UNIFIED FOODSERVICE FLEXIBLE SPENDING/PREMIUM CONVERSION PLAN
|
2012
|
611333870
|
2013-09-06
|
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC
|
87
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1995-11-01
|
Business code |
423800
|
Sponsor’s telephone number |
5028965900
|
Plan sponsor’s mailing address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207
|
Plan sponsor’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207
|
Number of participants as of the end of the plan year
Active participants |
95 |
Retired or separated participants receiving
benefits |
1 |
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 |
2013-09-06 |
Name of individual signing |
MICHELE ESSELMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFIED FOODSERVICE PURCHASING CO-OP GROUP VISION CARE POLICY
|
2012
|
611333870
|
2013-09-06
|
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC
|
189
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2001-01-01
|
Business code |
423800
|
Sponsor’s telephone number |
5028965900
|
Plan sponsor’s mailing address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207
|
Plan sponsor’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207
|
Number of participants as of the end of the plan year
Active participants |
196 |
Retired or separated participants receiving
benefits |
1 |
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 |
2013-09-06 |
Name of individual signing |
MICHELE ESSELMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFIED FOODSERVICE BLUE ACCESS PPO PLAN
|
2012
|
611333870
|
2013-09-06
|
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC
|
181
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1990-01-01
|
Business code |
423800
|
Sponsor’s telephone number |
5028965900
|
Plan sponsor’s mailing address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207
|
Plan sponsor’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207
|
Number of participants as of the end of the plan year
Active participants |
181 |
Retired or separated participants receiving
benefits |
4 |
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 |
2013-09-06 |
Name of individual signing |
MICHELE ESSELMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFIED FOODSERVICE PURCHASING CO-OP LIFE, ACCIDENT, DEATH AND DISDEP LIF INS LTD
|
2012
|
611333870
|
2013-09-06
|
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC
|
194
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1978-09-01
|
Business code |
423800
|
Sponsor’s telephone number |
5028965900
|
Plan sponsor’s mailing address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207
|
Plan sponsor’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207
|
Number of participants as of the end of the plan year
Active participants |
201 |
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 |
2013-09-06 |
Name of individual signing |
MICHELE ESSELMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFIED FOODSERVICE PURCHASING CO-OP PREPAID DENTAL CARE PLAN
|
2012
|
611333870
|
2013-09-06
|
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC
|
197
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1978-09-01
|
Business code |
423800
|
Sponsor’s telephone number |
5028965900
|
Plan sponsor’s mailing address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207
|
Plan sponsor’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207
|
Number of participants as of the end of the plan year
Active participants |
189 |
Retired or separated participants receiving
benefits |
3 |
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 |
2013-09-06 |
Name of individual signing |
MICHELE ESSELMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFIED FOODSERVICE PURCHASING CO-OP GROUP VISION CARE POLICY
|
2011
|
611333870
|
2012-08-17
|
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC
|
202
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2001-01-01
|
Business code |
423800
|
Sponsor’s telephone number |
5028965900
|
Plan sponsor’s mailing address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207
|
Plan sponsor’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207
|
Plan administrator’s name and address
Administrator’s EIN |
611333870 |
Plan administrator’s name |
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC |
Plan administrator’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028965900 |
Number of participants as of the end of the plan year
Active participants |
189 |
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 |
2012-08-17 |
Name of individual signing |
WILLIAM HOLDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFIED FOODSERVICE PURCHASING CO-OP LIFE, ACCIDENT, DEATH, AND DIS DEP LIF INS LTD
|
2011
|
611333870
|
2012-08-17
|
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC
|
196
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1978-09-01
|
Business code |
423800
|
Sponsor’s telephone number |
5028965900
|
Plan sponsor’s mailing address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207
|
Plan sponsor’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207
|
Plan administrator’s name and address
Administrator’s EIN |
611333870 |
Plan administrator’s name |
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC |
Plan administrator’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028965900 |
Number of participants as of the end of the plan year
Active participants |
194 |
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 |
2012-08-17 |
Name of individual signing |
WILLIAM HOLDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFIED FOODSERVICE FLEXIBLE SPENDING/PREMIUM CONVERSION PLAN
|
2011
|
611333870
|
2012-08-17
|
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC
|
94
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1995-11-01
|
Business code |
423800
|
Sponsor’s telephone number |
5028965900
|
Plan sponsor’s mailing address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207
|
Plan sponsor’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207
