HEALTH QUEST RETIREE MEDICAL SAVINGS ACCOUNT
|
2020
|
141678068
|
2021-10-13
|
HEALTH QUEST SYSTEMS, INC.
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
601
|
Effective date of plan |
2010-05-01
|
Business code |
622000
|
Sponsor’s telephone number |
8454759500
|
Plan sponsor’s
address |
7 FOX STREET, SUITE 200, POUGHKEEPSI, NY, 12601
|
Signature of
Role |
Plan administrator |
Date |
2021-10-13 |
Name of individual signing |
JACLYN DEMAIO |
|
Role |
Employer/plan sponsor |
Date |
2021-10-13 |
Name of individual signing |
JACLYN DEMAIO |
|
|
HEALTH QUEST RETIREE MEDICAL SAVINGS ACCOUNT
|
2019
|
141678068
|
2020-08-10
|
HEALTH QUEST SYSTEMS, INC.
|
107
|
|
File |
View Page
|
Three-digit plan number (PN) |
601
|
Effective date of plan |
2010-05-01
|
Business code |
622000
|
Sponsor’s telephone number |
8454759500
|
Plan sponsor’s
address |
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY, 12540
|
Signature of
Role |
Plan administrator |
Date |
2020-08-05 |
Name of individual signing |
JACLYN DEMAIO |
|
Role |
Employer/plan sponsor |
Date |
2020-08-05 |
Name of individual signing |
JACLYN DEMAIO |
|
|
HEALTH QUEST RETIREE MEDICAL SAVINGS ACCOUNT
|
2018
|
141678068
|
2019-07-10
|
HEALTH QUEST SYSTEMS, INC.
|
108
|
|
File |
View Page
|
Three-digit plan number (PN) |
601
|
Effective date of plan |
2010-05-01
|
Business code |
622000
|
Sponsor’s telephone number |
8454759500
|
Plan sponsor’s
address |
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY, 12540
|
|
HEALTH QUEST RETIREE MEDICAL SAVINGS ACCOUNT
|
2017
|
141678068
|
2018-06-20
|
HEALTH QUEST SYSTEMS, INC.
|
73
|
|
File |
View Page
|
Three-digit plan number (PN) |
601
|
Effective date of plan |
2010-05-01
|
Business code |
622000
|
Sponsor’s telephone number |
8454759500
|
Plan sponsor’s
address |
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY, 12540
|
|
HEALTH QUEST RETIREE MEDICAL SAVINGS ACCOUNT
|
2016
|
141678068
|
2017-09-18
|
HEALTH QUEST SYSTEMS, INC.
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
601
|
Effective date of plan |
2010-05-01
|
Business code |
622000
|
Sponsor’s telephone number |
8454759500
|
Plan sponsor’s
address |
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY, 12540
|
Signature of
Role |
Plan administrator |
Date |
2017-09-18 |
Name of individual signing |
PATRICIA M. ODELL |
|
|
HEALTH QUEST RETIREE MEDICAL SAVINGS ACCOUNT
|
2015
|
141678068
|
2016-07-12
|
HEALTH QUEST SYSTEMS, INC.
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
601
|
Effective date of plan |
2010-05-01
|
Business code |
622000
|
Sponsor’s telephone number |
8454759500
|
Plan sponsor’s
address |
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY, 12540
|
Signature of
Role |
Plan administrator |
Date |
2016-07-12 |
Name of individual signing |
ALEX DEGRAY |
|
|
HEALTH QUEST RETIREE MEDICAL SAVINGS ACCOUNT
|
2014
|
141678068
|
2015-08-10
|
HEALTH QUEST SYSTEMS, INC.
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
601
|
Effective date of plan |
2010-05-01
|
Business code |
622000
|
Sponsor’s telephone number |
8454759500
|
Plan sponsor’s
address |
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY, 12540
|
Signature of
Role |
Plan administrator |
Date |
2015-08-10 |
Name of individual signing |
NANCY SEEGER |
|
|
HEALTH QUEST RETIREE MEDICAL SAVINGS ACCOUNT
|
2013
|
141678068
|
2014-07-29
|
HEALTH QUEST SYSTEMS, INC.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
601
|
Effective date of plan |
2010-05-01
|
Business code |
622000
|
Sponsor’s telephone number |
8454759500
|
Plan sponsor’s
address |
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY, 12540
|
Signature of
Role |
Plan administrator |
Date |
2014-07-29 |
Name of individual signing |
JEFF MCDONOUGH |
|
Role |
Employer/plan sponsor |
Date |
2014-07-29 |
Name of individual signing |
JEFF MCDONOUGH |
|
|
HEALTH QUEST RETIREE MEDICAL SAVINGS ACCOUNT
|
2012
|
141678068
|
2013-07-09
|
HEALTH QUEST SYSTEMS, INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
601
|
Effective date of plan |
2010-05-01
|
Business code |
622000
|
Sponsor’s telephone number |
8454759500
|
Plan sponsor’s
address |
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY, 12540
|
Signature of
Role |
Plan administrator |
Date |
2013-07-09 |
Name of individual signing |
JEFF MCDONOUGH |
|
|
HEALTH QUEST RETIREE MEDICAL SAVINGS ACCOUNT
|
2011
|
141678068
|
2012-09-05
|
HEALTH QUEST SYSTEMS, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
601
|
Effective date of plan |
2010-05-01
|
Business code |
622000
|
Sponsor’s telephone number |
8454759500
|
Plan sponsor’s
address |
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY, 12540
|
Plan administrator’s name and address
Administrator’s EIN |
141678068 |
Plan administrator’s name |
HEALTH QUEST SYSTEMS, INC. |
Plan administrator’s
address |
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY, 12540 |
Administrator’s telephone number |
8454759500 |
Signature of
Role |
Plan administrator |
Date |
2012-09-05 |
Name of individual signing |
HEALTH QUEST SYSTEMS, INC. |
|
|