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ALBERTSON'S LLC

Company Details

Name: ALBERTSON'S LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 27 Jun 2006 (19 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 167870
Place of Formation: DELAWARE
File Number: 167870
Principal Address: PO BOX 20 BOISE, ID 83726
Mailing Address: CORP TAX DEPT PO BOX 20 BOISE, ID 83726-0020

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
3WSG8 Active Non-Manufacturer 2004-06-10 2024-03-29 2029-03-29 2025-03-27

Contact Information
POC DENISE VITEK
Phone +1 623-869-3445
Fax +1 623-336-6820
Address 250 E PARKCENTER BLVD, BOISE, ID, 83706 3940, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (1)
CAGE number 3V0P0
Owner Type Immediate
Legal Business Name AVIA PARTNERS, INC.

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALBERTSON'S LLC PLANS MASTER TRUST 2016 820184434 2017-10-16 ALBERTSON'S LLC No data
File View Page
Three-digit plan number (PN) 003
Sponsor’s telephone number 2083956200
Plan sponsor’s mailing address P.O. BOX 6890, BOISE, ID, 83726
Plan sponsor’s address 250 PARKCENTER BLVD, BOISE, ID, 83726

Signature of
Role DFE
Date 2017-10-16
Name of individual signing BRIAN DOOLEY
Valid signature Filed with authorized/valid electronic signature
ALBERTSON'S LLC 401K PLAN 2015 820184434 2016-10-14 ALBERTSON'S LLC 24299
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-06-02
Business code 445110
Sponsor’s telephone number 2083956200
Plan sponsor’s mailing address P.O. BOX 6890, BOISE, ID, 83726
Plan sponsor’s address 250 PARKCENTER BLVD., BOISE, ID, 83726

Plan administrator’s name and address
Administrator’s EIN 813832793
Plan administrator’s name ALBERTSONS COMPANIES RETIREMENT BENEFIT PLANS COMMITTEE
Plan administrator’s address 250 PARKCENTER BLVD., P. O. BOX 6890, BOISE, ID, 83726
Administrator’s telephone number 9257381300

Number of participants as of the end of the plan year
Active participants 23295
Retired or separated participants receiving benefits 156
Other retired or separated participants entitled to future benefits 4471
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 128
Number of participants with account balances as of the end of the plan year 16640
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 80

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing BILL TANKOVICH
Valid signature Filed with authorized/valid electronic signature
ALBERTSON'S LLC PLANS MASTER TRUST 2015 820184434 2016-10-14 ALBERTSON'S LLC No data
File View Page
Three-digit plan number (PN) 003
Sponsor’s telephone number 2083956200
Plan sponsor’s mailing address P.O. BOX 6890, BOISE, ID, 83726
Plan sponsor’s address 250 PARKCENTER BLVD., BOISE, ID, 83726

Signature of
Role DFE
Date 2016-10-14
Name of individual signing BILL TANKOVICH
Valid signature Filed with authorized/valid electronic signature
ALBERTSON'S LLC PLANS MASTER TRUST 2014 820184434 2015-10-13 ALBERTSON'S LLC No data
File View Page
Three-digit plan number (PN) 003
Sponsor’s telephone number 2083956200
Plan sponsor’s mailing address P.O. BOX 6890, BOISE, ID, 83726
Plan sponsor’s address 250 PARKCENTER BLVD., BOISE, ID, 83726

Signature of
Role DFE
Date 2015-10-13
Name of individual signing LISA MONTALVO
Valid signature Filed with authorized/valid electronic signature
ALBERTSON'S LLC 401K PLAN 2014 820184434 2015-10-12 ALBERTSON'S LLC 21897
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-06-02
Business code 445110
Sponsor’s telephone number 2083956200
Plan sponsor’s mailing address P.O. BOX 6890, BOISE, ID, 83726
Plan sponsor’s address 250 PARKCENTER BLVD., BOISE, ID, 83726

Number of participants as of the end of the plan year
Active participants 20062
Retired or separated participants receiving benefits 150
Other retired or separated participants entitled to future benefits 3979
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 108
Number of participants with account balances as of the end of the plan year 17481
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 199

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing LISA MONTALVO
Valid signature Filed with authorized/valid electronic signature
ALBERTSON'S LLC PLANS MASTER TRUST 2014 820184434 2015-10-12 ALBERTSON'S LLC No data
Three-digit plan number (PN) 003
Sponsor’s telephone number 2083956200
Plan sponsor’s mailing address P.O. BOX 6890, BOISE, ID, 83726
Plan sponsor’s address 250 PARKCENTER BLVD., BOISE, ID, 83726

Signature of
Role DFE
Date 2015-10-12
Name of individual signing LISA MONTALVO
Valid signature Filed with authorized/valid electronic signature
ALBERTSON'S LLC 401K PLAN 2013 820184434 2014-10-15 ALBERTSON'S LLC 21515
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-06-02
Business code 445110
Sponsor’s telephone number 2083956200
Plan sponsor’s mailing address P.O. BOX 6890, BOISE, ID, 83726
Plan sponsor’s address 250 PARKCENTER BLVD., BOISE, ID, 83726

Number of participants as of the end of the plan year
Active participants 17645
Retired or separated participants receiving benefits 109
Other retired or separated participants entitled to future benefits 4028
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 115
Number of participants with account balances as of the end of the plan year 12558
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 69

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing RICHARD NAVARRO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-15
Name of individual signing RICHARD NAVARRO
Valid signature Filed with authorized/valid electronic signature
ALBERTSON'S LLC PLANS MASTER TRUST 2013 820184434 2014-10-15 ALBERTSON'S LLC No data
File View Page
Three-digit plan number (PN) 003
Sponsor’s telephone number 2083956200
Plan sponsor’s mailing address P.O. BOX 6890, BOISE, ID, 83726
Plan sponsor’s address 250 PARKCENTER BLVD., BOISE, ID, 83726

