Original filing (PDF)20230902164805NAL0005595219001

DOUBLE TAKE DAIRY LLC

Name: DOUBLE TAKE DAIRY LLC — DOUBLE TAKE DAIRY LLC MEDOVA LIFESTYLE HEALTH CARE, Form 5500 (2022)
Creator: DOUBLE TAKE DAIRY LLC

Form 5500-SF

FILING_RECEIVED

DOUBLE TAKE DAIRY LLC MEDOVA LIFESTYLE HEALTH CARE

Health & welfare plan

Active participants

Accounts w/ balance

—

Plan assets (EOY)

Net assets (EOY)

Plan health score (directional)

/ 100

Grade A

Top-tier plan health

Directional indicator computed from public Form 5500 data — compliance, concentration, cost, vendor stack and participation. Not a fiduciary tool.

Compliance & disclosures

100

Concentration risk

Total plan cost

Vendor stack

100

Participation health

Decision-maker contacts

CFO / Head of HR / Benefits Manager — verified email + LinkedIn for DOUBLE TAKE DAIRY LLC.

Plan sponsor

Name

DOUBLE TAKE DAIRY LLC

EIN

39-1974439

Address

E9090 BEAR CREEK RD · CLINTONVILLE, WI · 549299747

Phone

(715) 460-6017

Industry

Agriculture, Forestry, Fishing, Huntingsee all

Plan administrator

Name

RECEIVERSHIP MANAGEMENT INC

EIN

20-0200514

City

MADISON, TN

Phone

(615) 370-0051

Plan characteristics

Plan number

501

Plan year

2022

Plan year begin

2022-02-01

Tax period

2023-01-31

Filed

2023-09-02

Welfare benefit codes

4A · Health (other than dental or vision)

Audit & trust (Schedule H)

Auditor

—

Trustee / custodian

—

Trustee phone

—

Small plan (5500-SF) — Schedule H data not available.

Service providers (Schedule C)

Small plans don't disclose service providers

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