LIFE INSURANCE
|
2012
|
611231004
|
2013-07-29
|
FISCHBACH USA INC
|
64
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2012-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
2707699333
|
Plan
sponsor’s DBA name |
SAME
|
Plan sponsor’s mailing address |
900 PETERSON DRIVE, ELIZABETHTOWN, KY, 42701
|
Plan sponsor’s
address |
900 PETERSON DRIVE, ELIZABETHTOWN, KY, 42701
|
Number of participants as of the end of the plan year
Active participants |
60 |
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 |
2013-07-29 |
Name of individual signing |
DAVID CORRELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-29 |
Name of individual signing |
DAVID CORRELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FISCHBACH USA INC 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
611231004
|
2013-04-12
|
FISCHBACH USA INC.
|
133
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
2707699333
|
Plan sponsor’s mailing address |
900 PETERSON DR, ELIZABETHTOWN, KY, 427019365
|
Plan sponsor’s
address |
900 PETERSON DR, ELIZABETHTOWN, KY, 427019365
|
Plan administrator’s name and address
Administrator’s EIN |
611231004 |
Plan administrator’s name |
FISCHBACH USA INC. |
Plan administrator’s
address |
900 PETERSON DR, ELIZABETHTOWN, KY, 427019365 |
Administrator’s telephone number |
2707699333 |
Number of participants as of the end of the plan year
Active participants |
119 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
17 |
Number of
participants
with
account balances as of the end of the plan year |
130 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
5 |
Signature of
Role |
Plan administrator |
Date |
2013-04-12 |
Name of individual signing |
DAVID CORRELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-12 |
Name of individual signing |
DAVID CORRELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FISCHBACH USA INC 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
611231004
|
2013-04-11
|
FISCHBACH USA INC.
|
133
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
2707699333
|
Plan sponsor’s mailing address |
900 PETERSON DR, ELIZABETHTOWN, KY, 427019365
|
Plan sponsor’s
address |
900 PETERSON DR, ELIZABETHTOWN, KY, 427019365
|
Plan administrator’s name and address
Administrator’s EIN |
611231004 |
Plan administrator’s name |
FISCHBACH USA INC. |
Plan administrator’s
address |
900 PETERSON DR, ELIZABETHTOWN, KY, 427019365 |
Administrator’s telephone number |
2707699333 |
Number of participants as of the end of the plan year
Active participants |
119 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
17 |
Number of
participants
with
account balances as of the end of the plan year |
130 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
5 |
Signature of
Role |
Plan administrator |
Date |
2013-04-11 |
Name of individual signing |
DAVID CORRELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-11 |
Name of individual signing |
DAVID CORRELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANC
|
2011
|
611231004
|
2012-10-17
|
FISCHBACH USA INC
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
2707699333
|
Plan
sponsor’s DBA name |
SAME
|
Plan sponsor’s mailing address |
905 PETERSON DRIVE, ELIZABETHTOWN, KY, 42701
|
Plan sponsor’s
address |
905 PETERSON DRIVE, ELIZABETHTOWN, KY, 42701
|
Plan administrator’s name and address
Administrator’s EIN |
611231004 |
Plan administrator’s name |
FISCHBACH USA INC |
Plan administrator’s
address |
905 PETERSON DRIVE, ELIZABETHTOWN, KY, 42701 |
Administrator’s telephone number |
2707699333 |
Number of participants as of the end of the plan year
Active participants |
64 |
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 |
Signature of
Role |
Plan administrator |
Date |
2012-10-17 |
Name of individual signing |
DAVID CORRELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FISCHBACH USA INC 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
611231004
|
2012-11-20
|
FISCHBACH USA INC.
|
133
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
2707699333
|
Plan sponsor’s mailing address |
900 PETERSON DR, ELIZABETHTOWN, KY, 427019365
|
Plan sponsor’s
address |
900 PETERSON DR, ELIZABETHTOWN, KY, 427019365
|
Plan administrator’s name and address
Administrator’s EIN |
611231004 |
Plan administrator’s name |
FISCHBACH USA INC. |
Plan administrator’s
address |
900 PETERSON DR, ELIZABETHTOWN, KY, 427019365 |
Administrator’s telephone number |
2707699333 |
Number of participants as of the end of the plan year
Active participants |
119 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
17 |
Number of
participants
with
account balances as of the end of the plan year |
130 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
5 |
Signature of
Role |
Plan administrator |
Date |
2012-11-20 |
Name of individual signing |
DAVID CORRELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FISCHBACH USA INC 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
611231004
|
2012-10-12
|
FISCHBACH USA INC.
|
133
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
2707699333
|
Plan sponsor’s mailing address |
900 PETERSON DR, ELIZABETHTOWN, KY, 427019365
|
Plan sponsor’s
address |
900 PETERSON DR, ELIZABETHTOWN, KY, 427019365
|
Plan administrator’s name and address
Administrator’s EIN |
611231004 |
Plan administrator’s name |
FISCHBACH USA INC. |
Plan administrator’s
address |
900 PETERSON DR, ELIZABETHTOWN, KY, 427019365 |
Administrator’s telephone number |
2707699333 |
Number of participants as of the end of the plan year
Active participants |
119 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
17 |
Number of
participants
with
account balances as of the end of the plan year |
130 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
5 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
DAVID CORRELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|