DELAVAN INDUSTRIES, INC. 401(K) RETIREMENT PLAN
|
2013
|
752733054
|
2014-07-30
|
DELAVAN INDUSTRIES, INC.
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-06-01
|
Business code |
336990
|
Sponsor’s telephone number |
7166774080
|
Plan sponsor’s
address |
199 LEIN RD, WEST SENECA, NY, 142242434
|
Signature of
Role |
Plan administrator |
Date |
2014-07-30 |
Name of individual signing |
ROBERT STAPLES |
|
Role |
Employer/plan sponsor |
Date |
2014-07-30 |
Name of individual signing |
ROBERT STAPLES |
|
|
DELAVAN INDUSTRIES, INC. 401(K) RETIREMENT PLAN
|
2012
|
752733054
|
2013-07-22
|
DELAVAN INDUSTRIES, INC.
|
68
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-06-01
|
Business code |
336990
|
Sponsor’s telephone number |
7166774080
|
Plan sponsor’s
address |
199 LEIN RD, WEST SENECA, NY, 142242434
|
Signature of
Role |
Plan administrator |
Date |
2013-07-22 |
Name of individual signing |
ROBERT STAPLES |
|
Role |
Employer/plan sponsor |
Date |
2013-07-22 |
Name of individual signing |
ROBERT STAPLES |
|
|
DELAVAN INDUSTRIES HEALTH AND WELFARE BENEFITS PLAN
|
2011
|
752733054
|
2012-07-31
|
DELAVAN INDUSTRIES, INC.
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2011-05-01
|
Business code |
336990
|
Plan sponsor’s mailing address |
199 LEIN RD, WEST SENECA, NY, 14224
|
Plan sponsor’s
address |
199 LEIN RD, WEST SENECA, NY, 14224
|
Plan administrator’s name and address
Administrator’s EIN |
752733054 |
Plan administrator’s name |
DELAVAN INDUSTRIES, INC. |
Plan administrator’s
address |
199 LEIN RD, WEST SENECA, NY, 14224 |
Number of participants as of the end of the plan year
Active participants |
38 |
Retired or separated participants receiving
benefits |
1 |
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 |
2012-07-31 |
Name of individual signing |
VANTHONG DORN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DELAVAN INDUSTRIES, INC. 401(K) RETIREMENT PLAN
|
2011
|
752733054
|
2012-03-23
|
DELAVAN INDUSTRIES, INC.
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-06-01
|
Business code |
336990
|
Sponsor’s telephone number |
7166774080
|
Plan sponsor’s
address |
199 LEIN RD, WEST SENECA, NY, 142242434
|
Plan administrator’s name and address
Administrator’s EIN |
752733054 |
Plan administrator’s name |
DELAVAN INDUSTRIES, INC. |
Plan administrator’s
address |
199 LEIN RD, WEST SENECA, NY, 142242434 |
Administrator’s telephone number |
7166774080 |
Signature of
Role |
Plan administrator |
Date |
2012-03-23 |
Name of individual signing |
VANTHONG DORN |
|
Role |
Employer/plan sponsor |
Date |
2012-03-23 |
Name of individual signing |
VANTHONG DORN |
|
|
DELAVAN INDUSTRIES HEALTH AND WELFARE BENEFITS PLAN
|
2010
|
752733054
|
2011-11-10
|
DELAVAN INDUSTRIES, INC.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2010-05-01
|
Business code |
336990
|
Sponsor’s telephone number |
7166774080
|
Plan sponsor’s mailing address |
199 LEIN ROAD, WEST SENECA, NY, 14224
|
Plan sponsor’s
address |
199 LEIN ROAD, WEST SENECA, NY, 14224
|
Plan administrator’s name and address
Administrator’s EIN |
752733054 |
Plan administrator’s name |
DELAVAN INDUSTRIES, INC. |
Plan administrator’s
address |
199 LEIN ROAD, WEST SENECA, NY, 14224 |
Administrator’s telephone number |
7166774080 |
Number of participants as of the end of the plan year
Active participants |
48 |
Retired or separated participants receiving
benefits |
1 |
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 |
2011-11-10 |
Name of individual signing |
VANTHONG DORN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DELAVAN INDUSTRIES, INC. 401(K) RETIREMENT PLAN
|
2010
|
752733054
|
2011-07-07
|
DELAVAN INDUSTRIES, INC.
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-06-01
|
Business code |
336990
|
Sponsor’s telephone number |
7166774080
|
Plan sponsor’s
address |
199 LEIN RD, WEST SENECA, NY, 142242434
|
Plan administrator’s name and address
Administrator’s EIN |
752733054 |
Plan administrator’s name |
DELAVAN INDUSTRIES, INC. |
Plan administrator’s
address |
199 LEIN RD, WEST SENECA, NY, 142242434 |
Administrator’s telephone number |
7166774080 |
Signature of
Role |
Plan administrator |
Date |
2011-07-07 |
Name of individual signing |
VANTHONG DORN |
|
Role |
Employer/plan sponsor |
Date |
2011-07-07 |
Name of individual signing |
VANTHONG DORN |
|
|
DELAVAN INDUSTRIES HEALTH AND WELFARE BENEFITS PLAN
|
2009
|
752733054
|
2011-01-13
|
DELAVAN INDUSTRIES, INC.
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2009-05-01
|
Business code |
336990
|
Sponsor’s telephone number |
7166774080
|
Plan sponsor’s mailing address |
199 LEIN ROAD, WEST SENECA, NY, 14224
|
Plan sponsor’s
address |
199 LEIN ROAD, WEST SENECA, NY, 14224
|
Plan administrator’s name and address
Administrator’s EIN |
752733054 |
Plan administrator’s name |
DELAVAN INDUSTRIES, INC. |
Plan administrator’s
address |
199 LEIN ROAD, WEST SENECA, NY, 14224 |
Administrator’s telephone number |
7166774080 |
Number of participants as of the end of the plan year
Active participants |
33 |
Retired or separated participants receiving
benefits |
6 |
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 |
2011-01-13 |
Name of individual signing |
VANTHONG DORN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DELAVAN INDUSTRIES, INC. 401(K) RETIREMENT PLAN
|
2009
|
752733054
|
2010-07-26
|
DELAVAN INDUSTRIES, INC.
|
90
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-06-01
|
Business code |
336990
|
Sponsor’s telephone number |
7166774080
|
Plan sponsor’s
address |
199 LEIN RD, WEST SENECA, NY, 142242434
|
Plan administrator’s name and address
Administrator’s EIN |
752733054 |
Plan administrator’s name |
DELAVAN INDUSTRIES, INC. |
Plan administrator’s
address |
199 LEIN RD, WEST SENECA, NY, 142242434 |
Administrator’s telephone number |
7166774080 |
Signature of
Role |
Plan administrator |
Date |
2010-07-26 |
Name of individual signing |
VANTHONG DORN |
|
Role |
Employer/plan sponsor |
Date |
2010-07-26 |
Name of individual signing |
VANTHONG DORN |
|
|