PECKHAM INDUSTRIES, INC GROUP TERM LIFE & AD&D INSURANCE PLAN
|
2013
|
131724577
|
2014-07-31
|
PECKHAM INDUSTRIES, INC
|
397
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2001-10-01
|
Business code |
237310
|
Sponsor’s telephone number |
9149492000
|
Plan sponsor’s mailing address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603
|
Plan sponsor’s
address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603
|
Plan administrator’s name and address
Administrator’s EIN |
131724577 |
Plan administrator’s name |
PECKHAM INDUSTRIES, INC |
Plan administrator’s
address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603 |
Administrator’s telephone number |
9149492000 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-07-31 |
Name of individual signing |
RICHARD ANTES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-31 |
Name of individual signing |
RICHARD ANTES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PECKHAM INDUSTRIES, INC GROUP DENTAL & VISION PLAN
|
2013
|
131724577
|
2014-07-31
|
PECKHAM INDUSTRIES, INC
|
397
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2003-02-01
|
Business code |
237310
|
Sponsor’s telephone number |
9149492000
|
Plan sponsor’s mailing address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603
|
Plan sponsor’s
address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603
|
Plan administrator’s name and address
Administrator’s EIN |
131724577 |
Plan administrator’s name |
PECKHAM INDUSTRIES, INC |
Plan administrator’s
address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603 |
Administrator’s telephone number |
9149492000 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-07-31 |
Name of individual signing |
RICHARD ANTES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-31 |
Name of individual signing |
RICHARD ANTES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PECKHAM INDUSTRIES, INC LONG TERM DISABILITY PLAN
|
2013
|
131724577
|
2014-07-31
|
PECKHAM INDUSTRIES, INC
|
280
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2008-05-01
|
Business code |
237310
|
Sponsor’s telephone number |
9149492000
|
Plan sponsor’s mailing address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603
|
Plan sponsor’s
address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-07-31 |
Name of individual signing |
RICHARD ANTES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-31 |
Name of individual signing |
RICHARD ANTES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PECKHAM INDUSTRIES, INC. DEFERRED COMPENSATION PROFIT SHARING THRIFT PLAN
|
2012
|
131724577
|
2013-10-15
|
PECKHAM INDUSTRIES, INC.
|
437
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1982-05-01
|
Business code |
237310
|
Sponsor’s telephone number |
9149492000
|
Plan sponsor’s mailing address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603
|
Plan sponsor’s
address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603
|
Plan administrator’s name and address
Administrator’s EIN |
131724577 |
Plan administrator’s name |
PECKHAM INDUSTRIES, INC. |
Plan administrator’s
address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603 |
Administrator’s telephone number |
9149492000 |
Number of participants as of the end of the plan year
Active participants |
412 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
86 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
5 |
Number of
participants
with
account balances as of the end of the plan year |
431 |
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 |
2013-10-15 |
Name of individual signing |
RICHARD ANTES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-15 |
Name of individual signing |
RICHARD ANTES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PECKHAM INDUSTRIES, INC LONG TERM DISABILITY PLAN
|
2012
|
131724577
|
2013-07-29
|
PECKHAM INDUSTRIES, INC
|
266
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2008-05-01
|
Business code |
237310
|
Sponsor’s telephone number |
9149492000
|
Plan sponsor’s mailing address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603
|
Plan sponsor’s
address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-29 |
Name of individual signing |
RICHARD ANTES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-29 |
Name of individual signing |
RICHARD ANTES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PECKHAM INDUSTRIES, INC GROUP DENTAL & VISION PLAN
|
2012
|
131724577
|
2013-07-29
|
PECKHAM INDUSTRIES, INC
|
338
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2003-02-01
|
Business code |
237310
|
Sponsor’s telephone number |
9149492000
|
Plan sponsor’s mailing address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603
|
Plan sponsor’s
address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603
|
Plan administrator’s name and address
Administrator’s EIN |
131724577 |
Plan administrator’s name |
PECKHAM INDUSTRIES, INC |
Plan administrator’s
address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603 |
Administrator’s telephone number |
9149492000 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-29 |
Name of individual signing |
RICHARD ANTES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-29 |
Name of individual signing |
RICHARD ANTES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PECKHAM INDUSTRIES, INC GROUP TERM LIFE & AD&D INSURANCE PLAN
|
2012
|
131724577
|
2013-07-29
|
PECKHAM INDUSTRIES, INC
|
338
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2001-10-01
|
Business code |
237310
|
Sponsor’s telephone number |
9149492000
|
Plan sponsor’s mailing address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603
|
Plan sponsor’s
address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603
|
Plan administrator’s name and address
Administrator’s EIN |
131724577 |
Plan administrator’s name |
PECKHAM INDUSTRIES, INC |
Plan administrator’s
address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603 |
Administrator’s telephone number |
9149492000 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-29 |
Name of individual signing |
RICHARD ANTES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-29 |
Name of individual signing |
RICHARD ANTES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PECKHAM INDUSTRIES, INC. DEFERRED COMPENSATION PROFIT SHARING THRIFT PLAN
|
2011
|
131724577
|
2012-10-09
|
PECKHAM INDUSTRIES, INC.
|
383
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1982-05-01
|
Business code |
237310
|
Sponsor’s telephone number |
9149492000
|
Plan sponsor’s mailing address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603
|
Plan sponsor’s
address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603
|
Plan administrator’s name and address
Administrator’s EIN |
131724577 |
Plan administrator’s name |
PECKHAM INDUSTRIES, INC. |
Plan administrator’s
address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603 |
Administrator’s telephone number |
9149492000 |
Number of participants as of the end of the plan year
Active participants |
339 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
93 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
5 |
Number of
participants
with
account balances as of the end of the plan year |
382 |
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 |
2012-10-05 |
Name of individual signing |
RICHARD ANTES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PECKHAM INDUSTRIES, INC LONG TERM DISABILITY PLAN
|
2011
|
131724577
|
2012-07-26
|
PECKHAM INDUSTRIES, INC
|
279
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2008-05-01
|
Business code |
237310
|
Sponsor’s telephone number |
9149492000
|
Plan sponsor’s mailing address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603
|
Plan sponsor’s
address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603
|
Plan administrator’s name and address
Administrator’s EIN |
131724577 |
Plan administrator’s name |
PECKHAM INDUSTRIES, INC |
Plan administrator’s
address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603 |
Administrator’s telephone number |
9149492000 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
RICHARD ANTES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PECKHAM INDUSTRIES, INC GROUP DENTAL & VISION PLAN
|
2011
|
131724577
|
2012-07-26
|
PECKHAM INDUSTRIES, INC
|
295
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2003-02-01
|
Business code |
237310
|
Sponsor’s telephone number |
9149492000
|
Plan sponsor’s mailing address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603
|
Plan sponsor’s
address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603
|
Plan administrator’s name and address
Administrator’s EIN |
131724577 |
Plan administrator’s name |
PECKHAM INDUSTRIES, INC |
Plan administrator’s
address |
20 HAARLEM AVENUE, WHITE PLAINS, NY, 10603 |
Administrator’s telephone number |
9149492000 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
RICHARD ANTES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|