CRYSTAL ROCK HOLDINGS, INC. VISION PLAN
|
2013
|
030366218
|
2014-07-07
|
CRYSTAL ROCK HOLDINGS, INC.
|
259
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2006-01-01
|
Business code |
312110
|
Sponsor’s telephone number |
8026589112
|
Plan sponsor’s mailing address |
1050 BUCKINGHAM ST, WATERTOWN, CT, 06795
|
Plan sponsor’s
address |
1050 BUCKINGHAM ST, WATERTOWN, CT, 06795
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-07-07 |
Name of individual signing |
BRUCE MACDONALD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-07 |
Name of individual signing |
BRUCE MACDONALD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRYSTAL ROCK HOLDINGS, INC. 401(K)/PROFIT SHARING PLAN
|
2012
|
030366218
|
2013-07-18
|
CRYSTAL ROCK HOLDINGS, INC.
|
395
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1991-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
8609450661
|
Plan sponsor’s mailing address |
1050 BUCKINGHAM STREET, WATERTOWN, CT, 06795
|
Plan sponsor’s
address |
1050 BUCKINGHAM STREET, WATERTOWN, CT, 06795
|
Plan administrator’s name and address
Administrator’s EIN |
030366218 |
Plan administrator’s name |
CRYSTAL ROCK HOLDINGS, INC. |
Plan administrator’s
address |
1050 BUCKINGHAM STREET, WATERTOWN, CT, 06795 |
Administrator’s telephone number |
8609450661 |
Number of participants as of the end of the plan year
Active participants |
350 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
62 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
4 |
Number of
participants
with
account balances as of the end of the plan year |
405 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
42 |
Signature of
Role |
Plan administrator |
Date |
2013-07-18 |
Name of individual signing |
BRUCE MACDONALD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRYSTAL ROCK HOLDINGS, INC. VISION PLAN
|
2012
|
030366218
|
2013-07-17
|
CRYSTAL ROCK HOLDINGS, INC.
|
239
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2006-01-01
|
Business code |
312110
|
Sponsor’s telephone number |
8026589112
|
Plan sponsor’s mailing address |
1050 BUCKINGHAM ST., WATERTOWN, CT, 06795
|
Plan sponsor’s
address |
1050 BUCKINGHAM ST., WATERTOWN, CT, 06795
|
Plan administrator’s name and address
Administrator’s EIN |
030366218 |
Plan administrator’s name |
CRYSTAL ROCK HOLDINGS, INC. |
Plan administrator’s
address |
1050 BUCKINGHAM ST., WATERTOWN, CT, 06795 |
Administrator’s telephone number |
8026589112 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-17 |
Name of individual signing |
BRUCE MACDONALD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRYSTAL ROCK HOLDINGS, INC. 401(K)/PROFIT SHARING PLAN
|
2011
|
030366218
|
2012-07-24
|
CRYSTAL ROCK HOLDINGS, INC.
|
344
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1991-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
8609450661
|
Plan sponsor’s mailing address |
1050 BUCKINGHAM STREET, WATERTOWN, CT, 06795
|
Plan sponsor’s
address |
1050 BUCKINGHAM STREET, WATERTOWN, CT, 06795
|
Plan administrator’s name and address
Administrator’s EIN |
030366218 |
Plan administrator’s name |
CRYSTAL ROCK HOLDINGS, INC. |
Plan administrator’s
address |
1050 BUCKINGHAM STREET, WATERTOWN, CT, 06795 |
Administrator’s telephone number |
8609450661 |
Number of participants as of the end of the plan year
Active participants |
336 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
57 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
335 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
26 |
Signature of
Role |
Plan administrator |
Date |
2012-07-24 |
Name of individual signing |
BRUCE MACDONALD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRYSTAL ROCK HOLDINGS, INC. VISION PLAN
|
2011
|
030366218
|
2012-07-24
|
CRYSTAL ROCK HOLDINGS, INC.
|
251
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2006-01-01
|
Business code |
312110
|
Sponsor’s telephone number |
8026589112
|
Plan sponsor’s mailing address |
1050 BUCKINGHAM ST., WATERTOWN, CT, 06795
|
Plan sponsor’s
address |
1050 BUCKINGHAM ST., WATERTOWN, CT, 06795
|
Plan administrator’s name and address
Administrator’s EIN |
030366218 |
Plan administrator’s name |
CRYSTAL ROCK HOLDINGS, INC. |
Plan administrator’s
address |
1050 BUCKINGHAM ST., WATERTOWN, CT, 06795 |
Administrator’s telephone number |
8026589112 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-07-24 |
Name of individual signing |
BRUCE MACDONALD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRYSTAL ROCK HOLDINGS, INC. HEALTH AND WELFARE PLAN
|
2010
|
030366218
|
2012-01-06
|
CRYSTAL ROCK HOLDINGS, INC.
