POWERS FASTENERS, INC. LONG-TERM DISABILITY PLAN
|
2011
|
131840500
|
2012-07-26
|
POWERS FASTENERS, INC.
|
161
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2006-01-01
|
Business code |
423990
|
Sponsor’s telephone number |
9142356300
|
Plan sponsor’s mailing address |
2 POWERS LANE, BREWSTER, NY, 10509
|
Plan sponsor’s
address |
2 POWERS LANE, BREWSTER, NY, 10509
|
Plan administrator’s name and address
Administrator’s EIN |
131840500 |
Plan administrator’s name |
POWERS FASTENERS, INC. |
Plan administrator’s
address |
2 POWERS LANE, BREWSTER, NY, 10509 |
Administrator’s telephone number |
9142356300 |
Number of participants as of the end of the plan year
Active participants |
159 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
NORMA ARELLANO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POWERS FASTENERS, INC. AD&D INSURANCE PLAN
|
2011
|
131840500
|
2012-07-26
|
POWERS FASTENERS, INC.
|
160
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-12-31
|
Business code |
423990
|
Sponsor’s telephone number |
9142356300
|
Plan sponsor’s mailing address |
2 POWERS LANE, BREWSTER, NY, 10509
|
Plan sponsor’s
address |
2 POWERS LANE, BREWSTER, NY, 10509
|
Plan administrator’s name and address
Administrator’s EIN |
131840500 |
Plan administrator’s name |
POWERS FASTENERS, INC. |
Plan administrator’s
address |
2 POWERS LANE, BREWSTER, NY, 10509 |
Administrator’s telephone number |
9142356300 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
NORMA ARELLANO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POWERS FASTENERS, INC. VOLUNTARY DENTAL PLAN
|
2010
|
131840500
|
2011-12-20
|
POWERS FASTENERS, INC.
|
84
|
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2008-06-01
|
Business code |
332700
|
Sponsor’s telephone number |
9142356300
|
Plan sponsor’s mailing address |
2 POWERS LANE, BREWSTER, NY, 10509
|
Plan sponsor’s
address |
2 POWERS LANE, BREWSTER, NY, 10509
|
Plan administrator’s name and address
Administrator’s EIN |
131840500 |
Plan administrator’s name |
POWERS FASTENERS, INC. |
Plan administrator’s
address |
2 POWERS LANE, BREWSTER, NY, 10509 |
Administrator’s telephone number |
9142356300 |
Number of participants as of the end of the plan year
Active participants |
89 |
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 |
Signature of
Role |
Plan administrator |
Date |
2011-12-20 |
Name of individual signing |
KAREN FLEMING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE POWERS FASTENERS, INC. AND ASSOCIATED COMPANIES PENSION PLAN
|
2010
|
131840500
|
2011-12-27
|
POWERS FASTENERS, INC.
|
101
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1949-06-01
|
Business code |
332510
|
Sponsor’s telephone number |
9142356300
|
Plan sponsor’s mailing address |
2 POWERS LANE, BREWSTER, NY, 10509
|
Plan sponsor’s
address |
2 POWERS LANE, BREWSTER, NY, 10509
|
Plan administrator’s name and address
Administrator’s EIN |
131840500 |
Plan administrator’s name |
POWERS FASTENERS, INC. |
Plan administrator’s
address |
2 POWERS LANE, BREWSTER, NY, 10509 |
Administrator’s telephone number |
9142356300 |
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 |
2011-11-18 |
Name of individual signing |
CHRISTOPHER POWERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE POWERS FASTENERS, INC. AND ASSOCIATED COMPANIES PENSION PLAN
|
2010
|
131840500
|
2011-10-31
|
POWERS FASTENERS, INC.
|
101
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1949-06-01
|
Business code |
332510
|
Sponsor’s telephone number |
9142356300
|
Plan sponsor’s mailing address |
2 POWERS LANE, BREWSTER, NY, 10509
|
Plan sponsor’s
address |
2 POWERS LANE, BREWSTER, NY, 10509
|
Plan administrator’s name and address
Administrator’s EIN |
131840500 |
Plan administrator’s name |
POWERS FASTENERS, INC. |
Plan administrator’s
address |
2 POWERS LANE, BREWSTER, NY, 10509 |
Administrator’s telephone number |
9142356300 |
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 |
2011-10-31 |
Name of individual signing |
CHRISTOPHER POWERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POWERS FASTENERS, INC. LIFE INSURANCE PLAN
|
2010
|
131840500
|
2011-07-21
|
POWERS FASTENERS, INC.
