CREST FOODS CO., INC MEDICAL PLAN
|
2020
|
362362102
|
2021-07-30
|
CREST FOODS CO INC
|
606
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1979-09-06
|
Business code |
311800
|
Sponsor’s telephone number |
8154537411
|
Plan
sponsor’s DBA name |
CREST FOODS CO INC
|
Plan sponsor’s mailing address |
502 BROWN AVE, PO BOX 371, ASHTON, IL, 610060371
|
Plan sponsor’s
address |
502 BROWN AVE, PO BOX 371, ASHTON, IL, 610060371
|
Number of participants as of the end of the plan year
Active participants |
584 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-07-30 |
Name of individual signing |
SHIRLEY REIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-30 |
Name of individual signing |
SHIRLEY REIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREST FOODS CO., INC MEDICAL PLAN
|
2019
|
362362102
|
2020-07-31
|
CREST FOODS CO., INC.
|
610
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1979-09-06
|
Business code |
311800
|
Sponsor’s telephone number |
8154537411
|
Plan sponsor’s mailing address |
502 BROWN AVE, PO BOX 371, ASHTON, IL, 610060371
|
Plan sponsor’s
address |
502 BROWN AVE, PO BOX 371, ASHTON, IL, 610060371
|
Number of participants as of the end of the plan year
Active participants |
604 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2020-07-31 |
Name of individual signing |
SHIRLEY REIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-31 |
Name of individual signing |
SHIRLEY REIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREST FOODS CO., INC. MEDICAL PLAN
|
2018
|
362362102
|
2019-07-31
|
CREST FOODS CO., INC.
|
602
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1979-09-06
|
Business code |
311900
|
Sponsor’s telephone number |
8154537411
|
Plan sponsor’s mailing address |
502 BROWN AVE, PO BOX 371, ASHTON, IL, 610060371
|
Plan sponsor’s
address |
502 BROWN AVE, PO BOX 371, ASHTON, IL, 610060371
|
Number of participants as of the end of the plan year
Active participants |
608 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2019-07-31 |
Name of individual signing |
SHIRLEY REIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-31 |
Name of individual signing |
SHIRLEY REIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREST FOODS CO., INC. MEDICAL PLAN
|
2017
|
362362102
|
2018-10-12
|
CREST FOODS CO., INC.
|
638
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1979-09-06
|
Business code |
311900
|
Sponsor’s telephone number |
8154537411
|
Plan sponsor’s mailing address |
502 BROWN AVE, PO BOX 371, ASHTON, IL, 610060371
|
Plan sponsor’s
address |
502 BROWN AVE, PO BOX 371, ASHTON, IL, 610060371
|
Number of participants as of the end of the plan year
Active participants |
602 |
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 |
2018-10-12 |
Name of individual signing |
SHIRLEY REIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-12 |
Name of individual signing |
SHIRLEY REIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREST FOODS CO., INC. MEDICAL PLAN
|
2016
|
362362102
|
2017-10-16
|
CREST FOODS CO., INC.
|
551
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1979-09-06
|
Business code |
311900
|
Sponsor’s telephone number |
8154537411
|
Plan sponsor’s mailing address |
502 BROWN AVE, PO BOX 371, ASHTON, IL, 610060371
|
Plan sponsor’s
address |
502 BROWN AVE, BOX 371, ASHTON, IL, 610060371
|
Number of participants as of the end of the plan year
Active participants |
638 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-10-16 |
Name of individual signing |
SHIRLEY REIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-16 |
Name of individual signing |
SHIRLEY REIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREST FOODS CO., INC. MEDICAL PLAN
|
2015
|
362362102
|
2016-07-27
|
CREST FOODS CO., INC.
|
558
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1979-09-06
|
Business code |
311900
|
Sponsor’s telephone number |
8154537411
|
Plan sponsor’s mailing address |
502 BROWN AVE, BOX 371, ASHTON, IL, 61006
|
Plan sponsor’s
address |
502 BROWN AVE, BOX 371, ASHTON, IL, 61006
|
Number of participants as of the end of the plan year
Active participants |
549 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2016-07-27 |
Name of individual signing |
SHIRLEY REIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-27 |
Name of individual signing |
SHIRLEY REIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREST FOODS CO., INC. MEDICAL PLAN
|
2014
|
362362102
|
2015-07-31
|
CREST FOODS CO., INC.
|
541
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1979-09-06
|
Business code |
311900
|
Sponsor’s telephone number |
8154537411
|
Plan sponsor’s mailing address |
502 BROWN AVE, BOX 371, ASHTON, IL, 61006
|
Plan sponsor’s
address |
502 BROWN AVE, BOX 371, ASHTON, IL, 61006
|
Number of participants as of the end of the plan year
Active participants |
556 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
SHIRLEY REIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-31 |
Name of individual signing |
SHIRLEY REIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREST FOODS CO., INC. MEDICAL PLAN
|
2013
|
362362102
|
2014-07-31
|
CREST FOODS CO., INC.
|
530
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1979-09-06
|
Business code |
311900
|
Sponsor’s telephone number |
8154537411
|
Plan sponsor’s mailing address |
502 BROWN AVE, BOX 371, ASHTON, IL, 61006
|
Plan sponsor’s
address |
502 BROWN AVE, BOX 371, ASHTON, IL, 61006
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-07-31 |
Name of individual signing |
SHIRLEY REIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-31 |
Name of individual signing |
SHIRLEY REIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREST FOODS CO., INC. MEDICAL PLAN
|
2012
|
362362102
|
2013-07-31
|
CREST FOODS CO., INC.
|
520
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1979-09-06
|
Business code |
311900
|
Sponsor’s telephone number |
8154537411
|
Plan sponsor’s mailing address |
502 BROWN AVE, BOX 371, ASHTON, IL, 61006
|
Plan sponsor’s
address |
502 BROWN AVE, BOX 371, ASHTON, IL, 61006
|
Plan administrator’s name and address
Administrator’s EIN |
362362102 |
Plan administrator’s name |
CREST FOODS CO., INC. |
Plan administrator’s
address |
502 BROWN AVE, BOX 371, ASHTON, IL, 61006 |
Administrator’s telephone number |
8154537411 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-31 |
Name of individual signing |
SHIRLEY REIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-31 |
Name of individual signing |
SHIRLEY REIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREST FOODS CO., INC. MEDICAL PLAN
|
2011
|
362362102
|
2012-07-26
|
CREST FOODS CO., INC.
|
535
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1979-09-06
|
Business code |
311900
|
Sponsor’s telephone number |
8154537411
|
Plan sponsor’s mailing address |
502 BROWN AVE, BOX 371, ASHTON, IL, 61006
|
Plan sponsor’s
address |
502 BROWN AVE, BOX 371, ASHTON, IL, 61006
|
Plan administrator’s name and address
Administrator’s EIN |
362362102 |
Plan administrator’s name |
CREST FOODS CO., INC. |
Plan administrator’s
address |
502 BROWN AVE, BOX 371, ASHTON, IL, 61006 |
Administrator’s telephone number |
8154537411 |
Number of participants as of the end of the plan year
Active participants |
519 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
SHIRLEY REIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|