401k Plan data: CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN plan

CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN 401k Plan overview

Plan Name	CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN
Plan identification number	509

CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

CYBEX INTERNATIONAL, INC. has sponsored the creation of one or more 401k plans.

Company Name: CYBEX INTERNATIONAL, INC.

Employer identification number (EIN): 111731581

NAIC Classification: 423990
NAIC Description: Other Miscellaneous Durable Goods Merchant Wholesalers

Additional information about CYBEX INTERNATIONAL, INC.

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1953-09-11

Company Identification Number: 92228

Legal Registered Office Address: 801 US Highway 1
Suffolk
North Palm Beach
United States of America (USA)
33408

More information about CYBEX INTERNATIONAL, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
509 2016-01-01 KATHLEEN AGOSTINELLI
509 2015-01-01 KATHLEEN AGOSTINELLI KATHLEEN AGOSTINELLI 2016-10-03
509 2014-01-01 KATHLEEN AGOSTINELLI
509 2013-01-01 KATHLEEN AGOSTINELLI
509 2012-01-01 KATHLEEN AGOSTINELLI
509 2011-01-01 KATHLEEN AGOSTINELLI
509 2010-01-01 CAROLYN BUCKFELLER CAROLYN BUCKFELLER 2011-06-10
509 2009-01-01 CAROLYN BUCKFELLER CAROLYN BUCKFELLER 2010-06-21

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
509	2016-01-01	KATHLEEN AGOSTINELLI
509	2015-01-01	KATHLEEN AGOSTINELLI	KATHLEEN AGOSTINELLI	2016-10-03
509	2014-01-01	KATHLEEN AGOSTINELLI
509	2013-01-01	KATHLEEN AGOSTINELLI
509	2012-01-01	KATHLEEN AGOSTINELLI
509	2011-01-01	KATHLEEN AGOSTINELLI
509	2010-01-01	CAROLYN BUCKFELLER	CAROLYN BUCKFELLER	2011-06-10
509	2009-01-01	CAROLYN BUCKFELLER	CAROLYN BUCKFELLER	2010-06-21

Plan Statistics for CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN

401k plan membership statisitcs for CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN

Measure Date Value
2016: CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 573
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
2015: CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 573
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 573
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 573
2014: CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 548
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 570
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 570
2013: CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 540
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 547
Number of retired or separated participants receiving benefits 2013-01-01 1
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 548
2012: CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 534
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 537
Number of retired or separated participants receiving benefits 2012-01-01 3
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 540
2011: CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 538
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 530
Number of retired or separated participants receiving benefits 2011-01-01 4
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 534
2010: CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 547
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 529
Number of retired or separated participants receiving benefits 2010-01-01 9
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 538
2009: CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 572
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 535
Number of retired or separated participants receiving benefits 2009-01-01 9
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 544

Measure	Date	Value
2016: CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	573
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
2015: CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	573
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	573
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	573
2014: CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	548
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	570
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	570
2013: CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	540
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	547
Number of retired or separated participants receiving benefits	2013-01-01	1
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	548
2012: CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	534
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	537
Number of retired or separated participants receiving benefits	2012-01-01	3
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	540
2011: CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	538
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	530
Number of retired or separated participants receiving benefits	2011-01-01	4
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	534
2010: CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	547
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	529
Number of retired or separated participants receiving benefits	2010-01-01	9
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	538
2009: CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	572
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	535
Number of retired or separated participants receiving benefits	2009-01-01	9
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	544

Form 5500 Responses for CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN

2016: CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: CYBEX INTERNATIONAL, INC. FULLY-INSURED BENEFIT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number	GF381025299801*
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47093 )
Policy contract number	30036221
Policy instance	4
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	0903547
Policy instance	3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5922860
Policy instance	2
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number	4956750
Policy instance	4
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number	4956750
Policy instance	3
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number	GF381025299801*
Policy instance	2
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number	52411*
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47093 )
Policy contract number	30036221
Policy instance	5
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47093 )
Policy contract number	30036221
Policy instance	5
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number	4956750
Policy instance	3
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number	GF381025299801*
Policy instance	2
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number	52411*
Policy instance	1
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number	4956750
Policy instance	4
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number	52411
Policy instance	1
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number	4956750
Policy instance	4
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number	4956750
Policy instance	3
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number	GF381025299801*
Policy instance	2
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number	4956750
Policy instance	3
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number	4956750
Policy instance	2
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number	52411
Policy instance	1
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number	GF381025299801*
Policy instance	4
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number	GF381025299801*
Policy instance	4
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	3337822
Policy instance	2
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract number	GTP8054410
Policy instance	1
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number	004984
Policy instance	3

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Company Name:	CYBEX INTERNATIONAL, INC.
Employer identification number (EIN):	111731581
NAIC Classification:	423990
NAIC Description:	Other Miscellaneous Durable Goods Merchant Wholesalers

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1953-09-11
Company Identification Number:	92228
Legal Registered Office Address:	801 US Highway 1 Suffolk North Palm Beach United States of America (USA) 33408