|
MICRO MATIC USA, INC. HEALTH AND WELFARE PLAN
|
2020
|
510279808
|
2021-06-28
|
MICRO MATIC USA, INC.
|
260
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
1986-07-01
|
| Business code |
423990
|
| Sponsor’s telephone number |
3525441081
|
| Plan sponsor’s mailing address |
2386 SIMON COURT, BROOKSVILLE, FL, 34604
|
| Plan sponsor’s
address |
2386 SIMON COURT, BROOKSVILLE, FL, 34604
|
Number of participants as of the end of the plan year
| Active participants |
184 |
| Retired or separated participants receiving
benefits |
3 |
| Other
retired or separated participants entitled to future benefits |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2021-06-28 |
| Name of individual signing |
PAMELA BALDWIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-06-28 |
| Name of individual signing |
PAMELA BALDWIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MICRO MATIC USA, INC. HEALTH AND WELFARE PLAN
|
2019
|
510279808
|
2020-06-18
|
MICRO MATIC USA, INC.
|
239
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
1986-07-01
|
| Business code |
423990
|
| Sponsor’s telephone number |
3525441081
|
| Plan sponsor’s mailing address |
2386 SIMON COURT, BROOKSVILLE, FL, 34604
|
| Plan sponsor’s
address |
2386 SIMON COURT, BROOKSVILLE, FL, 34604
|
Number of participants as of the end of the plan year
| Active participants |
246 |
| Retired or separated participants receiving
benefits |
1 |
| Other
retired or separated participants entitled to future benefits |
8 |
Signature of
| Role |
Plan administrator |
| Date |
2020-06-18 |
| Name of individual signing |
PAMELA BALDWIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MICRO MATIC USA, INC. HEALTH AND WELFARE PLAN
|
2018
|
510279808
|
2019-06-19
|
MICRO MATIC USA, INC.
|
232
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
1986-07-01
|
| Business code |
423990
|
| Sponsor’s telephone number |
3525441081
|
| Plan sponsor’s mailing address |
2386 SIMON COURT, BROOKSVILLE, FL, 34604
|
| Plan sponsor’s
address |
2386 SIMON COURT, BROOKSVILLE, FL, 34604
|
Number of participants as of the end of the plan year
| Active participants |
228 |
| Retired or separated participants receiving
benefits |
5 |
| Other
retired or separated participants entitled to future benefits |
2 |
Signature of
| Role |
Plan administrator |
| Date |
2019-06-19 |
| Name of individual signing |
PAMELA BALDWIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2019-06-19 |
| Name of individual signing |
PAMELA BALDWIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MICRO MATIC USA, INC. HEALTH REIMBURSEMENT ARRANGEMENT
|
2014
|
510279808
|
2015-05-12
|
MICRO MATIC USA, INC.
|
179
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
505
|
| Effective date of plan |
2008-07-01
|
| Business code |
332900
|
| Sponsor’s telephone number |
3527996331
|
| Plan sponsor’s mailing address |
2364 SIMON COURT, BROOKSVILLE, FL, 34604
|
| Plan sponsor’s
address |
2364 SIMON COURT, BROOKSVILLE, FL, 34604
|
Number of participants as of the end of the plan year
| Active participants |
0 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2015-05-12 |
| Name of individual signing |
JAMES MOTUSH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
