KREHER'S FARM FRESH EGGS, LLC MEDICAL PLAN
|
2023
|
201984708
|
2024-07-26
|
KREHER'S FARM FRESH EGGS, LLC
|
131
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2013-01-01
|
Business code |
112300
|
Sponsor’s telephone number |
7167596802
|
Plan sponsor’s mailing address |
5411 DAVISON RD, CLARENCE, NY, 140311350
|
Plan sponsor’s
address |
5411 DAVISON RD, CLARENCE, NY, 140311350
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-26 |
Name of individual signing |
DIANE LAUDENSLAGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KREHER'S FARM FRESH EGGS, LLC MEDICAL PLAN
|
2022
|
201984708
|
2023-07-25
|
KREHER'S FARM FRESH EGGS, LLC
|
122
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2013-01-01
|
Business code |
112300
|
Sponsor’s telephone number |
7167596802
|
Plan sponsor’s mailing address |
5411 DAVISON RD, CLARENCE, NY, 140311350
|
Plan sponsor’s
address |
5411 DAVISON RD, CLARENCE, NY, 140311350
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-25 |
Name of individual signing |
JOHN TSCHAMLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-25 |
Name of individual signing |
JOHN TSCHAMLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KREHER'S FARM FRESH EGGS, LLC MEDICAL PLAN
|
2021
|
201984708
|
2022-07-19
|
KREHER'S FARM FRESH EGGS, LLC
|
123
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2013-01-01
|
Business code |
112300
|
Sponsor’s telephone number |
7167596802
|
Plan sponsor’s mailing address |
5411 DAVISON RD, CLARENCE, NY, 140311350
|
Plan sponsor’s
address |
5411 DAVISON RD, CLARENCE, NY, 140311350
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-07-19 |
Name of individual signing |
JOHN TSCHAMLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-19 |
Name of individual signing |
JOHN TSCHAMLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KREHER'S FARM FRESH EGGS, LLC DENTAL PLAN
|
2020
|
201984708
|
2022-07-19
|
KREHER'S FARM FRESH EGGS, LLC
|
103
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2017-01-01
|
Business code |
112300
|
Sponsor’s telephone number |
7167596802
|
Plan sponsor’s mailing address |
5411 DAVISON RD, CLARENCE, NY, 140311350
|
Plan sponsor’s
address |
5411 DAVISON RD, CLARENCE, NY, 140311350
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-07-19 |
Name of individual signing |
JOHN TSCHAMLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-19 |
Name of individual signing |
JOHN TSCHAMLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KREHER'S FARM FRESH EGGS, LLC MEDICAL PLAN
|
2020
|
201984708
|
2021-07-29
|
KREHER'S FARM FRESH EGGS, LLC
|
135
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2013-01-01
|
Business code |
112300
|
Sponsor’s telephone number |
7167596802
|
Plan sponsor’s mailing address |
5411 DAVISON RD, CLARENCE, NY, 140311350
|
Plan sponsor’s
address |
5411 DAVISON RD, CLARENCE, NY, 140311350
|
Number of participants as of the end of the plan year
Active participants |
123 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2021-07-29 |
Name of individual signing |
JOHN TSCHAMLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-29 |
Name of individual signing |
JOHN TSCHAMLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KREHER'S FARM FRESH EGGS, LLC DENTAL PLAN
|
2020
|
201984708
|
2021-07-29
|
KREHER'S FARM FRESH EGGS, LLC
|
103
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2017-01-01
|
Business code |
112300
|
Sponsor’s telephone number |
7167596802
|
Plan sponsor’s mailing address |
5411 DAVISON RD, CLARENCE, NY, 140311350
|
Plan sponsor’s
address |
5411 DAVISON RD, CLARENCE, NY, 140311350
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-29 |
Name of individual signing |
JOHN TSCHAMLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-29 |
Name of individual signing |
JOHN TSCHAMLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KREHER'S FARM FRESH EGGS, LLC DENTAL PLAN
|
2020
|
201984708
|
2021-07-29
|
KREHER'S FARM FRESH EGGS, LLC
|
103
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2017-01-01
|
Business code |
112300
|
Sponsor’s telephone number |
7167596802
|
Plan sponsor’s mailing address |
5411 DAVISON RD, CLARENCE, NY, 140311350
|
Plan sponsor’s
address |
5411 DAVISON RD, CLARENCE, NY, 140311350
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-29 |
Name of individual signing |
JOHN TSCHAMLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-29 |
Name of individual signing |
JOHN TSCHAMLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KREHER'S FARM FRESH EGGS, LLC MEDICAL PLAN
|
2019
|
201984708
|
2020-06-10
|
KREHER'S FARM FRESH EGGS, LLC
|
140
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2013-01-01
|
Business code |
112300
|
Sponsor’s telephone number |
7167596802
|
Plan sponsor’s mailing address |
5411 DAVISON RD, CLARENCE, NY, 140311350
|
Plan sponsor’s
address |
5411 DAVISON RD, CLARENCE, NY, 140311350
|
Number of participants as of the end of the plan year
Active participants |
130 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2020-06-10 |
Name of individual signing |
JOHN TSCHAMLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-10 |
Name of individual signing |
JOHN TSCHAMLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KREHER'S FARM FRESH EGGS, LLC DENTAL PLAN
|
2018
|
201984708
|
2020-06-10
|
KREHER'S FARM FRESH EGGS, LLC
|
110
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2017-01-01
|
Business code |
112300
|
Sponsor’s telephone number |
7167596802
|
Plan sponsor’s mailing address |
5411 DAVISON RD, CLARENCE, NY, 140311350
|
Plan sponsor’s
address |
5411 DAVISON RD, CLARENCE, NY, 140311350
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-06-10 |
Name of individual signing |
JOHN TSCHAMLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-10 |
Name of individual signing |
JOHN TSCHAMLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KREHER'S FARM FRESH EGGS, LLC DENTAL PLAN
|
2018
|
201984708
|
2019-05-20
|
KREHER'S FARM FRESH EGGS, LLC
|
110
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2017-01-01
|
Business code |
112300
|
Sponsor’s telephone number |
7167596802
|
Plan sponsor’s mailing address |
5411 DAVISON RD, CLARENCE, NY, 140311350
|
Plan sponsor’s
address |
5411 DAVISON RD, CLARENCE, NY, 140311350
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-05-20 |
Name of individual signing |
JOHN TSCHAMLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-20 |
Name of individual signing |
JOHN TSCHAMLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|