|
ENVISAGE INTERNATIONAL CORPORATION 401(K) PLAN
|
2011
|
203531031
|
2012-04-03
|
ENVISAGE INTERNATIONAL CORPORATION
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-12-07
|
| Business code |
519100
|
| Sponsor’s telephone number |
9042471387
|
| Plan sponsor’s mailing address |
224 FIRST STREET, NEPTUNE BEACH, FL, 32266
|
| Plan sponsor’s
address |
224 FIRST STREET, NEPTUNE BEACH, FL, 32266
|
Plan administrator’s name and address
| Administrator’s EIN |
203531031 |
| Plan administrator’s name |
ENVISAGE INTERNATIONAL CORPORATION |
| Plan administrator’s
address |
224 FIRST STREET, NEPTUNE BEACH, FL, 32266 |
| Administrator’s telephone number |
9042471387 |
Number of participants as of the end of the plan year
| Active participants |
11 |
| 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 |
7 |
| 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 |
2012-04-03 |
| Name of individual signing |
KEITH CLAUSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ENVISAGE INTERNATIONAL CORPORATION 401K PLAN
|
2010
|
203531031
|
2011-05-11
|
ENVISAGE INTERNATIONAL CORPORATION
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-12-07
|
| Sponsor’s telephone number |
9042471387
|
| Plan sponsor’s
address |
224 FIRST STREET, NEPTUNE BEACH, FL, 32266
|
Plan administrator’s name and address
| Administrator’s EIN |
203531031 |
| Plan administrator’s name |
ENVISAGE INTERNATIONAL CORPORATION |
| Plan administrator’s
address |
224 FIRST STREET, NEPTUNE BEACH, FL, 32266 |
| Administrator’s telephone number |
9042471387 |
Signature of
| Role |
Plan administrator |
| Date |
2011-05-11 |
| Name of individual signing |
KEITH CLAUSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ENVISAGE INTERNATIONAL CORPORATION 401K PLAN
|
2010
|
203531031
|
2011-05-11
|
ENVISAGE INTERNATIONAL CORPORATION
|
3
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-12-07
|
| Sponsor’s telephone number |
9042471387
|
| Plan sponsor’s
address |
224 FIRST STREET, NEPTUNE BEACH, FL, 32266
|
Plan administrator’s name and address
| Administrator’s EIN |
203531031 |
| Plan administrator’s name |
ENVISAGE INTERNATIONAL CORPORATION |
| Plan administrator’s
address |
224 FIRST STREET, NEPTUNE BEACH, FL, 32266 |
| Administrator’s telephone number |
9042471387 |
Signature of
| Role |
Employer/plan sponsor |
| Date |
2011-05-11 |
| Name of individual signing |
KEITH CLAUSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ENVISAGE INTERNATIONAL CORPORATION 401(K) PLAN
|
2010
|
203531031
|
2011-06-06
|
ENVISAGE INTERNATIONAL CORPORATION
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-12-07
|
| Business code |
519100
|
| Sponsor’s telephone number |
9042471387
|
| Plan sponsor’s mailing address |
224 FIRST STREET, NEPTUNE BEACH, FL, 32266
|
| Plan sponsor’s
address |
224 FIRST STREET, NEPTUNE BEACH, FL, 32266
|
Plan administrator’s name and address
| Administrator’s EIN |
203531031 |
| Plan administrator’s name |
ENVISAGE INTERNATIONAL CORPORATION |
| Plan administrator’s
address |
224 FIRST STREET, NEPTUNE BEACH, FL, 32266 |
| Administrator’s telephone number |
9042471387 |
Number of participants as of the end of the plan year
| Active participants |
7 |
| 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 |
5 |
| 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 |
2011-06-06 |
| Name of individual signing |
KEITH CLAUSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ENVISAGE INTERNATIONAL CORPORATION 401(K) PLAN
|
2009
|
203531031
|
2010-10-29
|
ENVISAGE INTERNATIONAL CORPORATION
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-12-07
|
| Business code |
519100
|
| Sponsor’s telephone number |
9042471387
|
| Plan sponsor’s mailing address |
804 3RD ST., #A, NEPTUNE BEACH, FL, 32266
|
| Plan sponsor’s
address |
804 3RD ST., #A, NEPTUNE BEACH, FL, 32266
|
Plan administrator’s name and address
| Administrator’s EIN |
203531031 |
| Plan administrator’s name |
ENVISAGE INTERNATIONAL CORPORATION |
| Plan administrator’s
address |
804 3RD ST., #A, NEPTUNE BEACH, FL, 32266 |
| Administrator’s telephone number |
9042471387 |
Number of participants as of the end of the plan year
| Active participants |
4 |
| 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 |
4 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-29 |
| Name of individual signing |
KEITH CLAUSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