|
Plan administrator’s name and address
Administrator’s EIN |
611333870 |
Plan administrator’s name |
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC |
Plan administrator’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028965900 |
Number of participants as of the end of the plan year
Active participants |
87 |
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 |
2012-08-17 |
Name of individual signing |
WILLIAM HOLDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFIED FOODSERVICE PURCHASING CO-OP PREPAID DENTAL CARE PLAN
|
2011
|
611333870
|
2012-08-17
|
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC
|
209
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1978-09-01
|
Business code |
423800
|
Sponsor’s telephone number |
5028965900
|
Plan sponsor’s mailing address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207
|
Plan sponsor’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207
|
Plan administrator’s name and address
Administrator’s EIN |
611333870 |
Plan administrator’s name |
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC |
Plan administrator’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028965900 |
Number of participants as of the end of the plan year
Active participants |
194 |
Retired or separated participants receiving
benefits |
3 |
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 |
2012-08-17 |
Name of individual signing |
WILLIAM HOLDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFIED FOODSERVICE BLUE ACCESS PPO PLAN
|
2011
|
611333870
|
2012-08-17
|
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC
|
187
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1990-01-01
|
Business code |
423800
|
Sponsor’s telephone number |
5028965900
|
Plan sponsor’s mailing address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207
|
Plan sponsor’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207
|
Plan administrator’s name and address
Administrator’s EIN |
611333870 |
Plan administrator’s name |
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC |
Plan administrator’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028965900 |
Number of participants as of the end of the plan year
Active participants |
179 |
Retired or separated participants receiving
benefits |
2 |
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 |
2012-08-17 |
Name of individual signing |
WILLIAM HOLDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFIED FOODSERVICE PURCHASING CO-OP LIFE, ACCIDENT, DEATH, AND DIS DEP LIF INS LTD
|
2010
|
611333870
|
2011-07-26
|
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC
|
205
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/26/20110726154324P040015313682001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
1978-09-01 |
Business code |
423800 |
Sponsor’s telephone number |
5028965900 |
Plan sponsor’s mailing address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Plan sponsor’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Plan administrator’s name and address
Administrator’s EIN |
611333870 |
Plan administrator’s name |
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC |
Plan administrator’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028965900 |
Number of participants as of the end of the plan year
Active participants |
198 |
Retired or separated participants receiving
benefits |
1 |
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 |
2011-07-26 |
Name of individual signing |
WILLIAM HOLDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFIED FOODSERVICE PURCHASING CO-OP PREPAID DENTAL CARE PLAN
|
2010
|
611333870
|
2011-07-26
|
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC
|
204
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/26/20110726154308P040103786449001.pdf |
Three-digit plan number (PN) |
504 |
Effective date of plan |
1978-09-01 |
Business code |
423800 |
Sponsor’s telephone number |
5028965900 |
Plan sponsor’s mailing address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Plan sponsor’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Plan administrator’s name and address
Administrator’s EIN |
611333870 |
Plan administrator’s name |
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC |
Plan administrator’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028965900 |
Number of participants as of the end of the plan year
Active participants |
199 |
Retired or separated participants receiving
benefits |
10 |
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 |
2011-07-26 |
Name of individual signing |
WILLIAM HOLDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFIED FOODSERVICE BLUE ACCESS PPO PLAN
|
2010
|
611333870
|
2011-07-26
|
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC
|
187
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/26/20110726154249P040015313586001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
1990-01-01 |
Business code |
423800 |
Sponsor’s telephone number |
5028965900 |
Plan sponsor’s mailing address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Plan sponsor’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Plan administrator’s name and address
Administrator’s EIN |
611333870 |
Plan administrator’s name |
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC |
Plan administrator’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028965900 |
Number of participants as of the end of the plan year
Active participants |
178 |
Retired or separated participants receiving
benefits |
9 |
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 |
2011-07-26 |
Name of individual signing |
WILLIAM HOLDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFIED FOODSERVICE FLEXIBLE SPENDING/PREMIUM CONVERSION PLAN
|
2010
|
611333870
|
2011-07-26
|
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC
|
87
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/26/20110726154227P040468749648001.pdf |
Three-digit plan number (PN) |
506 |
Effective date of plan |
1995-11-01 |
Business code |
