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USI HOLDINGS CORPORATION

Company Details

Name: USI HOLDINGS CORPORATION
Jurisdiction: New York
Legal type: FOREIGN DESIGNATION OF THE SECRETARY OF STATE
Status: Recorded
Date of registration: 07 Jun 1994 (31 years ago)
Date of dissolution: 07 Jun 1994
Entity Number: 1826837
County: Blank
Place of Formation: Delaware

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
USI 401(K) PLAN 2012 133771733 2013-07-25 USI HOLDINGS CORPORATION 4737
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 525100
Sponsor’s telephone number 9147498500
Plan sponsor’s mailing address 555 PLEASANTVILLE ROAD, BRIARCLIFF MANOR, NY, 10510
Plan sponsor’s address SUITE 160 SOUTH, BRIARCLIFF MANOR, NY, 10510

Number of participants as of the end of the plan year

Active participants 4000
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 800
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 4213
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 300

Signature of

Role Plan administrator
Date 2013-07-25
Name of individual signing KIM VAN ORMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-25
Name of individual signing KIM VAN ORMAN
Valid signature Filed with authorized/valid electronic signature
USI 401(K) PLAN 2011 133771733 2012-10-06 USI HOLDINGS CORPORATION 4810
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 525100
Sponsor’s telephone number 9147498500
Plan sponsor’s mailing address 555 PLEASANTVILLE ROAD, BRIARCLIFF MANOR, NY, 10510
Plan sponsor’s address SUITE 160 SOUTH, BRIARCLIFF MANOR, NY, 10510

Plan administrator’s name and address

Administrator’s EIN 133771733
Plan administrator’s name USI HOLDINGS CORPORATION
Plan administrator’s address 555 PLEASANTVILLE ROAD, BRIARCLIFF MANOR, NY, 10510
Administrator’s telephone number 9147498500

Number of participants as of the end of the plan year

Active participants 3916
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 816
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 5
Number of participants with account balances as of the end of the plan year 3884
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 309

Signature of

Role Plan administrator
Date 2012-10-06
Name of individual signing KIM VAN ORMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-06
Name of individual signing KIM VAN ORMAN
Valid signature Filed with authorized/valid electronic signature
USI 401(K) PLAN 2010 133771733 2011-10-15 USI HOLDINGS CORPORATION 5161
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 525100
Sponsor’s telephone number 9147498500
Plan sponsor’s mailing address 555 PLEASANTVILLE ROAD, BRIARCLIFF MANOR, NY, 10510
Plan sponsor’s address SUITE 160 SOUTH, BRIARCLIFF MANOR, NY, 10510

Plan administrator’s name and address

Administrator’s EIN 133771733
Plan administrator’s name USI HOLDINGS CORPORATION
Plan administrator’s address 555 PLEASANTVILLE ROAD, BRIARCLIFF MANOR, NY, 10510
Administrator’s telephone number 9147498500

Number of participants as of the end of the plan year

Active participants 3648
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1110
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 4
Number of participants with account balances as of the end of the plan year 3856
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 354

Signature of

Role Plan administrator
Date 2011-10-15
Name of individual signing KIM VAN ORMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-15
Name of individual signing KIM VAN ORMAN
Valid signature Filed with authorized/valid electronic signature
USI 401(K) PLAN 2009 133771733 2010-10-14 USI HOLDINGS CORPORATION 4923
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 525100
Sponsor’s telephone number 9147498500
Plan sponsor’s mailing address 555 PLEASANTVILLE ROAD, BRIARCLIFF MANOR, NY, 10510
Plan sponsor’s address SUITE 160 SOUTH, BRIARCLIFF MANOR, NY, 10510

Plan administrator’s name and address

Administrator’s EIN 133771733
Plan administrator’s name USI HOLDINGS CORPORATION
Plan administrator’s address 555 PLEASANTVILLE ROAD, BRIARCLIFF MANOR, NY, 10510
Administrator’s telephone number 9147498500

Number of participants as of the end of the plan year

Active participants 3574
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1541
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 4
Number of participants with account balances as of the end of the plan year 4509
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 318

Signature of

Role Plan administrator
Date 2010-10-13
Name of individual signing KIM VAN ORMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-13
Name of individual signing KIM VAN ORMAN
Valid signature Filed with authorized/valid electronic signature

Date of last update: 15 Mar 2025

Sources: New York Secretary of State