NATIONAL FIELD SERVICE CORPORATION SECTION 125 PRE-TAX PLAN
|
2015
|
133011426
|
2016-05-18
|
NATIONAL FIELD SERVICE CORPORATION
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1994-04-01
|
Business code |
541990
|
Sponsor’s telephone number |
8453681600
|
Plan sponsor’s mailing address |
162 ORANGE AVE, SUFFERN, NY, 109016006
|
Plan sponsor’s
address |
162 ORANGE AVE, SUFFERN, NY, 109016006
|
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-05-18 |
Name of individual signing |
MARYANN AVAZIAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-18 |
Name of individual signing |
MARYANN AVAZIAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL FIELD SERVICE CORPORATION 401(K) PLAN & TRUST
|
2015
|
133011426
|
2016-05-18
|
NATIONAL FIELD SERVICE CORPORATION
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8453681600
|
Plan sponsor’s mailing address |
162 ORANGE AVE, SUFFERN, NY, 109016006
|
Plan sponsor’s
address |
162 ORANGE AVE, SUFFERN, NY, 109016006
|
Number of participants as of the end of the plan year
Active participants |
0 |
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 |
2016-05-18 |
Name of individual signing |
MARYANN AVAZIAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-18 |
Name of individual signing |
MARYANN AVAZIAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL FIELD SERVICE CORPORATION 401(K) PLAN & TRUST
|
2014
|
133011426
|
2015-05-19
|
NATIONAL FIELD SERVICE CORPORATION
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8453681600
|
Plan sponsor’s mailing address |
162 ORANGE AVENUE, SUFFERN, NY, 10901
|
Plan sponsor’s
address |
162 ORANGE AVENUE, SUFFERN, NY, 10901
|
Number of participants as of the end of the plan year
Active participants |
24 |
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 |
10 |
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 |
2015-05-19 |
Name of individual signing |
MARGARET M FORMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-05-19 |
Name of individual signing |
MARGARET M FORMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL FIELD SERVICE CORPORATION 401(K) PLAN & TRUST
|
2013
|
133011426
|
2014-05-22
|
NATIONAL FIELD SERVICE CORPORATION
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8453681600
|
Plan sponsor’s mailing address |
162 ORANGE AVENUE, SUFFERN, NY, 10901
|
Plan sponsor’s
address |
162 ORANGE AVENUE, SUFFERN, NY, 10901
|
Number of participants as of the end of the plan year
Active participants |
24 |
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 |
11 |
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 |
2014-05-22 |
Name of individual signing |
MARGARET M FORMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-22 |
Name of individual signing |
MARGARET M FORMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL FIELD SERVICE CORPORATION SECTION 125 PRE-TAX PLAN
|
2013
|
133011426
|
2014-05-22
|
NATIONAL FIELD SERVICE CORPORATION
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1994-04-01
|
Business code |
541990
|
Sponsor’s telephone number |
8453681600
|
Plan sponsor’s mailing address |
162 ORANGE AVENUE, SUFFERN, NY, 10901
|
Plan sponsor’s
address |
162 ORANGE AVENUE, SUFFERN, NY, 10901
|
Number of participants as of the end of the plan year
Active participants |
2 |
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 |
Signature of
Role |
Plan administrator |
Date |
2014-05-22 |
Name of individual signing |
MARGARET M FORMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-22 |
Name of individual signing |
MARGARET M FORMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL FIELD SERVICE CORPORATION SECTION 125 PRE-TAX PLAN
|
2012
|
133011426
|
2013-05-16
|
NATIONAL FIELD SERVICE CORPORATION
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1994-04-01
|
Business code |
541990
|
Sponsor’s telephone number |
8453681600
|
Plan sponsor’s mailing address |
162 ORANGE AVENUE, SUFFERN, NY, 10901
|
Plan sponsor’s
address |
162 ORANGE AVENUE, SUFFERN, NY, 10901
|
Number of participants as of the end of the plan year
Active participants |
3 |
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 |
Signature of
Role |
Plan administrator |
Date |
2013-05-16 |
Name of individual signing |
MARGARET M FORMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL FIELD SERVICE CORPORATION 401(K) PLAN & TRUST
|
2012
|
133011426
|
2013-05-16
|
NATIONAL FIELD SERVICE CORPORATION
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8453681600
|
Plan sponsor’s mailing address |
162 ORANGE AVENUE, SUFFERN, NY, 10901
|
Plan sponsor’s
address |
162 ORANGE AVENUE, SUFFERN, NY, 10901
|
Number of participants as of the end of the plan year
Active participants |
23 |
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 |
12 |
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 |
2013-05-16 |
Name of individual signing |
MARGARET M FORMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL FIELD SERVICE CORPORATION SECTION 125 PRE-TAX PLAN
|
2011
|
133011426
|
2012-05-14
|
NATIONAL FIELD SERVICE CORPORATION
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1994-04-01
|
Business code |
541990
|
Sponsor’s telephone number |
8453681600
|
Plan sponsor’s mailing address |
162 ORANGE AVENUE, SUFFERN, NY, 10901
|
Plan sponsor’s
address |
162 ORANGE AVENUE, SUFFERN, NY, 10901
|
Plan administrator’s name and address
Administrator’s EIN |
133011426 |
Plan administrator’s name |
NATIONAL FIELD SERVICE CORPORATION |
Plan administrator’s
address |
162 ORANGE AVENUE, SUFFERN, NY, 10901 |
Administrator’s telephone number |
8453681600 |
Number of participants as of the end of the plan year
Active participants |
5 |
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 |
Signature of
Role |
Plan administrator |
Date |
2012-05-14 |
Name of individual signing |
MARGARET M FORMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL FIELD SERVICE CORPORATION SECTION 125 PRE-TAX PLAN
|
2010
|
133011426
|
2011-06-02
|
NATIONAL FIELD SERVICE CORPORATION
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1994-04-01
|
Business code |
541990
|
Sponsor’s telephone number |
8453681600
|
Plan sponsor’s mailing address |
162 ORANGE AVENUE, SUFFERN, NY, 10901
|
Plan sponsor’s
address |
162 ORANGE AVENUE, SUFFERN, NY, 10901
|
Plan administrator’s name and address
Administrator’s EIN |
133011426 |
Plan administrator’s name |
NATIONAL FIELD SERVICE CORPORATION |
Plan administrator’s
address |
162 ORANGE AVENUE, SUFFERN, NY, 10901 |
Administrator’s telephone number |
8453681600 |
Number of participants as of the end of the plan year
Active participants |
4 |
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 |
Signature of
Role |
Plan administrator |
Date |
2011-06-02 |
Name of individual signing |
PHILIP HOLT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL FIELD SERVICE CORPORATION SECTION 125 PRE-TAX PLAN
|
2010
|
133011426
|
2011-06-02
|
NATIONAL FIELD SERVICE CORPORATION
|
6
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1994-04-01
|
Business code |
541990
|
Sponsor’s telephone number |
8453681600
|
Plan sponsor’s mailing address |
162 ORANGE AVENUE, SUFFERN, NY, 10901
|
Plan sponsor’s
address |
162 ORANGE AVENUE, SUFFERN, NY, 10901
|
Plan administrator’s name and address
Administrator’s EIN |
133011426 |
Plan administrator’s name |
NATIONAL FIELD SERVICE CORPORATION |
Plan administrator’s
address |
162 ORANGE AVENUE, SUFFERN, NY, 10901 |
Administrator’s telephone number |
8453681600 |
Number of participants as of the end of the plan year
Active participants |
4 |
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 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-06-02 |
Name of individual signing |
MARGARET M FORMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|