|
152
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-01-01
|
Business code |
423990
|
Sponsor’s telephone number |
9142356300
|
Plan sponsor’s mailing address |
2 POWERS LANE, BREWSTER, NY, 10509
|
Plan sponsor’s
address |
2 POWERS LANE, BREWSTER, NY, 10509
|
Plan administrator’s name and address
Administrator’s EIN |
131840500 |
Plan administrator’s name |
POWERS FASTENERS, INC. |
Plan administrator’s
address |
2 POWERS LANE, BREWSTER, NY, 10509 |
Administrator’s telephone number |
9142356300 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-07-21 |
Name of individual signing |
KAREN FLEMING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POWERS FASTENERS, INC. LONG-TERM DISABILITY PLAN
|
2010
|
131840500
|
2011-07-21
|
POWERS FASTENERS, INC
|
154
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2006-01-01
|
Business code |
423990
|
Sponsor’s telephone number |
9142356300
|
Plan sponsor’s mailing address |
2 POWERS LANE, BREWSTER, NY, 10509
|
Plan sponsor’s
address |
2 POWERS LANE, BREWSTER, NY, 10509
|
Plan administrator’s name and address
Administrator’s EIN |
131840500 |
Plan administrator’s name |
POWERS FASTENERS, INC |
Plan administrator’s
address |
2 POWERS LANE, BREWSTER, NY, 10509 |
Administrator’s telephone number |
9142356300 |
Number of participants as of the end of the plan year
Active participants |
159 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2011-07-21 |
Name of individual signing |
KAREN FLEMING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POWERS FASTENERS, INC. VOLUNTARY DENTAL PLAN
|
2009
|
131840500
|
2010-12-16
|
POWERS FASTENERS, INC.
|
92
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2008-06-01
|
Business code |
332700
|
Sponsor’s telephone number |
9142356300
|
Plan sponsor’s mailing address |
2 POWERS LANE, BREWSTER, NY, 10509
|
Plan sponsor’s
address |
2 POWERS LANE, BREWSTER, NY, 10509
|
Plan administrator’s name and address
Administrator’s EIN |
131840500 |
Plan administrator’s name |
POWERS FASTENERS, INC. |
Plan administrator’s
address |
2 POWERS LANE, BREWSTER, NY, 10509 |
Administrator’s telephone number |
9142356300 |
Number of participants as of the end of the plan year
Active participants |
84 |
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 |
Signature of
Role |
Plan administrator |
Date |
2010-12-16 |
Name of individual signing |
KAREN FLEMING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POWERS FASTENERS INC. AD&D INSURANCE PLAN
|
2009
|
131840500
|
2011-07-21
|
POWERS FASTENERS, INC.
|
152
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-12-31
|
Business code |
423990
|
Sponsor’s telephone number |
9142356300
|
Plan sponsor’s mailing address |
2 POWERS LANE, BREWSTER, NY, 10509
|
Plan sponsor’s
address |
2 POWERS LANE, BREWSTER, NY, 10509
|
Plan administrator’s name and address
Administrator’s EIN |
131840500 |
Plan administrator’s name |
POWERS FASTENERS, INC. |
Plan administrator’s
address |
2 POWERS LANE, BREWSTER, NY, 10509 |
Administrator’s telephone number |
9142356300 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-07-21 |
Name of individual signing |
KAREN FLEMING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POWERS FASTENERS, INC. LONG-TERM DISABILITY PLAN
|
2009
|
131840500
|
2010-07-20
|
POWERS FASTENERS, INC.
|
202
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2006-01-01
|
Business code |
423900
|
Sponsor’s telephone number |
9142356300
|
Plan sponsor’s mailing address |
2 POWERS LANE, BREWSTER, NY, 10509
|
Plan sponsor’s
address |
2 POWERS LANE, BREWSTER, NY, 10509
|
Plan administrator’s name and address
Administrator’s EIN |
131840500 |
Plan administrator’s name |
POWERS FASTENERS, INC. |
Plan administrator’s
address |
2 POWERS LANE, BREWSTER, NY, 10509 |
Administrator’s telephone number |
9142356300 |
Number of participants as of the end of the plan year
Active participants |
152 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-07-20 |
Name of individual signing |
KAREN FLEMING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|