|
DIVERSIFIED DISTRIBUTION SYSTEMS, LLC WELFARE BENEFITS
|
2015
|
411554244
|
2016-12-28
|
DIVERSIFIED DISTRIBUTION SYSTEMS, LLC
|
280
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
503
|
| Effective date of plan |
2012-06-01
|
| Business code |
424100
|
| Sponsor’s telephone number |
6128135200
|
| Plan sponsor’s mailing address |
7351 BOONE AVENUE NORTH, BROOKLYN PARK, MN, 55428
|
| Plan sponsor’s
address |
7351 BOONE AVENUE NORTH, BROOKLYN PARK, MN, 55428
|
Number of participants as of the end of the plan year
| Active participants |
266 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2016-12-28 |
| Name of individual signing |
JIM KOZICKY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DIVERSIFIED DISTRIBUTION SYSTEMS, LLC WELFARE BENEFITS
|
2014
|
411554244
|
2016-09-16
|
DIVERSIFIED DISTRIBUTION SYSTEMS, LLC
|
330
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
503
|
| Effective date of plan |
2012-06-01
|
| Business code |
424100
|
| Sponsor’s telephone number |
6128135200
|
| Plan sponsor’s mailing address |
7351 BOONE AVENUE NORTH, BROOKLYN PARK, MN, 55428
|
| Plan sponsor’s
address |
7351 BOONE AVENUE NORTH, BROOKLYN PARK, MN, 55428
|
Number of participants as of the end of the plan year
| Active participants |
288 |
| Retired or separated participants receiving
benefits |
1 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2016-09-16 |
| Name of individual signing |
JIM KOZICKY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DIVERSIFIED DISTRIBUTION SYSTEMS, LLC WELFARE BENEFITS
|
2013
|
411554244
|
2016-09-16
|
DIVERSIFIED DISTRIBUTION SYSTEMS, LLC
|
302
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
503
|
| Effective date of plan |
2012-06-01
|
| Business code |
424100
|
| Sponsor’s telephone number |
6128135200
|
| Plan sponsor’s mailing address |
7351 BOONE AVENUE NORTH, BROOKLYN PARK, MN, 55428
|
| Plan sponsor’s
address |
7351 BOONE AVENUE NORTH, BROOKLYN PARK, MN, 55428
|
Number of participants as of the end of the plan year
| Active participants |
330 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2016-09-16 |
| Name of individual signing |
JIM KOZICKY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DIVERSIFIED DISTRIBUTION SYSTEMS, LLC EMPLOYEE BENEFIT PLAN
|
2013
|
411554244
|
2015-06-16
|
DIVERSIFIED DISTRIBUTION SYSTEMS, LLC
|
302
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
503
|
| Effective date of plan |
2013-06-01
|
| Business code |
424100
|
| Sponsor’s telephone number |
6128135200
|
| Plan sponsor’s mailing address |
7351 BOONE AVENUE NORTH, BROOKLYN PARK, MN, 55428
|
| Plan sponsor’s
address |
7351 BOONE AVENUE NORTH, BROOKLYN PARK, MN, 55428
|
Number of participants as of the end of the plan year
| Active participants |
330 |
| Retired or separated participants receiving
benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2015-06-16 |
| Name of individual signing |
JIM KOZICKY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
