MICROLUMEN, INC. HEALTH AND WELFARE PLAN
|
2023
|
593222011
|
2024-07-20
|
MICROLUMEN, INC.
|
257
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1994-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
8138861200
|
Plan sponsor’s mailing address |
1 MICROLUMEN WAY, OLDSMAR, FL, 34677
|
Plan sponsor’s
address |
1 MICROLUMEN WAY, OLDSMAR, FL, 34677
|
Number of participants as of the end of the plan year
Active participants |
292 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2024-07-20 |
Name of individual signing |
ROBIN REYNOLDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICROLUMEN, INC. HEALTH AND WELFARE PLAN
|
2022
|
593222011
|
2023-07-24
|
MICROLUMEN, INC.
|
206
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1994-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
8138861200
|
Plan sponsor’s mailing address |
1 MICROLUMEN WAY, OLDSMAR, FL, 34677
|
Plan sponsor’s
address |
1 MICROLUMEN WAY, OLDSMAR, FL, 34677
|
Number of participants as of the end of the plan year
Active participants |
257 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-07-24 |
Name of individual signing |
ROBIN REYNOLDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICROLUMEN, INC. HEALTH AND WELFARE PLAN
|
2021
|
593222011
|
2022-05-25
|
MICROLUMEN, INC.
|
180
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1994-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
8138861200
|
Plan sponsor’s mailing address |
1 MICROLUMEN WAY, OLDSMAR, FL, 34677
|
Plan sponsor’s
address |
1 MICROLUMEN WAY, OLDSMAR, FL, 34677
|
Number of participants as of the end of the plan year
Active participants |
206 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-05-25 |
Name of individual signing |
ROBIN REYNOLDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICROLUMEN, INC. HEALTH AND WELFARE PLAN
|
2020
|
593222011
|
2021-04-15
|
MICROLUMEN, INC.
|
180
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1994-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
8138861200
|
Plan sponsor’s mailing address |
1 MICROLUMEN WAY, OLDSMAR, FL, 34677
|
Plan sponsor’s
address |
1 MICROLUMEN WAY, OLDSMAR, FL, 34677
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-04-14 |
Name of individual signing |
ROBIN REYNOLDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-04-14 |
Name of individual signing |
ROBIN REYNOLDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICROLUMEN, INC. HEALTH AND WELFARE PLAN
|
2019
|
593222011
|
2020-07-10
|
MICROLUMEN, INC.
|
377
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1994-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
8138861200
|
Plan sponsor’s mailing address |
1 MICROLUMEN WAY, OLDSMAR, FL, 34677
|
Plan sponsor’s
address |
1 MICROLUMEN WAY, OLDSMAR, FL, 34677
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-10 |
Name of individual signing |
ROBIN REYNOLDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-10 |
Name of individual signing |
ROBIN REYNOLDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICROLUMEN, INC. HEALTH AND WELFARE PLAN
|
2018
|
593222011
|
2019-05-28
|
MICROLUMEN, INC.
|
342
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1994-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
8138861200
|
Plan sponsor’s mailing address |
1 MICROLUMEN WAY, OLDSMAR, FL, 34677
|
Plan sponsor’s
address |
1 MICROLUMEN WAY, OLDSMAR, FL, 34677
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-05-28 |
Name of individual signing |
ROBIN REYNOLDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICROLUMEN, INC. HEALTH AND WELFARE PLAN
|
2017
|
593222011
|
2018-05-23
|
MICROLUMEN, INC.
|
119
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1994-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
8138861200
|
Plan sponsor’s mailing address |
1 MICROLUMEN WAY, OLDSMAR, FL, 34677
|
Plan sponsor’s
address |
1 MICROLUMEN WAY, OLDSMAR, FL, 34677
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-05-23 |
Name of individual signing |
ROBIN REYNOLDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICROLUMEN 401(K) PLAN
|
2017
|
593222011
|
2018-05-14
|
MICROLUMEN, INC.
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-04-01
|
Business code |
326100
|
Sponsor’s telephone number |
8138861200
|
Plan sponsor’s
address |
ONE MICROLUMEN WAY, OLDSMAR, FL, 34677
|
Signature of
Role |
Plan administrator |
Date |
2018-05-14 |
Name of individual signing |
MATTHEW ROBERDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICROLUMEN, INC. HEALTH AND WELFARE PLAN
|
2016
|
593222011
|
2017-05-31
|
MICROLUMEN, INC.
|
101
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1994-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
8138861200
|
Plan sponsor’s mailing address |
1 MICROLUMEN WAY, OLDSMAR, FL, 34677
|
Plan sponsor’s
address |
1 MICROLUMEN WAY, OLDSMAR, FL, 34677
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-05-31 |
Name of individual signing |
ROBIN REYNOLDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-31 |
Name of individual signing |
ROBIN REYNOLDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICROLUMEN 401(K) PLAN
|
2016
|
593222011
|
2017-07-07
|
MICROLUMEN, INC.
|
100
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-04-01
|
Business code |
326100
|
Sponsor’s telephone number |
8138861200
|
Plan sponsor’s
address |
ONE MICROLUMEN WAY, OLDSMAR, FL, 34677
|
Signature of
Role |
Plan administrator |
Date |
2017-07-07 |
Name of individual signing |
MATTHEW ROBERDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|