Signature of
Role DFE
Date 2014-10-15
Name of individual signing MIKE HODGE
Valid signature Filed with authorized/valid electronic signature
ALBERTSON'S LLC 401K PLAN 2012 820184434 2013-10-11 ALBERTSON'S LLC 20698
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-06-02
Business code 445110
Sponsor’s telephone number 2083956200
Plan sponsor’s mailing address P.O. BOX 6890, BOISE, ID, 83726
Plan sponsor’s address 250 PARKCENTER BLVD., BOISE, ID, 83726

Plan administrator’s name and address
Administrator’s EIN 820184434
Plan administrator’s name ALBERTSON'S LLC
Plan administrator’s address P.O. BOX 6890, BOISE, ID, 83726
Administrator’s telephone number 2083956200

Number of participants as of the end of the plan year
Active participants 17215
Retired or separated participants receiving benefits 189
Other retired or separated participants entitled to future benefits 3992
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 119
Number of participants with account balances as of the end of the plan year 13015
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 323

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing MIKE HODGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-11
Name of individual signing RICK NAVARRO
Valid signature Filed with authorized/valid electronic signature
ALBERTSON'S LLC HEALTH & WELFARE PLAN 2011 820184434 2012-12-28 ALBERTSON'S LLC 8480
Three-digit plan number (PN) 650
Effective date of plan 2006-06-02
Business code 445110
Sponsor’s telephone number 2083956200
Plan sponsor’s mailing address PO BOX 6890, 250 PARKCENTER BLVD, BOISE, ID, 83726
Plan sponsor’s address PO BOX 6890, 250 PARKCENTER BLVD, BOISE, ID, 83726

Plan administrator’s name and address
Administrator’s EIN 410617000
Plan administrator’s name SUPERVALU, INC.
Plan administrator’s address PO BOX 6890, BOISE, ID, 83726
Administrator’s telephone number 2083954864

Number of participants as of the end of the plan year
Active participants 7757
Retired or separated participants receiving benefits 393

Signature of
Role Plan administrator
Date 2012-12-27
Name of individual signing MIKE HODGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-12-28
Name of individual signing ROBERT BUTLER
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address Appointed On
VIVEK SANKARAN Manager 250 E PARKCENTER BLVD, BOISE, ID 83706 2021-02-01
CODY PERDUE Manager 250 E PARKCENTER BLVD, BOISE, ID 83706 2024-05-10
ROBERT LARSON Manager 250 E PARKCENTER BLVD, BOISE, ID 83706 2024-05-10
BRADLEY R BECKSTROM Manager 250 E PARKCENTER BLVD, BOISE, ID 83706 2024-05-10

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 1555 W SHORELINE DR, STE 100, BOISE, ID 83702

Filing

Filing Name Filing Number Filing date
Annual Report 0005733793 2024-05-10
Annual Report 0005249945 2023-05-24
Registered Agent Name/Address Change (mass change) 0004894186 2022-09-12
Annual Report 0004759880 2022-05-27
Annual Report Amendment 0004578540 2022-01-21
Annual Report 0004323289 2021-06-23
Annual Report Amendment 0004149394 2021-02-01
Annual Report 0003884524 2020-05-27
Annual Report 0003519687 2019-05-21
Change of Registered Office/Agent/Both (by Entity) 0003339872 2018-10-26

Related by officers

VIVEK SANKARAN

ASC MEDIA SERVICES, INC. SAFEWAY INC. JETCO PROPERTIES, INC. ABS FINANCE CO., INC. MALIN ACQUISITIONS, LLC ALBERTSONS COMPANIES, INC.

CODY PERDUE

SAFEWAY INC. JETCO PROPERTIES, INC. ABS FINANCE CO., INC. AVIA PARTNERS, INC. JEWEL FOOD STORES, INC. ALBERTSONS COMPANIES, INC.

BRADLEY R BECKSTROM

SAFEWAY INC. JETCO PROPERTIES, INC. ABS FINANCE CO., INC. AVIA PARTNERS, INC. JEWEL FOOD STORES, INC. ALBERTSONS COMPANIES, INC.

C T CORPORATION SYSTEM

EVANS KEANE LLP PRESTON GATES & ELLIS LLP TITLE AND TRUST COMPANY FUNNY BONE COMEDY CLUB OF BOISE, L.L.C. ELKHORN, LTD., A LIMITED PARTNERSHIP RANCHO VISTA ASSOCIATES, A LIMITED PARTNERSHIP FAR WEST HYDROELECTRIC FUND LTD., A UTAH LIMITED PARTNERSHIP EAGLE RIVER L.L.C. IDAHO RANCH DEVELOPMENT L.L.C. OPSIS ARCHITECTURE LLP

Related by address

PO BOX 20 BOISE, ID 83726

JEWEL OSCO, INC. AMERICAN STORES COMPANY, LLC SAV-ON DRUGS ALBERTSON'S REALTY LLC AMERICAN DRUG STORES LLC EXTREME LLC AMERICAN STORES PROPERTIES LLC ASC MEDIA SERVICES, INC. PLANMARK, INC.

CORP TAX DEPT PO BOX 20 BOISE, ID 83726-0020

ALBERTSON'S REALTY LLC AMERICAN DRUG STORES LLC EXTREME LLC AMERICAN STORES PROPERTIES LLC ASC MEDIA SERVICES, INC. SAFEWAY INC. ABS STORE MANAGEMENT SERVICES LLC JETCO PROPERTIES, INC. ABS ID-O LLC

Date of last update: 03 Dec 2024

Sources: Idaho Secretary of State

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