BLUE CROSS & BLUE SHIELD OF RI, PROVIDENCE METALLIZING CO., INC.
|
2013
|
050268053
|
2014-07-24
|
PROVIDENCE METALLIZING COMPANY, INC.
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1974-03-01
|
Business code |
332810
|
Sponsor’s telephone number |
4017225300
|
Plan sponsor’s mailing address |
51 FAIRLAWN AVENUE, PAWTUCKET, RI, 02860
|
Plan sponsor’s
address |
51 FAIRLAWN AVENUE, PAWTUCKET, RI, 02860
|
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 |
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 |
2014-07-24 |
Name of individual signing |
RICHARD SUGERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE CROSS & BLUE SHIELD OF RI, PROVIDENCE METALLIZING CO., INC.
|
2012
|
050268053
|
2013-07-02
|
PROVIDENCE METALLIZING COMPANY, INC.
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1974-03-01
|
Business code |
332810
|
Sponsor’s telephone number |
4017225300
|
Plan sponsor’s mailing address |
51 FAIRLAWN AVENUE, PAWTUCKET, RI, 02860
|
Plan sponsor’s
address |
51 FAIRLAWN AVENUE, PAWTUCKET, RI, 02860
|
Number of participants as of the end of the plan year
Active participants |
51 |
Retired or separated participants receiving
benefits |
0 |
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 |
2013-07-02 |
Name of individual signing |
RICHARD SUGERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-02 |
Name of individual signing |
RICHARD SUGERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE CROSS & BLUE SHIELD OF RI, PROVIDENCE METALLIZING CO., INC.
|
2011
|
050268053
|
2012-06-01
|
PROVIDENCE METALLIZING COMPANY, INC.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1974-03-01
|
Business code |
332810
|
Sponsor’s telephone number |
4017225300
|
Plan sponsor’s mailing address |
51 FAIRLAWN AVENUE, PAWTUCKET, RI, 02860
|
Plan sponsor’s
address |
51 FAIRLAWN AVENUE, PAWTUCKET, RI, 02860
|
Plan administrator’s name and address
Administrator’s EIN |
050268053 |
Plan administrator’s name |
PROVIDENCE METALLIZING COMPANY, INC. |
Plan administrator’s
address |
51 FAIRLAWN AVENUE, PAWTUCKET, RI, 02860 |
Administrator’s telephone number |
4017225300 |
Number of participants as of the end of the plan year
Active participants |
45 |
Retired or separated participants receiving
benefits |
0 |
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 |
2012-06-01 |
Name of individual signing |
RICHARD SUGERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE CROSS & BLUE SHIELD OF RI, PROVIDENCE METALLIZING CO., INC.
|
2010
|
050268053
|
2011-07-22
|
PROVIDENCE METALLIZING COMPANY, INC.
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1974-03-01
|
Business code |
332810
|
Sponsor’s telephone number |
4017225300
|
Plan sponsor’s mailing address |
51 FAIRLAWN AVENE, PAWTUCKET, RI, 02860
|
Plan sponsor’s
address |
51 FAIRLAWN AVENE, PAWTUCKET, RI, 02860
|
Plan administrator’s name and address
Administrator’s EIN |
050268053 |
Plan administrator’s name |
PROVIDENCE METALLIZING COMPANY, INC. |
Plan administrator’s
address |
51 FAIRLAWN AVENE, PAWTUCKET, RI, 02860 |
Administrator’s telephone number |
4017225300 |
Number of participants as of the end of the plan year
Active participants |
36 |
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 |
2011-07-22 |
Name of individual signing |
RICHARD SUGERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE CROSS BLUE SHIELD OF RI PROVIDENCE METALLIZING CO., INC.
|
2009
|
050268053
|
2010-07-29
|
PROVIDENCE METALLIZING COMPANY, INC.
|
66
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1974-03-01
|
Business code |
332810
|
Sponsor’s telephone number |
4017225300
|
Plan sponsor’s mailing address |
51 FAIRLAWN AVENUE, PAWTUCKET, RI, 02860
|
Plan sponsor’s
address |
51 FAIRLAWN AVENUE, PAWTUCKET, RI, 02860
|
Plan administrator’s name and address
Administrator’s EIN |
050268053 |
Plan administrator’s name |
PROVIDENCE METALLIZING COMPANY, INC. |
Plan administrator’s
address |
51 FAIRLAWN AVENUE, PAWTUCKET, RI, 02860 |
Administrator’s telephone number |
4017225300 |
Number of participants as of the end of the plan year
Active participants |
9 |
Retired or separated participants receiving
benefits |
34 |
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 |
2010-07-29 |
Name of individual signing |
RICHARD SUGERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|