DELTA DENTAL 401k Plan overview

DELTA DENTAL Benefits

401k Sponsoring company profile

Company Name:	FACE AMUSEMENT GROUP, LLC
Employer identification number (EIN):	462751352
NAIC Classification:	713900

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2022-01-01	DEBRA CHRISTENSEN	2023-08-11

Plan Statistics for DELTA DENTAL

Measure	Date	Value
2022: DELTA DENTAL 2022 401k membership
Total participants, beginning-of-year	2022-01-01	97
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	0
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	0
Number of employers contributing to the scheme	2022-01-01	0

Form 5500 Responses for DELTA DENTAL

Insurance Providers Used on plan

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• DELTA DENTAL PLAN OF WISCONSIN [EIN = 390874802]
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• DELTA DENTAL OF PENNSYLVANIA [EIN = 232975153]
• DELTA DENTAL PLAN OF MICHIGAN, INC. HOURLY RATED PENSION PLAN [EIN = 381791480]
• DELTA DENTAL OF WISCONSIN, INC. MONEY PURCHASE PENSION PLAN [EIN = 396094742]
• DELTA DENTAL OF NEW YORK [EIN = 141688208]
• DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC. DISCRETIONARY PLAN AND TRUST [EIN = 020273013]
• DELTA DENTAL PLAN OF MINNESOTA [EIN = 203094949]
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• DELTA DENTAL PLANS ASSOCIATION EMPLOYEES' RETIREMENT TRUST [EIN = 362551984]
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• DELTA DENTAL OF PENNSYLVANIA 401(K) RETIREMENT PLAN [EIN = 231667011]
• DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN [EIN = 381791480]
• DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN [EIN = 396094742]
• DELTA DENTAL OF CALIFORNIA 401(K) PLAN [EIN = 941461312]
• DELTA DENTAL OF CALIFORNIA CASH BALANCE RETIREMENT PLAN [EIN = 941461312]
• DELTA DENTAL OF ILLINOIS WELFARE BENEFITS PLAN [EIN = 362612058]
• DELTA DENTAL PLAN SERVICE OF MA [EIN = 042551124]
• DELTA DENTAL OF KANSAS, INC. 401(K) RETIREMENT PLAN [EIN = 480793267]
• DELTA DENTAL OF WISCONSIN, INC. EMPLOYEE [EIN = 396094742]
• DELTA DENTAL PLAN OF MICHIGAN, INC. RETIREMENT INCOME PLAN [EIN = 381791480]
• DELTA DENTAL PLAN OF COLORADO WELFARE BENEFIT PLAN [EIN = 840568337]
• DELTA DENTAL OF CALIFORNIA FLEXIBLE BENEFITS PLAN [EIN = 941461312]
• DELTA DENTAL OF RHODE ISLAND 401(K) PROFIT SHARING PLAN [EIN = 050296998]
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• DELTA DENTAL PLAN OF ARKANSAS, INC. 401(K) PROFIT SHARING PLAN [EIN = 710561140]
• DELTA DENTAL OF CALIFORNIA EMPLOYEE HEALTH AND WELFARE BENEFITS PLAN [EIN = 941461312]
• DELTA DENTAL OF PENNSYLVANIA EMPLOYEE HEALTH AND WELFARE BENEFITS PLAN [EIN = 231667011]
• DELTA DENTAL OF MISSOURI 401K PLAN [EIN = 430908349]
• DELTA DENTAL [EIN = 730794172]
• DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN [EIN = 850224562]
• DELTA DENTAL PLAN OF OKLAHOMA, INC [EIN = 237322578]
• DELTA DENTAL OF MICHIGAN [EIN = 320077845]
• DELTA DENTAL [EIN = 621628357]
• DELTA DENTAL OF VIRGINIA [EIN = 262346163]
• DELTA DENTAL 401(K) RETIREMENT SAVINGS PLAN [EIN = 820299431]
• DELTA DENTAL OF ARIZONA 401(K) PLAN [EIN = 860274899]
• DELTA DENTAL PLANS ASSOCIATION 401(K) PLAN [EIN = 362551984]
• DELTA DENTAL OF TENNESSEE 401K PROFIT SHARING PLAN [EIN = 620812197]
