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  5. D & B FARM & HOME STORES

D & B FARM & HOME STORES

Company Details

Name: D & B FARM & HOME STORES
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 24 Feb 1997 (28 years ago)
Entity Number: 9522
Place of Formation: IDAHO
File Number: 0000009522
ZIP code: 83814
County: Kootenai County
Mailing Address: 1715 HAYDEN VIEW DR COEUR D'ALENE, ID 83814

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
D & B FARM & HOME STORES CASH BALANCE PLAN 2013 841434178 2015-01-09 D & B FARM & HOME STORES 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-04-01
Business code 452110
Sponsor’s telephone number 2086660506
Plan sponsor’s address 3139 HAYDEN VIEW DRIVE, COEUR D ALENE, ID, 83814

Plan administrator’s name and address
Administrator’s EIN 841434178
Plan administrator’s name D & B FARM & HOME STORES
Plan administrator’s address 3139 HAYDEN VIEW DRIVE, COEUR D ALENE, ID, 83814
Administrator’s telephone number 2086660506

Signature of
Role Plan administrator
Date 2015-01-09
Name of individual signing CAROL PARROT
Valid signature Filed with authorized/valid electronic signature
D & B FARM & HOME STORES 401(K) PLAN 2013 841434178 2015-01-09 D & B FARM & HOME STORES 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-04-01
Business code 452110
Sponsor’s telephone number 2086660506
Plan sponsor’s address 3139 HAYDEN VIEW DRIVE, COEUR D ALENE, ID, 83814

Plan administrator’s name and address
Administrator’s EIN 841434178
Plan administrator’s name D & B FARM & HOME STORES
Plan administrator’s address 3139 HAYDEN VIEW DRIVE, COEUR D ALENE, ID, 83814
Administrator’s telephone number 2086660506

Signature of
Role Plan administrator
Date 2015-01-09
Name of individual signing CAROL PARROTT
Valid signature Filed with authorized/valid electronic signature
D & B FARM & HOME STORES 401(K) PLAN 2012 841434178 2013-12-24 D & B FARM & HOME STORES 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-04-01
Business code 452110
Sponsor’s telephone number 2086660506
Plan sponsor’s address 3139 HAYDEN VIEW DRIVE, COEUR D ALENE, ID, 83814

Plan administrator’s name and address
Administrator’s EIN 841434178
Plan administrator’s name D & B FARM & HOME STORES
Plan administrator’s address 3139 HAYDEN VIEW DRIVE, COEUR D ALENE, ID, 83814
Administrator’s telephone number 2086660506

Signature of
Role Plan administrator
Date 2013-12-24
Name of individual signing CAROL PARROTT
Valid signature Filed with authorized/valid electronic signature
D & B FARM & HOME STORES CASH BALANCE PLAN 2012 841434178 2013-12-31 D & B FARM & HOME STORES 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-04-01
Business code 452110
Sponsor’s telephone number 2086660506
Plan sponsor’s address 3139 HAYDEN VIEW DRIVE, COEUR D ALENE, ID, 83814

Plan administrator’s name and address
Administrator’s EIN 841434178
Plan administrator’s name D & B FARM & HOME STORES
Plan administrator’s address 3139 HAYDEN VIEW DRIVE, COEUR D ALENE, ID, 83814
Administrator’s telephone number 2086660506

Signature of
Role Plan administrator
Date 2013-12-31
Name of individual signing CAROL PARROT
Valid signature Filed with authorized/valid electronic signature
D & B FARM & HOME STORES CASH BALANCE PLAN 2011 841434178 2012-12-13 D & B FARM & HOME STORES 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-04-01
Business code 452110
Sponsor’s telephone number 2086660506
Plan sponsor’s address 170 EAST KATHLEEN AVENUE, COEUR D ALENE, ID, 83815

Plan administrator’s name and address
Administrator’s EIN 841434178
Plan administrator’s name D & B FARM & HOME STORES
Plan administrator’s address 170 EAST KATHLEEN AVENUE, COEUR D ALENE, ID, 83815
Administrator’s telephone number 2086660506

Signature of
Role Plan administrator
Date 2012-12-13
Name of individual signing CAROL PARROT
Valid signature Filed with authorized/valid electronic signature
D & B FARM & HOME STORES 401(K) PLAN 2011 841434178 2012-12-13 D & B FARM & HOME STORES 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-04-01
Business code 452110
Sponsor’s telephone number 2086660506
Plan sponsor’s address 170 EAST KATHLEEN AVENUE, COEUR D ALENE, ID, 83815

Plan administrator’s name and address
Administrator’s EIN 841434178
Plan administrator’s name D & B FARM & HOME STORES
Plan administrator’s address 170 EAST KATHLEEN AVENUE, COEUR D ALENE, ID, 83815
Administrator’s telephone number 2086660506

Signature of
Role Plan administrator
Date 2012-12-13
Name of individual signing CAROL PARROTT
Valid signature Filed with authorized/valid electronic signature

Filing

Filing Name Filing Number Filing date
Initial Filing 0000009522 1997-02-24

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Date of last update: 22 Sep 2024

Sources: Idaho Secretary of State

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