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| Plan Name | FMI AFLAC PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | FOOD MANAGEMENT INVESTORS, INC. DBA CULTIVATE SOLUTIONS |
| Employer identification number (EIN): | 450417148 |
| NAIC Classification: | 541600 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2023-08-01 | LEAH BJERKLIE | 2024-12-11 | LEAH BJERKLIE | 2024-12-11 |
| 502 | 2022-08-01 | TADD DEMARS | 2024-02-06 | ||
| 502 | 2021-08-01 | TADD DEMARS | 2023-02-17 | ||
| 502 | 2020-08-01 | TADD DEMARS | 2022-02-25 | ||
| 502 | 2019-08-01 | TADD DEMARS | 2021-04-27 |
| 2023: FMI AFLAC PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-08-01 | Type of plan entity | Multi-employer plan |
| 2023-08-01 | Plan is a collectively bargained plan | Yes |
| 2023-08-01 | Plan funding arrangement – Insurance | Yes |
| 2023-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: FMI AFLAC PLAN 2022 form 5500 responses | ||
| 2022-08-01 | Type of plan entity | Multi-employer plan |
| 2022-08-01 | Plan is a collectively bargained plan | Yes |
| 2022-08-01 | Plan funding arrangement – Insurance | Yes |
| 2022-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: FMI AFLAC PLAN 2021 form 5500 responses | ||
| 2021-08-01 | Type of plan entity | Multi-employer plan |
| 2021-08-01 | Plan is a collectively bargained plan | Yes |
| 2021-08-01 | Plan funding arrangement – Insurance | Yes |
| 2021-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: FMI AFLAC PLAN 2020 form 5500 responses | ||
| 2020-08-01 | Type of plan entity | Multi-employer plan |
| 2020-08-01 | Plan is a collectively bargained plan | Yes |
| 2020-08-01 | Plan funding arrangement – Insurance | Yes |
| 2020-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: FMI AFLAC PLAN 2019 form 5500 responses | ||
| 2019-08-01 | Type of plan entity | Multi-employer plan |
| 2019-08-01 | First time form 5500 has been submitted | Yes |
| 2019-08-01 | Plan is a collectively bargained plan | Yes |
| 2019-08-01 | Plan funding arrangement – Insurance | Yes |
| 2019-08-01 | Plan benefit arrangement – Insurance | Yes |
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) | |||||||||||||||||||
| Policy contract number | MGQ28 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) | |||||||||||||||||||
| Policy contract number | MGQ28 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) | |||||||||||||||||||
| Policy contract number | MGQ28 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) | |||||||||||||||||||
| Policy contract number | MGQ28 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) | |||||||||||||||||||
| Policy contract number | MGQ28 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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