GROOT INDUSTRIES INC. HEALTH & WELFARE BENEFITS PLAN
|
2014
|
362427731
|
2016-03-02
|
GROOT INDUSTRIES INC.
|
113
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1993-10-01
|
Business code |
562000
|
Sponsor’s telephone number |
7732421977
|
Plan sponsor’s mailing address |
2500 LANDMEIER RD., ELK GROVE VILLAGE, IL, 60007
|
Plan sponsor’s
address |
2500 LANDMEIER RD., ELK GROVE VILLAGE, IL, 60007
|
Number of participants as of the end of the plan year
Active participants |
113 |
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 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-03-02 |
Name of individual signing |
JOSE CASTILLON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROOT INDUSTRIES INC. WELFARE BENEFITS PLAN
|
2013
|
362427731
|
2015-02-13
|
GROOT INDUSTRIES, INC.
|
105
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1993-10-01
|
Business code |
562000
|
Sponsor’s telephone number |
7732421977
|
Plan sponsor’s mailing address |
2500 LANDMEIER RD., ELK GROVE VILLAGE, IL, 60007
|
Plan sponsor’s
address |
2500 LANDMEIER RD., ELK GROVE VILLAGE, IL, 60007
|
Number of participants as of the end of the plan year
Active participants |
105 |
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 |
2015-02-13 |
Name of individual signing |
JOSE CASTILLON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROOT INDUSTRIES INC. WELFARE BENEFITS PLAN
|
2012
|
362427731
|
2014-03-19
|
GROOT INDUSTRIES, INC.
|
105
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1993-10-01
|
Business code |
562000
|
Sponsor’s telephone number |
7732421977
|
Plan sponsor’s mailing address |
2500 LANDMEIER RD., ELK GROVE VILLAGE, IL, 60007
|
Plan sponsor’s
address |
2500 LANDMEIER RD., ELK GROVE VILLAGE, IL, 60007
|
Number of participants as of the end of the plan year
Active participants |
106 |
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 |
2014-03-19 |
Name of individual signing |
JOSE CASTILLON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROOT INDUSTRIES INC. WELFARE BENEFITS PLAN
|
2011
|
362427731
|
2013-04-29
|
GROOT INDUSTRIES, INC.
|
107
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1993-10-01
|
Business code |
562000
|
Sponsor’s telephone number |
7732421977
|
Plan sponsor’s mailing address |
2500 LANDMEIER RD., ELK GROVE VILLAGE, IL, 60007
|
Plan sponsor’s
address |
2500 LANDMEIER RD., ELK GROVE VILLAGE, IL, 60007
|
Plan administrator’s name and address
Administrator’s EIN |
362427731 |
Plan administrator’s name |
GROOT INDUSTRIES, INC. |
Plan administrator’s
address |
2500 LANDMEIER RD., ELK GROVE VILLAGE, IL, 60007 |
Administrator’s telephone number |
7732421977 |
Number of participants as of the end of the plan year
Active participants |
105 |
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 |
2013-04-29 |
Name of individual signing |
JOSE CASTILLON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROOT INDUSTRIES, INC. WELFARE PLAN
|
2011
|
362427731
|
2012-10-25
|
GROOT INDUSTRIES, INC.
|
106
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1993-10-01
|
Business code |
562000
|
Sponsor’s telephone number |
7732421977
|
Plan sponsor’s mailing address |
2500 LANDMEIER RD., ELK GROVE VILLAGE, IL, 60007
|
Plan sponsor’s
address |
2500 LANDMEIER RD., ELK GROVE VILLAGE, IL, 60007
|
Plan administrator’s name and address
Administrator’s EIN |
362427731 |
Plan administrator’s name |
GROOT INDUSTRIES, INC. |
Plan administrator’s
address |
2500 LANDMEIER RD., ELK GROVE VILLAGE, IL, 60007 |
Administrator’s telephone number |
7732421977 |
Number of participants as of the end of the plan year
Active participants |
110 |
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 |
2012-10-25 |
Name of individual signing |
JOSE CASTILLON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROOT INDUSTRIES, INC. WELFARE BENEFITS PLAN
|
2011
|
362427731
|
2012-10-25
|
GROOT INDUSTRIES, INC.
|
105
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1993-10-01
|
Business code |
562000
|
Sponsor’s telephone number |
7732421977
|
Plan sponsor’s mailing address |
2500 LANDMEIER RD., ELK GROVE VILLAGE, IL, 60007
|
Plan sponsor’s
address |
2500 LANDMEIER RD., ELK GROVE VILLAGE, IL, 60007
|
Plan administrator’s name and address
Administrator’s EIN |
362427731 |
Plan administrator’s name |
GROOT INDUSTRIES, INC. |
Plan administrator’s
address |
2500 LANDMEIER RD., ELK GROVE VILLAGE, IL, 60007 |
Administrator’s telephone number |
7732421977 |
Number of participants as of the end of the plan year
Active participants |
105 |
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 |
2012-10-25 |
Name of individual signing |
JOSE CASTILLON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROOT INDUSTRIES INC. WELFARE BENEFITS PLAN
|
2010
|
362427731
|
2012-10-25
|
GROOT INDUSTRIES, INC.
|
112
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1993-10-01
|
Business code |
562000
|
Sponsor’s telephone number |
7732421977
|
Plan sponsor’s mailing address |
2500 LANDMEIER RD, ELK GROVE VILLAGE, IL, 60007
|
Plan sponsor’s
address |
2500 LANDMEIER RD, ELK GROVE VILLAGE, IL, 60007
|
Plan administrator’s name and address
Administrator’s EIN |
362427731 |
Plan administrator’s name |
GROOT INDUSTRIES, INC. |
Plan administrator’s
address |
2500 LANDMEIER RD, ELK GROVE VILLAGE, IL, 60007 |
Administrator’s telephone number |
7732421977 |
Number of participants as of the end of the plan year
Active participants |
107 |
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 |
2012-10-25 |
Name of individual signing |
JOSE CASTILLON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROOT INDUSTRIES INC. WELFARE BENEFITS PLAN
|
2009
|
362427731
|
2012-10-25
|
GROOT INDUSTRIES, INC.
|
111
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1993-10-01
|
Business code |
562000
|
Sponsor’s telephone number |
7732421977
|
Plan sponsor’s mailing address |
2500 LANDMEIER RD, ELK GROVE VILLAGE, IL, 60007
|
Plan sponsor’s
address |
2500 LANDMEIER RD, ELK GROVE VILLAGE, IL, 60007
|
Plan administrator’s name and address
Administrator’s EIN |
362427731 |
Plan administrator’s name |
GROOT INDUSTRIES, INC. |
Plan administrator’s
address |
2500 LANDMEIER RD, ELK GROVE VILLAGE, IL, 60007 |
Administrator’s telephone number |
7732421977 |
Number of participants as of the end of the plan year
Active participants |
113 |
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 |
2012-10-25 |
Name of individual signing |
JOSE CASTILLON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|