UNITED FURNITURE INDUSTRIES, INC. SHORT TERM DISABILITY PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
621
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2000-03-30
|
Business code |
337000
|
Sponsor’s telephone number |
6624474000
|
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860
|
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860
|
Number of participants as of the end of the plan year
Active participants |
755 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. SHORT TERM DISABILITY PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
309
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2000-03-30
|
Business code |
337000
|
Sponsor’s telephone number |
6624474000
|
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860
|
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860
|
Number of participants as of the end of the plan year
Active participants |
305 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. SHORT TERM DISABILITY PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
340
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2000-03-30
|
Business code |
337000
|
Sponsor’s telephone number |
6624474000
|
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860
|
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860
|
Number of participants as of the end of the plan year
Active participants |
309 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. SHORT TERM DISABILITY PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
312
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2000-03-30
|
Business code |
337000
|
Sponsor’s telephone number |
6624474000
|
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860
|
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860
|
Number of participants as of the end of the plan year
Active participants |
340 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. SHORT TERM DISABILITY PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
236
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2000-03-30
|
Business code |
337000
|
Sponsor’s telephone number |
6624474000
|
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860
|
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860
|
Number of participants as of the end of the plan year
Active participants |
312 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. SHORT TERM DISABILITY PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
No data
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2000-03-30
|
Business code |
337000
|
Sponsor’s telephone number |
6624474000
|
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860
|
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860
|
Number of participants as of the end of the plan year
Active participants |
236 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. SHORT TERM DISABILITY PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
No data
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2000-03-30
|
Business code |
337000
|
Sponsor’s telephone number |
6624474000
|
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860
|
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860
|
Number of participants as of the end of the plan year
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. SHORT TERM DISABILITY PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
No data
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2000-03-30
|
Business code |
337000
|
Sponsor’s telephone number |
6624474000
|
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860
|
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860
|
Number of participants as of the end of the plan year
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. SHORT TERM DISABILITY PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
No data
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2000-03-30
|
Business code |
337000
|
Sponsor’s telephone number |
6624474000
|
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860
|
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860
|
Number of participants as of the end of the plan year
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. SHORT TERM DISABILITY PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
No data
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2000-03-30
|
Business code |
337000
|
Sponsor’s telephone number |
6624474000
|
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860
|
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860
|
Number of participants as of the end of the plan year
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. GROUP LIFE PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
2416
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230181421P040147735971001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Number of participants as of the end of the plan year
Active participants |
2766 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. GROUP LIFE PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
1147
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230181301P040147733475001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Number of participants as of the end of the plan year
Active participants |
1227 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. GROUP LIFE PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
1085
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230181240P040147733155001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Number of participants as of the end of the plan year
Active participants |
1147 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. GROUP LIFE PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
1165
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230181220P030148529555001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Number of participants as of the end of the plan year
Active participants |
1085 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. GROUP LIFE PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
1105
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230181200P040147732035001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Number of participants as of the end of the plan year
Active participants |
1165 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. GROUP LIFE PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
862
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230181141P040147731251001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Number of participants as of the end of the plan year
Active participants |
1105 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. GROUP LIFE PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
866
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230181120P030148527971001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Number of participants as of the end of the plan year
Active participants |
862 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. GROUP LIFE PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230181101P040147730515001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. GROUP LIFE PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230181038P040147730163001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. GROUP LIFE PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230181018P030148526867001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. HEALTH AND DENTAL PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
2237
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230180950P040147729155001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Number of participants as of the end of the plan year
Active participants |
2657 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. HEALTH AND DENTAL PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
1065
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230180831P040147727299001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Number of participants as of the end of the plan year
Active participants |
1360 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. HEALTH AND DENTAL PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
