WOODLEY'S FINE FURNITURE, INC. HEALTH AND WELFARE
|
2018
|
841117381
|
2019-12-02
|
WOODLEY'S FINE FURNITURE, INC.
|
142
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-01-01
|
Business code |
442110
|
Sponsor’s telephone number |
3034435692
|
Plan sponsor’s mailing address |
320 S. SUNSET STREET, LONGMONT, CO, 80501
|
Plan sponsor’s
address |
320 S. SUNSET STREET, LONGMONT, CO, 80501
|
Number of participants as of the end of the plan year
Active participants |
147 |
Other
retired or separated participants entitled to future benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2019-12-02 |
Name of individual signing |
BEV SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-12-02 |
Name of individual signing |
BEV SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WOODLEY'S FINE FURNITURE, INC. HEALTH AND WELFARE
|
2017
|
841117381
|
2018-11-20
|
WOODLEY'S FINE FURNITURE, INC.
|
144
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-01-01
|
Business code |
442110
|
Sponsor’s telephone number |
3034435692
|
Plan sponsor’s mailing address |
320 S. SUNSET STREET, LONGMONT, CO, 80501
|
Plan sponsor’s
address |
320 S. SUNSET STREET, LONGMONT, CO, 80501
|
Number of participants as of the end of the plan year
Active participants |
143 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2018-11-20 |
Name of individual signing |
BEV SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-11-20 |
Name of individual signing |
BEV SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WOODLEY'S FINE FURNITURE, INC. HEALTH AND WELFARE BENEFIT PLAN
|
2016
|
841117381
|
2017-10-05
|
WOODLEY'S FINE FURNITURE, INC.
|
135
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-01-01
|
Business code |
442110
|
Sponsor’s telephone number |
3034435692
|
Plan sponsor’s mailing address |
320 S. SUNSET STREET, LONGMONT, CO, 80501
|
Plan sponsor’s
address |
320 S. SUNSET STREET, LONGMONT, CO, 80501
|
Number of participants as of the end of the plan year
Active participants |
131 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2017-10-05 |
Name of individual signing |
LUTHER RASMUSSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-05 |
Name of individual signing |
LUTHER RASMUSSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WOODLEY'S FINE FURNITURE, INC. HEALTH AND WELFARE
|
2016
|
841117381
|
2017-11-30
|
WOODLEY'S FINE FURNITURE, INC.
|
134
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-01-01
|
Business code |
442110
|
Sponsor’s telephone number |
3034435692
|
Plan sponsor’s mailing address |
320 S. SUNSET STREET, LONGMONT, CO, 80501
|
Plan sponsor’s
address |
320 S. SUNSET STREET, LONGMONT, CO, 80501
|
Number of participants as of the end of the plan year
Active participants |
129 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2017-11-30 |
Name of individual signing |
LUTHER RASMUSSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-11-30 |
Name of individual signing |
LUTHER RASMUSSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|