Original filing (PDF)20250605113138NAL0011850833001

BLUE DRAGONFLY L.L.C.

Name: BLUE DRAGONFLY L.L.C. — BLUE DRAGONFLY L.L.C. DBA MEDICINE CREEK FAMILY DENTISTRY 401(K) PLAN, Form 5500 (2024)
Creator: BLUE DRAGONFLY L.L.C.

Form 5500-SF

FILING_RECEIVED

BLUE DRAGONFLY L.L.C. DBA MEDICINE CREEK FAMILY DENTISTRY 401(K) PLAN

401(k) retirement plan

Active participants

Accounts w/ balance

Plan assets (EOY)

$1.6M

Net assets (EOY)

$1.6M

Plan health score (directional)

/ 100

Grade A

Top-tier plan health

Directional indicator computed from public Form 5500 data — compliance, concentration, cost, vendor stack and participation. Not a fiduciary tool.

Compliance & disclosures

100

Concentration risk

Total plan cost

Vendor stack

100

Participation health

Decision-maker contacts

CFO / Head of HR / Benefits Manager — verified email + LinkedIn for BLUE DRAGONFLY L.L.C..

Plan sponsor

Name

BLUE DRAGONFLY L.L.C.

EIN

20-4622818

Address

40890 W. HIGHWAY 6 AND 34 · P.O. BOX 57 · CAMBRIDGE, NE · 69022

Phone

(308) 697-3736

Industry

Offices of Dentists· Health Care & Social Assistancesee all

Plan administrator

Same as plan sponsor.

Plan characteristics

Plan number

001

Plan year

2024

Plan year begin

2024-01-01

Tax period

2024-12-31

Filed

2025-06-05

Pension benefit codes

2E · Profit-sharing

2F · ERISA section 404(c)

2G · Total participant-directed accounts

2J · 401(k) feature

2T · Default investment account (QDIA)

3D · Pre-approved plan (master / prototype / VS)

Audit & trust (Schedule H)

Auditor

—

Trustee / custodian

Service providers (Schedule C)

Small plans don't disclose service providers

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