| Plan Name | BELZON, INC. CBA 401(K) PLAN |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | BELZON, INC. |
| Employer identification number (EIN): | 431690125 |
| NAIC Classification: | 561210 |
| NAIC Description: | Facilities Support Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 002 | 2012-01-01 | SANDY REYNOLDS | 2013-07-29 | SANDY REYNOLDS | 2013-07-29 |
| 002 | 2011-01-01 | SANDY REYNOLDS | 2012-06-04 | SANDY REYNOLDS | 2012-06-04 |
| 002 | 2010-01-01 | SANDRA REYNOLDS | 2012-02-17 | SANDRA REYNOLDS | 2012-02-17 |
| 002 | 2008-03-01 | SANDRA REYNOLDS |
| Measure | Date | Value |
|---|---|---|
| 2008 : BELZON, INC. CBA 401(K) PLAN 2008 401k financial data | ||
| Total income from all sources | 2008-12-31 | $9,526 |
| Total plan assets at end of year | 2008-12-31 | $9,526 |
| Value of fidelity bond covering the plan | 2008-12-31 | $50,000 |
| Total contributions received or receivable from participants | 2008-12-31 | $10,967 |
| Other income received | 2008-12-31 | $-1,441 |
| Net income (gross income less expenses) | 2008-12-31 | $9,526 |
| Net plan assets at end of year (total assets less liabilities) | 2008-12-31 | $9,526 |
| 2008: BELZON, INC. CBA 401(K) PLAN 2008 form 5500 responses | ||
|---|---|---|
| 2008-03-01 | Type of plan entity | Single employer plan |
| 2008-03-01 | First time form 5500 has been submitted | Yes |
| 2008-03-01 | Submission has been amended | Yes |
| 2008-03-01 | This submission is the final filing | No |
| 2008-03-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2008-03-01 | Plan is a collectively bargained plan | No |
| 2008-03-01 | Plan funding arrangement – Insurance | Yes |
| 2008-03-01 | Plan funding arrangement – Trust | Yes |
| 2008-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2008-03-01 | Plan benefit arrangement - Trust | Yes |
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |
| Policy contract number | 804920 |
| Policy instance | 1 |