PRECISION CAMERA & VIDEO REPAIR, INC. HEALTH & WELFARE PLAN
|
2015
|
042323475
|
2017-01-16
|
PRECISION CAMERA & VIDEO REPAIR, INC.
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2000-07-01
|
Business code |
811210
|
Sponsor’s telephone number |
8006656515
|
Plan sponsor’s mailing address |
7 ANNGINA DRIVE, ENFIELD, CT, 06082
|
Plan sponsor’s
address |
7 ANNGINA DRIVE, ENFIELD, CT, 06082
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-01-16 |
Name of individual signing |
JOHN STAVOLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRECISION CAMERA & VIDEO REPAIR, INC. HEALTH & WELFARE PLAN
|
2014
|
042323475
|
2016-03-30
|
PRECISION CAMERA & VIDEO REPAIR, INC.
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2000-07-01
|
Business code |
811210
|
Sponsor’s telephone number |
8006656515
|
Plan sponsor’s mailing address |
7 ANNGINA DRIVE, ENFIELD, CT, 06082
|
Plan sponsor’s
address |
7 ANNGINA DRIVE, ENFIELD, CT, 06082
|
Number of participants as of the end of the plan year
Active participants |
41 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2016-03-30 |
Name of individual signing |
JOHN STAVOLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRECISION CAMERA & VIDEO REPAIR, INC. HEALTH & WELFARE PLAN
|
2013
|
042323475
|
2016-03-30
|
PRECISION CAMERA & VIDEO REPAIR, INC.
|
118
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2000-07-01
|
Business code |
811210
|
Sponsor’s telephone number |
8006656515
|
Plan sponsor’s mailing address |
7 ANNGINA DRIVE, ENFIELD, CT, 06082
|
Plan sponsor’s
address |
7 ANNGINA DRIVE, ENFIELD, CT, 06082
|
Number of participants as of the end of the plan year
Active participants |
43 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2016-03-30 |
Name of individual signing |
JOHN STAVOLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRECISION CAMERA & VIDEO REPAIR, INC. HEALTH & WELFARE PLAN
|
2012
|
042323475
|
2014-01-31
|
PRECISION CAMERA & VIDEO REPAIR, INC.
|
140
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2000-07-01
|
Business code |
811210
|
Sponsor’s telephone number |
8006656515
|
Plan sponsor’s mailing address |
7 ANNGINA DRIVE, ENFIELD, CT, 06082
|
Plan sponsor’s
address |
7 ANNGINA DRIVE, ENFIELD, CT, 06082
|
Number of participants as of the end of the plan year
Active participants |
116 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2014-01-31 |
Name of individual signing |
JOHN STAVOLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRECISION CAMERA & VIDEO REPAIR, INC. 401(K) RETIREMENT PLAN
|
2012
|
042323475
|
2013-09-25
|
PRECISION CAMERA & VIDEO REPAIR, INC.
|
121
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-07-31
|
Business code |
811210
|
Sponsor’s telephone number |
8607497380
|
Plan sponsor’s mailing address |
7 ANNGINA DR, ENFIELD, CT, 06082
|
Plan sponsor’s
address |
7 ANNGINA DR, ENFIELD, CT, 06082
|
Plan administrator’s name and address
Administrator’s EIN |
048543503 |
Plan administrator’s name |
JOHN J. STAVOLA |
Plan administrator’s
address |
7 ANNGINA DRIVE, ENFIELD, CT, 06082 |
Administrator’s telephone number |
8607497380 |
Number of participants as of the end of the plan year
Active participants |
115 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
12 |
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 |
24 |
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 |
2013-09-25 |
Name of individual signing |
JOHN STAVOLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-25 |
Name of individual signing |
JOHN STAVOLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRECISION CAMERA & VIDEO REPAIR, INC. HEALTH & WELFARE PLAN
|
2011
|
042323475
|
2013-01-10
|
PRECISION CAMERA & VIDEO REPAIR, INC.
