|
DURALEE FABRICS LTD. GROUP HEALTH PLAN
|
2017
|
116006056
|
2018-09-13
|
DURALEE FABRICS LTD.
|
288
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
1993-04-01
|
| Business code |
314000
|
| Sponsor’s telephone number |
6312738800
|
| Plan sponsor’s mailing address |
49 WIRELESS BLVD STE 150, PO BOX 13308, HAUPPAUGE, NY, 117880729
|
| Plan sponsor’s
address |
49 WIRELESS BLVD STE 150, PO BOX 13308, HAUPPAUGE, NY, 117880729
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2018-09-13 |
| Name of individual signing |
ANTHONY WARD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DURALEE FABRICS LTD. GROUP HEALTH PLAN
|
2016
|
116006056
|
2017-07-11
|
DURALEE FABRICS LTD.
|
286
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
1993-04-01
|
| Business code |
314000
|
| Sponsor’s telephone number |
6312738800
|
| Plan sponsor’s mailing address |
49 WIRELESS BLVD STE 150, PO BOX 13308, HAUPPAUGE, NY, 117880729
|
| Plan sponsor’s
address |
49 WIRELESS BLVD STE 150, PO BOX 13308, HAUPPAUGE, NY, 117880729
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2017-07-11 |
| Name of individual signing |
LEE SILBERMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DURALEE FABRICS LTD. GROUP HEALTH PLAN
|
2015
|
116006056
|
2016-10-11
|
DURALEE FABRICS LTD.
|
338
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
1993-04-01
|
| Business code |
314000
|
| Sponsor’s telephone number |
6312738800
|
| Plan sponsor’s mailing address |
1775 FIFTH AVE, BAY SHORE, NY, 117061762
|
| Plan sponsor’s
address |
1775 FIFTH AVE, BAY SHORE, NY, 117061762
|
Signature of
| Role |
Plan administrator |
| Date |
2016-10-10 |
| Name of individual signing |
LEE SILBERMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DURALEE FABRICS LTD. GROUP HEALTH PLAN
|
2014
|
116006056
|
2015-05-06
|
DURALEE FABRICS LTD.
|
328
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
1993-04-01
|
| Business code |
314000
|
| Sponsor’s telephone number |
6312738800
|
| Plan sponsor’s mailing address |
1775 FIFTH AVE, BAY SHORE, NY, 117061762
|
| Plan sponsor’s
address |
1775 FIFTH AVE, BAY SHORE, NY, 117061762
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2015-05-06 |
| Name of individual signing |
LEE SILBERMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DURALEE FABRICS LTD. GROUP HEALTH PLAN
|
2013
|
116006056
|
2014-05-08
|
DURALEE FABRICS LTD.
|
179
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
1993-04-01
|
| Business code |
314000
|
| Sponsor’s telephone number |
6312738800
|
| Plan sponsor’s mailing address |
1775 FIFTH AVE, BAY SHORE, NY, 117061762
|
| Plan sponsor’s
address |
1775 FIFTH AVE, BAY SHORE, NY, 117061762
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2014-05-02 |
| Name of individual signing |
LEE SILBERMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DURALEE FABRICS LTD GROUP HEALTH PLAN
|
2012
|
116006056
|
2013-05-03
|
DURALEE FABRICS LTD
|
179
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
1993-04-01
|
| Business code |
314000
|
| Sponsor’s telephone number |
6312738800
|
| Plan sponsor’s mailing address |
1775 FIFTH AVE, BAY SHORE, NY, 11706
|
| Plan sponsor’s
address |
1775 FIFTH AVE, BAY SHORE, NY, 11706
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2013-05-02 |
| Name of individual signing |
LEE SILBERMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DURALEE FABRICS LTD GROUP HEALTH PLAN
|
2011
|
116006056
|
2012-05-24
|
DURALEE FABRICS LTD
|
187
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
1993-04-01
|
| Business code |
314000
|
| Sponsor’s telephone number |
6312738800
|
| Plan sponsor’s mailing address |
1775 FIFTH AVE, BAY SHORE, NY, 11706
|
| Plan sponsor’s
address |
1775 FIFTH AVE, BAY SHORE, NY, 11706
|
Plan administrator’s name and address
| Administrator’s EIN |
116006056 |
| Plan administrator’s name |
DURALEE FABRICS LTD |
| Plan administrator’s
address |
1775 FIFTH AVE, BAY SHORE, NY, 11706 |
| Administrator’s telephone number |
6312738800 |
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2012-05-24 |
| Name of individual signing |
LEE SILBERMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DURALEE FABRICS LTD GROUP HEALTH PLAN
|
2010
|
116006056
|
2011-10-10
|
DURALEE FABRICS LTD
|
221
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
1993-04-01
|
| Business code |
314000
|
| Sponsor’s telephone number |
6312738800
|
| Plan sponsor’s mailing address |
1775 FIFTH AVE, BAY SHORE, NY, 11706
|
| Plan sponsor’s
address |
1775 FIFTH AVE, BAY SHORE, NY, 11706
|
Plan administrator’s name and address
| Administrator’s EIN |
116006056 |
| Plan administrator’s name |
DURALEE FABRICS LTD |
| Plan administrator’s
address |
1775 FIFTH AVE, BAY SHORE, NY, 11706 |
| Administrator’s telephone number |
6312738800 |
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2011-10-10 |
| Name of individual signing |
LEE SILBERMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DURALEE FABRICS LTD GROUP HEALTH PLAN
|
2009
|
116006056
|
2010-10-06
|
DURALEE FABRICS LTD
|
269
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
1993-04-01
|
| Business code |
314000
|
| Sponsor’s telephone number |
6312738800
|
| Plan sponsor’s mailing address |
1775 FIFTH AVE, BAY SHORE, NY, 11706
|
| Plan sponsor’s
address |
1775 FIFTH AVE, BAY SHORE, NY, 11706
|
Plan administrator’s name and address
| Administrator’s EIN |
116006056 |
| Plan administrator’s name |
DURALEE FABRICS LTD |
| Plan administrator’s
address |
1775 FIFTH AVE, BAY SHORE, NY, 11706 |
| Administrator’s telephone number |
6312738800 |
Number of participants as of the end of the plan year
| Active participants |
221 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-06 |
| Name of individual signing |
LEE SILBERMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DURALEE FABRICS LTD GROUP HEALTH PLAN
|
2009
|
116006056
|
2010-10-06
|
DURALEE FABRICS LTD
|
269
|
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
1993-04-01
|
| Business code |
314000
|
| Sponsor’s telephone number |
6312738800
|
| Plan sponsor’s mailing address |
1775 FIFTH AVE, BAY SHORE, NY, 11706
|
| Plan sponsor’s
address |
1775 FIFTH AVE, BAY SHORE, NY, 11706
|
Plan administrator’s name and address
| Administrator’s EIN |
116006056 |
| Plan administrator’s name |
DURALEE FABRICS LTD |
| Plan administrator’s
address |
1775 FIFTH AVE, BAY SHORE, NY, 11706 |
| Administrator’s telephone number |
6312738800 |
Number of participants as of the end of the plan year
| Active participants |
221 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Employer/plan sponsor |
| Date |
2010-10-06 |
| Name of individual signing |
LEE SILBERMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
