SCHWARTZ FARMS, INC. MEDICAL PLAN
|
2015
|
411595998
|
2016-06-23
|
SCHWARTZ FARMS, INC.
|
248
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2009-01-01
|
Business code |
112210
|
Sponsor’s telephone number |
5077945779
|
Plan sponsor’s mailing address |
32296 190TH ST, SLEEPY EYE, MN, 560854374
|
Plan sponsor’s
address |
32296 190TH ST, SLEEPY EYE, MN, 560854374
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-06-23 |
Name of individual signing |
SHEILA SCHMID |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-23 |
Name of individual signing |
SHEILA SCHMID |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCHWARTZ FARMS, INC. LIFE & ADD PLAN
|
2015
|
411595998
|
2016-06-23
|
SCHWARTZ FARMS, INC.
|
323
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2015-01-01
|
Business code |
112210
|
Sponsor’s telephone number |
5077945779
|
Plan sponsor’s mailing address |
32296 190TH ST, SLEEPY EYE, MN, 560854374
|
Plan sponsor’s
address |
32296 190TH ST, SLEEPY EYE, MN, 560854374
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-06-23 |
Name of individual signing |
SHEILA SCHMID |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-23 |
Name of individual signing |
SHEILA SCHMID |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCHWARTZ FARMS, INC. LTD PLAN
|
2015
|
411595998
|
2016-06-23
|
SCHWARTZ FARMS, INC.
|
323
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-01-01
|
Business code |
112210
|
Sponsor’s telephone number |
5077945779
|
Plan sponsor’s mailing address |
32296 190TH ST, SLEEPY EYE, MN, 560854374
|
Plan sponsor’s
address |
32296 190TH ST, SLEEPY EYE, MN, 560854374
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-06-23 |
Name of individual signing |
SHEILA SCHMID |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-23 |
Name of individual signing |
SHEILA SCHMID |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCHWARTZ FARMS, INC. LTD PLAN
|
2014
|
411595998
|
2015-06-22
|
SCHWARTZ FARMS, INC.
|
170
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-01-01
|
Business code |
112210
|
Sponsor’s telephone number |
5077945779
|
Plan sponsor’s mailing address |
32296 190TH STREET, SLEEPY EYE, MN, 56085
|
Plan sponsor’s
address |
32296 190TH STREET, SLEEPY EYE, MN, 56085
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-06-22 |
Name of individual signing |
SHEILA SCHMID |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-22 |
Name of individual signing |
SHEILA SCHMID |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCHWARTZ FARMS, INC. MEDICAL PLAN
|
2014
|
411595998
|
2015-06-22
|
SCHWARTZ FARMS, INC.
|
151
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2009-01-01
|
Business code |
112210
|
Sponsor’s telephone number |
5077945779
|
Plan sponsor’s mailing address |
32296 190TH STREET, SLEEPY EYE, MN, 56085
|
Plan sponsor’s
address |
32296 190TH STREET, SLEEPY EYE, MN, 56085
|
Number of participants as of the end of the plan year
Active participants |
161 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2015-06-22 |
Name of individual signing |
SHEILA SCHMID |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-22 |
Name of individual signing |
SHEILA SCHMID |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCHWARTZ FARMS, INC. MEDICAL PLAN
|
2013
|
411595998
|
2014-05-27
|
SCHWARTZ FARMS, INC.
|
122
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2009-01-01
|
Business code |
112210
|
Sponsor’s telephone number |
5077945779
|
Plan sponsor’s mailing address |
32296 190TH STREET, SLEEPY EYE, MN, 56085
|
Plan sponsor’s
address |
32296 190TH STREET, SLEEPY EYE, MN, 56085
|
Number of participants as of the end of the plan year
Active participants |
137 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2014-05-27 |
Name of individual signing |
SHEILA SCHMID |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-27 |
Name of individual signing |
SHEILA SCHMID |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCHWARTZ FARMS, INC. LTD PLAN
|
2013
|
411595998
|
2014-05-27
|
SCHWARTZ FARMS, INC.
|
141
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-01-01
|
Business code |
112210
|
Sponsor’s telephone number |
5077945779
|
Plan sponsor’s mailing address |
32296 190TH STREET, SLEEPY EYE, MN, 56085
|
Plan sponsor’s
address |
32296 190TH STREET, SLEEPY EYE, MN, 56085
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-05-27 |
Name of individual signing |
SHEILA SCHMID |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-27 |
Name of individual signing |
SHEILA SCHMID |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCHWARTZ FARMS, INC. MEDICAL PLAN
|
2012
|
411595998
|
2014-05-27
|
SCHWARTZ FARMS, INC.
|
99
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2009-01-01
|
Business code |
112210
|
Sponsor’s telephone number |
5077945779
|
Plan sponsor’s mailing address |
32296 190TH STREET, SLEEPY EYE, MN, 56085
|
Plan sponsor’s
address |
32296 190TH STREET, SLEEPY EYE, MN, 56085
|
Number of participants as of the end of the plan year
Active participants |
104 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2014-05-27 |
Name of individual signing |
SHEILA SCHMID |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-27 |
Name of individual signing |
SHEILA SCHMID |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCHWARTZ FARMS, INC. MEDICAL PLAN
|
2012
|
411595998
|
2013-06-12
|
SCHWARTZ FARMS, INC.
|
99
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2009-01-01
|
Business code |
112210
|
Sponsor’s telephone number |
5077948905
|
Plan sponsor’s mailing address |
32296 190TH STREET, SLEEPY EYE, MN, 56085
|
Plan sponsor’s
address |
32296 190TH STREET, SLEEPY EYE, MN, 56085
|
Plan administrator’s name and address
Administrator’s EIN |
411595998 |
Plan administrator’s name |
SCHWARTZ FARMS, INC. |
Plan administrator’s
address |
32296 190TH STREET, SLEEPY EYE, MN, 56085 |
Administrator’s telephone number |
5077948905 |
Number of participants as of the end of the plan year
Active participants |
104 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2013-06-12 |
Name of individual signing |
SHEILA SCHMID |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCHWARTZ FARMS, INC. LTD PLAN
|
2012
|
411595998
|
2013-06-12
|
SCHWARTZ FARMS, INC.
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-01-01
|
Business code |
112210
|
Sponsor’s telephone number |
5077948905
|
Plan sponsor’s mailing address |
32296 190TH STREET, SLEEPY EYE, MN, 56085
|
Plan sponsor’s
address |
32296 190TH STREET, SLEEPY EYE, MN, 56085
|
Plan administrator’s name and address
Administrator’s EIN |
411595998 |
Plan administrator’s name |
SCHWARTZ FARMS, INC. |
Plan administrator’s
address |
32296 190TH STREET, SLEEPY EYE, MN, 56085 |
Administrator’s telephone number |
5077948905 |
Number of participants as of the end of the plan year
Active participants |
136 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2013-06-12 |
Name of individual signing |
SHEILA SCHMID |
Valid signature |
Filed with authorized/valid electronic signature |
|
|