|
PHILLIPS DIVERSIFIED SERVICES 401 K PROFIT SHARING PLAN TRUST
|
2012
|
205934039
|
2013-07-15
|
PHILLIPS DIVERSIFIED SERVICES
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
561720
|
| Sponsor’s telephone number |
8459868112
|
| Plan sponsor’s
address |
10 GALLOWAY HTS, WARWICK, NY, 109901812
|
Signature of
| Role |
Plan administrator |
| Date |
2013-07-15 |
| Name of individual signing |
PHILLIPS DIVERSIFIED SERVICES |
|
|
|
PHILLIPS DIVERSIFIED SERVICES 401 K PROFIT SHARING PLAN TRUST
|
2011
|
205934039
|
2012-07-18
|
PHILLIPS DIVERSIFIED SERVICES
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
561720
|
| Sponsor’s telephone number |
8459868112
|
| Plan sponsor’s
address |
10 GALLOWAY HTS, WARWICK, NY, 109901812
|
Plan administrator’s name and address
| Administrator’s EIN |
205934039 |
| Plan administrator’s name |
PHILLIPS DIVERSIFIED SERVICES |
| Plan administrator’s
address |
10 GALLOWAY HTS, WARWICK, NY, 109901812 |
| Administrator’s telephone number |
8459868112 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-18 |
| Name of individual signing |
PHILLIPS DIVERSIFIED SERVICES |
|
|
|
PHILLIPS DIVERSIFIED SERVICES 401K PROFIT SHARING AND TRUST
|
2010
|
205934039
|
2011-07-13
|
PHILLIPS DIVERSIFIED SERVICES
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
561720
|
| Sponsor’s telephone number |
8459868112
|
| Plan sponsor’s mailing address |
10 GALLOWAY HEIGHTS, WARWICK, NY, 10990
|
| Plan sponsor’s
address |
10 GALLOWAY HEIGHTS, WARWICK, NY, 10990
|
Plan administrator’s name and address
| Administrator’s EIN |
205934039 |
| Plan administrator’s name |
PHILLIPS DIVERSIFIED SERVICES |
| Plan administrator’s
address |
10 GALLOWAY HEIGHTS, WARWICK, NY, 10990 |
| Administrator’s telephone number |
8459868112 |
Number of participants as of the end of the plan year
| Active participants |
10 |
| 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 |
5 |
| 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 |
2011-07-13 |
| Name of individual signing |
THOMAS PHILLIPS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PHILLIPS DIVERSIFIED SERVICES 401 K PROFIT SHARING PLAN TRUST
|
2010
|
205934039
|
2011-06-21
|
PHILLIPS DIVERSIFIED SERVICES
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
561720
|
| Sponsor’s telephone number |
8459868112
|
| Plan sponsor’s
address |
10 GALLOWAY HEIGHTS, WARWICK, NY, 109900000
|
Plan administrator’s name and address
| Administrator’s EIN |
205934039 |
| Plan administrator’s name |
PHILLIPS DIVERSIFIED SERVICES |
| Plan administrator’s
address |
10 GALLOWAY HEIGHTS, WARWICK, NY, 109900000 |
| Administrator’s telephone number |
8459868112 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-21 |
| Name of individual signing |
PHILLIPS DIVERSIFIED SERVICES |
|
|
|
PHILLIPS DIVERSIFIED SERVICES
|
2009
|
205934039
|
2010-07-21
|
PHILLIPS DIVERSIFIED SERVICES
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
561720
|
| Sponsor’s telephone number |
8459868112
|
| Plan sponsor’s
address |
10 GALLOWAY HEIGHTS, WARWICK, NY, 109900000
|
Plan administrator’s name and address
| Administrator’s EIN |
205934039 |
| Plan administrator’s name |
PHILLIPS DIVERSIFIED SERVICES |
| Plan administrator’s
address |
10 GALLOWAY HEIGHTS, WARWICK, NY, 109900000 |
| Administrator’s telephone number |
8459868112 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-21 |
| Name of individual signing |
PHILLIPS DIVERSIFIED SERVICES |
|
|
