FORMEX INC 401(K) PROFIT SHARING PLAN & TRUST
|
2023
|
050483331
|
2024-06-26
|
FORMEX INC
|
44
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-04-01
|
Business code |
333200
|
Sponsor’s telephone number |
4018859800
|
Plan sponsor’s
address |
3305 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818
|
Signature of
Role |
Plan administrator |
Date |
2024-06-26 |
Name of individual signing |
EDWARD P SHEA JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMEX INC 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
050483331
|
2023-06-14
|
FORMEX INC
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-04-01
|
Business code |
333200
|
Sponsor’s telephone number |
4018859800
|
Plan sponsor’s
address |
3305 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818
|
Signature of
Role |
Plan administrator |
Date |
2023-06-14 |
Name of individual signing |
EDWARD SHEA, JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMEX INC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
050483331
|
2022-07-07
|
FORMEX INC
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-04-01
|
Business code |
333200
|
Sponsor’s telephone number |
4018859800
|
Plan sponsor’s
address |
3305 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818
|
Signature of
Role |
Plan administrator |
Date |
2022-07-07 |
Name of individual signing |
EDWARD SHEA JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMEX INC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
050483331
|
2021-06-16
|
FORMEX INC
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-04-01
|
Business code |
333200
|
Sponsor’s telephone number |
4018859800
|
Plan sponsor’s
address |
3305 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818
|
Signature of
Role |
Plan administrator |
Date |
2021-06-16 |
Name of individual signing |
EDWARD P SHEA JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMEX INC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
050483331
|
2020-07-20
|
FORMEX INC
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-04-01
|
Business code |
333200
|
Sponsor’s telephone number |
4018859800
|
Plan sponsor’s
address |
3305 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818
|
Signature of
Role |
Plan administrator |
Date |
2020-07-20 |
Name of individual signing |
EDWARD P SHEA JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMEX INC. 401 K PROFIT SHARING PLAN TRUST
|
2018
|
050483331
|
2019-07-22
|
FORMEX INC
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-04-01
|
Business code |
333200
|
Sponsor’s telephone number |
4018859800
|
Plan sponsor’s
address |
3305 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818
|
Signature of
Role |
Plan administrator |
Date |
2019-07-22 |
Name of individual signing |
EDWARD P SHEA JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMEX INC. 401 K PROFIT SHARING PLAN TRUST
|
2017
|
050483331
|
2018-05-02
|
FORMEX INC
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-04-01
|
Business code |
333200
|
Sponsor’s telephone number |
4018859800
|
Plan sponsor’s
address |
3305 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818
|
Signature of
Role |
Plan administrator |
Date |
2018-05-02 |
Name of individual signing |
EDWARD P SHEA JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMEX INC. 401 K PROFIT SHARING PLAN TRUST
|
2016
|
050483331
|
2017-07-10
|
FORMEX INC
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-04-01
|
Business code |
333200
|
Sponsor’s telephone number |
4018859800
|
Plan sponsor’s
address |
3305 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818
|
Signature of
Role |
Plan administrator |
Date |
2017-07-10 |
Name of individual signing |
EDWARD P. SHEA JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMEX INC. 401 K PROFIT SHARING PLAN TRUST
|
2015
|
050483331
|
2016-05-19
|
FORMEX INC
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-04-01
|
Business code |
333200
|
Sponsor’s telephone number |
4018859800
|
Plan sponsor’s
address |
3305 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818
|
Signature of
Role |
Plan administrator |
Date |
2016-05-19 |
Name of individual signing |
EDWARD P. SHEA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMEX INC. 401 K PROFIT SHARING PLAN TRUST
|
2014
|
050483331
|
2015-05-26
|
FORMEX INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-04-01
|
Business code |
333200
|
Sponsor’s telephone number |
4018859800
|
Plan sponsor’s
address |
3305 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818
|
Signature of
Role |
Plan administrator |
Date |
2015-05-26 |
Name of individual signing |
EDWARD P. SHEA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMEX INC 401(K) PLAN AND TRUST
|
2013
|
050483331
|
2014-05-16
|
FORMEX INC
|
14
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/05/16/20140516091036P030399085953001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1996-04-01 |
Business code |
333900 |
Sponsor’s telephone number |
4018859800 |
Plan sponsor’s
address |
3305 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 028181434 |
Plan administrator’s name and address
Administrator’s EIN |
050483331 |
Plan administrator’s name |
FORMEX INC |
Plan administrator’s
address |
3305 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 028181434 |
Administrator’s telephone number |
4018859800 |
Signature of
Role |
Plan administrator |
Date |
2014-05-16 |
Name of individual signing |
ED SHEA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMEX INC 401(K) PLAN AND TRUST
|
2012
|
050483331
|
2013-05-01
|
FORMEX INC
|
15
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/01/20130501091327P040071056181001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1996-04-01 |
Business code |
333900 |
Sponsor’s telephone number |
4018859800 |
Plan sponsor’s
address |
3305 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 028181434 |
Plan administrator’s name and address
Administrator’s EIN |
050483331 |
Plan administrator’s name |
FORMEX INC |
Plan administrator’s
address |
3305 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 028181434 |
Administrator’s telephone number |
4018859800 |
Signature of
Role |
Plan administrator |
Date |
2013-05-01 |
Name of individual signing |
EDWARD SHEA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMEX INC 401(K) PLAN AND TRUST
|
2011
|
050483331
|
2012-07-30
|
FORMEX INC
|
15
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/30/20120730090041P040017884514001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1996-04-01 |
Business code |
333900 |
Sponsor’s telephone number |
4018859800 |
Plan sponsor’s
address |
3305 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 028181434 |
Plan administrator’s name and address
Administrator’s EIN |
050483331 |
Plan administrator’s name |
FORMEX INC |
Plan administrator’s
address |
3305 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 028181434 |
Administrator’s telephone number |
4018859800 |
Signature of
Role |
Plan administrator |
Date |
2012-07-30 |
Name of individual signing |
ED SHEA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMEX INC 401(K) PLAN AND TRUST
|
2010
|
050483331
|
2011-05-11
|
FORMEX INC
|
15
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/11/20110511135143P040266237760001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1996-04-01 |
Business code |
333900 |
Sponsor’s telephone number |
4018859800 |
Plan sponsor’s mailing address |
3305 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 028181434 |
Plan sponsor’s
address |
3305 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 028181434 |
Plan administrator’s name and address
Administrator’s EIN |
050483331 |
Plan administrator’s name |
FORMEX INC |
Plan administrator’s
address |
3305 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 028181434 |
Administrator’s telephone number |
4018859800 |
Number of participants as of the end of the plan year
Active participants |
14 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
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 |
14 |
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 |
2011-05-11 |
Name of individual signing |
ED SHEA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMEX INC 401(K) PLAN AND TRUST
|
2009
|
050483331
|
2010-06-03
|
FORMEX INC
|
15
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/03/20100603111326P030029231203001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1996-04-01 |
Business code |
333900 |
Sponsor’s telephone number |
4018859800 |
Plan sponsor’s mailing address |
3305 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 028181434 |
Plan sponsor’s
address |
3305 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 028181434 |
Plan administrator’s name and address
Administrator’s EIN |
050483331 |
Plan administrator’s name |
FORMEX INC |
Plan administrator’s
address |
3305 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 028181434 |
Administrator’s telephone number |
4018859800 |
Number of participants as of the end of the plan year
Active participants |
13 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
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 |
13 |
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 |
2010-06-03 |
Name of individual signing |
ED SHEA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|