EMPLOYEE BENEFIT PLAN OF FAMILY SERVICES OF THE MOHAWK VALLEY, INC.
|
2011
|
150610673
|
2014-10-02
|
FAMILY SERVICES OF THE MOHAWK VALLEY, INC.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3157532236
|
Plan sponsor’s
address |
401 COLUMBIA STREET, SUITE 200, UTICA, NY, 13502
|
Plan administrator’s name and address
Administrator’s EIN |
150610673 |
Plan administrator’s name |
FAMILY SERVICES OF THE MOHAWK VALLEY, INC. |
Plan administrator’s
address |
401 COLUMBIA STREET, SUITE 200, UTICA, NY, 13502 |
Administrator’s telephone number |
3157532236 |
Signature of
Role |
Plan administrator |
Date |
2014-10-02 |
Name of individual signing |
DOMINIC POULIOT |
|
Role |
Employer/plan sponsor |
Date |
2014-10-02 |
Name of individual signing |
DOMINIC POULIOT |
|
|
EMPLOYEE BENEFIT PLAN OF FAMILY SERVICES OF THE MOHAWK VALLEY, INC.
|
2011
|
150610673
|
2012-06-21
|
FAMILY SERVICES OF THE MOHAWK VALLEY, INC
|
33
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3157532236
|
Plan sponsor’s
address |
401 COLUMBIA STREET, SUITE 200, UTICA, NY, 13502
|
Plan administrator’s name and address
Administrator’s EIN |
150610673 |
Plan administrator’s name |
FAMILY SERVICES OF THE MOHAWK VALLEY, INC |
Plan administrator’s
address |
401 COLUMBIA STREET, SUITE 200, UTICA, NY, 13502 |
Administrator’s telephone number |
3157532236 |
Signature of
Role |
Plan administrator |
Date |
2012-06-21 |
Name of individual signing |
SHEREEN ARMSTRONG |
|
|
EMPLOYEE BENEFIT PLAN OF FAMILY SERVICES OF THE MOHAWK VALLEY, INC.
|
2010
|
150610673
|
2011-06-29
|
FAMILY SERVICES OF THE MOHAWK VALLEY, INC.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3157352236
|
Plan sponsor’s
address |
401 COLUMBIA ST, STE 200, UTICA, NY, 13502
|
Plan administrator’s name and address
Administrator’s EIN |
150610673 |
Plan administrator’s name |
FAMILY SERVICES OF THE MOHAWK VALLEY, INC. |
Plan administrator’s
address |
401 COLUMBIA ST, STE 200, UTICA, NY, 13502 |
Administrator’s telephone number |
3157352236 |
Signature of
Role |
Plan administrator |
Date |
2011-06-29 |
Name of individual signing |
HERBERT FREEMAN |
|
|
EMPLOYEE BENEFIT PLAN OF FAMILY SERVICES OF THE MOHAWK VALLEY, INC.
|
2009
|
150610673
|
2010-10-14
|
FAMILY SERVICES OF THE MOHAWK VALLEY, INC.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3157352236
|
Plan sponsor’s
address |
401 COLUMBIA ST STE 200, UTICA, NY, 13502
|
Plan administrator’s name and address
Administrator’s EIN |
150610673 |
Plan administrator’s name |
FAMILY SERVICES OF THE MOHAWK VALLEY, INC. |
Plan administrator’s
address |
401 COLUMBIA ST STE 200, UTICA, NY, 13502 |
Administrator’s telephone number |
3157352236 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
HERBERT FREEMAN |
|
Role |
Employer/plan sponsor |
Date |
2010-10-14 |
Name of individual signing |
HERBERT FREEMAN |
|
|
403B THRIFT PLAN OF FAMILY SERVICE OF THE MOHAWK VALLEY, INC
|
2009
|
150610673
|
2011-02-17
|
FAMILY SERVICES OF THE MOHAWK VALLEY, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
3157352236
|
Plan sponsor’s mailing address |
401 COLUMBIA ST., SUITE 200, UTICA, NY, 13502
|
Plan sponsor’s
address |
401 COLUMBIA ST., SUITE 200, UTICA, NY, 13502
|
Plan administrator’s name and address
Administrator’s EIN |
150610673 |
Plan administrator’s name |
FAMILY SERVICES OF THE MOHAWK VALLEY, INC. |
Plan administrator’s
address |
401 COLUMBIA ST., SUITE 200, UTICA, NY, 13502 |
Administrator’s telephone number |
3157352236 |
Signature of
Role |
Plan administrator |
Date |
2011-02-17 |
Name of individual signing |
SHEREEN ARMSTRONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|