| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1992-01-01
|
| Business code |
424300
|
| Sponsor’s telephone number |
2126299600
|
| Plan sponsor’s mailing address |
463 SEVENTH AVE 4TH FLOOR, NEW YORK, NY, 100188725
|
| Plan sponsor’s
address |
463 SEVENTH AVE 4TH FLOOR, NEW YORK, NY, 100188725
|
Plan administrator’s name and address
| Administrator’s EIN |
133691126 |
| Plan administrator’s name |
CCA, INC. |
| Plan administrator’s
address |
463 SEVENTH AVE 4TH FLOOR, NEW YORK, NY, 100188725 |
| Administrator’s telephone number |
2126299600 |
Number of participants as of the end of the plan year
| Active participants |
133 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
26 |
| 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 |
116 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
10 |
Signature of
| Role |
Plan administrator |
| Date |
2013-10-23 |
| Name of individual signing |
JESSICA FULLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-10-23 |
| Name of individual signing |
JESSICA FULLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