1063
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230180808P040147726899001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Number of participants as of the end of the plan year
Active participants |
1065 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. HEALTH AND DENTAL PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
1042
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230180745P030148523603001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Number of participants as of the end of the plan year
Active participants |
1063 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. HEALTH AND DENTAL PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
875
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230180723P030148523283001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Number of participants as of the end of the plan year
Active participants |
1042 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. HEALTH AND DENTAL PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
952
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230180659P040147725715001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Number of participants as of the end of the plan year
Active participants |
875 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. HEALTH AND DENTAL PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
864
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230180633P040147725219001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Number of participants as of the end of the plan year
Active participants |
952 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. HEALTH AND DENTAL PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230180611P030172145713001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Number of participants as of the end of the plan year
Active participants |
864 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. HEALTH AND DENTAL PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230180542P030172144465001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. HEALTH AND DENTAL PLAN
|
2012
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230180409P040008194626001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. SHORT TERM DISABILITY PLAN
|
2011
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
547
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230182013P040147745987001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Plan administrator’s name and address
Administrator’s EIN |
311392576 |
Plan administrator’s name |
UNITED FURNITURE INDUSTRIES, INC. |
Plan administrator’s
address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Administrator’s telephone number |
6624474000 |
Number of participants as of the end of the plan year
Active participants |
621 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. GROUP LIFE PLAN
|
2011
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
1954
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230181401P040147735571001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Plan administrator’s name and address
Administrator’s EIN |
311392576 |
Plan administrator’s name |
UNITED FURNITURE INDUSTRIES, INC. |
Plan administrator’s
address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Number of participants as of the end of the plan year
Active participants |
2416 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. HEALTH AND DENTAL PLAN
|
2011
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
2226
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230180928P030148525939001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Plan administrator’s name and address
Administrator’s EIN |
311392576 |
Plan administrator’s name |
UNITED FURNITURE INDUSTRIES, INC. |
Plan administrator’s
address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Administrator’s telephone number |
6624474000 |
Number of participants as of the end of the plan year
Active participants |
2237 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC.
|
2010
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
378
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230181954P040147745539001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Plan administrator’s name and address
Administrator’s EIN |
311392576 |
Plan administrator’s name |
UNITED FURNITURE INDUSTRIES, INC. |
Plan administrator’s
address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Administrator’s telephone number |
6624474000 |
Number of participants as of the end of the plan year
Active participants |
547 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. GROUP LIFE PLAN
|
2010
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
1619
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230181340P040147734899001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Plan administrator’s name and address
Administrator’s EIN |
311392576 |
Plan administrator’s name |
UNITED FURNITURE INDUSTRIES, INC. |
Plan administrator’s
address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Administrator’s telephone number |
6624474000 |
Number of participants as of the end of the plan year
Active participants |
1954 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. HEALTH AND DENTAL PLAN
|
2010
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
1574
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230180908P030148525203001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Plan administrator’s name and address
Administrator’s EIN |
311392576 |
Plan administrator’s name |
UNITED FURNITURE INDUSTRIES, INC. |
Plan administrator’s
address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Administrator’s telephone number |
6624474000 |
Number of participants as of the end of the plan year
Active participants |
2226 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. SHORT TERM DISABILITY PLAN
|
2009
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
305
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230181935P040147744707001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Plan administrator’s name and address
Administrator’s EIN |
311392576 |
Plan administrator’s name |
UNITED FURNITURE INDUSTRIES, INC. |
Plan administrator’s
address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Administrator’s telephone number |
6624474000 |
Number of participants as of the end of the plan year
Active participants |
378 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. GROUP LIFE PLAN
|
2009
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
1227
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230181320P030148530915001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Plan administrator’s name and address
Administrator’s EIN |
311392576 |
Plan administrator’s name |
UNITED FURNITURE INDUSTRIES, INC. |
Plan administrator’s
address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Administrator’s telephone number |
6624474000 |
Number of participants as of the end of the plan year
Active participants |
1619 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED FURNITURE INDUSTRIES, INC. HEALTH AND DENTAL PLAN
|
2009
|
311392576
|
2013-12-30
|
UNITED FURNITURE INDUSTRIES, INC.
|
1360
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/30/20131230180853P030148524499001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2000-03-30 |
Business code |
337000 |
Sponsor’s telephone number |
6624474000 |
Plan sponsor’s mailing address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Plan sponsor’s
address |
431 HWY 41E, OKOLONA, MS, 38860 |
Plan administrator’s name and address
Administrator’s EIN |
311392576 |
Plan administrator’s name |
UNITED FURNITURE INDUSTRIES, INC. |
Plan administrator’s
address |
P.O. BOX 308, OKOLONA, MS, 38860 |
Administrator’s telephone number |
6624474000 |
Number of participants as of the end of the plan year
Active participants |
1574 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-30 |
Name of individual signing |
MARY REED |
Valid signature |
Filed with authorized/valid electronic signature |
|
|