J.R. SIMPLOT COMPANY GROUP HEALTH AND WELFARE PLAN
|
2023
|
820196611
|
2024-10-09
|
J.R. SIMPLOT COMPANY
|
8561
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1962-02-01
|
Business code |
325300
|
Sponsor’s telephone number |
2083362110
|
Plan sponsor’s mailing address |
PO BOX 27, BOISE, ID, 837070027
|
Plan sponsor’s
address |
PO BOX 27, BOISE, ID, 837070027
|
Number of participants as of the end of the plan year
Active participants |
8947 |
Retired or separated participants receiving
benefits |
57 |
Signature of
Role |
Plan administrator |
Date |
2024-08-30 |
Name of individual signing |
THELMA HOULIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-09 |
Name of individual signing |
BRENT MOYLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J.R. SIMPLOT RETIREE MEDICAL AND LIFE INSURANCE PLAN
|
2023
|
820196611
|
2024-10-09
|
J.R. SIMPLOT COMPANY
|
283
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2005-01-01
|
Business code |
325300
|
Sponsor’s telephone number |
2083362110
|
Plan sponsor’s mailing address |
PO BOX 27, BOISE, ID, 837070027
|
Plan sponsor’s
address |
PO BOX 27, BOISE, ID, 837070027
|
Number of participants as of the end of the plan year
Retired or separated participants receiving
benefits |
257 |
Signature of
Role |
Plan administrator |
Date |
2024-08-30 |
Name of individual signing |
THELMA HOULIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-09 |
Name of individual signing |
BRENT MOYLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J.R. SIMPLOT COMPANY GROUP HEALTH AND WELFARE PLAN
|
2022
|
820196611
|
2023-09-27
|
J.R. SIMPLOT COMPANY
|
7887
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1962-02-01
|
Business code |
325300
|
Sponsor’s telephone number |
2083362110
|
Plan sponsor’s mailing address |
PO BOX 27, BOISE, ID, 837070027
|
Plan sponsor’s
address |
PO BOX 27, BOISE, ID, 837070027
|
Number of participants as of the end of the plan year
Active participants |
8480 |
Retired or separated participants receiving
benefits |
81 |
Signature of
Role |
Plan administrator |
Date |
2023-09-18 |
Name of individual signing |
JAMES PEGRAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-09-27 |
Name of individual signing |
BRENT MOYLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J.R. SIMPLOT RETIREE MEDICAL AND LIFE INSURANCE PLAN
|
2022
|
820196611
|
2023-09-27
|
J.R. SIMPLOT COMPANY
|
318
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2005-01-01
|
Business code |
325300
|
Sponsor’s telephone number |
2083362110
|
Plan sponsor’s mailing address |
PO BOX 27, BOISE, ID, 837070027
|
Plan sponsor’s
address |
PO BOX 27, BOISE, ID, 837070027
|
Number of participants as of the end of the plan year
Retired or separated participants receiving
benefits |
283 |
Signature of
Role |
Plan administrator |
Date |
2023-09-18 |
Name of individual signing |
JAMES PEGRAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-09-27 |
Name of individual signing |
BRENT MOYLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIMPLOT PENSION PLAN H
|
2022
|
820196611
|
2023-11-20
|
J. R. SIMPLOT COMPANY
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1965-01-01
|
Business code |
325300
|
Sponsor’s telephone number |
2087807292
|
Plan sponsor’s
address |
1099 W. FRONT STREET, BOISE, ID, 83702
|
Plan administrator’s name and address
Administrator’s EIN |
826044552 |
Plan administrator’s name |
ADMINISTRATIVE COMMITTEE |
Plan administrator’s
address |
P.O. BOX 27, BOISE, ID, 83707 |
Administrator’s telephone number |
2087807292 |
Signature of
Role |
Plan administrator |
Date |
2023-11-14 |
Name of individual signing |
JAMES PEGRAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-11-20 |
Name of individual signing |
BRENT MOYLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIMPLOT PENSION PLAN S
