ROSEN'S DIVERSIFIED UNION EMPLOYEES 401(K) RETIREMENT PLAN
|
2018
|
411224625
|
2020-02-18
|
ROSEN'S DIVERSIFIED, INC
|
548
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1982-10-01
|
Business code |
311610
|
Sponsor’s telephone number |
9523610993
|
Plan sponsor’s mailing address |
PO BOX 933, FAIRMONT, MN, 560311939
|
Plan sponsor’s
address |
1120 LAKE AVENUE, FAIRMONT, MN, 560311939
|
Number of participants as of the end of the plan year
Active participants |
456 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
47 |
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 |
112 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2020-02-18 |
Name of individual signing |
KAY DILLON JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROSEN'S DIVERSIFIED, INC. AND SUBSIDIARIES WELFARE BENEFIT PLAN
|
2018
|
411224625
|
2019-04-16
|
ROSEN'S DIVERSIFIED, INC.
|
3068
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1987-10-01
|
Business code |
551112
|
Sponsor’s telephone number |
9523610993
|
Plan sponsor’s mailing address |
8101 34TH AVE S STE 400, BLOOMINGTON, MN, 554251693
|
Plan sponsor’s
address |
8101 34TH AVE S STE 400, BLOOMINGTON, MN, 554251693
|
Number of participants as of the end of the plan year
Active participants |
3074 |
Retired or separated participants receiving
benefits |
16 |
Signature of
Role |
Plan administrator |
Date |
2019-04-16 |
Name of individual signing |
KAY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROSEN'S DIVERSIFIED, INC. FLEXIBLE BENEFITS PLAN
|
2018
|
411224625
|
2019-04-16
|
ROSEN'S DIVERSIFIED, INC.
|
3068
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1992-01-01
|
Business code |
551112
|
Sponsor’s telephone number |
9523610993
|
Plan sponsor’s mailing address |
8101 34TH AVE S STE 400, BLOOMINGTON, MN, 554251693
|
Plan sponsor’s
address |
8101 34TH AVE S STE 400, BLOOMINGTON, MN, 554251693
|
Number of participants as of the end of the plan year
Active participants |
3074 |
Retired or separated participants receiving
benefits |
16 |
Signature of
Role |
Plan administrator |
Date |
2019-04-16 |
Name of individual signing |
KAY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROSEN'S DIVERSIFIED UNION EMPLOYEES 401(K) RETIREMENT PLAN
|
2017
|
411224625
|
2019-02-05
|
ROSEN'S DIVERSIFIED, INC
|
526
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1982-10-01
|
Business code |
311610
|
Sponsor’s telephone number |
9523610993
|
Plan sponsor’s mailing address |
PO BOX 933, FAIRMONT, MN, 560311939
|
Plan sponsor’s
address |
1120 LAKE AVENUE, FAIRMONT, MN, 560311939
|
Number of participants as of the end of the plan year
Active participants |
482 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
42 |
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 |
117 |
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 |
2019-02-05 |
Name of individual signing |
KAY DILLON JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROSEN'S DIVERSIFIED, INC. AND SUBSIDIARIES WELFARE BENEFIT PLAN
|
2017
|
411224625
|
2018-04-17
|
ROSEN'S DIVERSIFIED, INC.
|
2922
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1987-10-01
|
Business code |
551112
|
Sponsor’s telephone number |
9523610993
|
Plan sponsor’s mailing address |
1120 LAKE AVENUE, PO BOX 933, FAIRMONT, MN, 560310933
|
Plan sponsor’s
address |
1120 LAKE AVENUE, PO BOX 933, FAIRMONT, MN, 560310933
|
Number of participants as of the end of the plan year
Active participants |
3055 |
Retired or separated participants receiving
benefits |
13 |
Signature of
Role |
Plan administrator |
Date |
2018-04-17 |
Name of individual signing |
KAY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-04-17 |
Name of individual signing |
KAY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROSEN'S DIVERSIFIED, INC. FLEXIBLE BENEFITS PLAN
|
2017
|
411224625
|
2018-04-17
|
ROSEN'S DIVERSIFIED, INC.
