|
EXXELIA USA INC 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
452894705
|
2023-10-16
|
EXXELIA USA INC
|
197
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-10-01
|
| Business code |
339900
|
| Sponsor’s telephone number |
4076956562
|
| Plan sponsor’s mailing address |
1221 N US HIGHWAY 17 92, LONGWOOD, FL, 327503739
|
| Plan sponsor’s
address |
1221 N US HIGHWAY 17 92, LONGWOOD, FL, 327503739
|
Plan administrator’s name and address
| Administrator’s EIN |
471637791 |
| Plan administrator’s name |
ERISA FIDUCIRY SERVICES, INC |
| Plan administrator’s
address |
1373 VETERANS HWY STE 10, HAUPPAUGE, NY, 117883047 |
| Administrator’s telephone number |
6312490500 |
Number of participants as of the end of the plan year
| Active participants |
139 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
30 |
| 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 |
161 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
7 |
Signature of
| Role |
Plan administrator |
| Date |
2023-10-16 |
| Name of individual signing |
KEVIN RHODES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2023-10-16 |
| Name of individual signing |
KEVIN RHODES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EXXELIA USA INC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
452894705
|
2023-08-25
|
EXXELIA USA INC
|
316
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-10-01
|
| Business code |
339900
|
| Sponsor’s telephone number |
4076956562
|
| Plan sponsor’s mailing address |
1221 N US HIGHWAY 17 92, LONGWOOD, FL, 327503739
|
| Plan sponsor’s
address |
1221 N US HIGHWAY 17 92, LONGWOOD, FL, 327503739
|
Plan administrator’s name and address
| Administrator’s EIN |
471637791 |
| Plan administrator’s name |
ERISA FIDUCIRY SERVICES, INC |
| Plan administrator’s
address |
1373 VETERANS HWY STE 10, HAUPPAUGE, NY, 117883047 |
| Administrator’s telephone number |
6132490500 |
Number of participants as of the end of the plan year
| Active participants |
160 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
31 |
| 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 |
178 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
4 |
Signature of
| Role |
Plan administrator |
| Date |
2023-08-25 |
| Name of individual signing |
KEVIN RHODES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2023-08-25 |
| Name of individual signing |
KEVIN RHODES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
