UNIFRAX I LLC FRINGE & WELFARE BENEFITS PLAN
|
2015
|
341535916
|
2016-07-28
|
UNIFRAX I LLC
|
571
|
|
Three-digit plan number (PN) |
584
|
Effective date of plan |
1996-11-01
|
Business code |
327100
|
Sponsor’s telephone number |
7167686290
|
Plan sponsor’s mailing address |
600 RIVERWALK PKWY STE 120, TONAWANDA, NY, 141505829
|
Plan sponsor’s
address |
600 RIVERWALK PKWY STE 120, TONAWANDA, NY, 141505829
|
Number of participants as of the end of the plan year
Active participants |
532 |
Retired or separated participants receiving
benefits |
11 |
Signature of
Role |
Plan administrator |
Date |
2016-07-28 |
Name of individual signing |
JOSEPH KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-28 |
Name of individual signing |
JOHN DANDOLPH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFRAX I LLC HEALTH REIMBURSEMENT ARRANGEMENT
|
2015
|
341535916
|
2016-07-28
|
UNIFRAX I LLC
|
105
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-01-01
|
Business code |
327100
|
Sponsor’s telephone number |
7167686290
|
Plan sponsor’s mailing address |
600 RIVERWALK PKWY STE 120, TONAWANDA, NY, 141505829
|
Plan sponsor’s
address |
600 RIVERWALK PKWY STE 120, TONAWANDA, NY, 141505829
|
Plan administrator’s name and address
Administrator’s EIN |
341535916 |
Plan administrator’s name |
UNIFRAX I LLC |
Plan administrator’s
address |
600 RIVERWALK PKWY STE 120, TONAWANDA, NY, 141505829 |
Administrator’s telephone number |
7167686290 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-28 |
Name of individual signing |
JOSEPH KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-28 |
Name of individual signing |
JOHN DANDOLPH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFRAX I LLC HEALTH REIMBURSEMENT ARRANGEMENT
|
2014
|
341535916
|
2015-09-22
|
UNIFRAX I LLC
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-01-01
|
Business code |
327100
|
Sponsor’s telephone number |
7167686289
|
Plan sponsor’s mailing address |
600 RIVERWALK PARKWAY, SUITE 120, TONAWANDA, NY, 14150
|
Plan sponsor’s
address |
600 RIVERWALK PARKWAY, SUITE 120, TONAWANDA, NY, 14150
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-09-15 |
Name of individual signing |
JOSEPH KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-15 |
Name of individual signing |
JOHN DANDOLPH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFRAX I LLC FRINGE & WELFARE BENEFITS PLAN
|
2014
|
341535916
|
2015-09-22
|
UNIFRAX I LLC
|
502
|
|
Three-digit plan number (PN) |
584
|
Effective date of plan |
1996-11-01
|
Business code |
327100
|
Sponsor’s telephone number |
7167686298
|
Plan sponsor’s mailing address |
600 RIVERWALK PARKWAY, SUITE 120, TONAWANDA, NY, 14150
|
Plan sponsor’s
address |
600 RIVERWALK PARKWAY, SUITE 120, TONAWANDA, NY, 14150
|
Number of participants as of the end of the plan year
Active participants |
542 |
Retired or separated participants receiving
benefits |
18 |
Signature of
Role |
Plan administrator |
Date |
2015-09-15 |
Name of individual signing |
JOSEPH KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-15 |
Name of individual signing |
JOHN DANDOLPH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFRAX I LLC HEALTH REIMBURSEMENT ARRANGEMENT
|
2013
|
341535916
|
2014-09-08
|
UNIFRAX I LLC
|
544
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-01-01
|
Business code |
327100
|
Sponsor’s telephone number |
7167686289
|
Plan sponsor’s mailing address |
600 RIVERWALK PARKWAY, SUITE 120, TONAWANDA, NY, 14150
|
Plan sponsor’s
address |
600 RIVERWALK PARKWAY, SUITE 120, TONAWANDA, NY, 14150
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-08-21 |
Name of individual signing |
JOSEPH KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-08 |
Name of individual signing |
JOHN DANDOLPH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFRAX I LLC FRINGE & WELFARE BENEFITS PLAN
|
2013
|
341535916
|
2014-09-12
|
UNIFRAX I LLC
|
502
|
|
Three-digit plan number (PN) |
584
|
Effective date of plan |
1996-11-01
|
Business code |
327100
|
Sponsor’s telephone number |
7167686298
|
Plan sponsor’s mailing address |
600 RIVERWALK PARKWAY, SUITE 120, TONAWANDA, NY, 14150
|
Plan sponsor’s
address |
600 RIVERWALK PARKWAY, SUITE 120, TONAWANDA, NY, 14150
