VYBION, INC. RETIREMENT PLAN
|
2014
|
161463551
|
2016-06-27
|
VYBION, INC.
|
0
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
6072077879
|
Plan
sponsor’s DBA name |
1954
|
Plan sponsor’s
address |
PO BOX 4030, 2F, ITHACA, NY, 14852
|
Signature of
Role |
Plan administrator |
Date |
2016-06-27 |
Name of individual signing |
RICHARD HENDRICK |
|
Role |
Employer/plan sponsor |
Date |
2016-06-27 |
Name of individual signing |
RICHARD HENDRICK |
|
|
VYBION, INC. RETIREMENT PLAN
|
2014
|
161463551
|
2016-09-13
|
VYBION, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
6072077879
|
Plan
sponsor’s DBA name |
1954
|
Plan sponsor’s
address |
PO BOX 4030, 2F, ITHACA, NY, 14852
|
Signature of
Role |
Plan administrator |
Date |
2016-09-13 |
Name of individual signing |
RICHARD HENDRICK |
|
Role |
Employer/plan sponsor |
Date |
2016-09-13 |
Name of individual signing |
RICHARD HENDRICK |
|
|
VYBION, INC. RETIREMENT PLAN
|
2012
|
161463551
|
2013-10-11
|
VYBION, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
6072660860
|
Plan sponsor’s mailing address |
33 THORNWOOD DRIVE, SUITE #104, ITHACA, NY, 14850
|
Plan sponsor’s
address |
33 THORNWOOD DRIVE, SUITE #104, ITHACA, NY, 14850
|
Plan administrator’s name and address
Administrator’s EIN |
161463551 |
Plan administrator’s name |
VYBION, INC. |
Plan administrator’s
address |
33 THORNWOOD DRIVE, SUITE #104, ITHACA, NY, 14850 |
Administrator’s telephone number |
6072660860 |
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 |
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 |
10 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2013-10-11 |
Name of individual signing |
RICHARD HENDRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VYBION, INC. RETIREMENT PLAN
|
2011
|
161463551
|
2012-07-30
|
VYBION, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
6072660860
|
Plan sponsor’s mailing address |
33 THORNWOOD DRIVE, SUITE #400, ITHACA, NY, 14850
|
Plan sponsor’s
address |
33 THORNWOOD DRIVE, SUITE #400, ITHACA, NY, 14850
|
Plan administrator’s name and address
Administrator’s EIN |
161463551 |
Plan administrator’s name |
VYBION, INC. |
Plan administrator’s
address |
33 THORNWOOD DRIVE, SUITE #400, ITHACA, NY, 14850 |
Administrator’s telephone number |
6072660860 |
Number of participants as of the end of the plan year
Active participants |
6 |
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 |
11 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2012-07-30 |
Name of individual signing |
RICHARD HENDRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VYBION, INC. RETIREMENT PLAN
|
2010
|
161463551
|
2011-10-10
|
VYBION, INC.
|
14
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
6072660860
|
Plan sponsor’s mailing address |
33 THORNWOOD DRIVE, SUITE #400, ITHACA, NY, 14850
|
Plan sponsor’s
address |
33 THORNWOOD DRIVE, SUITE #400, ITHACA, NY, 14850
|
Plan administrator’s name and address
Administrator’s EIN |
161463551 |
Plan administrator’s name |
VYBION, INC. |
Plan administrator’s
address |
33 THORNWOOD DRIVE, SUITE #400, ITHACA, NY, 14850 |
Administrator’s telephone number |
6072660860 |
Number of participants as of the end of the plan year
Active participants |
9 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
4 |
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 |
11 |
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 |
2011-10-10 |
Name of individual signing |
RICHARD HENDRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VYBION, INC. RETIREMENT PLAN
|
2010
|
161463551
|
2011-10-10
|
VYBION, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
6072660860
|
Plan sponsor’s mailing address |
33 THORNWOOD DRIVE, SUITE #400, ITHACA, NY, 14850
|
Plan sponsor’s
address |
33 THORNWOOD DRIVE, SUITE #400, ITHACA, NY, 14850
|
Plan administrator’s name and address
Administrator’s EIN |
161463551 |
Plan administrator’s name |
VYBION, INC. |
Plan administrator’s
address |
33 THORNWOOD DRIVE, SUITE #400, ITHACA, NY, 14850 |
Administrator’s telephone number |
6072660860 |
Number of participants as of the end of the plan year
Active participants |
9 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
4 |
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 |
11 |
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 |
2011-10-10 |
Name of individual signing |
RICHARD HENDRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VYBION, INC. RETIREMENT PLAN
|
2010
|
161463551
|
2011-10-10
|
VYBION, INC.
|
14
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
6072660860
|
Plan sponsor’s mailing address |
33 THORNWOOD DRIVE, SUITE #400, ITHACA, NY, 14850
|
Plan sponsor’s
address |
33 THORNWOOD DRIVE, SUITE #400, ITHACA, NY, 14850
|
Plan administrator’s name and address
Administrator’s EIN |
161463551 |
Plan administrator’s name |
VYBION, INC. |
Plan administrator’s
address |
33 THORNWOOD DRIVE, SUITE #400, ITHACA, NY, 14850 |
Administrator’s telephone number |
6072660860 |
Number of participants as of the end of the plan year
Active participants |
9 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
4 |
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 |
11 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-10-10 |
Name of individual signing |
RICHARD HENDRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VYBION, INC. RETIREMENT PLAN
|
2009
|
161463551
|
2010-10-05
|
VYBION, INC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
6072660860
|
Plan sponsor’s mailing address |
33 THORNWOOD DRIVE, SUITE 400, ITHACA, NY, 14850
|
Plan sponsor’s
address |
33 THORNWOOD DRIVE, SUITE 400, ITHACA, NY, 14850
|
Plan administrator’s name and address
Administrator’s EIN |
161463551 |
Plan administrator’s name |
VYBION, INC |
Plan administrator’s
address |
33 THORNWOOD DRIVE, SUITE 400, ITHACA, NY, 14850 |
Administrator’s telephone number |
6072660860 |
Number of participants as of the end of the plan year
Active participants |
10 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
4 |
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 |
12 |
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 |
RICHARD HENDRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|