GROUP BENEFIT PLAN FOR EMPLOYEES OF SCHULZE AND BURCH BISCUIT CO.
|
2014
|
362880649
|
2015-07-31
|
SCHULZE AND BURCH BISCUIT CO.
|
No data
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1989-01-01
|
Business code |
311800
|
Sponsor’s telephone number |
7739276622
|
Plan sponsor’s mailing address |
1133 W 35TH ST, CHICAGO, IL, 60609
|
Plan sponsor’s
address |
1133 W 35TH ST, CHICAGO, IL, 60609
|
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
DAVID HENSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BCBS HMO BENEFIT PLAN FOR EMPLOYEES OF SCHULZE AND BURCH BISCUIT CO.
|
2014
|
362880649
|
2015-07-31
|
SCHULZE AND BURCH BISCUIT CO.
|
625
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1991-01-01
|
Business code |
311800
|
Sponsor’s telephone number |
7739276622
|
Plan sponsor’s mailing address |
1133 W 35TH ST, CHICAGO, IL, 60609
|
Plan sponsor’s
address |
1133 W 35TH ST, CHICAGO, IL, 60609
|
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
DAVID HENSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCHULZE AND BURCH BISCUIT CO. LONG TERM DISABILITY PLAN
|
2014
|
362880649
|
2015-07-31
|
SCHULZE AND BURCH BISCUIT CO.
|
198
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1994-10-10
|
Business code |
311800
|
Sponsor’s telephone number |
7739276622
|
Plan sponsor’s mailing address |
1133 W 35TH ST, CHICAGO, IL, 60609
|
Plan sponsor’s
address |
1133 W 35TH ST, CHICAGO, IL, 60609
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
DAVID HENSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BCBS HMO BENEFIT PLAN FOR EMPLOYEES OF SCHULZE AND BURCH BISCUIT CO.
|
2013
|
362880649
|
2014-07-31
|
SCHULZE AND BURCH BISCUIT CO.
|
386
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1991-01-01
|
Business code |
311800
|
Sponsor’s telephone number |
7739276622
|
Plan sponsor’s mailing address |
1133 WEST 35TH STREET, CHICAGO, IL, 60609
|
Plan sponsor’s
address |
1133 WEST 35TH STREET, CHICAGO, IL, 60609
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-07-31 |
Name of individual signing |
DAVID HENSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-31 |
Name of individual signing |
DAVID HENSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP BENEFIT PLAN FOR EMPLOYEES OF SCHULZE AND BURCH BISCUIT CO.
|
2013
|
362880649
|
2014-07-31
|
SCHULZE AND BURCH BISCUIT CO.
|
568
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1989-01-01
|
Business code |
311800
|
Sponsor’s telephone number |
7739276622
|
Plan sponsor’s mailing address |
1133 WEST 35TH STREET, CHICAGO, IL, 60609
|
Plan sponsor’s
address |
1133 WEST 35TH STREET, CHICAGO, IL, 60609
|
Plan administrator’s name and address
Administrator’s EIN |
362880649 |
Plan administrator’s name |
SCHULZE AND BURCH BISCUIT CO. |
Plan administrator’s
address |
1133 WEST 35TH STREET, CHICAGO, IL, 60609 |
Administrator’s telephone number |
7739276622 |
Number of participants as of the end of the plan year
Active participants |
562 |
Retired or separated participants receiving
benefits |
63 |
Signature of
Role |
Plan administrator |
Date |
2014-07-31 |
Name of individual signing |
DAVID HENSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-31 |
Name of individual signing |
DAVID HENSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCHULZE AND BURCH BISCUIT CO. LONG TERM DISABILITY PLAN
|
2013
|
362880649
|
2014-07-31
|
SCHULZE AND BURCH BISCUIT CO.
|
137
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1994-10-10
|
Business code |
311800
|
Sponsor’s telephone number |
7739276622
|
Plan sponsor’s mailing address |
1133 WEST 35TH STREET, CHICAGO, IL, 60609
|
Plan sponsor’s
address |
1133 WEST 35TH STREET, CHICAGO, IL, 60609
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-07-31 |
Name of individual signing |
DAVID HENSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-31 |
Name of individual signing |
DAVID HENSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCHULZE AND BURCH BISCUIT CO LONG TERM DISABILITY PLAN
|
2012
|
362880649
|
2013-07-19
|
SCHULZE AND BURCH BISCUIT CO.
|
99
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1994-10-10
|
Business code |
311800
|
Sponsor’s telephone number |
7739276622
|
Plan sponsor’s mailing address |
1133 WEST 35TH STREET, CHICAGO, IL, 60609
|
Plan sponsor’s
address |
1133 WEST 35TH STREET, CHICAGO, IL, 60609
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-19 |
Name of individual signing |
DAVID HENSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BCBS HMO BENEFIT PLAN FOR EMPLOYEES OF SCHULZE AND BURCH BISCUIT CO.
|
2012
|
362880649
|
2013-07-19
|
SCHULZE AND BURCH BISCUIT CO.
|
312
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1991-01-01
|
Business code |
311800
|
Sponsor’s telephone number |
7739276622
|
Plan sponsor’s mailing address |
1133 WEST 35TH STREET, CHICAGO, IL, 60609
|
Plan sponsor’s
address |
1133 WEST 35TH STREET, CHICAGO, IL, 60609
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-19 |
Name of individual signing |
DAVID HENSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP BENEFIT PLAN FOR EMPLOYEES OF SCHULZE AND BURCH BISCUIT CO.
|
2012
|
362880649
|
2013-07-19
|
SCHULZE AND BURCH BISCUIT CO.
|
551
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1989-01-01
|
Business code |
311800
|
Sponsor’s telephone number |
7739276622
|
Plan sponsor’s mailing address |
1133 WEST 35TH STREET, CHICAGO, IL, 60609
|
Plan sponsor’s
address |
1133 WEST 35TH STREET, CHICAGO, IL, 60609
|
Number of participants as of the end of the plan year
Active participants |
508 |
Retired or separated participants receiving
benefits |
60 |
Signature of
Role |
Plan administrator |
Date |
2013-07-19 |
Name of individual signing |
DAVID HENSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE CROSS BLUE SHIELD HMO BENEFIT PLAN FOR EMPLOYEES OF SCHULZE AND BURCH BISCUIT CO.
|
2011
|
362880649
|
2012-07-16
|
SCHULZE AND BURCH BISCUIT CO.
|
322
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1991-01-01
|
Business code |
311800
|
Sponsor’s telephone number |
7739276622
|
Plan sponsor’s mailing address |
1133 WEST 35TH STREET, CHICAGO, IL, 60609
|
Plan sponsor’s
address |
1133 WEST 35TH STREET, CHICAGO, IL, 60609
|
Plan administrator’s name and address
Administrator’s EIN |
362880649 |
Plan administrator’s name |
SCHULZE AND BURCH BISCUIT CO. |
Plan administrator’s
address |
1133 WEST 35TH STREET, CHICAGO, IL, 60609 |
Administrator’s telephone number |
7739276622 |
Number of participants as of the end of the plan year
Active participants |
311 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2012-07-16 |
Name of individual signing |
DAVID HENSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|