EMPIRE INFUSION INC 401K EMPLOYEE SAVINGS PLAN
|
2010
|
161474166
|
2011-10-12
|
EMPIRE INFUSION, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
3154247027
|
Plan sponsor’s mailing address |
333 BUTTERNUT DR., DEWITT, NY, 13214
|
Plan sponsor’s
address |
333 BUTTERNUT DR., DEWITT, NY, 13214
|
Plan administrator’s name and address
Administrator’s EIN |
161474166 |
Plan administrator’s name |
EMPIRE INFUSION, INC. |
Plan administrator’s
address |
333 BUTTERNUT DR., DEWITT, NY, 13214 |
Administrator’s telephone number |
3154247027 |
Number of participants as of the end of the plan year
Active participants |
15 |
Retired or separated participants receiving
benefits |
7 |
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 |
21 |
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 |
2011-10-12 |
Name of individual signing |
SANDRA RAPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPIRE INFUSION INC PROFIT SHARING PLAN
|
2010
|
161474166
|
2011-10-12
|
EMPIRE INFUSION INC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
3154247027
|
Plan sponsor’s mailing address |
333 BUTTERNUT DR., DEWITT, NY, 13214
|
Plan sponsor’s
address |
333 BUTTERNUT DR., DEWITT, NY, 13214
|
Plan administrator’s name and address
Administrator’s EIN |
161474166 |
Plan administrator’s name |
EMPIRE INFUSION INC |
Plan administrator’s
address |
333 BUTTERNUT DR., DEWITT, NY, 13214 |
Administrator’s telephone number |
3154247027 |
Number of participants as of the end of the plan year
Active participants |
15 |
Retired or separated participants receiving
benefits |
7 |
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 |
21 |
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 |
2011-10-12 |
Name of individual signing |
SANDRA RAPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPIRE INFUSION, INC. 401(K) EMPLOYEE SAVINGS PLAN
|
2009
|
161474166
|
2010-10-14
|
EMPIRE INFUSION, INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
3154247027
|
Plan sponsor’s mailing address |
333 BUTTERNUT DR., DEWITT, NY, 13214
|
Plan sponsor’s
address |
333 BUTTERNUT DR., DEWITT, NY, 13214
|
Plan administrator’s name and address
Administrator’s EIN |
161474166 |
Plan administrator’s name |
EMPIRE INFUSION, INC. |
Plan administrator’s
address |
333 BUTTERNUT DR., DEWITT, NY, 13214 |
Administrator’s telephone number |
3154247027 |
Number of participants as of the end of the plan year
Active participants |
17 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
5 |
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 |
22 |
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 |
2010-10-14 |
Name of individual signing |
SANDY RAPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPIRE INFUSION, INC. 401(K) EMPLOYEE SAVINGS PLAN
|
2009
|
161474166
|
2010-09-23
|
EMPIRE INFUSION, INC.
|
18
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
3154247027
|
Plan sponsor’s mailing address |
333 BUTTERNUT DR., DEWITT, NY, 13214
|
Plan sponsor’s
address |
333 BUTTERNUT DR., DEWITT, NY, 13214
|
Plan administrator’s name and address
Administrator’s EIN |
161474166 |
Plan administrator’s name |
EMPIRE INFUSION, INC. |
Plan administrator’s
address |
333 BUTTERNUT DR., DEWITT, NY, 13214 |
Administrator’s telephone number |
3154247027 |
Number of participants as of the end of the plan year
Active participants |
17 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
5 |
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 |
22 |
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 |
2010-09-23 |
Name of individual signing |
SANDRA RAPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPIRE INFUSION, INC. PROFIT SHARING PLAN
|
2009
|
161474166
|
2010-09-23
|
EMPIRE INFUSION, INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
3154247027
|
Plan sponsor’s mailing address |
333 BUTTERNUT DR., DEWITT, NY, 13214
|
Plan sponsor’s
address |
333 BUTTERNUT DR., DEWITT, NY, 13214
|
Plan administrator’s name and address
Administrator’s EIN |
161474166 |
Plan administrator’s name |
EMPIRE INFUSION, INC. |
Plan administrator’s
address |
333 BUTTERNUT DR., DEWITT, NY, 13214 |
Administrator’s telephone number |
3154247027 |
Number of participants as of the end of the plan year
Active participants |
17 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
5 |
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 |
22 |
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 |
2010-09-23 |
Name of individual signing |
SANDRA RAPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|