TEMPORARY DISABILITY PLAN
|
2011
|
800301528
|
2013-07-25
|
NORTH AMERICAN BREWERIES
|
360
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2011-01-01
|
Business code |
312120
|
Sponsor’s telephone number |
5855461030
|
Plan sponsor’s mailing address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605
|
Plan sponsor’s
address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605
|
Plan administrator’s name and address
Administrator’s EIN |
800301528 |
Plan administrator’s name |
NORTH AMERICAN BREWERIES |
Plan administrator’s
address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605 |
Administrator’s telephone number |
5855461030 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-25 |
Name of individual signing |
NANCY FLOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG TERM DISABILITY PLAN
|
2011
|
800301528
|
2013-07-25
|
NORTH AMERICAN BREWERIES
|
360
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2011-01-01
|
Business code |
312120
|
Sponsor’s telephone number |
5855461030
|
Plan sponsor’s mailing address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605
|
Plan sponsor’s
address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605
|
Plan administrator’s name and address
Administrator’s EIN |
800301528 |
Plan administrator’s name |
NORTH AMERICAN BREWERIES |
Plan administrator’s
address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605 |
Administrator’s telephone number |
5855461030 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-25 |
Name of individual signing |
NANCY FLOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANCE PLAN
|
2011
|
800301528
|
2013-07-25
|
NORTH AMERICAN BREWERIES
|
360
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
312120
|
Sponsor’s telephone number |
5855461030
|
Plan sponsor’s mailing address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605
|
Plan sponsor’s
address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605
|
Plan administrator’s name and address
Administrator’s EIN |
800301528 |
Plan administrator’s name |
NORTH AMERICAN BREWERIES |
Plan administrator’s
address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605 |
Administrator’s telephone number |
5855461030 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-25 |
Name of individual signing |
NANCY FLOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENTAL PLAN
|
2011
|
800301528
|
2013-07-25
|
NORTH AMERICAN BREWERIES
|
360
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2011-01-01
|
Business code |
312120
|
Sponsor’s telephone number |
5855461030
|
Plan sponsor’s mailing address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605
|
Plan sponsor’s
address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605
|
Plan administrator’s name and address
Administrator’s EIN |
800301528 |
Plan administrator’s name |
NORTH AMERICAN BREWERIES |
Plan administrator’s
address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605 |
Administrator’s telephone number |
5855461030 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-25 |
Name of individual signing |
NANCY FLOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH INSURANCE PLAN
|
2011
|
800301528
|
2012-10-10
|
NORTH AMERICAN BREWERIES
|
332
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2011-01-01
|
Business code |
312120
|
Sponsor’s telephone number |
5855461030
|
Plan sponsor’s mailing address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605
|
Plan sponsor’s
address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605
|
Plan administrator’s name and address
Administrator’s EIN |
800301528 |
Plan administrator’s name |
NORTH AMERICAN BREWERIES |
Plan administrator’s
address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605 |
Administrator’s telephone number |
5855461030 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
WILLIAM NEILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANCE PLAN
|
2011
|
800301528
|
2012-10-10
|
NORTH AMERICAN BREWERIES
|
360
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
312120
|
Plan sponsor’s mailing address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605
|
Plan sponsor’s
address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605
|
Plan administrator’s name and address
Administrator’s EIN |
800301528 |
Plan administrator’s name |
NORTH AMERICAN BREWERIES |
Plan administrator’s
address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605 |
Number of participants as of the end of the plan year
Active participants |
826 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
WILLIAM NEILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG TERM DISABILITY PLAN
|
2011
|
800301528
|
2012-10-10
|
NORTH AMERICAN BREWERIES
|
360
|
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2011-01-01
|
Business code |
312120
|
Plan sponsor’s mailing address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605
|
Plan sponsor’s
address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605
|
Plan administrator’s name and address
Administrator’s EIN |
800501528 |
Plan administrator’s name |
NORTH AMERICAN BREWERIES |
Plan administrator’s
address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605 |
Number of participants as of the end of the plan year
Active participants |
826 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
WILLIAM NEILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENTAL PLAN
|
2011
|
800301528
|
2012-10-10
|
NORTH AMERICAN BREWERIES
|
360
|
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2011-01-01
|
Business code |
312120
|
Sponsor’s telephone number |
5855461030
|
Plan sponsor’s mailing address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605
|
Plan sponsor’s
address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605
|
Plan administrator’s name and address
Administrator’s EIN |
800301528 |
Plan administrator’s name |
NORTH AMERICAN BREWERIES |
Plan administrator’s
address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605 |
Administrator’s telephone number |
5855461030 |
Number of participants as of the end of the plan year
Active participants |
826 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
WILLIAM NEILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TEMPORARY DISABILITY PLAN
|
2011
|
800301528
|
2012-10-10
|
NORTH AMERICAN BREWERIES
|
360
|
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2011-01-01
|
Business code |
312120
|
Plan sponsor’s mailing address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605
|
Plan sponsor’s
address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605
|
Plan administrator’s name and address
Administrator’s EIN |
800301528 |
Plan administrator’s name |
NORTH AMERICAN BREWERIES |
Plan administrator’s
address |
445 ST. PAUL STREET, ROCHESTER, NY, 14605 |
Number of participants as of the end of the plan year
Active participants |
826 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
WILLIAM NEILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH AMERICAN BREWERIES EMPLOYEES SAVINGS & INVESTMENT PLAN
|
2010
|
300535544
|
2011-10-11
|
NORTH AMERICAN BREWERIES
|
311
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-12-01
|
Business code |
312120
|
Sponsor’s telephone number |
5855461030
|
Plan
sponsor’s DBA name |
LABATT USA OPERATING COMPANY LLC
|
Plan sponsor’s mailing address |
50 FOUNTAIN PLAZA, SUITE 900, BUFFALO, NY, 14201
|
Plan sponsor’s
address |
50 FOUNTAIN PLAZA, SUITE 900, BUFFALO, NY, 14201
|
Plan administrator’s name and address
Administrator’s EIN |
300535544 |
Plan administrator’s name |
NORTH AMERICAN BREWERIES |
Plan administrator’s
address |
50 FOUNTAIN PLAZA, SUITE 900, BUFFALO, NY, 14201 |
Administrator’s telephone number |
5855461030 |
Number of participants as of the end of the plan year
Active participants |
93 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
180 |
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 |
273 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
2 |
Signature of
Role |
Plan administrator |
Date |
2011-10-11 |
Name of individual signing |
NANCY FLOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|