OXBO INTERNATIONAL CORPORATION WELFARE BENEFITS PLAN
|
2023
|
161559445
|
2024-07-16
|
OXBO INTERNATIONAL CORPORATION
|
411
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2010-01-01
|
Business code |
333100
|
Sponsor’s telephone number |
5855482665
|
Plan sponsor’s mailing address |
7275 BATAVIA-BYRON ROAD, BYRON, NY, 14422
|
Plan sponsor’s
address |
7275 BATAVIA-BYRON ROAD, BYRON, NY, 14422
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-16 |
Name of individual signing |
JENNIFER GNAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-16 |
Name of individual signing |
JENNIFER GNAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OXBO INTERNATIONAL CORPORATION WELFARE BENEFITS PLAN
|
2022
|
161559445
|
2023-07-17
|
OXBO INTERNATIONAL CORPORATION
|
451
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2010-01-01
|
Business code |
333100
|
Sponsor’s telephone number |
5855482665
|
Plan sponsor’s mailing address |
7275 BATAVIA-BYRON ROAD, BYRON, NY, 14422
|
Plan sponsor’s
address |
7275 BATAVIA-BYRON ROAD, BYRON, NY, 14422
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-17 |
Name of individual signing |
JENNIFER GNAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-17 |
Name of individual signing |
JENNIFER GNAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OXBO INTERNATIONAL CORPORATION WELFARE BENEFITS PLAN
|
2021
|
161559445
|
2022-07-29
|
OXBO INTERNATIONAL CORPORATION
|
419
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2010-01-01
|
Business code |
333100
|
Sponsor’s telephone number |
5855482665
|
Plan sponsor’s mailing address |
7275 BATAVIA-BYRON ROAD, BYRON, NY, 14422
|
Plan sponsor’s
address |
7275 BATAVIA-BYRON ROAD, BYRON, NY, 14422
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-07-28 |
Name of individual signing |
JENNIFER GNAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OXBO INTERNATIONAL CORPORATION WELFARE BENEFITS PLAN
|
2020
|
161559445
|
2021-07-23
|
OXBO INTERNATIONAL CORPORATION
|
407
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2010-01-01
|
Business code |
333100
|
Sponsor’s telephone number |
5855482665
|
Plan sponsor’s mailing address |
7275 BATAVIA-BYRON ROAD, BYRON, NY, 14422
|
Plan sponsor’s
address |
7275 BATAVIA-BYRON ROAD, BYRON, NY, 14422
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-23 |
Name of individual signing |
JENNIFER GNAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-23 |
Name of individual signing |
JENNIFER GNAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OXBO INTERNATIONAL CORPORATION WELFARE BENEFITS PLAN
|
2019
|
161559445
|
2020-07-10
|
OXBO INTERNATIONAL CORPORATION
|
467
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2010-01-01
|
Business code |
333100
|
Sponsor’s telephone number |
5855482665
|
Plan sponsor’s mailing address |
7275 BATAVIA-BYRON ROAD, BYRON, NY, 14422
|
Plan sponsor’s
address |
7275 BATAVIA-BYRON ROAD, BYRON, NY, 14422
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-08 |
Name of individual signing |
JENNIFER GNAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-08 |
Name of individual signing |
JENNIFER GNAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OXBO INTERNATIONAL CORPORATION WELFARE BENEFITS PLAN
|
2018
|
161559445
|
2019-07-19
|
OXBO INTERNATIONAL CORPORATION
|
425
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2010-01-01
|
Business code |
333100
|
Sponsor’s telephone number |
5855482665
|
Plan sponsor’s mailing address |
7275 BATAVIA-BYRON ROAD, BYRON, NY, 14422
|
Plan sponsor’s
address |
7275 BATAVIA-BYRON ROAD, BYRON, NY, 14422
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-19 |
Name of individual signing |
JENNIFER GNAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-19 |
Name of individual signing |
JENNIFER GNAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OXBO INTERNATIONAL CORPORATION WELFARE BENEFITS PLAN
|
2017
|
161559445
|
2018-07-11
|
OXBO INTERNATIONAL CORPORATION
|
381
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2010-01-01
|
Business code |
333100
|
Sponsor’s telephone number |
5855482665
|
Plan sponsor’s mailing address |
7275 BATAVIA-BYRON ROAD, BYRON, NY, 14422
|
Plan sponsor’s
address |
7275 BATAVIA-BYRON ROAD, BYRON, NY, 14422
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-11 |
Name of individual signing |
JENNIFER GNAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OXBO INTERNATIONAL CORPORATION WELFARE BENEFITS PLAN
|
2016
|
161559445
|
2017-06-16
|
OXBO INTERNATIONAL CORPORATION
|
381
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2010-01-01
|
Business code |
333100
|
Sponsor’s telephone number |
5855482665
|
Plan sponsor’s mailing address |
7275 BATAVIA-BYRON ROAD, BYRON, NY, 14422
|
Plan sponsor’s
address |
7275 BATAVIA-BYRON ROAD, BYRON, NY, 14422
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-06-16 |
Name of individual signing |
JENNIFER GNAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-16 |
Name of individual signing |
JENNIFER GNAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OXBO INTERNATIONAL RETIREMENT SAVINGS PLAN
|
2015
|
161559445
|
2016-10-14
|
OXBO INTERNATIONAL CORPORATION
|
546
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
1979-03-01
|
Business code |
333100
|
Sponsor’s telephone number |
5855482665
|
Plan sponsor’s mailing address |
PO BOX 100, BYRON, NY, 14422
|
Plan sponsor’s
address |
7275 BYRON ROAD, BYRON, NY, 14422
|
Number of participants as of the end of the plan year
Active participants |
447 |
Retired or separated participants receiving
benefits |
14 |
Other
retired or separated participants entitled to future benefits |
61 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
479 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
38 |
Signature of
Role |
Plan administrator |
Date |
2016-10-14 |
Name of individual signing |
GARY STICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-14 |
Name of individual signing |
GARY STICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OXBO INTERNATIONAL CORPORATION WELFARE BENEFITS PLAN
|
2015
|
161559445
|
2016-07-14
|
OXBO INTERNATIONAL CORPORATION
|
417
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2010-01-01
|
Business code |
333100
|
Sponsor’s telephone number |
5855482665
|
Plan sponsor’s mailing address |
7275 BATAVIA-BYRON ROAD, BYRON, NY, 14422
|
Plan sponsor’s
address |
7275 BATAVIA-BYRON ROAD, BYRON, NY, 14422
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-14 |
Name of individual signing |
JENNIFER GNAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|