PAWTUCKET MUTUAL INSURANCE CO. DEFINED BENEFIT PENSION PLAN AND TRUST
|
2017
|
050197250
|
2018-10-31
|
PAWTUCKET INSURANCE COMPANY
|
92
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1950-04-01
|
Business code |
524140
|
Sponsor’s telephone number |
4017255600
|
Plan sponsor’s mailing address |
P.O. BOX 820, PAWTUCKET, RI, 028620820
|
Plan sponsor’s
address |
25 MAPLE STREET, PAWTUCKET, RI, 028620820
|
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 that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-10-29 |
Name of individual signing |
JACQUELINE NOYES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-31 |
Name of individual signing |
KIRKLUSK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAWTUCKET MUTUAL INSURANCE CO. DEFINED BENEFIT PENSION PLAN AND TRUST
|
2016
|
050197250
|
2018-01-01
|
PAWTUCKET INSURANCE COMPANY
|
107
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1950-04-01
|
Business code |
524140
|
Sponsor’s telephone number |
4017255600
|
Plan sponsor’s mailing address |
P.O. BOX 820, PAWTUCKET, RI, 028620820
|
Plan sponsor’s
address |
25 MAPLE STREET, PAWTUCKET, RI, 028620820
|
Number of participants as of the end of the plan year
Active participants |
7 |
Retired or separated participants receiving
benefits |
56 |
Other
retired or separated participants entitled to future benefits |
24 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
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 |
2017-12-21 |
Name of individual signing |
JACQUELINE NOYES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-12-28 |
Name of individual signing |
KIRK LUSK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAWTUCKET MUTUAL INSURANCE CO. DEFINED BENEFIT PENSION PLAN AND TRUST
|
2015
|
050197250
|
2017-01-13
|
PAWTUCKET INSURANCE COMPANY
|
107
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1950-04-01
|
Business code |
524140
|
Sponsor’s telephone number |
4017255600
|
Plan sponsor’s mailing address |
P.O. BOX 820, PAWTUCKET, RI, 028620820
|
Plan sponsor’s
address |
25 MAPLE STREET, PAWTUCKET, RI, 028620820
|
Number of participants as of the end of the plan year
Active participants |
7 |
Retired or separated participants receiving
benefits |
55 |
Other
retired or separated participants entitled to future benefits |
40 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
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 |
2017-01-13 |
Name of individual signing |
JACQUELLINE NOYES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-01-13 |
Name of individual signing |
KIRK LUSK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAWTUCKET MUTUAL INSURANCE CO. DEFINED BENEFIT PENSION PLAN AND TRUST
|
2014
|
050197250
|
2016-01-12
|
PAWTUCKET INSURANCE COMPANY
|
144
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1950-04-01
|
Business code |
524140
|
Sponsor’s telephone number |
4017255600
|
Plan sponsor’s mailing address |
P.O. BOX 820, PAWTUCKET, RI, 028620820
|
Plan sponsor’s
address |
25 MAPLE STREET, PAWTUCKET, RI, 028620820
|
Number of participants as of the end of the plan year
Active participants |
7 |
Retired or separated participants receiving
benefits |
56 |
Other
retired or separated participants entitled to future benefits |
40 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
4 |
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 |
2016-01-12 |
Name of individual signing |
BETH MCCARTHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-01-12 |
Name of individual signing |
KIRK LUSK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAWTUCKET MUTUAL INSURANCE CO. DEFINED BENEFIT PENSION PLAN AND TRUST
|
2013
|
050197250
|
2015-01-15
|
PAWTUCKET INSURANCE COMPANY
|
144
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1950-04-01
|
Business code |
524140
|
Sponsor’s telephone number |
4017255600
|
Plan sponsor’s mailing address |
P.O. BOX 820, PAWTUCKET, RI, 028620820
|
Plan sponsor’s
address |
25 MAPLE STREET, PAWTUCKET, RI, 028620820
|
Number of participants as of the end of the plan year
Active participants |
7 |
Retired or separated participants receiving
benefits |
54 |
Other
retired or separated participants entitled to future benefits |
80 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
3 |
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 |
2015-01-14 |
Name of individual signing |