|
192
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2000-07-01
|
Business code |
811210
|
Sponsor’s telephone number |
8006656515
|
Plan sponsor’s mailing address |
7 ANNGINA DRIVE, ENFIELD, CT, 06082
|
Plan sponsor’s
address |
7 ANNGINA DRIVE, ENFIELD, CT, 06082
|
Plan administrator’s name and address
Administrator’s EIN |
042323475 |
Plan administrator’s name |
PRECISION CAMERA & VIDEO REPAIR, INC. |
Plan administrator’s
address |
7 ANNGINA DRIVE, ENFIELD, CT, 06082 |
Administrator’s telephone number |
8006656515 |
Number of participants as of the end of the plan year
Active participants |
136 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2013-01-10 |
Name of individual signing |
JOHN STAVOLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRECISION CAMERA & VIDEO REPAIR, INC. 401(K) RETIREMENT PLAN
|
2011
|
042323475
|
2012-10-12
|
PRECISION CAMERA & VIDEO REPAIR, INC.
|
274
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-07-31
|
Business code |
811210
|
Sponsor’s telephone number |
8607497380
|
Plan sponsor’s mailing address |
7 ANNGINA DR, ENFIELD, CT, 06082
|
Plan sponsor’s
address |
7 ANNGINA DR, ENFIELD, CT, 06082
|
Plan administrator’s name and address
Administrator’s EIN |
042323475 |
Plan administrator’s name |
PRECISION CAMERA & VIDEO REPAIR, INC. |
Plan administrator’s
address |
7 ANNGINA DR, ENFIELD, CT, 06082 |
Administrator’s telephone number |
8607497380 |
Number of participants as of the end of the plan year
Active participants |
104 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
17 |
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 |
27 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
JUSTIN VARGO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRECISION CAMERA & VIDEO REPAIR, INC. HEALTH & WELFARE PLAN
|
2010
|
042323475
|
2012-12-19
|
PRECISION CAMERA & VIDEO REPAIR, INC.
|
394
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2000-07-01
|
Business code |
811210
|
Sponsor’s telephone number |
8006656515
|
Plan sponsor’s mailing address |
7 ANNGINA DRIVE, ENFIELD, CT, 06082
|
Plan sponsor’s
address |
7 ANNGINA DRIVE, ENFIELD, CT, 06082
|
Plan administrator’s name and address
Administrator’s EIN |
042323475 |
Plan administrator’s name |
PRECISION CAMERA & VIDEO REPAIR, INC. |
Plan administrator’s
address |
7 ANNGINA DRIVE, ENFIELD, CT, 06082 |
Administrator’s telephone number |
8006656515 |
Number of participants as of the end of the plan year
Active participants |
185 |
Retired or separated participants receiving
benefits |
7 |
Signature of
Role |
Plan administrator |
Date |
2012-12-19 |
Name of individual signing |
JOHN STAVOLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRECISION CAMERA & VIDEO REPAIR, INC. 401(K) RETIREMENT PLAN
|
2010
|
042323475
|
2012-10-12
|
PRECISION CAMERA & VIDEO REPAIR, INC.
|
294
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-07-31
|
Business code |
811210
|
Sponsor’s telephone number |
8607497380
|
Plan sponsor’s mailing address |
7 ANNGINA DR, ENFIELD, CT, 06082
|
Plan sponsor’s
address |
7 ANNGINA DR, ENFIELD, CT, 06082
|
Plan administrator’s name and address
Administrator’s EIN |
042323475 |
Plan administrator’s name |
PRECISION CAMERA & VIDEO REPAIR, INC. |
Plan administrator’s
address |
7 ANNGINA DR, ENFIELD, CT, 06082 |
Administrator’s telephone number |
8607497380 |
Number of participants as of the end of the plan year
Active participants |
268 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
6 |
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 |
32 |
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 |
2012-10-12 |
Name of individual signing |
JUSTIN VARGO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRECISION CAMERA & VIDEO REPAIR, INC. 401(K) RETIREMENT PLAN
|
2010
|
042323475
|
2011-10-12
|
PRECISION CAMERA & VIDEO REPAIR, INC.
|
294
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-07-31
|
Business code |
811210
|
Sponsor’s telephone number |
8607497380
|
Plan sponsor’s mailing address |
7 ANNGINA DR, ENFIELD, CT, 06082
|
Plan sponsor’s
address |
7 ANNGINA DR, ENFIELD, CT, 06082
|
Plan administrator’s name and address
Administrator’s EIN |
042323475 |
Plan administrator’s name |
PRECISION CAMERA & VIDEO REPAIR, INC. |
Plan administrator’s
address |
7 ANNGINA DR, ENFIELD, CT, 06082 |
Administrator’s telephone number |
8607497380 |
Number of participants as of the end of the plan year
Active participants |
268 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
6 |
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 |
32 |
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 |
2011-10-12 |
Name of individual signing |
SANDOR DIZES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|