BELZON, INC. CBA 401(K) PLAN
|
2012
|
431690125
|
2013-07-29
|
BELZON, INC.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-03-01
|
Business code |
921000
|
Sponsor’s telephone number |
2564616039
|
Plan sponsor’s
address |
6767 OLD MADISON PIKE STE 135, HUNTSVILLE, AL, 358062186
|
Signature of
Role |
Plan administrator |
Date |
2013-07-29 |
Name of individual signing |
SANDY REYNOLDS |
|
Role |
Employer/plan sponsor |
Date |
2013-07-29 |
Name of individual signing |
SANDY REYNOLDS |
|
|
BELZON, INC. 401(K) PLAN
|
2012
|
431690125
|
2013-07-15
|
BELZON, INC.
|
72
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
561210
|
Sponsor’s telephone number |
2564616039
|
Plan sponsor’s
address |
6767 OLD MADISON PIKE, HUNTSVILLE, AL, 358062172
|
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
SANDY REYNOLDS |
|
Role |
Employer/plan sponsor |
Date |
2013-07-15 |
Name of individual signing |
SANDY REYNOLDS |
|
|
BELZON INC CBA 401 (K) PLAN
|
2011
|
431690125
|
2012-02-16
|
BELZON INC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-03-01
|
Business code |
921000
|
Sponsor’s telephone number |
2564616039
|
Plan sponsor’s mailing address |
6767 OLD MADISON PIKE STE 275, HUNTSVILLE, AL, 358062193
|
Plan sponsor’s
address |
6767 OLD MADISON PIKE STE 275, HUNTSVILLE, AL, 358062193
|
Plan administrator’s name and address
Administrator’s EIN |
431690125 |
Plan administrator’s name |
BELZON INC |
Plan administrator’s
address |
6767 OLD MADISON PIKE STE 275, HUNTSVILLE, AL, 358062193 |
Administrator’s telephone number |
2564616039 |
Number of participants as of the end of the plan year
Active participants |
14 |
Number of
participants
with
account balances as of the end of the plan year |
4 |
Signature of
Role |
Plan administrator |
Date |
2012-02-16 |
Name of individual signing |
SANDRA REYNOLDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BELZON, INC. 401(K) PLAN
|
2011
|
431690125
|
2012-09-18
|
BELZON, INC.
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
921000
|
Sponsor’s telephone number |
2564616039
|
Plan sponsor’s
address |
6767 OLD MADISON PIKE, HUNTSVILLE, AL, 358062172
|
Plan administrator’s name and address
Administrator’s EIN |
431690125 |
Plan administrator’s name |
BELZON, INC. |
Plan administrator’s
address |
6767 OLD MADISON PIKE, HUNTSVILLE, AL, 358062172 |
Administrator’s telephone number |
2564616039 |
Signature of
Role |
Plan administrator |
Date |
2012-09-18 |
Name of individual signing |
SANDRA REYNOLDS |
|
Role |
Employer/plan sponsor |
Date |
2012-09-18 |
Name of individual signing |
JOHN CARDEN |
|
|
BELZON, INC. CBA 401(K) PLAN
|
2011
|
431690125
|
2012-06-04
|
BELZON, INC.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-03-01
|
Business code |
921000
|
Sponsor’s telephone number |
2564616039
|
Plan sponsor’s
address |
6767 OLD MADISON PIKE STE 135, HUNTSVILLE, AL, 358062186
|
Plan administrator’s name and address
Administrator’s EIN |
431690125 |
Plan administrator’s name |
BELZON, INC. |
Plan administrator’s
address |
6767 OLD MADISON PIKE STE 135, HUNTSVILLE, AL, 358062186 |
Administrator’s telephone number |
2564616039 |
Signature of
Role |
Plan administrator |
Date |
2012-06-04 |
Name of individual signing |
SANDY REYNOLDS |
|
Role |
Employer/plan sponsor |
Date |
2012-06-04 |
Name of individual signing |
SANDY REYNOLDS |
|
|
BELZON, INC. 401(K) PLAN
|
2010
|
431690125
|
2011-10-06
|
BELZON, INC.
