WAYNE'S ELECTRIC HEALTH PLAN 2012
|
2012
|
840743376
|
2014-04-25
|
WAYNE'S ELECTRIC, INC.
|
252
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2012-10-01
|
Business code |
238210
|
Sponsor’s telephone number |
3036597481
|
Plan sponsor’s mailing address |
2101 C.R. 27, FT. LUPTON, CO, 80621
|
Plan sponsor’s
address |
2101 C.R. 27, FT. LUPTON, CO, 80621
|
Number of participants as of the end of the plan year
Active participants |
169 |
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 |
2014-04-25 |
Name of individual signing |
LORI MONSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-04-25 |
Name of individual signing |
PATRICIA MEDLIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAYNE'S ELECTRIC HEALTH PLAN
|
2011
|
840743376
|
2014-04-01
|
WAYNE'S ELECTRIC, INC.
|
243
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-12-01
|
Business code |
238210
|
Sponsor’s telephone number |
3036597481
|
Plan
sponsor’s DBA name |
WAYNE'S ELECTRIC, INC
|
Plan sponsor’s mailing address |
2101 C.R. 27, FT. LUPTON, CO, 80621
|
Plan sponsor’s
address |
2101 C.R. 27, FT. LUPTON, CO, 80621
|
Plan administrator’s name and address
Administrator’s EIN |
840743376 |
Plan administrator’s name |
WAYNE'S ELECTRIC, INC. |
Plan administrator’s
address |
2101 C.R. 27, FT. LUPTON, CO, 80621 |
Administrator’s telephone number |
3036597481 |
Number of participants as of the end of the plan year
Active participants |
249 |
Retired or separated participants receiving
benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2014-03-25 |
Name of individual signing |
LORI MONSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-04-01 |
Name of individual signing |
PATRICIA MEDLIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAYNE'S ELECTRIC HEALTH PLAN
|
2011
|
840743376
|
2013-06-26
|
WAYNE'S ELECTRIC, INC.
|
243
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-12-01
|
Business code |
238210
|
Sponsor’s telephone number |
3036597481
|
Plan
sponsor’s DBA name |
WAYNE'S ELECTRIC, INC
|
Plan sponsor’s mailing address |
2101 C.R. 27, FT. LUPTON, CO, 80621
|
Plan sponsor’s
address |
2101 C.R. 27, FT. LUPTON, CO, 80621
|
Plan administrator’s name and address
Administrator’s EIN |
840743376 |
Plan administrator’s name |
WAYNE'S ELECTRIC, INC. |
Plan administrator’s
address |
2101 C.R. 27, FT. LUPTON, CO, 80621 |
Administrator’s telephone number |
3036597481 |
Number of participants as of the end of the plan year
Active participants |
249 |
Retired or separated participants receiving
benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2013-06-26 |
Name of individual signing |
LORI MONSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAYNE'S ELECTRIC HEALTH PLAN 2010
|
2010
|
840743376
|
2014-04-01
|
WAYNE'S ELECTRIC, INC
|
208
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-10-01
|
Business code |
238210
|
Sponsor’s telephone number |
3036597481
|
Plan sponsor’s mailing address |
2101 C.R. 27, FT. LUPTON, CO, 80621
|
Plan sponsor’s
address |
2101 C.R. 27, FT. LUPTON, CO, 80621
|
Plan administrator’s name and address
Administrator’s EIN |
840743376 |
Plan administrator’s name |
WAYNE'S ELECTRIC, INC |
Plan administrator’s
address |
2101 C.R. 27, FT. LUPTON, CO, 80621 |
Administrator’s telephone number |
3036597481 |
Number of participants as of the end of the plan year
Active participants |
243 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2014-03-25 |
Name of individual signing |
LORI MONSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-04-01 |
Name of individual signing |
PATRICIA MEDLIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAYNE'S ELECTRIC HEALTH PLAN 2010
|
2010
|
840743376
|
2013-07-31
|
WAYNE'S ELECTRIC, INC
|
208
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-10-01
|
Business code |
238210
|
Sponsor’s telephone number |
3036597481
|
Plan sponsor’s mailing address |
2101 C.R. 27, FT. LUPTON, CO, 80621
|
Plan sponsor’s
address |
2101 C.R. 27, FT. LUPTON, CO, 80621
|
Plan administrator’s name and address
Administrator’s EIN |
840743376 |
Plan administrator’s name |
WAYNE'S ELECTRIC, INC |
Plan administrator’s
address |
2101 C.R. 27, FT. LUPTON, CO, 80621 |
Administrator’s telephone number |
3036597481 |
Number of participants as of the end of the plan year
Active participants |
243 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2013-07-30 |
Name of individual signing |
LORI MONSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-31 |
Name of individual signing |
PATRICIA MEDLIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|