423800 |
Sponsor’s telephone number |
5028965900 |
Plan sponsor’s mailing address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Plan sponsor’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Plan administrator’s name and address
Administrator’s EIN |
611333870 |
Plan administrator’s name |
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC |
Plan administrator’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028965900 |
Number of participants as of the end of the plan year
Active participants |
88 |
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 |
2011-07-26 |
Name of individual signing |
WILLIAM HOLDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFIED FOODSERVICE PURCHASING CO-OP GROUP VISION CARE POLICY
|
2010
|
611333870
|
2011-07-26
|
UNIFIED FOODSERVICE PURCHASING CO-OP LLC
|
201
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/26/20110726154142P040468747232001.pdf |
Three-digit plan number (PN) |
507 |
Effective date of plan |
2001-01-01 |
Business code |
423800 |
Sponsor’s telephone number |
5028965900 |
Plan sponsor’s mailing address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Plan sponsor’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Plan administrator’s name and address
Administrator’s EIN |
611333870 |
Plan administrator’s name |
UNIFIED FOODSERVICE PURCHASING CO-OP LLC |
Plan administrator’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028965900 |
Number of participants as of the end of the plan year
Active participants |
196 |
Retired or separated participants receiving
benefits |
6 |
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 |
2011-07-26 |
Name of individual signing |
WILLIAM HOLDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFIED FOODSERVICE PURCHASING CO-OP PREPAID DENTAL CARE PLAN
|
2009
|
611333870
|
2010-06-25
|
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC
|
233
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/25/20100625120544P040082405032001.pdf |
Three-digit plan number (PN) |
504 |
Effective date of plan |
1978-09-01 |
Business code |
423800 |
Sponsor’s telephone number |
5028965900 |
Plan sponsor’s mailing address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Plan sponsor’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Plan administrator’s name and address
Administrator’s EIN |
611333870 |
Plan administrator’s name |
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC |
Plan administrator’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028965900 |
Number of participants as of the end of the plan year
Active participants |
199 |
Retired or separated participants receiving
benefits |
16 |
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 |
2010-06-25 |
Name of individual signing |
WILLIAM HOLDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFIED FOODSERVICE PURCHASING CO-OP LIFE, ACCIDENT, DEATH, AND DIS DEP LIFE INS LTD
|
2009
|
611333870
|
2010-06-25
|
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC
|
223
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/25/20100625120822P040108696786001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
1978-09-01 |
Business code |
423800 |
Sponsor’s telephone number |
5028965900 |
Plan sponsor’s mailing address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Plan sponsor’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Plan administrator’s name and address
Administrator’s EIN |
611333870 |
Plan administrator’s name |
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC |
Plan administrator’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028965900 |
Number of participants as of the end of the plan year
Active participants |
205 |
Retired or separated participants receiving
benefits |
1 |
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 |
2010-06-25 |
Name of individual signing |
WILLIAM HOLDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFIED FOODSERVICE FLEXIBLE SPENDING/PREMIUM CONVERSION PLAN
|
2009
|
611333870
|
2010-06-25
|
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC
|
98
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/25/20100625120636P040082405336001.pdf |
Three-digit plan number (PN) |
506 |
Effective date of plan |
1995-11-01 |
Business code |
423800 |
Sponsor’s telephone number |
5028965900 |
Plan sponsor’s mailing address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Plan sponsor’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Plan administrator’s name and address
Administrator’s EIN |
611333870 |
Plan administrator’s name |
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC |
Plan administrator’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028965900 |
Number of participants as of the end of the plan year
Active participants |
102 |
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 |
2010-06-25 |
Name of individual signing |
WILLIAM HOLDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFIED FOODSERVICE BLUE ACCESS PPO PLAN
|
2009
|
611333870
|
2010-06-25
|
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC
|
215
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/25/20100625120303P040015456260001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
1990-01-01 |
Business code |
423800 |
Sponsor’s telephone number |
5028965900 |
Plan sponsor’s mailing address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Plan sponsor’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Plan administrator’s name and address
Administrator’s EIN |
611333870 |
Plan administrator’s name |
UNIFIED FOODSERVICE PURCHASING CO-OP, LLC |
Plan administrator’s
address |
950 BRECKENRIDGE LANE, SUITE #300, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028965900 |
Number of participants as of the end of the plan year
Active participants |
183 |
Retired or separated participants receiving
benefits |
19 |
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 |
2010-06-25 |
Name of individual signing |
WILLIAM HOLDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|