|
GALVANON, AN NCR COMPANY RETIREMENT PLAN
|
2009
|
201589862
|
2010-12-29
|
NCR SELF SERVICE LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2004-03-15
|
| Business code |
541511
|
| Sponsor’s telephone number |
9374457916
|
| Plan sponsor’s mailing address |
2500 MAITLAND CENTER PKWY, MAITLAND, FL, 327517224
|
| Plan sponsor’s
address |
2500 MAITLAND CENTER PKWY, MAITLAND, FL, 327517224
|
Plan administrator’s name and address
| Administrator’s EIN |
201589862 |
| Plan administrator’s name |
NCR SELF SERVICE LLC |
| Plan administrator’s
address |
2500 MAITLAND CENTER PKWY, MAITLAND, FL, 327517224 |
| Administrator’s telephone number |
9374457916 |
Number of participants as of the end of the plan year
| Active participants |
5 |
| 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 |
Employer/plan sponsor |
| Date |
2010-12-29 |
| Name of individual signing |
EILEEN ALLEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GALVANON, AN NCR COMPANY RETIREMENT PLAN
|
2009
|
201589862
|
2010-08-27
|
NCR SELF SERVICE LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2004-03-15
|
| Business code |
541511
|
| Sponsor’s telephone number |
9374457916
|
| Plan sponsor’s mailing address |
2500 MAITLAND CENTER PKWY, MAITLAND, FL, 327517224
|
| Plan sponsor’s
address |
2500 MAITLAND CENTER PKWY, MAITLAND, FL, 327517224
|
Plan administrator’s name and address
| Administrator’s EIN |
201589862 |
| Plan administrator’s name |
NCR SELF SERVICE LLC |
| Plan administrator’s
address |
2500 MAITLAND CENTER PKWY, MAITLAND, FL, 327517224 |
| Administrator’s telephone number |
9374457916 |
Number of participants as of the end of the plan year
| Active participants |
5 |
| 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 |
Employer/plan sponsor |
| Date |
2010-08-27 |
| Name of individual signing |
EILEEN ALLEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
