# JDS TECHNOLOGIES, INC. WELFARE BENEFITS PLAN

DOL Acknowledgment ID: 20250609130125NAL0011005299001
Plan number: 501
Plan effective date: 2018-01-01
Form year: 2024

## Sponsor

- Name: JDS TECHNOLOGIES, INC.
- EIN: 201290918
- Address: 1299 AIRPORT ROAD, ONEIDA, TN, 37841
- Phone: 4232866190
- Business code: 326100

## Administrator

- Name: —
- EIN: —
- Phone: —

## Participation

- Total participants (beginning of year): 244
- Active participants: 234
- Retired / separated receiving benefits: 0
- Beneficiaries receiving benefits: —
- Participants with account balance: —

## Plan types

### Pension benefits
—

### Welfare benefits
- 4A4B4D4E4F: 4A4B4D4E4F

## Funding & flags

- Funding sources: Insurance contracts
- Collective bargaining: No
- Amended filing: No
- Final filing: No

## Source

- DOL EFAST2 filing lookup: https://efast.dol.gov/5500Search/PlanFilings.aspx?AckID=20250609130125NAL0011005299001
- IRS BMF (sponsor): https://api.morvs.ai/nonprofit/201290918