DELTA DENTAL OF NEW YORK

[ EIN: 04-2450756 | Plan No. 502 ]

The DELTA DENTAL OF NEW YORK plan, sponsored by NORTHEAST HEALTH, is listed in Form 5500 data as a DFE/Master Trust plan. The filing reports 0 participants and total assets of $0 for plan year 2012.

DFE/Master Trust plans are subject to ERISA disclosure requirements and annual reporting obligations.

---

Plan Sponsor: NORTHEAST HEALTH

Location: 2212 BURDETT AVENUE, TROY, NY 12180

EIN: 042450756

Plan Number: 502

Plan Year: 2012

Plan Size: Large Plan

Plan Entity Type: DFE/Master Trust

Plan Type: DFE/Master Trust

Participants: 0

Total Assets: $0

---