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  5. BEDFORD MOON COMPANY

BEDFORD MOON COMPANY

Company Details

Name: BEDFORD MOON COMPANY
Jurisdiction: Idaho
Legal type: Foreign Business Corporation
Status: Active-Good Standing
Date of registration: 13 May 2004 (21 years ago)
Financial Date End: 31 May 2025
Entity Number: 470060
Place of Formation: WASHINGTON
File Number: 470060
ZIP code: 83858
County: Kootenai County
Principal Address: PO BOX 1089 RATHDRUM, ID 83858
Mailing Address: PO BOX 1089 RATHDRUM, ID 83858-1089

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BEDFORD MOON COMPANY 401(K) P/S PLAN 2023 651223848 2024-06-29 BEDFORD MOON COMPANY 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 722513
Sponsor’s telephone number 2086919710
Plan sponsor’s address 7120 W MAIN ST, RATHDRUM, ID, 83858

Signature of
Role Plan administrator
Date 2024-06-29
Name of individual signing TIM SKUBITZ
Valid signature Filed with authorized/valid electronic signature
BEDFORD MOON COMPANY 401(K) P/S PLAN 2022 651223848 2023-03-17 BEDFORD MOON COMPANY 70
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 722513
Sponsor’s telephone number 2086919710
Plan sponsor’s address 7120 W MAIN ST, RATHDRUM, ID, 83858

Plan administrator’s name and address
Administrator’s EIN 651223848
Plan administrator’s name BEDFORD MOON COMPANY
Plan administrator’s address 7120 W MAIN ST, RATHDRUM, ID, 83858
Administrator’s telephone number 2086919710

Signature of
Role Plan administrator
Date 2023-03-17
Name of individual signing TIMOTHY SKUBITZ
Valid signature Filed with authorized/valid electronic signature
BEDFORD MOON COMPANY 401(K) P/S PLAN 2022 651223848 2023-04-25 BEDFORD MOON COMPANY 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 722513
Sponsor’s telephone number 2086919710
Plan sponsor’s address 7120 W MAIN ST, RATHDRUM, ID, 83858

Plan administrator’s name and address
Administrator’s EIN 651223848
Plan administrator’s name BEDFORD MOON COMPANY
Plan administrator’s address 7120 W MAIN ST, RATHDRUM, ID, 83858
Administrator’s telephone number 2086919710

Signature of
Role Plan administrator
Date 2023-04-25
Name of individual signing TIMOTHY SKUBITZ
Valid signature Filed with authorized/valid electronic signature
BEDFORD MOON COMPANY 401(K) P/S PLAN 2021 651223848 2022-05-19 BEDFORD MOON COMPANY 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 722513
Sponsor’s telephone number 2086919710
Plan sponsor’s address 7120 W MAIN ST, RATHDRUM, ID, 83858

Plan administrator’s name and address
Administrator’s EIN 651223848
Plan administrator’s name BEDFORD MOON COMPANY
Plan administrator’s address 7120 W MAIN ST, RATHDRUM, ID, 83858
Administrator’s telephone number 2086919710

Signature of
Role Plan administrator
Date 2022-05-19
Name of individual signing TIMOTHY SKUBITZ
Valid signature Filed with authorized/valid electronic signature
BEDFORD MOON COMPANY 401(K) P/S PLAN 2020 651223848 2021-06-14 BEDFORD MOON COMPANY 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 722513
Sponsor’s telephone number 2086919710
Plan sponsor’s address 7120 W MAIN ST, RATHDRUM, ID, 83858

Plan administrator’s name and address
Administrator’s EIN 651223848
Plan administrator’s name BEDFORD MOON COMPANY
Plan administrator’s address 7120 W MAIN ST, RATHDRUM, ID, 83858
Administrator’s telephone number 2086919710

Signature of
Role Plan administrator
Date 2021-06-14
Name of individual signing TIMOTHY SKUBITZ
Valid signature Filed with authorized/valid electronic signature
BEDFORD MOON COMPANY 401(K) P/S PLAN 2019 651223848 2020-06-19 BEDFORD MOON COMPANY 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 722513
Sponsor’s telephone number 2086919710
Plan sponsor’s address 7120 W MAIN ST, RATHDRUM, ID, 83858

