|
LASERVALL NORTH AMERICA 401(K) PLAN
|
2015
|
050519052
|
2016-06-23
|
LASERVALL NORTH AMERICA
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
423800
|
| Sponsor’s telephone number |
4017240076
|
| Plan sponsor’s
address |
136 NEWELL AVENUE, PAWTUCKET, RI, 02860
|
Signature of
| Role |
Plan administrator |
| Date |
2016-06-23 |
| Name of individual signing |
ROSEMARIE SPOONER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2016-06-23 |
| Name of individual signing |
ROSEMARIE SPOONER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LASERVALL NORTH AMERICA 401(K) PLAN
|
2014
|
050519052
|
2015-06-12
|
LASERVALL NORTH AMERICA
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
423800
|
| Sponsor’s telephone number |
4017240076
|
| Plan sponsor’s
address |
136 NEWELL AVENUE, PAWTUCKET, RI, 02860
|
Signature of
| Role |
Plan administrator |
| Date |
2015-06-12 |
| Name of individual signing |
ROSEMARIE SPOONER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LASERVALL NORTH AMERICA 401(K) PLAN
|
2013
|
050519052
|
2014-05-30
|
LASERVALL NORTH AMERICA
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
423800
|
| Sponsor’s telephone number |
4017240076
|
| Plan sponsor’s
address |
136 NEWELL AVE, PAWTUCKET, RI, 02860
|
Signature of
| Role |
Plan administrator |
| Date |
2014-05-30 |
| Name of individual signing |
KIM REVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LASERVALL NORTH AMERICA 401(K) PLAN
|
2012
|
050519052
|
2013-06-17
|
LASERVALL NORTH AMERICA
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
423800
|
| Sponsor’s telephone number |
4017240076
|
| Plan sponsor’s
address |
136 NEWELL AVE, PAWTUCKET, RI, 02860
|
Signature of
| Role |
Plan administrator |
| Date |
2013-06-17 |
| Name of individual signing |
KIM REVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LASERVALL NORTH AMERICA 401(K) PLAN
|
2011
|
050519052
|
2012-06-05
|
LASERVALL NORTH AMERICA
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
423800
|
| Sponsor’s telephone number |
4017240076
|
| Plan sponsor’s
address |
136 NEWELL AVE, PAWTUCKET, RI, 02860
|
Plan administrator’s name and address
| Administrator’s EIN |
050519052 |
| Plan administrator’s name |
LASERVALL NORTH AMERICA |
| Plan administrator’s
address |
136 NEWELL AVE, PAWTUCKET, RI, 02860 |
| Administrator’s telephone number |
4017240076 |
Signature of
| Role |
Plan administrator |
| Date |
2012-06-05 |
| Name of individual signing |
KIM REVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LASERVALL NORTH AMERICA 401(K) PLAN
|
2010
|
050519052
|
2011-06-14
|
LASERVALL NORTH AMERICA
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
423800
|
| Sponsor’s telephone number |
4017240076
|
| Plan sponsor’s
address |
136 NEWELL AVE, PAWTUCKET, RI, 02860
|
Plan administrator’s name and address
| Administrator’s EIN |
050519052 |
| Plan administrator’s name |
LASERVALL NORTH AMERICA |
| Plan administrator’s
address |
136 NEWELL AVE, PAWTUCKET, RI, 02860 |
| Administrator’s telephone number |
4017240076 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-14 |
| Name of individual signing |
KIM REVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LASERVALL NORTH AMERICA 401(K) PLAN
|
2009
|
050519052
|
2010-10-05
|
LASERVALL NORTH AMERICA
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
423800
|
| Sponsor’s telephone number |
4017240076
|
| Plan sponsor’s mailing address |
136 NEWELL AVE, PAWTUCKET, RI, 02860
|
| Plan sponsor’s
address |
136 NEWELL AVE, PAWTUCKET, RI, 02860
|
Plan administrator’s name and address
| Administrator’s EIN |
050519052 |
| Plan administrator’s name |
LASERVALL NORTH AMERICA |
| Plan administrator’s
address |
136 NEWELL AVE, PAWTUCKET, RI, 02860 |
| Administrator’s telephone number |
4017240076 |
Number of participants as of the end of the plan year
| Active participants |
5 |
| 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 |
5 |
| 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 |
2010-10-05 |
| Name of individual signing |
KIMBERLY REVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