• DELTA DENTAL OF KENTUCKY, INC. 401(K) PLAN [EIN = 610659432]
• DELTA DENTAL PLAN OF WYOMING 401K PROFIT SHARING PLAN [EIN = 830209667]
• DELTA DENTAL OF KANSAS, INC. MONEY PURCHASE PENSION PLAN [EIN = 480793267]
• DELTA DENTAL PLAN OF SOUTH DAKOTA 401(K) PLAN AND TRUST [EIN = 460309258]
• DELTA DENTAL CASH OR DEFERRED INCOME PLAN [EIN = 680652604]
• DELTA DENTAL OF NORTH CAROLINA 401(K) PROFIT SHARING PLAN & TRUST [EIN = 561018068]
• DELTA DENTAL PLAN OF MASSACHUSETTS [EIN = 046143185]
• DELTA DENTAL OF VIRGINIA [EIN = 540844477]
• DELTA DENTAL PLAN [EIN = 043091312]
• DELTA DENTAL [EIN = 041156680]
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• DELTA DENTAL OF NJ INC [EIN = 271798676]
• DELTA DENTAL PLAN [EIN = 741109633]
• DELTA DENTAL OF CALIFORNIA RETIREE HEALTH PLAN [EIN = 941461312]
• DELTA DENTAL OF PENNSYLVANIA PENSION PLAN [EIN = 231667011]
• DELTA DENTAL OF PENNSYLVANIA FLEXIBLE BENEFIT PLAN [EIN = 231667011]
• DELTA DENTAL OF IOWA EMPLOYEE BENEFITS PLAN [EIN = 420959302]
• DELTA DENTAL OF NEW JERSEY 401(K) AND PROFIT SHARING PLAN [EIN = 221896118]
• DELTA DENTAL OF KANSAS EMPLOYEE BENEFIT PLAN [EIN = 480793267]
• DELTA DENTAL FOR QUARTZ [EIN = 465710709]
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• DELTA DENTAL [EIN = 841594306]
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• DELTA DENTAL PLAN OF OKLAHOMA, INC [EIN = 237322578]
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• DELTA DENTAL [EIN = 232106485]
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• DELTA DENTAL OF KENTUCKY [EIN = 381510762]
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• DELTA DENTAL OF VIRGINIA NEW COMPARABILITY CASH OR DEFERRED PROFIT SHARING PLAN [EIN = 540844477]
• DELTA DENTAL [EIN = 043634356]
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• DELTA DENTAL OF NJ [EIN = 221516200]
• DELTA DENTAL OF SOUTH DAKOTA [EIN = 460309258]
• DELTA DENTAL OF NEW JERSEY, INC. LIFE INSURANCE POLICY 125815 [EIN = 221896118]
• DELTA DENTAL PLAN OF MASSACHUSETTS [EIN = 041298750]
• DELTA DENTAL PLAN OF MICHIGAN [EIN = 383189565]
• DELTA DENTAL OF NEW JERSEY, INC.DENTAL PLANS 1020, 1386 [EIN = 221896118]
• DELTA DENTAL OF VIRGINIA NEW COMPARABILITY CASH OR DEFERRED PROFIT SHARING PLAN [EIN = 541642729]
• DELTA DENTAL PLAN [EIN = 135562314]
• DELTA DENTAL PLAN OF NJ [EIN = 131926673]
• DELTA DENTAL OF WISCONSIN [EIN = 201555550]
• DELTA DENTAL OF WV [EIN = 272372291]
• DELTA DENTAL [EIN = 043535072]
• DELTA DENTAL OF RI [EIN = 050398907]
• DELTA DENTAL [EIN = 261329304]
• DELTA DENTAL [EIN = 980132585]
• DELTA DENTAL OF IDAHO [EIN = 300793947]
• DELTA DENTAL PLAN OF COLORADO WELFARE BENEFIT PLAN [EIN = 834416613]
• DELTA DENTAL OF COLORADO SAVINGS AND RETIREMENT PLAN [EIN = 834416613]
• DELTA DENTAL OF NJ INC [EIN = 812857619]
• DELTA DENTAL [EIN = 311421130]
• DELTA DENTAL OF WISCONSIN [EIN = 391194088]
• DELTA DENTAL - PREVENTIVE [EIN = 390233059]
• DELTA DENTAL - TRADITIONAL [EIN = 390233059]
• DELTA DENTAL OF VIRGINIA [EIN = 823614228]
• DELTA DENTAL OF KENTUCKY, INC. 401(K) PLAN [EIN = 610659432]
• DELTA DENTAL [EIN = 882681819]
• DELTA DENTAL OF PUERTO RICO, INC. LIFE AND AD&D, AND LTD [EIN = 680652604]
• DELTA DENTAL PLAN OF PUERTO RICO INC [EIN = 680652604]

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