| Plan Name | HILL & VALLEY, INC. EMPLOYEE BENEFITS PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | HILL & VALLEY INC. |
| Employer identification number (EIN): | 363460200 |
| NAIC Classification: | 311800 |
| NAIC Description: | Bakeries and Tortilla Manufacturing |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2017-11-01 | ||||
| 503 | 2016-11-01 | JUDY VANLANDSCHOOT | |||
| 503 | 2015-11-01 | DENNIS MOORE | |||
| 503 | 2014-11-01 | MARK ROBSON | |||
| 503 | 2013-11-01 | MARK ROBSON | |||
| 503 | 2012-11-01 | MARK ROBSON | |||
| 503 | 2011-11-01 | MARK ROBSON |
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) | |
| Policy contract number | PE2442 |
| Policy instance | 1 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 00505945 |
| Policy instance | 2 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |
| Policy contract number | 0715448 |
| Policy instance | 3 |