PICTOMETRY DISABILITY & LIFE PLAN
|
2011
|
161595473
|
2012-10-12
|
PICTOMETRY INTERNATIONAL CORP.
|
122
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2011-07-01
|
Business code |
333310
|
Sponsor’s telephone number |
5854860093
|
Plan
sponsor’s DBA name |
PICTOMETRY
|
Plan sponsor’s mailing address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623
|
Plan sponsor’s
address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623
|
Plan administrator’s name and address
Administrator’s EIN |
161595473 |
Plan administrator’s name |
PICTOMETRY INTERNATIONAL CORP. |
Plan administrator’s
address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623 |
Administrator’s telephone number |
5854860093 |
Number of participants as of the end of the plan year
Active participants |
114 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
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 |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
SHANNON WEAVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PICTOMETRY HEALTH & WELFARE PLAN
|
2011
|
161595473
|
2012-07-30
|
PICTOMETRY INTERNATIONAL CORP.
|
173
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
333310
|
Plan
sponsor’s DBA name |
PICTOMETRY
|
Plan sponsor’s mailing address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623
|
Plan sponsor’s
address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623
|
Plan administrator’s name and address
Administrator’s EIN |
161595473 |
Plan administrator’s name |
PICTOMETRY INTERNATIONAL CORP. |
Plan administrator’s
address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623 |
Number of participants as of the end of the plan year
Active participants |
182 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-07-30 |
Name of individual signing |
SHANNON WEAVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH & WELFARE PLAN
|
2010
|
161595473
|
2012-07-30
|
PICTOMETRY INTERNATIONAL CORP.
|
331
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
5854860093
|
Plan
sponsor’s DBA name |
PICTOMETRY
|
Plan sponsor’s mailing address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623
|
Plan sponsor’s
address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623
|
Plan administrator’s name and address
Administrator’s EIN |
161595473 |
Plan administrator’s name |
PICTOMETRY INTERNATIONAL CORP. |
Plan administrator’s
address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623 |
Administrator’s telephone number |
5854860093 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-07-30 |
Name of individual signing |
SHANNON WEAVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH & WELFARE PLAN
|
2010
|
161595473
|
2011-10-15
|
PICTOMETRY INTERNATIONAL CORP.
|
331
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2010-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
5854860093
|
Plan
sponsor’s DBA name |
PICTOMETRY
|
Plan sponsor’s mailing address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623
|
Plan sponsor’s
address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623
|
Plan administrator’s name and address
Administrator’s EIN |
161595473 |
Plan administrator’s name |
PICTOMETRY INTERNATIONAL CORP. |
Plan administrator’s
address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623 |
Administrator’s telephone number |
5854860093 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-10-15 |
Name of individual signing |
SHANNON WEAVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PICTOMETRY DISABILITY AND LIFE PLAN
|
2009
|
161595473
|
2010-10-14
|
PICTOMETRY INTERNATIONAL CORP
|
109
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2009-07-01
|
Business code |
541990
|
Sponsor’s telephone number |
5854860093
|
Plan
sponsor’s DBA name |
PICTOMETRY
|
Plan sponsor’s mailing address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623
|
Plan sponsor’s
address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623
|
Plan administrator’s name and address
Administrator’s EIN |
161595473 |
Plan administrator’s name |
PICTOMETRY INTERNATIONAL CORP |
Plan administrator’s
address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623 |
Administrator’s telephone number |
5854860093 |
Number of participants as of the end of the plan year
Signature of
Role |
Employer/plan sponsor |
Date |
2010-10-14 |
Name of individual signing |
SHANNON WEAVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DISABILITY AND LIFE PLAN
|
2009
|
161595473
|
2010-10-14
|
PICTOMETRY INTERNATIONAL CORP
|
109
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2009-07-01
|
Business code |
541990
|
Sponsor’s telephone number |
5854860093
|
Plan
sponsor’s DBA name |
PICTOMETRY
|
Plan sponsor’s mailing address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623
|
Plan sponsor’s
address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623
|
Plan administrator’s name and address
Administrator’s EIN |
161595473 |
Plan administrator’s name |
PICTOMETRY INTERNATIONAL CORP |
Plan administrator’s
address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623 |
Administrator’s telephone number |
5854860093 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
SHANNON WEAVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH AND WELFARE PLAN
|
2009
|
161595473
|
2010-10-14
|
PICTOMETRY INTERNATIONAL CORP.
|
131
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
5854860093
|
Plan
sponsor’s DBA name |
PICTOMETRY
|
Plan sponsor’s mailing address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623
|
Plan sponsor’s
address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623
|
Plan administrator’s name and address
Administrator’s EIN |
161595473 |
Plan administrator’s name |
PICTOMETRY INTERNATIONAL CORP. |
Plan administrator’s
address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623 |
Administrator’s telephone number |
5854860093 |
Number of participants as of the end of the plan year
Active participants |
331 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
SHANNON WEAVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH AND WELFARE PLAN
|
2009
|
161595473
|
2010-10-14
|
PICTOMETRY INTERNATIONAL CORP.
|
131
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
5854860093
|
Plan
sponsor’s DBA name |
PICTOMETRY
|
Plan sponsor’s mailing address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623
|
Plan sponsor’s
address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623
|
Plan administrator’s name and address
Administrator’s EIN |
161595473 |
Plan administrator’s name |
PICTOMETRY INTERNATIONAL CORP. |
Plan administrator’s
address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623 |
Administrator’s telephone number |
5854860093 |
Number of participants as of the end of the plan year
Active participants |
331 |
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 |
2010-10-14 |
Name of individual signing |
SHANNON WEAVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH AND WELFARE PLAN
|
2009
|
161595473
|
2010-10-14
|
PICTOMETRY INTERNATIONAL CORP.
|
131
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
5854860093
|
Plan
sponsor’s DBA name |
PICTOMETRY
|
Plan sponsor’s mailing address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623
|
Plan sponsor’s
address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623
|
Plan administrator’s name and address
Administrator’s EIN |
161595473 |
Plan administrator’s name |
PICTOMETRY INTERNATIONAL CORP. |
Plan administrator’s
address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623 |
Administrator’s telephone number |
5854860093 |
Number of participants as of the end of the plan year
Active participants |
331 |
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 |
2010-10-14 |
Name of individual signing |
SHANNON WEAVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DISABILITY AND LIFE PLAN
|
2009
|
161595473
|
2010-10-14
|
PICTOMETRY INTERNATIONAL CORP
|
109
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2009-07-01
|
Business code |
541990
|
Sponsor’s telephone number |
5854860093
|
Plan
sponsor’s DBA name |
PICTOMETRY
|
Plan sponsor’s mailing address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623
|
Plan sponsor’s
address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623
|
Plan administrator’s name and address
Administrator’s EIN |
161595473 |
Plan administrator’s name |
PICTOMETRY INTERNATIONAL CORP |
Plan administrator’s
address |
100 TOWN CENTRE DRIVE, SUITE A, ROCHESTER, NY, 14623 |
Administrator’s telephone number |
5854860093 |
Number of participants as of the end of the plan year
Signature of
Role |
Employer/plan sponsor |
Date |
2010-10-14 |
Name of individual signing |
SHANNON WEAVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|