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 |
|
|