BETH MCCARTHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-01-15 |
Name of individual signing |
KIRK LUSK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAWTUCKET MUTUAL INSURANCE CO. DEFINED BENEFIT PENSION PLAN AND TRUST
|
2012
|
050197250
|
2014-01-15
|
PAWTUCKET INSURANCE COMPANY
|
144
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1950-04-01
|
Business code |
524140
|
Sponsor’s telephone number |
4017255600
|
Plan sponsor’s mailing address |
P.O. BOX 820, PAWTUCKET, RI, 028620820
|
Plan sponsor’s
address |
25 MAPLE STREET, PAWTUCKET, RI, 028620820
|
Number of participants as of the end of the plan year
Active participants |
7 |
Retired or separated participants receiving
benefits |
49 |
Other
retired or separated participants entitled to future benefits |
85 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
3 |
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 |
2014-01-15 |
Name of individual signing |
BETH GRAHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-01-15 |
Name of individual signing |
KIRK LUSK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAWTUCKET MUTUAL INSURANCE CO. DEFINED BENEFIT PENSION PLAN AND TRUST
|
2011
|
050197250
|
2013-01-15
|
PAWTUCKET INSURANCE COMPANY
|
146
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1950-04-01
|
Business code |
524140
|
Sponsor’s telephone number |
4017255600
|
Plan sponsor’s mailing address |
P.O. BOX 820, PAWTUCKET, RI, 028620820
|
Plan sponsor’s
address |
25 MAPLE STREET, PAWTUCKET, RI, 028620820
|
Plan administrator’s name and address
Administrator’s EIN |
050197250 |
Plan administrator’s name |
PAWTUCKET INSURANCE COMPANY |
Plan administrator’s
address |
P.O. BOX 820, PAWTUCKET, RI, 028620820 |
Administrator’s telephone number |
4017255600 |
Number of participants as of the end of the plan year
Active participants |
7 |
Retired or separated participants receiving
benefits |
49 |
Other
retired or separated participants entitled to future benefits |
85 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
3 |
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 |
2013-01-15 |
Name of individual signing |
SEAN F. MURPHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAWTUCKET MUTUAL INSURANCE CO. DEFINED BENEFIT PENSION PLAN AND TRUST
|
2010
|
050197250
|
2012-01-16
|
PAWTUCKET INSURANCE COMPANY
|
146
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1950-04-01
|
Business code |
524140
|
Sponsor’s telephone number |
4017255600
|
Plan sponsor’s mailing address |
P.O. BOX 820, PAWTUCKET, RI, 028620820
|
Plan sponsor’s
address |
25 MAPLE STREET, PAWTUCKET, RI, 028620820
|
Plan administrator’s name and address
Administrator’s EIN |
050197250 |
Plan administrator’s name |
PAWTUCKET INSURANCE COMPANY |
Plan administrator’s
address |
P.O. BOX 820, PAWTUCKET, RI, 028620820 |
Administrator’s telephone number |
4017255600 |
Number of participants as of the end of the plan year
Active participants |
8 |
Retired or separated participants receiving
benefits |
49 |
Other
retired or separated participants entitled to future benefits |
86 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
3 |
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 |
2012-01-16 |
Name of individual signing |
SEAN F. MURPHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAWTUCKET MUTUAL INSURANCE CO. DEFINED BENEFIT PENSION PLAN AND TRUST
|
2009
|
050197250
|
2011-01-17
|
PAWTUCKET INSURANCE COMPANY
|
146
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1950-04-01
|
Business code |
524140
|
Sponsor’s telephone number |
4017255600
|
Plan sponsor’s mailing address |
P.O. BOX 820, PAWTUCKET, RI, 028620820
|
Plan sponsor’s
address |
25 MAPLE STREET, PAWTUCKET, RI, 028620820
|
Plan administrator’s name and address
Administrator’s EIN |
050197250 |
Plan administrator’s name |
PAWTUCKET INSURANCE COMPANY |
Plan administrator’s
address |
P.O. BOX 820, PAWTUCKET, RI, 028620820 |
Administrator’s telephone number |
4017255600 |
Number of participants as of the end of the plan year
Active participants |
10 |
Retired or separated participants receiving
benefits |
48 |
Other
retired or separated participants entitled to future benefits |
85 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
3 |
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 |
2011-01-17 |
Name of individual signing |
SEAN F. MURPHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|