012-03-14	Yes
Value of fidelity bond cover	2012-03-14	$1,300,000
If this is an individual account plan, was there a blackout period	2012-03-14	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-03-14	$0
Were there any nonexempt tranactions with any party-in-interest	2012-03-14	No
Amount of non-exempt transactions with any party-in-interest	2012-03-14	$0
Contributions received from participants	2012-03-14	$0
Participant contributions at end of year	2012-03-14	$0
Participant contributions at beginning of year	2012-03-14	$47,367
Participant contributions at end of year	2012-03-14	$0
Participant contributions at beginning of year	2012-03-14	$3,661
Income. Received or receivable in cash from other sources (including rollovers)	2012-03-14	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2012-03-14	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-03-14	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-03-14	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-03-14	$0
Other income not declared elsewhere	2012-03-14	$0
Administrative expenses (other) incurred	2012-03-14	$0
Liabilities. Value of operating payables at beginning of year	2012-03-14	$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	2012-03-14	No
Value of net income/loss	2012-03-14	$-154,713
Value of net assets at end of year (total assets less liabilities)	2012-03-14	$0
Value of net assets at beginning of year (total assets less liabilities)	2012-03-14	$1,273,368
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-03-14	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-03-14	No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2012-03-14	$0
Were any leases to which the plan was party in default or uncollectible	2012-03-14	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2012-03-14	$0
Investment advisory and management fees	2012-03-14	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-03-14	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-03-14	$1,038,430
Interest on participant loans	2012-03-14	$-69
Income. Interest from loans (other than to participants)	2012-03-14	$0
Interest earned on other investments	2012-03-14	$118
Income. Interest from US Government securities	2012-03-14	$0
Income. Interest from corporate debt instruments	2012-03-14	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-03-14	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-03-14	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-03-14	$183,910
Expenses. Payments to insurance carriers foe the provision of benefits	2012-03-14	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-03-14	$18,431
Net investment gain/loss from pooled separate accounts	2012-03-14	$0
Net investment gain or loss from common/collective trusts	2012-03-14	$0
Net gain/loss from 103.12 investment entities	2012-03-14	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-03-14	No
Was there a failure to transmit to the plan any participant contributions	2012-03-14	Yes
Has the plan failed to provide any benefit when due under the plan	2012-03-14	No
Contributions received in cash from employer	2012-03-14	$0
Employer contributions (assets) at end of year	2012-03-14	$0
Employer contributions (assets) at beginning of year	2012-03-14	$0
Income. Dividends from preferred stock	2012-03-14	$0
Income. Dividends from common stock	2012-03-14	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-03-14	$173,163
Contract administrator fees	2012-03-14	$38
Liabilities. Value of benefit claims payable at beginning of year	2012-03-14	$0
Did the plan have assets held for investment	2012-03-14	No
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	2012-03-14	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-03-14	Yes
Aggregate proceeds on sale of assets	2012-03-14	$0
Aggregate carrying amount (costs) on sale of assets	2012-03-14	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2012-03-14	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-03-14	Yes
Opinion of an independent qualified public accountant for this plan	2012-03-14	Disclaimer
Accountancy firm name	2012-03-14	CLIFTON LARSON ALLEN LLP
Accountancy firm EIN	2012-03-14	410746749
2011 : LAD LAKE, INC. EMPLOYEE TAX DEFERRED SAVINGS PLAN 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets	2011-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$0
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total transfer of assets to this plan	2011-12-31	$0
Total transfer of assets from this plan	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	$94,747
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$272,904
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$272,434
Expenses. Certain deemed distributions of participant loans	2011-12-31	$0
Value of total corrective distributions	2011-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$102,899
Value of total assets at end of year	2011-12-31	$1,273,368
Value of total assets at beginning of year	2011-12-31	$1,451,525
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$470
Total income from rents	2011-12-31	$0
Total interest from all sources	2011-12-31	$8,929
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$12,557
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	$12,557
Administrative expenses professional fees incurred	2011-12-31	$0
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,300,000
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
Amount of non-exempt transactions with any party-in-interest	2011-12-31	$0
Contributions received from participants	2011-12-31	$102,899
Participant contributions at end of year	2011-12-31	$47,367
Participant contributions at beginning of year	2011-12-31	$22,474
Participant contributions at end of year	2011-12-31	$3,661
Participant contributions at beginning of year	2011-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2011-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$0
Other income not declared elsewhere	2011-12-31	$0
Administrative expenses (other) incurred	2011-12-31	$0
Liabilities. Value of operating payables at beginning of year	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	$-178,157
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,273,368
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,451,525
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2011-12-31	$0
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2011-12-31	$0
Investment advisory and management fees	2011-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$1,038,430
