401k Plan data: DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN plan

DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN 401k Plan overview

Plan Name	DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN
Plan identification number	501

DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Other welfare benefit cover

401k Sponsoring company profile

DELTA DIVERSIFIED ENTERPRISES INC has sponsored the creation of one or more 401k plans.

Company Name: DELTA DIVERSIFIED ENTERPRISES INC

Employer identification number (EIN): 860254317

NAIC Classification: 238210
NAIC Description: Electrical Contractors and Other Wiring Installation Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2014-07-01 DUANE BUSHNELL DUANE BUSHNELL 2016-01-11
501 2013-07-01 DUANE BUSHNELL DUANE BUSHNELL 2015-01-26
501 2012-07-01 DUANE BUSHNELL DUANE BUSHNELL 2014-01-07
501 2011-07-01 DUANE BUSHNELL DUANE BUSHNELL 2013-01-08
501 2010-07-01 DUANE BUSHNELL DUANE BUSHNELL 2012-01-20
501 2009-07-01 DUANE BUSHNELL DUANE BUSHNELL 2010-12-08

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2014-07-01	DUANE BUSHNELL	DUANE BUSHNELL	2016-01-11
501	2013-07-01	DUANE BUSHNELL	DUANE BUSHNELL	2015-01-26
501	2012-07-01	DUANE BUSHNELL	DUANE BUSHNELL	2014-01-07
501	2011-07-01	DUANE BUSHNELL	DUANE BUSHNELL	2013-01-08
501	2010-07-01	DUANE BUSHNELL	DUANE BUSHNELL	2012-01-20
501	2009-07-01	DUANE BUSHNELL	DUANE BUSHNELL	2010-12-08

Plan Statistics for DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN

401k plan membership statisitcs for DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN

Measure Date Value
2014: DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 257
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 286
Number of retired or separated participants receiving benefits 2014-07-01 2
Total of all active and inactive participants 2014-07-01 288
2013: DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 409
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 233
Number of retired or separated participants receiving benefits 2013-07-01 2
Total of all active and inactive participants 2013-07-01 235
2012: DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 368
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 401
Total of all active and inactive participants 2012-07-01 401
2011: DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 368
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 365
Number of retired or separated participants receiving benefits 2011-07-01 3
Number of other retired or separated participants entitled to future benefits 2011-07-01 0
Total of all active and inactive participants 2011-07-01 368
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
2010: DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 360
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 365
Number of retired or separated participants receiving benefits 2010-07-01 3
Number of other retired or separated participants entitled to future benefits 2010-07-01 0
Total of all active and inactive participants 2010-07-01 368
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-07-01 0
Total participants 2010-07-01 368
2009: DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 413
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 355
Number of retired or separated participants receiving benefits 2009-07-01 5
Total of all active and inactive participants 2009-07-01 360
Total participants 2009-07-01 0

Measure	Date	Value
2014: DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	257
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	286
Number of retired or separated participants receiving benefits	2014-07-01	2
Total of all active and inactive participants	2014-07-01	288
2013: DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	409
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	233
Number of retired or separated participants receiving benefits	2013-07-01	2
Total of all active and inactive participants	2013-07-01	235
2012: DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	368
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	401
Total of all active and inactive participants	2012-07-01	401
2011: DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	368
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	365
Number of retired or separated participants receiving benefits	2011-07-01	3
Number of other retired or separated participants entitled to future benefits	2011-07-01	0
Total of all active and inactive participants	2011-07-01	368
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
2010: DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	360
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	365
Number of retired or separated participants receiving benefits	2010-07-01	3
Number of other retired or separated participants entitled to future benefits	2010-07-01	0
Total of all active and inactive participants	2010-07-01	368
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-07-01	0
Total participants	2010-07-01	368
2009: DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	413
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	355
Number of retired or separated participants receiving benefits	2009-07-01	5
Total of all active and inactive participants	2009-07-01	360
Total participants	2009-07-01	0

Form 5500 Responses for DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN

2014: DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	Yes
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: DELTA DIVERSIFIED ENTERPRISES INC MEDICAL PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – General assets of the sponsor	Yes

Potentially related plans

DELTA DIVERSIFIED 401(K) SAVINGS AND INVESTMENT PLAN [EIN = 341293673]

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Company Name:	DELTA DIVERSIFIED ENTERPRISES INC
Employer identification number (EIN):	860254317
NAIC Classification:	238210
NAIC Description:	Electrical Contractors and Other Wiring Installation Contractors