401k Plan data: INDIVIDUAL DISABILITY INSURANCE plan

INDIVIDUAL DISABILITY INSURANCE 401k Plan overview

Plan Name	INDIVIDUAL DISABILITY INSURANCE
Plan identification number	505

INDIVIDUAL DISABILITY INSURANCE Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Temporary disability (accident and sickness) Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

PCB PIEZOTRONICS, INC. has sponsored the creation of one or more 401k plans.

Company Name: PCB PIEZOTRONICS, INC.

Employer identification number (EIN): 161503703

NAIC Classification: 335900

Additional information about PCB PIEZOTRONICS, INC.

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1996-06-27

Company Identification Number: 2043467

Legal Registered Office Address: 28 LIBERTY STREET
Erie
NEW YORK
United States of America (USA)
10005

More information about PCB PIEZOTRONICS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INDIVIDUAL DISABILITY INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2011-01-01 DAVID CARROLL
505 2010-01-01 DAVID CARROLL
505 2009-01-01 DAVID CARROLL

Plan id#	Filing Submission Date	Name of Administrator
505	2011-01-01	DAVID CARROLL
505	2010-01-01	DAVID CARROLL
505	2009-01-01	DAVID CARROLL

Plan Statistics for INDIVIDUAL DISABILITY INSURANCE

401k plan membership statisitcs for INDIVIDUAL DISABILITY INSURANCE

Measure Date Value
2011: INDIVIDUAL DISABILITY INSURANCE 2011 401k membership
Total participants, beginning-of-year 2011-01-01 694
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 812
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 812
Total participants 2011-01-01 812
2010: INDIVIDUAL DISABILITY INSURANCE 2010 401k membership
Total participants, beginning-of-year 2010-01-01 734
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 694
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 694
Total participants 2010-01-01 694
2009: INDIVIDUAL DISABILITY INSURANCE 2009 401k membership
Total participants, beginning-of-year 2009-01-01 684
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 734
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 734
Total participants 2009-01-01 734

Measure	Date	Value
2011: INDIVIDUAL DISABILITY INSURANCE 2011 401k membership
Total participants, beginning-of-year	2011-01-01	694
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	812
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	812
Total participants	2011-01-01	812
2010: INDIVIDUAL DISABILITY INSURANCE 2010 401k membership
Total participants, beginning-of-year	2010-01-01	734
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	694
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	694
Total participants	2010-01-01	694
2009: INDIVIDUAL DISABILITY INSURANCE 2009 401k membership
Total participants, beginning-of-year	2009-01-01	684
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	734
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	734
Total participants	2009-01-01	734

Form 5500 Responses for INDIVIDUAL DISABILITY INSURANCE

2011: INDIVIDUAL DISABILITY INSURANCE 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	This submission is the final filing	Yes
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: INDIVIDUAL DISABILITY INSURANCE 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: INDIVIDUAL DISABILITY INSURANCE 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	PCB PIEZOTRONICS, INC.
Employer identification number (EIN):	161503703
NAIC Classification:	335900

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1996-06-27
Company Identification Number:	2043467
Legal Registered Office Address:	28 LIBERTY STREET Erie NEW YORK United States of America (USA) 10005