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| Plan Name | INCOME REPLACEMENT PLAN |
| Plan identification number | 003 |
| Company Name: | INTERNATIONAL BROTHERHOOD OF TEAMSTERS LOCAL 264 |
| Employer identification number (EIN): | 160492678 |
| NAIC Classification: | 445110 |
| NAIC Description: | Supermarkets and Other Grocery (except Convenience) Stores |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 003 | 2007-01-01 | RONALD LUCAS | |||
| 003 | 2006-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2007: INCOME REPLACEMENT PLAN 2007 401k membership | ||
| Total participants, beginning-of-year | 2007-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2007-01-01 | 0 |
| Total of all active and inactive participants | 2007-01-01 | 0 |
| Total participants | 2007-01-01 | 0 |
| Number of employers contributing to the scheme | 2007-01-01 | 0 |
| 2007: INCOME REPLACEMENT PLAN 2007 form 5500 responses | ||
|---|---|---|
| 2007-01-01 | Type of plan entity | Multi-employer plan |
| 2007-01-01 | Submission has been amended | No |
| 2007-01-01 | This submission is the final filing | Yes |
| 2007-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2007-01-01 | Plan is a collectively bargained plan | No |
| 2006: INCOME REPLACEMENT PLAN 2006 form 5500 responses | ||
| 2006-01-01 | Type of plan entity | Single employer plan |
| 2006-01-01 | Submission has been amended | No |
| 2006-01-01 | This submission is the final filing | Yes |
| 2006-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2006-01-01 | Plan is a collectively bargained plan | Yes |
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