|
BI-LO, LLC EXECUTIVE SEVERANCE PLAN
|
2017
|
522260310
|
2018-07-27
|
BI-LO, LLC
|
56
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
590
|
| Effective date of plan |
2014-02-01
|
| Business code |
445110
|
| Sponsor’s telephone number |
9047835000
|
| Plan
sponsor’s DBA name |
SOUTHEASTERN GROCERS
|
| Plan sponsor’s mailing address |
8928 PROMINENCE PKWY BLDG 200, JACKSONVILLE, FL, 322568264
|
| Plan sponsor’s
address |
8928 PROMINENCE PKWY BLDG 200, JACKSONVILLE, FL, 322568264
|
Plan administrator’s name and address
| Administrator’s EIN |
522260130 |
| Plan administrator’s name |
BI-LO, LLC |
| Plan administrator’s
address |
8928 PROMINENCE PKWY BLDG 200, JACKSONVILLE, FL, 322568264 |
| Administrator’s telephone number |
9047835837 |
Number of participants as of the end of the plan year
| Active participants |
46 |
| Retired or separated participants receiving
benefits |
3 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2018-07-26 |
| Name of individual signing |
JESSE WELSH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2018-07-27 |
| Name of individual signing |
MAURICE GRIMM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BI-LO, LLC EXECUTIVE SEVERANCE PLAN
|
2016
|
522260130
|
2017-10-13
|
BI-LO, LLC
|
51
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
590
|
| Effective date of plan |
2014-02-01
|
| Business code |
445110
|
| Sponsor’s telephone number |
9047835000
|
| Plan sponsor’s mailing address |
8928 PROMINENCE PKWY #200, JACKSONVILLE, FL, 322568264
|
| Plan sponsor’s
address |
8928 PROMINENCE PKWY #200, JACKSONVILLE, FL, 322568264
|
Plan administrator’s name and address
| Administrator’s EIN |
522260130 |
| Plan administrator’s name |
BI-LO, LLC |
| Plan administrator’s
address |
8928 PROMINENCE PKWY #200, JACKSONVILLE, FL, 322568264 |
| Administrator’s telephone number |
9047835837 |
Number of participants as of the end of the plan year
| Active participants |
56 |
| Retired or separated participants receiving
benefits |
2 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2017-10-06 |
| Name of individual signing |
JESSE WELSH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2017-10-13 |
| Name of individual signing |
MAURICE GRIMM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BI-LO, LLC EXECUTIVE SEVERANCE PLAN
|
2015
|
522260130
|
2016-06-17
|
BI-LO, LLC
|
44
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
590
|
| Effective date of plan |
2014-02-01
|
| Business code |
445110
|
| Sponsor’s telephone number |
9047835000
|
| Plan sponsor’s mailing address |
8928 PROMINENCE PKWY # 200, JACKSONVILLE, FL, 322568264
|
| Plan sponsor’s
address |
8928 PROMINENCE PKWY # 200, JACKSONVILLE, FL, 322568264
|
Number of participants as of the end of the plan year
| Active participants |
51 |
| Retired or separated participants receiving
benefits |
22 |
Signature of
| Role |
Plan administrator |
| Date |
2016-06-17 |
| Name of individual signing |
MAURICE GRIMM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2016-06-17 |
| Name of individual signing |
MAURICE GRIMM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BI-LO, LLC EXECUTIVE SEVERANCE PLAN
|
2014
|
522260130
|
2015-03-31
|
BI-LO, LLC
|
37
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
590
|
| Effective date of plan |
2014-02-01
|
| Business code |
445110
|
| Sponsor’s telephone number |
9047835473
|
| Plan sponsor’s mailing address |
5050 EDGEWOOD CT., JACKSONVILLE, FL, 32254
|
| Plan sponsor’s
address |
5050 EDGEWOOD CT., JACKSONVILLE, FL, 32254
|
Number of participants as of the end of the plan year
| Active participants |
44 |
| Retired or separated participants receiving
benefits |
4 |
Signature of
| Role |
Plan administrator |
| Date |
2015-02-17 |
| Name of individual signing |
ARLENE GODFREY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2015-03-31 |
| Name of individual signing |
MAURICE GRIMM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
