BETTENCOURT DAIRIES, LLC MANAGER CARVE OUT PLAN
|
2022
|
263349712
|
2023-05-12
|
BETTENCOURT DAIRIES LLC
|
50
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2022-09-01
|
Business code |
112120
|
Sponsor’s telephone number |
2085366148
|
Plan sponsor’s mailing address |
2930 S 2300 E, WENDELL, ID, 833553150
|
Plan sponsor’s
address |
2930 S 2300 E, WENDELL, ID, 833553150
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-05-12 |
Name of individual signing |
CYNTHIA GIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BETTENCOURT DAIRIES LLC EMPLOYEE HEALTHCARE PLAN
|
2021
|
263349712
|
2022-07-22
|
BETTENCOURT DAIRIES, LLC
|
252
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-01-01
|
Business code |
112120
|
Sponsor’s telephone number |
2085366148
|
Plan sponsor’s mailing address |
2930 S 2300 E, WENDELL, ID, 833553150
|
Plan sponsor’s
address |
2930 S 2300 E, WENDELL, ID, 833553150
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-07-22 |
Name of individual signing |
SILVIA HERRERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-22 |
Name of individual signing |
SILVIA HERRERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BETTENCOURT DAIRIES, LLC MANAGER CARVE OUT PLAN
|
2020
|
263349712
|
2022-03-31
|
BETTENCOURT DAIRIES LLC
|
41
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2020-09-01
|
Business code |
112120
|
Sponsor’s telephone number |
2085366148
|
Plan sponsor’s mailing address |
2930 S 2300 E, WENDELL, ID, 833553150
|
Plan sponsor’s
address |
2930 S 2300 E, WENDELL, ID, 833553150
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-03-31 |
Name of individual signing |
SILVIA HERRERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-03-31 |
Name of individual signing |
SILVIA HERRERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BETTENCOURT DAIRIES, LLC MANAGER CARVE OUT PLAN
|
2020
|
263349712
|
2022-03-31
|
BETTENCOURT DAIRIES LLC
|
41
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2020-09-01
|
Business code |
112120
|
Sponsor’s telephone number |
2085366148
|
Plan sponsor’s mailing address |
2930 S 2300 E, WENDELL, ID, 833553150
|
Plan sponsor’s
address |
2930 S 2300 E, WENDELL, ID, 833553150
|
Number of participants as of the end of the plan year
Signature of
Role |
Employer/plan sponsor |
Date |
2022-03-31 |
Name of individual signing |
SILVIA HERRERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BETTENCOURT DAIRIES LLC EMPLOYEE HEALTHCARE PLAN
|
2020
|
263349712
|
2021-07-22
|
BETTENCOURT DAIRIES LLC
|
273
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-01-01
|
Business code |
112120
|
Sponsor’s telephone number |
2085366148
|
Plan sponsor’s mailing address |
2930 S 2300 E, WENDELL, ID, 833553150
|
Plan sponsor’s
address |
2930 S 2300 E, WENDELL, ID, 833553150
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-22 |
Name of individual signing |
SILVIA HERRERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-22 |
Name of individual signing |
SILVIA HERRERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BETTENCOURT DAIRIES, LLC MANAGER CARVE OUT PLAN
|
2019
|
263349712
|
2021-03-23
|
BETTENCOURT DAIRIES LLC
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2019-09-01
|
Business code |
112120
|
Sponsor’s telephone number |
2085366148
|
Plan sponsor’s mailing address |
2930 S 2300 E, WENDELL, ID, 833553150
|
Plan sponsor’s
address |
2930 S 2300 E, WENDELL, ID, 833553150
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-03-23 |
Name of individual signing |
SILVIA HERRERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-03-23 |
Name of individual signing |
SILVIA HERRERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BETTENCOURT DAIRIES LLC EMPLOYEE HEALTHCARE PLAN
|
2019
|
263349712
|
2020-07-21
|
BETTENCOURT DAIRIES LLC
|
210
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-01-01
|
Business code |
112120
|
Sponsor’s telephone number |
2085366148
|
Plan sponsor’s mailing address |
2930 S 2300 E, WENDELL, ID, 833553150
|
Plan sponsor’s
address |
2930 S 2300 E, WENDELL, ID, 833553150
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-21 |
Name of individual signing |
SILVIA HERRERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-21 |
Name of individual signing |
SILVIA HERRERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BETTENCOUT DAIRIES, LLC MANAGER CARVE OUT PLAN
|
2018
|
263349712
|
2020-08-04
|
BETTENCOURT DAIRIES LLC
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2018-09-01
|
Business code |
112120
|
Sponsor’s telephone number |
2085366148
|
Plan sponsor’s mailing address |
2930 S 2300 E, WENDELL, ID, 833553150
|
Plan sponsor’s
address |
2930 S 2300 E, WENDELL, ID, 833553150
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-08-04 |
Name of individual signing |
SILVIA HERRERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-08-04 |
Name of individual signing |
SILVIA HERRERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BETTENCOURT DAIRIES LLC EMPLOYEE HEALTHCARE PLAN
|
2018
|
263349712
|
2019-07-02
|
BETTENCOURT DAIRIES LLC
|
195
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-01-01
|
Business code |
112120
|
Sponsor’s telephone number |
2085366148
|
Plan sponsor’s mailing address |
2930 S 2300 E, WENDELL, ID, 833553150
|
Plan sponsor’s
address |
2930 S 2300 E, WENDELL, ID, 833553150
|
Number of participants as of the end of the plan year
Active participants |
222 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-07-02 |
Name of individual signing |
SILVIA HERRERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-02 |
Name of individual signing |
SILVIA HERRERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BETTENCOURT DAIRIES LLC EMPLOYEE HEALTHCARE PLAN
|
2017
|
263349712
|
2018-07-30
|
BETTENCOURT DAIRIES LLC
|
200
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2017-01-01
|
Business code |
112120
|
Sponsor’s telephone number |
2085366148
|
Plan sponsor’s mailing address |
2930 S 2300 E, WENDELL, ID, 833553150
|
Plan sponsor’s
address |
2930 S 2300 E, WENDELL, ID, 833553150
|
Number of participants as of the end of the plan year
Active participants |
190 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-07-30 |
Name of individual signing |
SILVIA HERRERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-30 |
Name of individual signing |
SILVIA HERRERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|