HARVEY BAGSHAW, INC. DEFINED BENEFIT PLAN
|
2020
|
112388997
|
2021-12-31
|
HARVEY BAGSHAW, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-04-01
|
Business code |
812990
|
Sponsor’s telephone number |
2126298940
|
Plan sponsor’s mailing address |
PO BOX 846, PLANDOME, NY, 11030
|
Plan sponsor’s
address |
PO BOX 846, PLANDOME, NY, 11030
|
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 |
2021-12-31 |
Name of individual signing |
HARVEY BAGSHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-12-31 |
Name of individual signing |
HARVEY BAGSHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARVEY BAGSHAW, INC. DEFINED BENEFIT PLAN
|
2019
|
112388997
|
2020-12-26
|
HARVEY BAGSHAW, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-04-01
|
Business code |
812990
|
Sponsor’s telephone number |
2126298940
|
Plan sponsor’s mailing address |
PO BOX 846, PLANDOME, NY, 11030
|
Plan sponsor’s
address |
PO BOX 846, PLANDOME, NY, 11030
|
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 |
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 |
2020-12-26 |
Name of individual signing |
HARVEY BAGSHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-12-26 |
Name of individual signing |
HARVEY BAGSHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARVEY BAGSHAW, INC. DEFINED BENEFIT PLAN
|
2018
|
112388997
|
2020-01-10
|
HARVEY BAGSHAW, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-04-01
|
Business code |
812990
|
Sponsor’s telephone number |
2126298940
|
Plan sponsor’s mailing address |
PO BOX 846, PLANDOME, NY, 11030
|
Plan sponsor’s
address |
PO BOX 846, PLANDOME, NY, 11030
|
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 |
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 |
2020-01-10 |
Name of individual signing |
HARVEY BAGSHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-01-10 |
Name of individual signing |
HARVEY BAGSHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARVEY BAGSHAW, INC. DEFINED BENEFIT PLAN
|
2017
|
112388997
|
2019-01-08
|
HARVEY BAGSHAW, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-04-01
|
Business code |
812990
|
Sponsor’s telephone number |
2126298940
|
Plan sponsor’s mailing address |
PO BOX 846, PLANDOME, NY, 11030
|
Plan sponsor’s
address |
PO BOX 846, PLANDOME, NY, 11030
|
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 |
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 |
2019-01-08 |
Name of individual signing |
HARVEY BAGSHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-01-08 |
Name of individual signing |
HARVEY BAGSHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARVEY BAGSHAW, INC. DEFINED BENEFIT PLAN
|
2016
|
112388997
|
2017-12-20
|
HARVEY BAGSHAW, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-04-01
|
Business code |
812990
|
Sponsor’s telephone number |
2126298940
|
Plan sponsor’s mailing address |
PO BOX 220, JERICHO, NY, 11753
|
Plan sponsor’s
address |
PO BOX 220, JERICHO, NY, 11753
|
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 |
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 |
2017-12-20 |
Name of individual signing |
HARVEY BAGSHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-12-20 |
Name of individual signing |
HARVEY BAGSHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARVEY BAGSHAW, INC. DEFINED BENEFIT PLAN
|
2015
|
112388997
|
2017-01-05
|
HARVEY BAGSHAW, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-04-01
|
Business code |
812990
|
Sponsor’s telephone number |
2126298940
|
Plan sponsor’s mailing address |
PO BOX 220, JERICHO, NY, 11753
|
Plan sponsor’s
address |
PO BOX 220, JERICHO, NY, 11753
|
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 |
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 |
2017-01-05 |
Name of individual signing |
HARVEY BAGSHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-01-05 |
Name of individual signing |
HARVEY BAGSHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARVEY BAGSHAW, INC. DEFINED BENEFIT PLAN
|
2014
|
112388997
|
2016-01-09
|
HARVEY BAGSHAW, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-04-01
|
Business code |
812990
|
Sponsor’s telephone number |
2126298940
|
Plan sponsor’s mailing address |
PO BOX 220, JERICHO, NY, 11753
|
Plan sponsor’s
address |
PO BOX 220, JERICHO, NY, 11753
|
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 |
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 |
2016-01-09 |
Name of individual signing |
HARVEY BAGSHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-01-09 |
Name of individual signing |
HARVEY BAGSHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARVEY BAGSHAW, INC. DEFINED BENEFIT PLAN
|
2013
|
112388997
|
2014-12-28
|
HARVEY BAGSHAW, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-04-01
|
Business code |
812990
|
Sponsor’s telephone number |
2126298940
|
Plan sponsor’s mailing address |
PO BOX 220, JERICHO, NY, 11753
|
Plan sponsor’s
address |
PO BOX 220, JERICHO, NY, 11753
|
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 |
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 |
2014-12-28 |
Name of individual signing |
HARVEY BAGSHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-12-28 |
Name of individual signing |
HARVEY BAGSHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARVEY BAGSHAW, INC. DEFINED BENEFIT PLAN
|
2012
|
112388997
|
2014-01-04
|
HARVEY BAGSHAW, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-04-01
|
Business code |
812990
|
Sponsor’s telephone number |
2126298940
|
Plan sponsor’s mailing address |
PO BOX 220, JERICHO, NY, 11753
|
Plan sponsor’s
address |
PO BOX 220, JERICHO, NY, 11753
|
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 |
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 |
2014-01-04 |
Name of individual signing |
HARVEY BAGSHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-01-04 |
Name of individual signing |
HARVEY BAGSHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARVEY BAGSHAW, INC. DEFINED BENEFIT PLAN
|
2011
|
112388997
|
2013-01-09
|
HARVEY BAGSHAW, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-04-01
|
Business code |
812990
|
Sponsor’s telephone number |
2126298940
|
Plan sponsor’s mailing address |
PO BOX 220, JERICHO, NY, 11753
|
Plan sponsor’s
address |
PO BOX 220, JERICHO, NY, 11753
|
Plan administrator’s name and address
Administrator’s EIN |
112388997 |
Plan administrator’s name |
HARVEY BAGSHAW, INC. |
Plan administrator’s
address |
PO BOX 220, JERICHO, NY, 11753 |
Administrator’s telephone number |
2126298940 |
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 |
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 |
2013-01-09 |
Name of individual signing |
HARVEY BAGSHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|