LEGACY CABINETS, LLC HEALTH & DENTAL WELFARE BENEFIT PLAN
|
2012
|
631112070
|
2013-06-14
|
LEGACY CABINETS, LLC
|
204
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1995-09-01
|
Business code |
321900
|
Sponsor’s telephone number |
8008131112
|
Plan sponsor’s mailing address |
100 LEGACY BOULEVARD, ESTABOGA, AL, 36260
|
Plan sponsor’s
address |
100 LEGACY BOULEVARD, ESTABOGA, AL, 36260
|
Number of participants as of the end of the plan year
Active participants |
238 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-06-14 |
Name of individual signing |
CARL NICHOLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEGACY CABINETS, LLC CANCER WELFARE BENEFIT PLAN
|
2011
|
631112070
|
2012-09-13
|
LEGACY CABINETS, LLC
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2003-09-01
|
Business code |
321900
|
Sponsor’s telephone number |
8008131112
|
Plan sponsor’s mailing address |
100 LEGACY BOULEVARD, EASTABOGA, AL, 36260
|
Plan sponsor’s
address |
100 LEGACY BOULEVARD, EASTABOGA, AL, 36260
|
Plan administrator’s name and address
Administrator’s EIN |
631112070 |
Plan administrator’s name |
LEGACY CABINETS, LLC |
Plan administrator’s
address |
100 LEGACY BOULEVARD, EASTABOGA, AL, 36260 |
Administrator’s telephone number |
8008131112 |
Number of participants as of the end of the plan year
Active participants |
65 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-09-13 |
Name of individual signing |
CARL NICHOLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEGACY CABINETS, LLC LIFE & DISABILITY WELFARE BENEFIT PLAN
|
2011
|
631112070
|
2012-09-13
|
LEGACY CABINETS, LLC
|
46
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2007-01-01
|
Business code |
321900
|
Sponsor’s telephone number |
8008131112
|
Plan sponsor’s mailing address |
100 LEGACY BOULEVARD, EASTABOGA, AL, 36260
|
Plan sponsor’s
address |
100 LEGACY BOULEVARD, EASTABOGA, AL, 36260
|
Plan administrator’s name and address
Administrator’s EIN |
631112070 |
Plan administrator’s name |
LEGACY CABINETS, LLC |
Plan administrator’s
address |
100 LEGACY BOULEVARD, EASTABOGA, AL, 36260 |
Administrator’s telephone number |
8008131112 |
Number of participants as of the end of the plan year
Active participants |
54 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-09-13 |
Name of individual signing |
CARL NICHOLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEGACY CABINETS, LLC HEALTH & DENTAL WELFARE BENEFIT PLAN
|
2011
|
631112070
|
2012-07-27
|
LEGACY CABINETS, LLC
|
243
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1995-09-01
|
Business code |
321900
|
Sponsor’s telephone number |
8008131112
|
Plan sponsor’s mailing address |
100 LEGACY BOULEVARD, ESTABOGA, AL, 36260
|
Plan sponsor’s
address |
100 LEGACY BOULEVARD, ESTABOGA, AL, 36260
|
Plan administrator’s name and address
Administrator’s EIN |
631112070 |
Plan administrator’s name |
LEGACY CABINETS, LLC |
Plan administrator’s
address |
100 LEGACY BOULEVARD, ESTABOGA, AL, 36260 |
Administrator’s telephone number |
8008131112 |
Number of participants as of the end of the plan year
Active participants |
250 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-07-27 |
Name of individual signing |
CARL NICHOLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEGACY CABINETS, LLC CANCER WELFARE BENEFIT PLAN
|
2010
|
631112070
|
2011-10-05
|
LEGACY CABINETS, LLC
|
120
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2003-09-01
|
Business code |
321900
|
Sponsor’s telephone number |
8008131112
|
Plan sponsor’s mailing address |
100 LEGACY BOULEVARD, EASTABOGA, AL, 36260
|
Plan sponsor’s
address |
100 LEGACY BOULEVARD, EASTABOGA, AL, 36260
|
Plan administrator’s name and address
Administrator’s EIN |
631112070 |
Plan administrator’s name |
LEGACY CABINETS, LLC |
Plan administrator’s
address |
100 LEGACY BOULEVARD, EASTABOGA, AL, 36260 |
Administrator’s telephone number |
8008131112 |
Number of participants as of the end of the plan year
Active participants |
71 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-10-05 |
Name of individual signing |
CARL NICHOLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEGACY CABINETS, LLC LIFE & DISABILITY WELFARE BENEFIT PLAN
|
2010
|
631112070
|
2011-10-05
|
LEGACY CABINETS, LLC
|
287
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2007-01-01
|
Business code |
