|
SPUDNIK EQUIPMENT COMPANY HEALTH CARE PLAN
|
2023
|
820537789
|
2024-10-15
|
SPUDNIK EQUIPMENT COMPANY LLC
|
412
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2016-01-01
|
| Business code |
333100
|
| Sponsor’s telephone number |
2087850480
|
| Plan sponsor’s mailing address |
PO BOX 1045, BLACKFOOT, ID, 832211045
|
| Plan sponsor’s
address |
584 W 100 N, BLACKFOOT, ID, 83221
|
Number of participants as of the end of the plan year
| Active participants |
443 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2024-10-14 |
| Name of individual signing |
AARON OBERHANSLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SPUDNIK EQUIPMENT COMPANY FSA PLAN
|
2023
|
820537789
|
2024-10-15
|
SPUDNIK EQUIPMENT COMPANY LLC
|
141
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
2022-01-01
|
| Business code |
333100
|
| Sponsor’s telephone number |
2087850480
|
| Plan sponsor’s mailing address |
PO BOX 1045, BLACKFOOT, ID, 832211045
|
| Plan sponsor’s
address |
584 W 100 N, BLACKFOOT, ID, 83221
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2024-10-14 |
| Name of individual signing |
AARON OBERHANSLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SPUDNIK EQUIPMENT COMPANY HEALTH CARE PLAN
|
2022
|
820537789
|
2024-08-06
|
SPUDNIK EQUIPMENT COMPANY LLC
|
378
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2016-01-01
|
| Business code |
333100
|
| Sponsor’s telephone number |
2087850480
|
| Plan sponsor’s mailing address |
PO BOX 1045, BLACKFOOT, ID, 832211045
|
| Plan sponsor’s
address |
584 W 100 N, BLACKFOOT, ID, 83221
|
Number of participants as of the end of the plan year
| Active participants |
412 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2024-08-06 |
| Name of individual signing |
AARON OBERHANSLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SPUDNIK EQUIPMENT COMPANY FSA PLAN
|
2022
|
820537789
|
2024-08-21
|
SPUDNIK EQUIPMENT COMPANY LLC
|
124
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
2022-01-01
|
| Business code |
333100
|
| Sponsor’s telephone number |
2087850480
|
| Plan sponsor’s mailing address |
PO BOX 1045, BLACKFOOT, ID, 832211045
|
| Plan sponsor’s
address |
584 W 100 N, BLACKFOOT, ID, 83221
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2024-08-20 |
| Name of individual signing |
AARON OBERHANSLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SPUDNIK EQUIPMENT COMPANY HEALTH CARE PLAN
|
2021
|
820537789
|
2024-07-11
|
SPUDNIK EQUIPMENT COMPANY LLC
|
302
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2016-01-01
|
| Business code |
333100
|
| Sponsor’s telephone number |
2087850480
|
| Plan sponsor’s mailing address |
PO BOX 1045, BLACKFOOT, ID, 832211045
|
| Plan sponsor’s
address |
584 W 100 N, BLACKFOOT, ID, 83221
|
Number of participants as of the end of the plan year
| Active participants |
378 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2024-07-08 |
| Name of individual signing |
AARON OBERHANSLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