|
2022
|
820196611
|
2023-11-20
|
J. R. SIMPLOT COMPANY
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1975-09-01
|
Business code |
325300
|
Sponsor’s telephone number |
2087807292
|
Plan sponsor’s
address |
1099 W. FRONT STREET, BOISE, ID, 83702
|
Plan administrator’s name and address
Administrator’s EIN |
826044552 |
Plan administrator’s name |
ADMINISTRATIVE COMMITTEE |
Plan administrator’s
address |
P.O. BOX 27, BOISE, ID, 83707 |
Administrator’s telephone number |
2087807292 |
Signature of
Role |
Plan administrator |
Date |
2023-11-14 |
Name of individual signing |
JAMES PEGRAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-11-20 |
Name of individual signing |
BRENT MOYLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J.R. SIMPLOT COMPANY GROUP HEALTH AND WELFARE PLAN
|
2021
|
820196611
|
2022-10-07
|
J.R. SIMPLOT COMPANY
|
6787
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1962-02-01
|
Business code |
325300
|
Sponsor’s telephone number |
2083362110
|
Plan sponsor’s mailing address |
PO BOX 27, BOISE, ID, 837070027
|
Plan sponsor’s
address |
PO BOX 27, BOISE, ID, 837070027
|
Number of participants as of the end of the plan year
Active participants |
7789 |
Retired or separated participants receiving
benefits |
98 |
Signature of
Role |
Plan administrator |
Date |
2022-09-29 |
Name of individual signing |
JAMES PEGRAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-05 |
Name of individual signing |
BRENT MOYLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J.R. SIMPLOT RETIREE MEDICAL AND LIFE INSURANCE PLAN
|
2021
|
820196611
|
2022-10-07
|
J.R. SIMPLOT COMPANY
|
356
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2005-01-01
|
Business code |
325300
|
Sponsor’s telephone number |
2083362110
|
Plan sponsor’s mailing address |
PO BOX 27, BOISE, ID, 837070027
|
Plan sponsor’s
address |
PO BOX 27, BOISE, ID, 837070027
|
Number of participants as of the end of the plan year
Retired or separated participants receiving
benefits |
318 |
Signature of
Role |
Plan administrator |
Date |
2022-09-29 |
Name of individual signing |
JAMES PEGRAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-06 |
Name of individual signing |
BRENT MOYLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J.R. SIMPLOT RETIREE MEDICAL AND LIFE INSURANCE PLAN
|
2020
|
820196611
|
2021-10-12
|
J.R. SIMPLOT COMPANY
|
412
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2005-01-01
|
Business code |
325300
|
Sponsor’s telephone number |
2083362110
|
Plan sponsor’s mailing address |
PO BOX 27, BOISE, ID, 837070027
|
Plan sponsor’s
address |
PO BOX 27, BOISE, ID, 837070027
|
Number of participants as of the end of the plan year
Retired or separated participants receiving
benefits |
356 |
Signature of
Role |
Plan administrator |
Date |
2021-10-12 |
Name of individual signing |
JAMES PEGRAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-12 |
Name of individual signing |
BRENT MOYLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J.R. SIMPLOT COMPANY GROUP HEALTH AND WELFARE PLAN
|
2020
|
820196611
|
2021-10-12
|
J.R. SIMPLOT COMPANY
|
7029
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1962-02-01
|
Business code |
325300
|
Sponsor’s telephone number |
2083362110
|
Plan sponsor’s mailing address |
PO BOX 27, BOISE, ID, 837070027
|
Plan sponsor’s
address |
PO BOX 27, BOISE, ID, 837070027
|
Number of participants as of the end of the plan year
Active participants |
6681 |
Retired or separated participants receiving
benefits |
106 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-10-12 |
Name of individual signing |
JAMES PEGRAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-12 |
Name of individual signing |
BRENT MOYLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|