|
2922
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1992-01-01
|
Business code |
551112
|
Sponsor’s telephone number |
9523610993
|
Plan sponsor’s mailing address |
1120 LAKE AVENUE, PO BOX 933, FAIRMONT, MN, 560310933
|
Plan sponsor’s
address |
1120 LAKE AVENUE, PO BOX 933, FAIRMONT, MN, 560310933
|
Number of participants as of the end of the plan year
Active participants |
3055 |
Retired or separated participants receiving
benefits |
13 |
Signature of
Role |
Plan administrator |
Date |
2018-04-17 |
Name of individual signing |
KAY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-04-17 |
Name of individual signing |
KAY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROSEN'S DIVERSIFIED, INC. AND SUBSIDIARIES WELFARE BENEFIT PLAN
|
2016
|
411224625
|
2017-07-27
|
ROSEN'S DIVERSIFIED, INC.
|
2863
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1987-10-01
|
Business code |
551112
|
Sponsor’s telephone number |
9523610993
|
Plan sponsor’s mailing address |
1120 LAKE AVENUE, PO BOX 933, FAIRMONT, MN, 560310933
|
Plan sponsor’s
address |
1120 LAKE AVENUE, PO BOX 933, FAIRMONT, MN, 560310933
|
Number of participants as of the end of the plan year
Active participants |
2913 |
Retired or separated participants receiving
benefits |
9 |
Signature of
Role |
Plan administrator |
Date |
2017-07-27 |
Name of individual signing |
KAY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROSEN'S DIVERSIFIED UNION EMPLOYEES 401(K) RETIREMENT PLAN
|
2016
|
411224625
|
2018-03-20
|
ROSEN'S DIVERSIFIED, INC
|
538
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1982-10-01
|
Business code |
311610
|
Sponsor’s telephone number |
9523610993
|
Plan sponsor’s mailing address |
PO BOX 933, FAIRMONT, MN, 560311939
|
Plan sponsor’s
address |
1120 LAKE AVENUE, FAIRMONT, MN, 560311939
|
Number of participants as of the end of the plan year
Active participants |
472 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
39 |
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 |
125 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2018-03-20 |
Name of individual signing |
KAY DILLON JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROSEN'S DIVERSIFIED, INC. AND SUBSIDIARIES WELFARE BENEFIT PLAN
|
2016
|
411224625
|
2017-04-03
|
ROSEN'S DIVERSIFIED, INC.
|
2863
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1987-10-01
|
Business code |
551112
|
Sponsor’s telephone number |
9523610993
|
Plan sponsor’s mailing address |
1120 LAKE AVENUE, PO BOX 933, FAIRMONT, MN, 560310933
|
Plan sponsor’s
address |
1120 LAKE AVENUE, PO BOX 933, FAIRMONT, MN, 560310933
|
Number of participants as of the end of the plan year
Active participants |
2913 |
Retired or separated participants receiving
benefits |
9 |
Signature of
Role |
Plan administrator |
Date |
2017-04-03 |
Name of individual signing |
KAY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-04-03 |
Name of individual signing |
KAY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROSEN'S DIVERSIFIED, INC. FLEXIBLE BENEFITS PLAN
|
2016
|
411224625
|
2017-04-03
|
ROSEN'S DIVERSIFIED, INC.
|
2863
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1992-01-01
|
Business code |
551112
|
Sponsor’s telephone number |
9523610993
|
Plan sponsor’s mailing address |
1120 LAKE AVENUE, PO BOX 933, FAIRMONT, MN, 560310933
|
Plan sponsor’s
address |
1120 LAKE AVENUE, PO BOX 933, FAIRMONT, MN, 560310933
|
Number of participants as of the end of the plan year
Active participants |
2913 |
Retired or separated participants receiving
benefits |
9 |
Signature of
Role |
Plan administrator |
Date |
2017-04-03 |
Name of individual signing |
KAY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-04-03 |
Name of individual signing |
KAY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|