Plan administrator’s name and address
Administrator’s EIN 651223848
Plan administrator’s name BEDFORD MOON COMPANY
Plan administrator’s address 7120 W MAIN ST, RATHDRUM, ID, 83858
Administrator’s telephone number 2086919710

Signature of
Role Plan administrator
Date 2020-06-19
Name of individual signing TIMOTHY SKUBITZ
Valid signature Filed with authorized/valid electronic signature
BEDFORD MOON COMPANY 401(K) P/S PLAN 2018 651223848 2019-04-03 BEDFORD MOON COMPANY 35
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 722513
Sponsor’s telephone number 2086919710
Plan sponsor’s address 7120 W MAIN ST, RATHDRUM, ID, 83858

Plan administrator’s name and address
Administrator’s EIN 651223848
Plan administrator’s name BEDFORD MOON COMPANY
Plan administrator’s address 7120 W MAIN ST, RATHDRUM, ID, 83858
Administrator’s telephone number 2086919710

Signature of
Role Plan administrator
Date 2019-04-03
Name of individual signing TIMOTHY SKUBITZ
Valid signature Filed with authorized/valid electronic signature
BEDFORD MOON COMPANY 401(K) P/S PLAN 2018 651223848 2019-07-26 BEDFORD MOON COMPANY 97
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 722513
Sponsor’s telephone number 2086919710
Plan sponsor’s DBA name MCDONALD'S RESTAURANTS
Plan sponsor’s address PO BOX 1089, RATHDRUM, ID, 838581089

Plan administrator’s name and address
Administrator’s EIN 651223848
Plan administrator’s name BEDFORD MOON COMPANY
Plan administrator’s address PO BOX 1089, RATHDRUM, ID, 838581089
Administrator’s telephone number 2086919710

Signature of
Role Plan administrator
Date 2019-07-26
Name of individual signing TERRI SKUBITZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-26
Name of individual signing TERRI SKUBITZ
Valid signature Filed with authorized/valid electronic signature
BEDFORD MOON COMPANY 401(K) P/S PLAN 2017 651223848 2018-04-30 BEDFORD MOON COMPANY 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 722513
Sponsor’s telephone number 2086919710
Plan sponsor’s address 7120 W MAIN ST, RATHDRUM, ID, 83858

Plan administrator’s name and address
Administrator’s EIN 651223848
Plan administrator’s name BEDFORD MOON COMPANY
Plan administrator’s address 7120 W MAIN ST, RATHDRUM, ID, 83858
Administrator’s telephone number 2086919710

Signature of
Role Plan administrator
Date 2018-04-30
Name of individual signing TIMOTHY SKUBITZ
Valid signature Filed with authorized/valid electronic signature
BEDFORD MOON COMPANY 401(K) P/S PLAN 2016 651223848 2017-05-15 BEDFORD MOON COMPANY 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 722513
Sponsor’s telephone number 2086919710
Plan sponsor’s address 7120 W MAIN ST, RATHDRUM, ID, 83858

Plan administrator’s name and address
Administrator’s EIN 651223848
Plan administrator’s name BEDFORD MOON COMPANY
Plan administrator’s address 7120 W MAIN ST, RATHDRUM, ID, 83858
Administrator’s telephone number 2086919710

Signature of
Role Plan administrator
Date 2017-05-15
Name of individual signing TIMOTHY SKUBITZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
TIM SKUBITZ Agent 7120 W MAIN ST, RATHDRUM, ID 83858

President

Name Role Address Appointed On
TIM SKUBITZ President PO BOX 1089, RATHDRUM, ID 83858 2021-05-03

Secretary

Name Role Address Appointed On
TERRI SKUBITZ Secretary PO BOX 1089, RATHDRUM, ID 83858 2024-04-04

Filing

Filing Name Filing Number Filing date
Annual Report 0005673520 2024-04-04
Annual Report 0005176264 2023-04-03
Annual Report 0004687213 2022-04-04
Annual Report 0004264182 2021-05-03
Annual Report 0003835408 2020-04-06
Annual Report 0003494991 2019-04-26
Annual Report 0002971662 2018-04-03
Annual Report 0002971660 2017-03-18
Annual Report 0002971658 2016-05-15
Annual Report 0002971657 2015-03-22

Related by officers

No related officers

Related by address

PO BOX 1089 RATHDRUM, ID 83858

MCDONALD'S OF RATHDRUM

Date of last update: 21 Dec 2024

Sources: Idaho Secretary of State

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