GAYTAN FOODS RETIREMENT PLAN
|
2017
|
363459913
|
2018-10-12
|
EVANS FOOD GROUP, LTD
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
424400
|
Sponsor’s telephone number |
6263304553
|
Plan sponsor’s
address |
4118 S HALSTED STREET, CHICAGO, IL, 606092612
|
|
EVANS FOOD GROUP LTD
|
2015
|
363459913
|
2016-10-17
|
EVANS FOOD GROUP LTD
|
144
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2015-04-01
|
Business code |
311900
|
Sponsor’s telephone number |
7733217301
|
Plan sponsor’s mailing address |
4118 S HALSTED ST, CHICAGO, IL, 606092612
|
Plan sponsor’s
address |
4118 S HALSTED ST, CHICAGO, IL, 606092612
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
CARMEN ALVAREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-17 |
Name of individual signing |
CARMEN ALVAREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVANS FOOD GROUP LTD
|
2015
|
363459913
|
2016-10-17
|
EVANS FOOD GROUP LTD
|
138
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2015-04-01
|
Business code |
311900
|
Sponsor’s telephone number |
7733217201
|
Plan sponsor’s mailing address |
4118 S HALSTED ST, CHICAGO, IL, 606092612
|
Plan sponsor’s
address |
4118 S HALSTED ST, CHICAGO, IL, 606092612
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
CARMEN ALVAREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-17 |
Name of individual signing |
CARMEN ALVAREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVANS FOOD GROUP LTD
|
2015
|
363459913
|
2016-10-17
|
EVANS FOOD GROUP LTD
|
144
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2015-04-01
|
Business code |
311900
|
Sponsor’s telephone number |
7733217301
|
Plan sponsor’s mailing address |
4118 S HALSTED ST, CHICAGO, IL, 606092612
|
Plan sponsor’s
address |
4118 S HALSTED ST, CHICAGO, IL, 606092612
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
CARMEN ALVAREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-17 |
Name of individual signing |
CARMEN ALVAREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVANS FOOD GROUP LTD
|
2015
|
363459913
|
2016-10-17
|
EVANS FOOD GROUP LTD
|
144
|
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2015-04-01
|
Business code |
311900
|
Sponsor’s telephone number |
7733217301
|
Plan sponsor’s mailing address |
4118 S HALSTED ST, CHICAGO, IL, 606092612
|
Plan sponsor’s
address |
4118 S HALSTED ST, CHICAGO, IL, 606092612
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
CARMEN ALVAREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-17 |
Name of individual signing |
CARMEN ALVAREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVANS FOOD GROUP LTD.
|
2014
|
363459913
|
2015-10-29
|
EVANS FOOD GROUP LTD
|
138
|
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2014-04-01
|
Business code |
311900
|
Sponsor’s telephone number |
7733217301
|
Plan sponsor’s mailing address |
4118 S. HALSTED ST., CHICAGO, IL, 60609
|
Plan sponsor’s
address |
4118 S. HALSTED ST., CHICAGO, IL, 60609
|
Number of participants as of the end of the plan year
Active participants |
138 |
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 |
Signature of
Role |
Plan administrator |
Date |
2015-10-29 |
Name of individual signing |
STEVEN PAVICICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-29 |
Name of individual signing |
STEVEN PAVICICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVANS FOOD GROUP LTD.
|
2014
|
363459913
|
2015-10-29
|
EVANS FOOD GROUP LTD
|
144
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2014-04-01
|
Business code |
311900
|
Sponsor’s telephone number |
7733217301
|
Plan sponsor’s mailing address |
4118 S. HALSTED ST., CHICAGO, IL, 60609
|
Plan sponsor’s
address |
4118 S. HALSTED ST., CHICAGO, IL, 60609
|
Number of participants as of the end of the plan year
Active participants |
144 |
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 |
Signature of
Role |
Plan administrator |
Date |
2015-10-29 |
Name of individual signing |
STEVEN PAVICICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-29 |
Name of individual signing |
STEVEN PAVICICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVANS FOOD GROUP LTD.
|
2014
|
363459913
|
2015-10-29
|
EVANS FOOD GROUP LTD
|
72
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2014-04-01
|
Business code |
311900
|
Sponsor’s telephone number |
7733217301
|
Plan sponsor’s mailing address |
4118 S. HALSTED ST., CHICAGO, IL, 60609
|
Plan sponsor’s
address |
4118 S. HALSTED ST., CHICAGO, IL, 60609
|
Number of participants as of the end of the plan year
Active participants |
72 |
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 |
Signature of
Role |
Plan administrator |
Date |
2015-10-29 |
Name of individual signing |
STEVEN PAVICICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-29 |
Name of individual signing |
STEVEN PAVICICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVANS FOOD GROUP LTD. LIFE AND AD&D INSURANCE
|
2014
|
363459913
|
2015-10-29
|
EVANS FOOD GROUP LTD
|
210
|
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2014-04-01
|
Business code |
311900
|
Sponsor’s telephone number |
7733217301
|
Plan sponsor’s mailing address |
4118 S. HALSTED ST., CHICAGO, IL, 60609
|
Plan sponsor’s
address |
4118 S. HALSTED ST., CHICAGO, IL, 60609
|
Number of participants as of the end of the plan year
Active participants |
210 |
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 |
Signature of
Role |
Plan administrator |
Date |
2015-10-29 |
Name of individual signing |
STEVEN PAVICICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-29 |
Name of individual signing |
STEVEN PAVICICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVANS FOOD GROUP LTD.
|
2014
|
363459913
|
2015-10-29
|
EVANS FOOD GROUP LTD
|
138
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2014-04-01
|
Business code |
311900
|
Sponsor’s telephone number |
7733217301
|
Plan sponsor’s mailing address |
4118 S. HALSTED ST., CHICAGO, IL, 60609
|
Plan sponsor’s
address |
4118 S. HALSTED ST., CHICAGO, IL, 60609
|
Number of participants as of the end of the plan year
Active participants |
138 |
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 |
Signature of
Role |
Plan administrator |
Date |
2015-10-29 |
Name of individual signing |
STEVEN PAVICICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-29 |
Name of individual signing |
STEVEN PAVICICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|