BOLLORE GROUP BENEFITS
|
2017
|
061057290
|
2018-06-01
|
BOLLORE INC.
|
60
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2003-07-01
|
Business code |
325900
|
Sponsor’s telephone number |
8607742930
|
Plan sponsor’s mailing address |
60 LOUISA VIENS DRIVE, PO BOX 530, DAYVILLE, CT, 062410530
|
Plan sponsor’s
address |
60 LOUISA VIENS DRIVE, PO BOX 530, DAYVILLE, CT, 062410530
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-06-01 |
Name of individual signing |
ROBERT VICKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOLLORE INCORPORATED FLEXIBLE SPENDING PLAN
|
2017
|
061057290
|
2018-06-01
|
BOLLORE INC.
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1997-01-01
|
Business code |
325900
|
Sponsor’s telephone number |
8607742930
|
Plan sponsor’s mailing address |
60 LOUISA VIENS DRIVE, PO BOX 530, DAYVILLE, CT, 062410530
|
Plan sponsor’s
address |
60 LOUISA VIENS DRIVE, PO BOX 530, DAYVILLE, CT, 062410530
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-06-01 |
Name of individual signing |
ROBERT VICKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOLLORE GROUP BENEFITS
|
2016
|
061057290
|
2017-05-24
|
BOLLORE INC.
|
60
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2003-07-01
|
Business code |
325900
|
Sponsor’s telephone number |
8607742930
|
Plan sponsor’s mailing address |
60 LOUISA VIENS DRIVE, PO BOX 530, DAYVILLE, CT, 062410530
|
Plan sponsor’s
address |
60 LOUISA VIENS DRIVE, PO BOX 530, DAYVILLE, CT, 062410530
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-05-24 |
Name of individual signing |
ROBERT VICKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-24 |
Name of individual signing |
ROBERT VICKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOLLORE INCORPORATED FLEXIBLE SPENDING PLAN
|
2016
|
061057290
|
2017-05-30
|
BOLLORE INC.
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1997-01-01
|
Business code |
325900
|
Sponsor’s telephone number |
8607742930
|
Plan sponsor’s mailing address |
60 LOUISA VIENS DRIVE, PO BOX 530, DAYVILLE, CT, 062410530
|
Plan sponsor’s
address |
60 LOUISA VIENS DRIVE, PO BOX 530, DAYVILLE, CT, 062410530
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-05-30 |
Name of individual signing |
ROBERT VICKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-30 |
Name of individual signing |
ROBERT VICKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOLLORE INCORPORATED AD & D INSURANCE PLAN
|
2015
|
061057290
|
2016-06-10
|
BOLLORE INC.
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1994-05-01
|
Business code |
325900
|
Sponsor’s telephone number |
8607742930
|
Plan sponsor’s mailing address |
60 LOUISA VIENS DRIVE, PO BOX 530, DAYVILLE, CT, 062410530
|
Plan sponsor’s
address |
60 LOUISA VIENS DRIVE, PO BOX 530, DAYVILLE, CT, 062410530
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-06-10 |
Name of individual signing |
ROBERT VICKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-10 |
Name of individual signing |
ROBERT VICKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOLLORE GROUP BENEFITS
|
2015
|
061057290
|
2016-03-15
|
BOLLORE INC.
|
63
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2003-07-01
|
Business code |
325900
|
Sponsor’s telephone number |
8607742930
|
Plan sponsor’s mailing address |
60 LOUISA VIENS DRIVE, PO BOX 530, DAYVILLE, CT, 062410530
|
Plan sponsor’s
address |
60 LOUISA VIENS DRIVE, PO BOX 530, DAYVILLE, CT, 062410530
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-03-15 |
Name of individual signing |
ROBERT VICKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-03-15 |
Name of individual signing |
ROBERT VICKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOLLORE INCORPORATED FLEXIBLE SPENDING PLAN
|
2015
|
061057290
|
2016-03-21
|
BOLLORE INC.
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1997-01-01
|
Business code |
325900
|
Sponsor’s telephone number |
8607742930
|
Plan sponsor’s mailing address |
60 LOUISA VIENS DRIVE, PO BOX 530, DAYVILLE, CT, 062410530
|
Plan sponsor’s
address |
60 LOUISA VIENS DRIVE, DAYVILLE, CT, 06241
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-03-21 |
Name of individual signing |
ROBERT VICKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-03-21 |
Name of individual signing |
ROBERT VICKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOLLORE INCORPORATED AD & D INSURANCE PLAN
|
2014
|
061057290
|
2015-06-12
|
BOLLORE INC.
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1994-05-01
|
Business code |
325900
|
Sponsor’s telephone number |
8607742930
|
Plan sponsor’s mailing address |
60 LOUISA VIENS DRIVE, PO BOX 530, DAYVILLE, CT, 062410530
|
Plan sponsor’s
address |
60 LOUISA VIENS DRIVE, PO BOX 530, DAYVILLE, CT, 062410530
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-06-12 |
Name of individual signing |
ROBERT VICKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-12 |
Name of individual signing |
ROBERT VICKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOLLORE INCORPORATED FLEXIBLE SPENDING PLAN
|
2014
|
061057290
|
2015-03-23
|
BOLLORE INC.
|
43
|
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1997-01-01
|
Business code |
325900
|
Sponsor’s telephone number |
8607742930
|
Plan sponsor’s mailing address |
60 LOUISA VIENS DRIVE, DAYVILLE, CT, 06241
|
Plan sponsor’s
address |
60 LOUISA VIENS DRIVE, DAYVILLE, CT, 06241
|
Signature of
Role |
Plan administrator |
Date |
2015-03-23 |
Name of individual signing |
ROBERT VICKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-03-23 |
Name of individual signing |
ROBERT VICKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOLLORE INCORPORATED FLEXIBLE SPENDING PLAN
|
2014
|
061057290
|
2015-03-23
|
BOLLORE INC.
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1997-01-01
|
Business code |
325900
|
Sponsor’s telephone number |
8607742930
|
Plan sponsor’s mailing address |
60 LOUISA VIENS DRIVE, DAYVILLE, CT, 06241
|
Plan sponsor’s
address |
60 LOUISA VIENS DRIVE, DAYVILLE, CT, 06241
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-03-23 |
Name of individual signing |
ROBERT VICKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-03-23 |
Name of individual signing |
ROBERT VICKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|