BANDD FOODS EMPLOYEE RETIREMENT PLAN
|
2023
|
820471954
|
2024-08-14
|
LJD HOLDINGS INC
|
154
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
311110
|
Sponsor’s telephone number |
2083441183
|
Plan
sponsor’s DBA name |
BANDD FOODS
|
Plan sponsor’s
address |
3494 SOUTH TK AVE, BOISE, ID, 83705
|
|
AMERITAS DENTAL VISION
|
2018
|
820471954
|
2019-07-17
|
LJD HOLDINGS, INC
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2018-06-01
|
Business code |
311900
|
Sponsor’s telephone number |
2083441183
|
Plan
sponsor’s DBA name |
B AND D FOODS
|
Plan sponsor’s mailing address |
3494 S TK AVE, BOISE, ID, 837055278
|
Plan sponsor’s
address |
3494 S TK AVE, BOISE, ID, 837055278
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-15 |
Name of individual signing |
GARY SHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-15 |
Name of individual signing |
GARY SHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PACIFIC SOURCE HEALTH PLANS
|
2017
|
820471954
|
2019-07-17
|
LJD HOLDINGS, INC
|
92
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2017-06-01
|
Business code |
311110
|
Sponsor’s telephone number |
2083441183
|
Plan
sponsor’s DBA name |
B AND D FOODS
|
Plan sponsor’s mailing address |
3494 S TK AVE, BOISE, ID, 837055278
|
Plan sponsor’s
address |
3494 S TK AVE, BOISE, ID, 837055278
|
Number of participants as of the end of the plan year
Active participants |
106 |
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 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-07-15 |
Name of individual signing |
GARY SHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-15 |
Name of individual signing |
GARY SHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PACIFIC SOURCE HEALTH PLANS
|
2017
|
820471954
|
2018-03-22
|
LJD HOLDINGS, INC
|
92
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2017-06-01
|
Business code |
311110
|
Sponsor’s telephone number |
2083441183
|
Plan
sponsor’s DBA name |
B AND D FOODS
|
Plan sponsor’s mailing address |
3494 S TK AVE, BOISE, ID, 837055278
|
Plan sponsor’s
address |
3494 S TK AVE, BOISE, ID, 837055278
|
Number of participants as of the end of the plan year
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 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-03-22 |
Name of individual signing |
GARY SHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-03-22 |
Name of individual signing |
GARY SHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSURANT EMPLOYEE BENEFITS GROUP 5245100
|
2016
|
820471954
|
2018-03-22
|
LJD HOLDINGS, INC
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2016-06-01
|
Business code |
311900
|
Sponsor’s telephone number |
2083441183
|
Plan
sponsor’s DBA name |
B AND D FOODS
|
Plan sponsor’s mailing address |
3494 S TK AVE, BOISE, ID, 837055278
|
Plan sponsor’s
address |
3494 S TK AVE, BOISE, ID, 837055278
|
Number of participants as of the end of the plan year
Active participants |
50 |
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 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-03-22 |
Name of individual signing |
GARY SHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-03-22 |
Name of individual signing |
GARY SHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSURANT EMPLOYEE BENEFITS GROUP 5245100
|
2014
|
820471954
|
2016-05-19
|
LJD HOLDINGS, INC
|
54
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2014-06-01
|
Business code |
311900
|
Sponsor’s telephone number |
2083441183
|
Plan
sponsor’s DBA name |
B AND D FOODS
|
Plan sponsor’s mailing address |
3494 SOUTH TK AVENUE, BOISE, ID, 83705
|
Plan sponsor’s
address |
3494 SOUTH TK AVENUE, BOISE, ID, 83705
|
Number of participants as of the end of the plan year
Active participants |
48 |
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 |
2016-05-19 |
Name of individual signing |
GARY SHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-19 |
Name of individual signing |
GARY SHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE CROSS OF IDAHO GROUP O. 10031115
|
2014
|
820471954
|
2016-05-19
|
LJD HOLDINGS, INC
|
108
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-06-01
|
Business code |
311900
|
Sponsor’s telephone number |
2083441183
|
Plan
sponsor’s DBA name |
B AND D FOODS
|
Plan sponsor’s mailing address |
3494 SOUTH TK AVENUE, BOISE, ID, 83705
|
Plan sponsor’s
address |
3494 SOUTH TK AVENUE, BOISE, ID, 83705
|
Number of participants as of the end of the plan year
Active participants |
97 |
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 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-05-19 |
Name of individual signing |
GARY SHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-19 |
Name of individual signing |
GARY SHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE CROSS OF IDAHO GROUP O. 10031115
|
2013
|
820471954
|
2014-12-31
|
LJD HOLDINGS, INC
|
99
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-06-01
|
Business code |
311900
|
Sponsor’s telephone number |
2083441183
|
Plan
sponsor’s DBA name |
B AND D FOODS
|
Plan sponsor’s mailing address |
3484 SOUTH TK AVENUE, BOISE, ID, 83705
|
Plan sponsor’s
address |
3484 SOUTH TK AVENUE, BOISE, ID, 83705
|
Number of participants as of the end of the plan year
Active participants |
108 |
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 |
2014-12-31 |
Name of individual signing |
GARY SHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-12-31 |
Name of individual signing |
GARY SHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSURANT EMPLOYEE BENEFITS GROUP 5245100
|
2013
|
820471954
|
2014-12-31
|
LJD HOLDINGS, INC
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2013-06-01
|
Business code |
311900
|
Sponsor’s telephone number |
2083441183
|
Plan
sponsor’s DBA name |
B AND D FOODS
|
Plan sponsor’s mailing address |
3494 SOUTH TK AVENUE, BOISE, ID, 83705
|
Plan sponsor’s
address |
3494 SOUTH TK AVENUE, BOISE, ID, 83705
|
Number of participants as of the end of the plan year
Active participants |
54 |
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 |
2014-12-31 |
Name of individual signing |
GARY SHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-12-31 |
Name of individual signing |
GARY SHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
B AND D FOODS EMPLOYEE WELFARE PLANS
|
2012
|
820471954
|
2014-03-17
|
LJD HOLDINGS, INC
|
60
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2012-06-01
|
Business code |
311900
|
Sponsor’s telephone number |
2083441183
|
Plan
sponsor’s DBA name |
B AND D FOODS
|
Plan sponsor’s mailing address |
3494 SOUTH TK AVENUE, BOISE, ID, 83705
|
Plan sponsor’s
address |
3494 SOUTH TK AVENUE, BOISE, ID, 83705
|
Plan administrator’s name and address
Administrator’s EIN |
820471954 |
Plan administrator’s name |
LJD HOLDINGS, INC |
Plan administrator’s
address |
3494 SOUTH TK AVENUE, BOISE, ID, 83705 |
Administrator’s telephone number |
2083441183 |
Number of participants as of the end of the plan year
Active participants |
40 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-03-17 |
Name of individual signing |
GARY SHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-03-17 |
Name of individual signing |
GARY SHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|