SENSIS CORPORATION FLEXIBLE BENEFIT PLAN
|
2012
|
222629993
|
2013-07-25
|
SENSIS CORPORATION
|
205
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-10-01
|
Business code |
541990
|
Sponsor’s telephone number |
3154450550
|
Plan sponsor’s mailing address |
85 COLLAMER CROSSING, EAST SYRACUSE, NY, 13057
|
Plan sponsor’s
address |
85 COLLAMER CROSSING, EAST SYRACUSE, NY 13057, EAST SYRACUSE, NY, 13057
|
Plan administrator’s name and address
Administrator’s EIN |
222629993 |
Plan administrator’s name |
SENSIS CORPORATION |
Plan administrator’s
address |
85 COLLAMER CROSSING, EAST SYRACUSE, NY, 13057 |
Administrator’s telephone number |
3154450550 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-25 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SENSIS CORPORATION FLEXIBLE BENEFIT PLAN
|
2011
|
222629993
|
2012-07-27
|
SENSIS CORPORATION
|
260
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-10-01
|
Business code |
541990
|
Sponsor’s telephone number |
3154450550
|
Plan sponsor’s mailing address |
85 COLLAMER CROSSING, EAST SYRACUSE, NY, 13057
|
Plan sponsor’s
address |
85 COLLAMER CROSSING, EAST SYRACUSE, NY 13057, EAST SYRACUSE, NY, 13057
|
Plan administrator’s name and address
Administrator’s EIN |
222629993 |
Plan administrator’s name |
SENSIS CORPORATION |
Plan administrator’s
address |
85 COLLAMER CROSSING, EAST SYRACUSE, NY, 13057 |
Administrator’s telephone number |
3154450550 |
Number of participants as of the end of the plan year
Active participants |
216 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-07-27 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SENSIS CORPORATION HEALTH BENEFIT PLAN
|
2010
|
222629993
|
2011-07-29
|
SENSIS CORPORATION
|
628
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
3154455006
|
Plan sponsor’s mailing address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057
|
Plan sponsor’s
address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057
|
Plan administrator’s name and address
Administrator’s EIN |
222629993 |
Plan administrator’s name |
SENSIS CORPORATION |
Plan administrator’s
address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057 |
Administrator’s telephone number |
3154455006 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-07-29 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SENSIS CORPORATION FLEXIBLE BENEFIT PLAN
|
2010
|
222629993
|
2011-07-27
|
SENSIS CORPORATION
|
307
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-10-01
|
Business code |
541990
|
Sponsor’s telephone number |
3154450550
|
Plan sponsor’s mailing address |
85 COLLAMER CROSSING, EAST SYRACUSE, NY, 13057
|
Plan sponsor’s
address |
85 COLLAMER CROSSING, EAST SYRACUSE, NY 13057, EAST SYRACUSE, NY, 13057
|
Plan administrator’s name and address
Administrator’s EIN |
222629993 |
Plan administrator’s name |
SENSIS CORPORATION |
Plan administrator’s
address |
85 COLLAMER CROSSING, EAST SYRACUSE, NY, 13057 |
Administrator’s telephone number |
3154450550 |
Number of participants as of the end of the plan year
Active participants |
269 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-07-27 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE ASSISTANCE PLAN
|
2010
|
222629993
|
2011-07-27
|
SENSIS CORPORATION
|
736
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1994-01-01
|
Business code |
334500
|
Sponsor’s telephone number |
3154455006
|
Plan sponsor’s mailing address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057
|
Plan sponsor’s
address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057
|
Plan administrator’s name and address
Administrator’s EIN |
222629993 |
Plan administrator’s name |
SENSIS CORPORATION |
Plan administrator’s
address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057 |
Administrator’s telephone number |
3154455006 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-07-27 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRAVEL ACCIDENT INSURANCE
|
2010
|
222629993
|
2011-07-27
|
SENSIS CORPORATION
|
736
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2005-09-01
|
Business code |
334500
|
Sponsor’s telephone number |
3154455006
|
Plan sponsor’s mailing address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057
|
Plan sponsor’s
address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057
|
Plan administrator’s name and address
Administrator’s EIN |
222629993 |
Plan administrator’s name |
SENSIS CORPORATION |
Plan administrator’s
address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057 |
Administrator’s telephone number |
3154455006 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-07-26 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GUARDIAN GROUP INSURANCE PLAN
|
2010
|
222629993
|
2011-07-27
|
SENSIS CORPORATION
|
736
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1990-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
3154455006
|
Plan sponsor’s mailing address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057
|
Plan sponsor’s
address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057
|
Plan administrator’s name and address
Administrator’s EIN |
222629993 |
Plan administrator’s name |
SENSIS CORPORATION |
Plan administrator’s
address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057 |
Administrator’s telephone number |
3154455006 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-07-27 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SENSIS CORPORATION FLEXIBLE BENEFIT PLAN
|
2009
|
222629993
|
2010-08-04
|
SENSIS CORPORATION
|
268
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-10-01
|
Business code |
541990
|
Sponsor’s telephone number |
3154450550
|
Plan sponsor’s mailing address |
85 COLLAMER CROSSING, EAST SYRACUSE, NY, 13057
|
Plan sponsor’s
address |
85 COLLAMER CROSSING, EAST SYRACUSE, NY 13057, EAST SYRACUSE, NY, 13057
|
Plan administrator’s name and address
Administrator’s EIN |
222629993 |
Plan administrator’s name |
SENSIS CORPORATION |
Plan administrator’s
address |
85 COLLAMER CROSSING, EAST SYRACUSE, NY, 13057 |
Administrator’s telephone number |
3154450550 |
Number of participants as of the end of the plan year
Active participants |
303 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-08-04 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE ASSISTANCE PLAN
|
2009
|
222629993
|
2010-08-03
|
SENSIS CORPORATION
|
692
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1994-01-01
|
Business code |
334500
|
Sponsor’s telephone number |
3154455006
|
Plan sponsor’s mailing address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057
|
Plan sponsor’s
address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057
|
Plan administrator’s name and address
Administrator’s EIN |
222629993 |
Plan administrator’s name |
SENSIS CORPORATION |
Plan administrator’s
address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057 |
Administrator’s telephone number |
3154455006 |
Number of participants as of the end of the plan year
Active participants |
736 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-08-02 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRAVEL ACCIDENT INSURANCE
|
2009
|
222629993
|
2010-08-03
|
SENSIS CORPORATION
|
684
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2005-09-01
|
Business code |
334500
|
Sponsor’s telephone number |
3154455006
|
Plan sponsor’s mailing address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057
|
Plan sponsor’s
address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057
|
Plan administrator’s name and address
Administrator’s EIN |
222629993 |
Plan administrator’s name |
SENSIS CORPORATION |
Plan administrator’s
address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057 |
Administrator’s telephone number |
3154455006 |
Number of participants as of the end of the plan year
Active participants |
736 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-08-02 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|