401k Plan data: ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN plan

ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN 401k Plan overview

Plan Name	ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN
Plan identification number	504

ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance) Collectively bargained welfare benefit arrangement under Code section 419A(f)(5).

401k Sponsoring company profile

ROBROY INDUSTRIES, INC. has sponsored the creation of one or more 401k plans.

Company Name: ROBROY INDUSTRIES, INC.

Employer identification number (EIN): 232926669

NAIC Classification: 335310

Additional information about ROBROY INDUSTRIES, INC.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1961-03-21

Company Identification Number: 0002104206

Legal Registered Office Address: RIVER ROAD

VERONA
United States of America (USA)
15147

More information about ROBROY INDUSTRIES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2015-01-01 MICHAEL DEANE
504 2014-01-01 GREGORY CZEGAN
504 2013-01-01 GREGORY CZEGAN MICHAEL T. DEANE 2014-08-05
504 2012-01-01 GREGORY CZEGAN MICHAEL T. DEANE 2013-06-18
504 2011-01-01 GREGORY CZEGAN MICHAEL T. DEANE 2012-06-05
504 2010-01-01 JUDY SHOEMAKER MICHAEL T. DEANE 2011-07-21
504 2009-01-01 JUDY SHOEMAKER MICHAEL T. DEANE 2010-09-16

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
504	2015-01-01	MICHAEL DEANE
504	2014-01-01	GREGORY CZEGAN
504	2013-01-01	GREGORY CZEGAN	MICHAEL T. DEANE	2014-08-05
504	2012-01-01	GREGORY CZEGAN	MICHAEL T. DEANE	2013-06-18
504	2011-01-01	GREGORY CZEGAN	MICHAEL T. DEANE	2012-06-05
504	2010-01-01	JUDY SHOEMAKER	MICHAEL T. DEANE	2011-07-21
504	2009-01-01	JUDY SHOEMAKER	MICHAEL T. DEANE	2010-09-16

Plan Statistics for ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN

401k plan membership statisitcs for ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN

Measure Date Value
2015: ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 129
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Total participants 2015-01-01 0
2014: ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 143
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 129
Total of all active and inactive participants 2014-01-01 129
Total participants 2014-01-01 129
2013: ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 135
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 143
Total of all active and inactive participants 2013-01-01 143
Total participants 2013-01-01 143
2012: ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 121
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 135
Total of all active and inactive participants 2012-01-01 135
Total participants 2012-01-01 135
2011: ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 114
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 121
Total of all active and inactive participants 2011-01-01 121
Total participants 2011-01-01 121
2010: ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 150
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 114
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 2010-01-01 114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 114
2009: ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 167
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 150
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 2009-01-01 150
Total participants 2009-01-01 150

Measure	Date	Value
2015: ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	129
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Total participants	2015-01-01	0
2014: ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	143
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	129
Total of all active and inactive participants	2014-01-01	129
Total participants	2014-01-01	129
2013: ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	135
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	143
Total of all active and inactive participants	2013-01-01	143
Total participants	2013-01-01	143
2012: ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	121
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	135
Total of all active and inactive participants	2012-01-01	135
Total participants	2012-01-01	135
2011: ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	114
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	121
Total of all active and inactive participants	2011-01-01	121
Total participants	2011-01-01	121
2010: ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	150
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	114
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	114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	114
2009: ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	167
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	150
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	150
Total participants	2009-01-01	150

Form 5500 Responses for ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN

2015: ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	This submission is the final filing	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: ROBROY INDUSTRIES, INC. OCCUPATIONAL INJURY BENEFIT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan is a collectively bargained plan	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	ROBROY INDUSTRIES, INC.
Employer identification number (EIN):	232926669
NAIC Classification:	335310

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1961-03-21
Company Identification Number:	0002104206
Legal Registered Office Address:	RIVER ROAD VERONA United States of America (USA) 15147