OPTICAL INSIGHT INC. PENSION PLAN & TRUST
|
2012
|
133194030
|
2013-03-06
|
OPTICAL INSIGHT INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
453990
|
Sponsor’s telephone number |
2129432360
|
Plan sponsor’s mailing address |
7 HANOVER SQUARE, NEW YORK, NY, 10004
|
Plan sponsor’s
address |
7 HANOVER SQUARE, NEW YORK, NY, 10004
|
Plan administrator’s name and address
Administrator’s EIN |
133194030 |
Plan administrator’s name |
OPTICAL INSIGHT INC. |
Plan administrator’s
address |
7 HANOVER SQUARE, NEW YORK, NY, 10004 |
Administrator’s telephone number |
2129432360 |
Number of participants as of the end of the plan year
Active participants |
2 |
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 |
2 |
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 |
2013-03-06 |
Name of individual signing |
JEFF BILFELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTICAL INSIGHT INC. PENSION PLAN & TRUST
|
2011
|
133194030
|
2012-10-10
|
OPTICAL INSIGHT INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
453990
|
Sponsor’s telephone number |
2129432360
|
Plan sponsor’s mailing address |
7 HANOVER SQUARE, NEW YORK, NY, 10004
|
Plan sponsor’s
address |
7 HANOVER SQUARE, NEW YORK, NY, 10004
|
Plan administrator’s name and address
Administrator’s EIN |
133194030 |
Plan administrator’s name |
OPTICAL INSIGHT INC. |
Plan administrator’s
address |
7 HANOVER SQUARE, NEW YORK, NY, 10004 |
Administrator’s telephone number |
2129432360 |
Number of participants as of the end of the plan year
Active participants |
2 |
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 |
2 |
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 |
2012-10-04 |
Name of individual signing |
JEFF BILFELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTICAL INSIGHT INC. PENSION PLAN & TRUST
|
2010
|
133194030
|
2011-09-21
|
OPTICAL INSIGHT INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
453990
|
Sponsor’s telephone number |
2129432360
|
Plan sponsor’s mailing address |
7 HANOVER SQUARE, NEW YORK, NY, 10004
|
Plan sponsor’s
address |
7 HANOVER SQUARE, NEW YORK, NY, 10004
|
Plan administrator’s name and address
Administrator’s EIN |
133194030 |
Plan administrator’s name |
OPTICAL INSIGHT INC. |
Plan administrator’s
address |
7 HANOVER SQUARE, NEW YORK, NY, 10004 |
Administrator’s telephone number |
2129432360 |
Number of participants as of the end of the plan year
Active participants |
2 |
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 |
2 |
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 |
2011-09-10 |
Name of individual signing |
JEFF BILFELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTICAL INSIGHT INC. PENSION PLAN & TRUST
|
2009
|
133194030
|
2010-10-14
|
OPTICAL INSIGHT INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
453990
|
Sponsor’s telephone number |
2129432360
|
Plan sponsor’s mailing address |
7 HANOVER SQUARE, NEW YORK, NY, 10004
|
Plan sponsor’s
address |
7 HANOVER SQUARE, NEW YORK, NY, 10004
|
Plan administrator’s name and address
Administrator’s EIN |
133194030 |
Plan administrator’s name |
OPTICAL INSIGHT INC. |
Plan administrator’s
address |
7 HANOVER SQUARE, NEW YORK, NY, 10004 |
Administrator’s telephone number |
2129432360 |
Number of participants as of the end of the plan year
Active participants |
2 |
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 |
2 |
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 |
JEFF BILFELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTICAL INSIGHT INC. PENSION PLAN & TRUST
|
2009
|
133194030
|
2010-09-22
|
OPTICAL INSIGHT INC.
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
453990
|
Sponsor’s telephone number |
2129432360
|
Plan sponsor’s mailing address |
7 HANOVER SQUARE, NEW YORK, NY, 10004
|
Plan sponsor’s
address |
7 HANOVER SQUARE, NEW YORK, NY, 10004
|
Plan administrator’s name and address
Administrator’s EIN |
133194030 |
Plan administrator’s name |
OPTICAL INSIGHT INC. |
Plan administrator’s
address |
7 HANOVER SQUARE, NEW YORK, NY, 10004 |
Administrator’s telephone number |
2129432360 |
Number of participants as of the end of the plan year
Active participants |
2 |
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 |
2 |
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 |
2010-09-04 |
Name of individual signing |
JEFF BILFELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|