WAKEFIELD PORK, INC. DENTAL PLAN
|
2023
|
411688499
|
2024-07-29
|
WAKEFIELD PORK, INC.
|
100
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2012-02-02
|
Business code |
112210
|
Sponsor’s telephone number |
5072375581
|
Plan sponsor’s mailing address |
410 MAINE AVE. E., GAYLORD, MN, 55334
|
Plan sponsor’s
address |
410 MAIN AVENUE EAST, GAYLORD, MN, 55334
|
Number of participants as of the end of the plan year
Active participants |
100 |
Retired or separated participants receiving
benefits |
1 |
|
WAKEFIELD PORK, INC. GROUP LIFE & ACCIDENTAL DEATH & DISMEMBERMENT
|
2023
|
411688499
|
2024-07-29
|
WAKEFIELD PORK, INC.
|
201
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2012-02-02
|
Business code |
112210
|
Sponsor’s telephone number |
5072375581
|
Plan sponsor’s mailing address |
410 MAIN AVE. E., GAYLORD, MN, 55334
|
Plan sponsor’s
address |
410 MAIN AVENUE EAST, GAYLORD, MN, 55334
|
Number of participants as of the end of the plan year
|
WAKEFIELD PORK, INC. DENTAL PLAN
|
2022
|
411688499
|
2023-07-17
|
WAKEFIELD PORK, INC.
|
103
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2012-02-02
|
Business code |
112210
|
Sponsor’s telephone number |
5072375581
|
Plan sponsor’s mailing address |
410 MAINE AVE. E., GAYLORD, MN, 55334
|
Plan sponsor’s
address |
410 MAIN AVENUE EAST, GAYLORD, MN, 55334
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-17 |
Name of individual signing |
JUSTIN SANDMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-17 |
Name of individual signing |
JUSTIN SANDMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAKEFIELD PORK, INC. GROUP LIFE & ACCIDENTAL DEATH & DISMEMBERMENT
|
2022
|
411688499
|
2023-07-17
|
WAKEFIELD PORK, INC.
|
186
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2012-02-02
|
Business code |
112210
|
Sponsor’s telephone number |
5072375581
|
Plan sponsor’s mailing address |
410 MAIN AVE. E., GAYLORD, MN, 55334
|
Plan sponsor’s
address |
410 MAIN AVENUE EAST, GAYLORD, MN, 55334
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-17 |
Name of individual signing |
JUSTIN SANDMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-17 |
Name of individual signing |
JUSTIN SANDMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAKEFIELD PORK, INC. GROUP HEALTH PLAN
|
2021
|
411688499
|
2022-08-04
|
WAKEFIELD PORK, INC.
|
101
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2012-02-02
|
Business code |
112210
|
Sponsor’s telephone number |
5072375581
|
Plan sponsor’s mailing address |
410 MAIN AVE. E., GAYLORD, MN, 55334
|
Plan sponsor’s
address |
410 MAIN AVENUE EAST, GAYLORD, MN, 55334
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-03 |
Name of individual signing |
JUSTIN SANDMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-08-03 |
Name of individual signing |
JUSTIN SANDMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAKEFIELD PORK, INC. GROUP LIFE & ACCIDENTAL DEATH & DISMEMBERMENT
|
2021
|
411688499
|
2022-08-04
|
WAKEFIELD PORK, INC.
|
191
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2012-02-02
|
Business code |
112210
|
Sponsor’s telephone number |
5072375581
|
Plan sponsor’s mailing address |
410 MAIN AVE. E., GAYLORD, MN, 55334
|
Plan sponsor’s
address |
410 MAIN AVENUE EAST, GAYLORD, MN, 55334
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-03 |
Name of individual signing |
JUSTIN SANDMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-08-03 |
Name of individual signing |
JUSTIN SANDMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAKEFIELD PORK, INC. GROUP LIFE & ACCIDENTAL DEATH & DISMEMBERMENT
|
2020
|
411688499
|
2021-07-16
|
WAKEFIELD PORK, INC.
|
184
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2012-02-02
|
Business code |
112210
|
Sponsor’s telephone number |
5072375581
|
Plan sponsor’s mailing address |
410 MAIN AVE. E., GAYLORD, MN, 55334
|
Plan sponsor’s
address |
410 MAIN AVENUE EAST, GAYLORD, MN, 55334
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-16 |
Name of individual signing |
JUSTIN SANDMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-16 |
Name of individual signing |
JUSTIN SANDMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAKEFIELD PORK, INC. GROUP LIFE & ACCIDENTAL DEATH & DISMEMBERMENT
|
2019
|
411688499
|
2020-07-28
|
WAKEFIELD PORK, INC.
|
185
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2012-02-02
|
Business code |
112210
|
Sponsor’s telephone number |
5072375581
|
Plan sponsor’s mailing address |
410 MAIN AVE. E., GAYLORD, MN, 55334
|
Plan sponsor’s
address |
410 MAIN AVENUE EAST, GAYLORD, MN, 55334
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-28 |
Name of individual signing |
JUSTIN SANDMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-28 |
Name of individual signing |
JUSTIN SANDMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAKEFIELD PORK, INC. GROUP LIFE & ACCIDENTAL DEATH & DISMEMBERMENT
|
2018
|
411688499
|
2019-09-18
|
WAKEFIELD PORK, INC.
|
173
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2012-02-02
|
Business code |
112210
|
Sponsor’s telephone number |
5072375581
|
Plan sponsor’s mailing address |
410 MAIN AVE. E., GAYLORD, MN, 55334
|
Plan sponsor’s
address |
410 MAIN AVENUE EAST, GAYLORD, MN, 55334
|
Number of participants as of the end of the plan year
Active participants |
185 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-09-18 |
Name of individual signing |
JUSTIN SANDMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-18 |
Name of individual signing |
JUSTIN SANDMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAKEFIELD PORK, INC. GROUP LIFE & ACCIDENTAL DEATH & DISMEMBERMENT
|
2017
|
411688499
|
2018-06-28
|
WAKEFIELD PORK, INC.
|
173
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2012-02-02
|
Business code |
112210
|
Sponsor’s telephone number |
5072375581
|
Plan sponsor’s mailing address |
410 MAIN AVE. E., GAYLORD, MN, 55334
|
Plan sponsor’s
address |
410 MAIN AVENUE EAST, GAYLORD, MN, 55334
|
Number of participants as of the end of the plan year
Active participants |
173 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-06-27 |
Name of individual signing |
JUSTIN SANDMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-27 |
Name of individual signing |
JUSTIN SANDMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|