321900
|
Sponsor’s telephone number |
8008131112
|
Plan sponsor’s mailing address |
100 LEGACY BOULEVARD, EASTABOGA, AL, 36260
|
Plan sponsor’s
address |
100 LEGACY BOULEVARD, EASTABOGA, AL, 36260
|
Plan administrator’s name and address
Administrator’s EIN |
631112070 |
Plan administrator’s name |
LEGACY CABINETS, LLC |
Plan administrator’s
address |
100 LEGACY BOULEVARD, EASTABOGA, AL, 36260 |
Administrator’s telephone number |
8008131112 |
Number of participants as of the end of the plan year
Active participants |
289 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-10-05 |
Name of individual signing |
CARL NICHOLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEGACY CABINETS, LLC HEALTH & DENTAL WELFARE BENEFIT PLAN
|
2010
|
631112070
|
2011-10-05
|
LEGACY CABINETS, LLC
|
250
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1995-09-01
|
Business code |
321900
|
Sponsor’s telephone number |
8008131112
|
Plan sponsor’s mailing address |
100 LEGACY BOULEVARD, ESTABOGA, AL, 36260
|
Plan sponsor’s
address |
100 LEGACY BOULEVARD, ESTABOGA, AL, 36260
|
Plan administrator’s name and address
Administrator’s EIN |
631112070 |
Plan administrator’s name |
LEGACY CABINETS, LLC |
Plan administrator’s
address |
100 LEGACY BOULEVARD, ESTABOGA, AL, 36260 |
Administrator’s telephone number |
8008131112 |
Number of participants as of the end of the plan year
Active participants |
270 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-10-05 |
Name of individual signing |
CARL NICHOLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEGACY CABINETS, LLC LIFE & DISABILITY WELFARE BENEFIT PLAN
|
2009
|
631112070
|
2010-06-25
|
LEGACY CABINETS, LLC
|
389
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2007-01-01
|
Business code |
321900
|
Sponsor’s telephone number |
8008131112
|
Plan sponsor’s mailing address |
100 LEGACY BOULEVARD, EASTABOGA, AL, 36260
|
Plan sponsor’s
address |
100 LEGACY BOULEVARD, EASTABOGA, AL, 36260
|
Plan administrator’s name and address
Administrator’s EIN |
631112070 |
Plan administrator’s name |
LEGACY CABINETS, LLC |
Plan administrator’s
address |
100 LEGACY BOULEVARD, EASTABOGA, AL, 36260 |
Administrator’s telephone number |
8008131112 |
Number of participants as of the end of the plan year
Active participants |
287 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-06-25 |
Name of individual signing |
CARL NICHOLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEGACY CABINETS, LLC HEALTH & DENTAL WELFARE BENEFIT PLAN
|
2009
|
631112070
|
2010-06-25
|
LEGACY CABINETS, LLC
|
288
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1995-09-01
|
Business code |
321900
|
Sponsor’s telephone number |
8008131112
|
Plan sponsor’s mailing address |
100 LEGACY BOULEVARD, ESTABOGA, AL, 36260
|
Plan sponsor’s
address |
100 LEGACY BOULEVARD, ESTABOGA, AL, 36260
|
Plan administrator’s name and address
Administrator’s EIN |
631112070 |
Plan administrator’s name |
LEGACY CABINETS, LLC |
Plan administrator’s
address |
100 LEGACY BOULEVARD, ESTABOGA, AL, 36260 |
Administrator’s telephone number |
8008131112 |
Number of participants as of the end of the plan year
Active participants |
238 |
Retired or separated participants receiving
benefits |
6 |
Other
retired or separated participants entitled to future benefits |
6 |
Signature of
Role |
Plan administrator |
Date |
2010-06-25 |
Name of individual signing |
CARL NICHOLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEGACY CABINETS, LLC CANCER WELFARE BENEFIT PLAN
|
2009
|
631112070
|
2010-06-25
|
LEGACY CABINETS, LLC
|
160
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2003-09-01
|
Business code |
321900
|
Sponsor’s telephone number |
8008131112
|
Plan sponsor’s mailing address |
100 LEGACY BOULEVARD, EASTABOGA, AL, 36260
|
Plan sponsor’s
address |
100 LEGACY BOULEVARD, EASTABOGA, AL, 36260
|
Plan administrator’s name and address
Administrator’s EIN |
631112070 |
Plan administrator’s name |
LEGACY CABINETS, LLC |
Plan administrator’s
address |
100 LEGACY BOULEVARD, EASTABOGA, AL, 36260 |
Administrator’s telephone number |
8008131112 |
Number of participants as of the end of the plan year
Active participants |
120 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-06-25 |
Name of individual signing |
CARL NICHOLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|