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$1,225,007
Interest on participant loans	2011-12-31	$1,415
Income. Interest from loans (other than to participants)	2011-12-31	$0
Interest earned on other investments	2011-12-31	$7,514
Income. Interest from US Government securities	2011-12-31	$0
Income. Interest from corporate debt instruments	2011-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$183,910
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$204,044
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-29,638
Net investment gain/loss from pooled separate accounts	2011-12-31	$0
Net investment gain or loss from common/collective trusts	2011-12-31	$0
Net gain/loss from 103.12 investment entities	2011-12-31	$0
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	Yes
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	$0
Employer contributions (assets) at end of year	2011-12-31	$0
Employer contributions (assets) at beginning of year	2011-12-31	$0
Income. Dividends from preferred stock	2011-12-31	$0
Income. Dividends from common stock	2011-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$272,434
Contract administrator fees	2011-12-31	$470
Liabilities. Value of benefit claims payable at beginning of year	2011-12-31	$0
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
Aggregate proceeds on sale of assets	2011-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2011-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2011-12-31	$0
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	CLIFTON LARSON ALLEN LLP
Accountancy firm EIN	2011-12-31	410746749
2010 : LAD LAKE, INC. EMPLOYEE TAX DEFERRED SAVINGS PLAN 2010 401k financial data
Unrealized appreciation/depreciation of real estate assets	2010-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$0
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets to this plan	2010-12-31	$0
Total transfer of assets from this plan	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	$298,469
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$12,152
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$11,731
Expenses. Certain deemed distributions of participant loans	2010-12-31	$0
Value of total corrective distributions	2010-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$123,865
Value of total assets at end of year	2010-12-31	$1,451,525
Value of total assets at beginning of year	2010-12-31	$1,165,208
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$421
Total income from rents	2010-12-31	$0
Total interest from all sources	2010-12-31	$8,963
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$14,068
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	$14,068
Administrative expenses professional fees incurred	2010-12-31	$0
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,300,000
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
Amount of non-exempt transactions with any party-in-interest	2010-12-31	$0
Contributions received from participants	2010-12-31	$123,865
Participant contributions at end of year	2010-12-31	$22,474
Participant contributions at beginning of year	2010-12-31	$27,732
Participant contributions at end of year	2010-12-31	$0
Participant contributions at beginning of year	2010-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2010-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$0
Other income not declared elsewhere	2010-12-31	$0
Administrative expenses (other) incurred	2010-12-31	$0
Liabilities. Value of operating payables at beginning of year	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	$286,317
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,451,525
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,165,208
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2010-12-31	$0
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2010-12-31	$0
Investment advisory and management fees	2010-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$1,225,007
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$799,439
Interest on participant loans	2010-12-31	$1,291
Income. Interest from loans (other than to participants)	2010-12-31	$0
Interest earned on other investments	2010-12-31	$7,672
Income. Interest from US Government securities	2010-12-31	$0
Income. Interest from corporate debt instruments	2010-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$204,044
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$338,037
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$151,573
Net investment gain/loss from pooled separate accounts	2010-12-31	$0
Net investment gain or loss from common/collective trusts	2010-12-31	$0
Net gain/loss from 103.12 investment entities	2010-12-31	$0
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	Yes
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	$0
Employer contributions (assets) at end of year	2010-12-31	$0
Employer contributions (assets) at beginning of year	2010-12-31	$0
Income. Dividends from preferred stock	2010-12-31	$0
Income. Dividends from common stock	2010-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$11,731
Contract administrator fees	2010-12-31	$421
Liabilities. Value of benefit claims payable at beginning of year	2010-12-31	$0
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
Aggregate proceeds on sale of assets	2010-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2010-12-31	$0
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	CLIFTON GUNDERSON LLP
Accountancy firm EIN	2010-12-31	370802863
2009 : LAD LAKE, INC. EMPLOYEE TAX DEFERRED SAVINGS 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 LAD LAKE, INC. EMPLOYEE TAX DEFERRED SAVINGS PLAN

2012: LAD LAKE, INC. EMPLOYEE TAX DEFERRED SAVINGS PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	This submission is the final filing	Yes
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: LAD LAKE, INC. EMPLOYEE TAX DEFERRED SAVINGS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
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 – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: LAD LAKE, INC. EMPLOYEE TAX DEFERRED SAVINGS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
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 – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	LAD LAKE, INC.
Employer identification number (EIN):	390806398
NAIC Classification:	624100
NAIC Description:	Individual and Family Services