|
GROUP LIFE, AD&D, MEDICAL AND DENTAL PLAN FOR EMPLLOYEES OF J.J. CASSONE BAKERY INC.
|
2015
|
131895916
|
2017-07-31
|
J.J. CASSONE BAKERY INC.
|
154
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
1991-10-01
|
| Business code |
311800
|
| Sponsor’s telephone number |
9149391568
|
| Plan sponsor’s mailing address |
202 S REGENT ST, PORT CHESTER, NY, 105734705
|
| Plan sponsor’s
address |
202 S REGENT ST, PORT CHESTER, NY, 105734705
|
Number of participants as of the end of the plan year
| Active participants |
148 |
| Retired or separated participants receiving
benefits |
1 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2017-07-31 |
| Name of individual signing |
MARYLOU CASSONE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GROUP LIFE, AD&D, MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF J.J. CASSONE BAKERY INC.
|
2013
|
131895916
|
2015-07-24
|
J.J. CASSONE BAKERY INC.
|
185
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
1991-10-01
|
| Business code |
311800
|
| Sponsor’s telephone number |
9149391568
|
| Plan sponsor’s mailing address |
202 SOUTH REGENT STREET, PORT CHESTER, NY, 10573
|
| Plan sponsor’s
address |
202 SOUTH REGENT STREET, PORT CHESTER, NY, 10573
|
Number of participants as of the end of the plan year
| Active participants |
161 |
| Retired or separated participants receiving
benefits |
1 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2015-07-24 |
| Name of individual signing |
JAMES LOMIENTO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GROUP LIFE,AD&D, MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF J.J. CASSONE BAKERY INC.
|
2012
|
131895916
|
2014-07-31
|
J.J. CASSONE BAKERY INC.
|
141
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
1991-10-01
|
| Business code |
311800
|
| Sponsor’s telephone number |
9149391568
|
| Plan sponsor’s mailing address |
202 SOUTH REGENT ST, PORT CHESTER, NY, 10573
|
| Plan sponsor’s
address |
202 SOUTH REGENT ST, PORT CHESTER, NY, 10573
|
Number of participants as of the end of the plan year
| Active participants |
185 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2014-07-31 |
| Name of individual signing |
JAMES LOMIENTO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GROUP LIFE, AD&D, MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF J.J. CASSONE BAKERY INC.
|
2011
|
131895916
|
2013-07-30
|
J.J. CASSONE BAKERY, INC.
|
141
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
1991-10-01
|
| Business code |
311800
|
| Plan sponsor’s mailing address |
202 SOUTH REGENT ST, PORT CHESTER, NY, 10573
|
| Plan sponsor’s
address |
202 SOUTH REGENT ST, PORT CHESTER, NY, 10573
|
Plan administrator’s name and address
| Administrator’s EIN |
131895916 |
| Plan administrator’s name |
J.J. CASSONE BAKERY, INC. |
| Plan administrator’s
address |
202 SOUTH REGENT ST, PORT CHESTER, NY, 10573 |
Number of participants as of the end of the plan year
| Active participants |
140 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2013-07-30 |
| Name of individual signing |
JAMES LOMIENTO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GROUP LIFE, AD&D, MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF J.J. CASSONE BAKERY INC.
|
2010
|
131895916
|
2012-07-26
|
J.J. CASSONE BAKERY, INC.
|
170
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
1991-10-01
|
| Business code |
311800
|
| Sponsor’s telephone number |
9149391568
|
| Plan sponsor’s mailing address |
202 SOUTH REGENT STREET, PORT CHESTER, NY, 10573
|
| Plan sponsor’s
address |
202 SOUTH REGENT STREET, PORT CHESTER, NY, 10573
|
Plan administrator’s name and address
| Administrator’s EIN |
131895916 |
| Plan administrator’s name |
J.J. CASSONE BAKERY, INC. |
| Plan administrator’s
address |
202 SOUTH REGENT STREET, PORT CHESTER, NY, 10573 |
| Administrator’s telephone number |
9149391568 |
Number of participants as of the end of the plan year
| Active participants |
141 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-26 |
| Name of individual signing |
JAMES LOMIENTO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GROUP LIFE, AD&D,MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF J.J. CASSONE BAKERY INC.
|
2009
|
131895916
|
2011-07-29
|
J.J. CASSONE BAKERY, INC.
|
191
|
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
1991-10-01
|
| Business code |
311800
|
| Sponsor’s telephone number |
9149391568
|
| Plan sponsor’s mailing address |
202 SOUTH REGENT STREET, PORT CHESTER, NY, 10573
|
| Plan sponsor’s
address |
202 SOUTH REGENT STREET, PORT CHESTER, NY, 10573
|
Plan administrator’s name and address
| Administrator’s EIN |
131895916 |
| Plan administrator’s name |
J.J. CASSONE BAKERY, INC. |
| Plan administrator’s
address |
202 SOUTH REGENT STREET, PORT CHESTER, NY, 10573 |
| Administrator’s telephone number |
9149391568 |
Number of participants as of the end of the plan year
| Active participants |
170 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Employer/plan sponsor |
| Date |
2011-07-29 |
| Name of individual signing |
JAMES LOMIENTO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GROUP LIFE, AD&D,MEDICAL AND DENTAL PLAN FOR EMPLOYEES OF J.J. CASSONE BAKERY INC.
|
2009
|
131895916
|
2011-07-29
|
J.J. CASSONE BAKERY, INC.
|
191
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
1991-10-01
|
| Business code |
311800
|
| Sponsor’s telephone number |
9149391568
|
| Plan sponsor’s mailing address |
202 SOUTH REGENT STREET, PORT CHESTER, NY, 10573
|
| Plan sponsor’s
address |
202 SOUTH REGENT STREET, PORT CHESTER, NY, 10573
|
Plan administrator’s name and address
| Administrator’s EIN |
131895916 |
| Plan administrator’s name |
J.J. CASSONE BAKERY, INC. |
| Plan administrator’s
address |
202 SOUTH REGENT STREET, PORT CHESTER, NY, 10573 |
| Administrator’s telephone number |
9149391568 |
Number of participants as of the end of the plan year
| Active participants |
170 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-29 |
| Name of individual signing |
JAMES LOMIENTO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GROUP LIFE, AD&D, MAJOR MEDICAL & DENTAL PLAN FOR EMPLOYEES OF J.J. CASSONE BAKERY, INC.
|
2009
|
131895916
|
2010-07-16
|
J.J. CASSONE BAKERY, INC.
|
176
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
1991-10-01
|
| Business code |
311800
|
| Sponsor’s telephone number |
9149391568
|
| Plan sponsor’s mailing address |
202 SOUTH REGENT STREET, PORTCHESTER, NY, 10573
|
| Plan sponsor’s
address |
202 SOUTH REGENT STREET, PORTCHESTER, NY, 10573
|
Plan administrator’s name and address
| Administrator’s EIN |
131895916 |
| Plan administrator’s name |
J.J. CASSONE BAKERY, INC. |
| Plan administrator’s
address |
202 SOUTH REGENT STREET, PORTCHESTER, NY, 10573 |
| Administrator’s telephone number |
9149391568 |
Number of participants as of the end of the plan year
| Active participants |
173 |
| Retired or separated participants receiving
benefits |
1 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-15 |
| Name of individual signing |
JAMES LOMIENTO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