|
119
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
561210
|
Sponsor’s telephone number |
2563273898
|
Plan sponsor’s mailing address |
6767 OLD MADISON PIKE NW, SUITE 275, HUNTSVILLE, AL, 35806
|
Plan sponsor’s
address |
6767 OLD MADISON PIKE NW, SUITE 275, HUNTSVILLE, AL, 35806
|
Plan administrator’s name and address
Administrator’s EIN |
431690125 |
Plan administrator’s name |
BELZON, INC. |
Plan administrator’s
address |
6767 OLD MADISON PIKE NW, SUITE 275, HUNTSVILLE, AL, 35806 |
Administrator’s telephone number |
2563273898 |
Number of participants as of the end of the plan year
Active participants |
43 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
35 |
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 |
67 |
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 |
2011-10-06 |
Name of individual signing |
SANDRA REYNOLDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BELZON, INC. 401(K) PLAN
|
2010
|
431690125
|
2011-10-06
|
BELZON, INC.
|
119
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
561210
|
Sponsor’s telephone number |
2563273898
|
Plan sponsor’s mailing address |
6767 OLD MADISON PIKE NW, SUITE 275, HUNTSVILLE, AL, 35806
|
Plan sponsor’s
address |
6767 OLD MADISON PIKE NW, SUITE 275, HUNTSVILLE, AL, 35806
|
Plan administrator’s name and address
Administrator’s EIN |
431690125 |
Plan administrator’s name |
BELZON, INC. |
Plan administrator’s
address |
6767 OLD MADISON PIKE NW, SUITE 275, HUNTSVILLE, AL, 35806 |
Administrator’s telephone number |
2563273898 |
Number of participants as of the end of the plan year
Active participants |
43 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
35 |
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 |
67 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-10-06 |
Name of individual signing |
JOHN CARDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BELZON, INC. CBA 401(K) PLAN
|
2010
|
431690125
|
2011-08-05
|
BELZON, INC.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-03-01
|
Business code |
921000
|
Sponsor’s telephone number |
2564616039
|
Plan sponsor’s
address |
6767 OLD MADISON PIKE STE 135, HUNTSVILLE, AL, 358062186
|
Plan administrator’s name and address
Administrator’s EIN |
431690125 |
Plan administrator’s name |
BELZON, INC. |
Plan administrator’s
address |
6767 OLD MADISON PIKE STE 135, HUNTSVILLE, AL, 358062186 |
Administrator’s telephone number |
2564616039 |
Signature of
Role |
Plan administrator |
Date |
2011-08-05 |
Name of individual signing |
SANDRA REYNOLDS |
|
Role |
Employer/plan sponsor |
Date |
2011-08-05 |
Name of individual signing |
SANDRA REYNOLDS |
|
|
BELZON, INC. CBA 401(K) PLAN
|
2010
|
431690125
|
2012-02-17
|
BELZON, INC.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-03-01
|
Business code |
921000
|
Sponsor’s telephone number |
2564616039
|
Plan sponsor’s
address |
6767 OLD MADISON PIKE STE 135, HUNTSVILLE, AL, 358062186
|
Plan administrator’s name and address
Administrator’s EIN |
431690125 |
Plan administrator’s name |
BELZON, INC. |
Plan administrator’s
address |
6767 OLD MADISON PIKE STE 135, HUNTSVILLE, AL, 358062186 |
Administrator’s telephone number |
2564616039 |
Signature of
Role |
Plan administrator |
Date |
2012-02-17 |
Name of individual signing |
SANDRA REYNOLDS |
|
Role |
Employer/plan sponsor |
Date |
2012-02-17 |
Name of individual signing |
SANDRA REYNOLDS |
|
|
BELZON, INC. CBA 401(K) PLAN
|
2010
|
431690125
|
2012-02-17
|
BELZON, INC.
|
24
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-03-01
|
Business code |
921000
|
Sponsor’s telephone number |
2564616039
|
Plan sponsor’s
address |
6767 OLD MADISON PIKE STE 135, HUNTSVILLE, AL, 358062186
|
Plan administrator’s name and address
Administrator’s EIN |
431690125 |
Plan administrator’s name |
BELZON, INC. |
Plan administrator’s
address |
6767 OLD MADISON PIKE STE 135, HUNTSVILLE, AL, 358062186 |
Administrator’s telephone number |
2564616039 |
Signature of
Role |
Plan administrator |
Date |
2012-02-17 |
Name of individual signing |
SANDRA REYNOLDS |
|
Role |
Employer/plan sponsor |
Date |
2012-02-17 |
Name of individual signing |
SANDRA REYNOLDS |
|
|