|
Number of participants as of the end of the plan year
Active participants |
478 |
Retired or separated participants receiving
benefits |
24 |
Signature of
Role |
Plan administrator |
Date |
2014-09-08 |
Name of individual signing |
JOHN DANDOLPH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-12 |
Name of individual signing |
JOSEPH KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFRAX I LLC FRINGE & WELFARE BENEFITS PLAN
|
2012
|
341535916
|
2013-09-13
|
UNIFRAX I LLC
|
520
|
|
Three-digit plan number (PN) |
584
|
Effective date of plan |
1996-11-01
|
Business code |
327100
|
Sponsor’s telephone number |
7167686289
|
Plan sponsor’s mailing address |
600 RIVERWALK PARKWAY, SUITE 120, TONAWANDA, NY, 14150
|
Plan sponsor’s
address |
600 RIVERWALK PARKWAY, SUITE 120, TONAWANDA, NY, 14150
|
Number of participants as of the end of the plan year
Active participants |
478 |
Retired or separated participants receiving
benefits |
24 |
Signature of
Role |
Plan administrator |
Date |
2013-09-13 |
Name of individual signing |
JOSEPH KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-13 |
Name of individual signing |
MARK ROOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFRAX I LLC SAVINGS PLAN
|
2012
|
341535916
|
2013-09-13
|
UNIFRAX I LLC
|
570
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-10-30
|
Business code |
327100
|
Sponsor’s telephone number |
7162783800
|
Plan sponsor’s mailing address |
2351 WHIRLPOOL STREET, NIAGARA FALLS, NY, 143052413
|
Plan sponsor’s
address |
2351 WHIRLPOOL STREET, NIAGARA FALLS, NY, 143052413
|
Plan administrator’s name and address
Administrator’s EIN |
341535916 |
Plan administrator’s name |
UNIFRAX I LLC |
Plan administrator’s
address |
2351 WHIRLPOOL STREET, NIAGARA FALLS, NY, 143052413 |
Administrator’s telephone number |
7162783800 |
Number of participants as of the end of the plan year
Active participants |
521 |
Retired or separated participants receiving
benefits |
5 |
Other
retired or separated participants entitled to future benefits |
55 |
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 |
574 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
7 |
Signature of
Role |
Plan administrator |
Date |
2013-09-09 |
Name of individual signing |
JOSEPH KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-12 |
Name of individual signing |
MARK ROOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFRAX I LLC HEALTH REIMBURSEMENT ARRANGEMENT
|
2012
|
341535916
|
2013-09-12
|
UNIFRAX I LLC
|
566
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-01-01
|
Business code |
327100
|
Sponsor’s telephone number |
7167686289
|
Plan sponsor’s mailing address |
600 RIVERWALK PARKWAY, SUITE 120, TONAWANDA, NY, 14150
|
Plan sponsor’s
address |
600 RIVERWALK PARKWAY, SUITE 120, TONAWANDA, NY, 14150
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-09-09 |
Name of individual signing |
JOSEPH KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-12 |
Name of individual signing |
MARK ROOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIFRAX I LLC SAVINGS PLAN
|
2011
|
341535916
|
2012-09-18
|
UNIFRAX I LLC
|
537
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-10-30
|
Business code |
327100
|
Sponsor’s telephone number |
7162783800
|
Plan sponsor’s mailing address |
2351 WHIRLPOOL STREET, NIAGARA FALLS, NY, 143052413
|
Plan sponsor’s
address |
2351 WHIRLPOOL STREET, NIAGARA FALLS, NY, 143052413
|
Plan administrator’s name and address
Administrator’s EIN |
341535916 |
Plan administrator’s name |
UNIFRAX I LLC |
Plan administrator’s
address |
2351 WHIRLPOOL STREET, NIAGARA FALLS, NY, 143052413 |
Administrator’s telephone number |
7162783800 |
Number of participants as of the end of the plan year
Active participants |
510 |
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
53 |
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 |
555 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
2 |
Signature of
Role |
Plan administrator |
Date |
2012-08-31 |
Name of individual signing |
JOSEPH KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-08-30 |
Name of individual signing |
MARK ROOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|