|
AXSA DOCUMENT SOLUTIONS, INC. 401(K) PROFIT SHARING PLAN
|
2010
|
593456143
|
2011-09-02
|
AXSA DOCUMENT SOLUTIONS, INC.
|
63
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-02-01
|
| Business code |
443120
|
| Sponsor’s telephone number |
4072401690
|
| Plan sponsor’s mailing address |
8010 SUNPORT DRIVE, ORLANDO, FL, 32809
|
| Plan sponsor’s
address |
ROBERT MCDERMOTT, 8010 SUNPORT DR, ORLANDO, FL, 32809
|
Plan administrator’s name and address
| Administrator’s EIN |
593456143 |
| Plan administrator’s name |
AXSA DOCUMENT SOLUTIONS, INC. |
| Plan administrator’s
address |
8010 SUNPORT DRIVE, ORLANDO, FL, 32809 |
| Administrator’s telephone number |
4072401690 |
Number of participants as of the end of the plan year
| Active participants |
32 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
12 |
| 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 |
29 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
3 |
Signature of
| Role |
Plan administrator |
| Date |
2011-09-02 |
| Name of individual signing |
NANCY SMITH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-09-02 |
| Name of individual signing |
NANCY SMITH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AXSA DOCUMENT SOLUTIONS, INC. 401(K) PROFIT SHARING PLAN
|
2009
|
593456143
|
2010-10-25
|
AXSA DOCUMENT SOLUTIONS, INC.
|
93
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-02-01
|
| Business code |
443120
|
| Sponsor’s telephone number |
4072401690
|
| Plan sponsor’s mailing address |
8010 SUNPORT DRIVE, ORLANDO, FL, 32809
|
| Plan sponsor’s
address |
ROBERT MCDERMOTT, 8010 SUNPORT DR, ORLANDO, FL, 32809
|
Plan administrator’s name and address
| Administrator’s EIN |
593456143 |
| Plan administrator’s name |
AXSA DOCUMENT SOLUTIONS, INC. |
| Plan administrator’s
address |
8010 SUNPORT DRIVE, ORLANDO, FL, 32809 |
| Administrator’s telephone number |
4072401690 |
Number of participants as of the end of the plan year
| Active participants |
47 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
13 |
| 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 |
40 |
| 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 |
2010-10-25 |
| Name of individual signing |
ROBERT MCDERMOTT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-25 |
| Name of individual signing |
ROBERT MCDERMOTT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AXSA DOCUMENT SOLUTIONS, INC. 401(K) PROFIT SHARING PLAN
|
2009
|
593456143
|
2010-10-11
|
AXSA DOCUMENT SOLUTIONS, INC.
|
93
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-02-01
|
| Business code |
443120
|
| Sponsor’s telephone number |
4072401690
|
| Plan sponsor’s mailing address |
8010 SUNPORT DRIVE, ORLANDO, FL, 32809
|
| Plan sponsor’s
address |
ROBERT MCDERMOTT, 8010 SUNPORT DR, ORLANDO, FL, 32809
|
Plan administrator’s name and address
| Administrator’s EIN |
593456143 |
| Plan administrator’s name |
AXSA DOCUMENT SOLUTIONS, INC. |
| Plan administrator’s
address |
8010 SUNPORT DRIVE, ORLANDO, FL, 32809 |
| Administrator’s telephone number |
4072401690 |
Number of participants as of the end of the plan year
| Active participants |
47 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
13 |
| 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 |
40 |
| 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 |
2010-10-11 |
| Name of individual signing |
ROBERT MCDERMOTT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-11 |
| Name of individual signing |
ROBERT MCDERMOTT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
