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| Plan Name | CEDAR RIDGE DAIRY, LLC HEALTH PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CEDAR RIDGE DAIRY, LLC |
| Employer identification number (EIN): | 462503703 |
| NAIC Classification: | 112120 |
| NAIC Description: | Dairy Cattle and Milk Production |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2018-01-01 | HENRY C. HAFLIGER, JR. | 2019-07-20 | ||
| 501 | 2017-01-01 | HENRY C. HAFLIGER, JR. |
| Measure | Date | Value |
|---|---|---|
| 2018: CEDAR RIDGE DAIRY, LLC HEALTH PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-01-01 | 116 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 118 |
| Total of all active and inactive participants | 2018-01-01 | 118 |
| 2017: CEDAR RIDGE DAIRY, LLC HEALTH PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 111 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 116 |
| Total of all active and inactive participants | 2017-01-01 | 116 |
| Total participants | 2017-01-01 | 116 |
| 2018: CEDAR RIDGE DAIRY, LLC HEALTH PLAN 2018 form 5500 responses | ||
|---|---|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: CEDAR RIDGE DAIRY, LLC HEALTH PLAN 2017 form 5500 responses | ||
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | First time form 5500 has been submitted | Yes |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| PAN-AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67539 ) | |||||||||||||||||||||||
| Policy contract number | SE404 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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| PAN-AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67539 ) | |||||||||||||||||||||||
| Policy contract number | SE404 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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