|
263
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2001-01-01
|
Business code |
312110
|
Sponsor’s telephone number |
8026589112
|
Plan sponsor’s mailing address |
1050 BUCKINGHAM ST., WATERTOWN, CT, 06795
|
Plan sponsor’s
address |
1050 BUCKINGHAM ST., WATERTOWN, CT, 06795
|
Plan administrator’s name and address
Administrator’s EIN |
030366218 |
Plan administrator’s name |
CRYSTAL ROCK HOLDINGS, INC. |
Plan administrator’s
address |
1050 BUCKINGHAM ST., WATERTOWN, CT, 06795 |
Administrator’s telephone number |
8026589112 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-01-06 |
Name of individual signing |
BRUCE MACDONALD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRYSTAL ROCK HOLDINGS, INC. HEALTH AND WELFARE PLAN
|
2010
|
030366218
|
2011-10-13
|
CRYSTAL ROCK HOLDINGS, INC.
|
263
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2001-01-01
|
Business code |
312110
|
Sponsor’s telephone number |
8026589112
|
Plan sponsor’s mailing address |
1050 BUCKINGHAM ST., WATERTOWN, CT, 06795
|
Plan sponsor’s
address |
1050 BUCKINGHAM ST., WATERTOWN, CT, 06795
|
Plan administrator’s name and address
Administrator’s EIN |
030366218 |
Plan administrator’s name |
CRYSTAL ROCK HOLDINGS, INC. |
Plan administrator’s
address |
1050 BUCKINGHAM ST., WATERTOWN, CT, 06795 |
Administrator’s telephone number |
8026589112 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
BRUCE MACDONALD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRYSTAL ROCK HOLDINGS, INC. 401(K)/PROFIT SHARING PLAN
|
2010
|
030366218
|
2011-07-29
|
CRYSTAL ROCK HOLDINGS, INC.
|
354
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1991-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
8609450661
|
Plan sponsor’s mailing address |
1050 BUCKINGHAM STREET, WATERTOWN, CT, 06795
|
Plan sponsor’s
address |
1050 BUCKINGHAM STREET, WATERTOWN, CT, 06795
|
Plan administrator’s name and address
Administrator’s EIN |
030366218 |
Plan administrator’s name |
CRYSTAL ROCK HOLDINGS, INC. |
Plan administrator’s
address |
1050 BUCKINGHAM STREET, WATERTOWN, CT, 06795 |
Administrator’s telephone number |
8609450661 |
Number of participants as of the end of the plan year
Active participants |
297 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
46 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
245 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
12 |
Signature of
Role |
Plan administrator |
Date |
2011-07-29 |
Name of individual signing |
BRUCE MACDONALD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRYSTAL ROCK HOLDINGS, INC. 401(K)/PROFIT SHARING PLAN
|
2010
|
030366218
|
2011-07-22
|
CRYSTAL ROCK HOLDINGS, INC.
|
354
|
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1991-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
8609450661
|
Plan sponsor’s mailing address |
1050 BUCKINGHAM STREET, WATERTOWN, CT, 06795
|
Plan sponsor’s
address |
1050 BUCKINGHAM STREET, WATERTOWN, CT, 06795
|
Plan administrator’s name and address
Administrator’s EIN |
030366218 |
Plan administrator’s name |
CRYSTAL ROCK HOLDINGS, INC. |
Plan administrator’s
address |
1050 BUCKINGHAM STREET, WATERTOWN, CT, 06795 |
Administrator’s telephone number |
8609450661 |
Number of participants as of the end of the plan year
Active participants |
297 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
46 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
245 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
12 |
Signature of
Role |
Plan administrator |
Date |
2011-07-22 |
Name of individual signing |
BRUCE MACDONALD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRYSTAL ROCK HOLDINGS, INC. VISION PLAN
|
2010
|
030366218
|
2011-07-22
|
CRYSTAL ROCK HOLDINGS, INC.
|
257
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2006-01-01
|
Business code |
312110
|
Sponsor’s telephone number |
8026589112
|
Plan sponsor’s mailing address |
1050 BUCKINGHAM ST., WATERTOWN, CT, 06795
|
Plan sponsor’s
address |
1050 BUCKINGHAM ST., WATERTOWN, CT, 06795
|
Plan administrator’s name and address
Administrator’s EIN |
030366218 |
Plan administrator’s name |
CRYSTAL ROCK HOLDINGS, INC. |
Plan administrator’s
address |
1050 BUCKINGHAM ST., WATERTOWN, CT, 06795 |
Administrator’s telephone number |
8026589112 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-07-22 |
Name of individual signing |
BRUCE MACDONALD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|