EMPLOYEE BENEFIT PLAN OF ARTHRITIS FOUNDATION, LONG ISLAND CHAPTER, INC.
|
2010
|
112944360
|
2011-09-22
|
ARTHRITIS FOUNDATION, LONG ISLAND CHAPTER, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-07-01
|
Business code |
813000
|
Sponsor’s telephone number |
2129848718
|
Plan sponsor’s
address |
501 WALT WHITMAN ROAD, MELVILLE, NY, 11747
|
Plan administrator’s name and address
Administrator’s EIN |
112944360 |
Plan administrator’s name |
ARTHRITIS FOUNDATION, LONG ISLAND CHAPTER, INC. |
Plan administrator’s
address |
501 WALT WHITMAN ROAD, MELVILLE, NY, 11747 |
Administrator’s telephone number |
2129848718 |
Signature of
Role |
Plan administrator |
Date |
2011-09-22 |
Name of individual signing |
CARMEL SIMONE |
|
|
EMPLOYEE BENEFIT PLAN OF ARTHRITIS FOUNDATION, LONG ISLAND CHAPTER, INC.
|
2009
|
112944360
|
2010-10-08
|
ARTHRITIS FOUNDATION, LONG ISLAND CHAPTER, INC.
|
13
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-07-01
|
Business code |
813000
|
Sponsor’s telephone number |
6314278272
|
Plan sponsor’s mailing address |
501 WALT WHITMAN RD., MELVILLE, NY, 11747
|
Plan sponsor’s
address |
501 WALT WHITMAN RD., MELVILLE, NY, 11747
|
Plan administrator’s name and address
Administrator’s EIN |
112944360 |
Plan administrator’s name |
ARTHRITIS FOUNDATION, LONG ISLAND CHAPTER, INC. |
Plan administrator’s
address |
501 WALT WHITMAN RD., MELVILLE, NY, 11747 |
Administrator’s telephone number |
6314278272 |
Number of participants as of the end of the plan year
Active participants |
16 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
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 |
13 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-10-08 |
Name of individual signing |
PATRICK MCASEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF ARTHRITIS FOUNDATION, LONG ISLAND CHAPTER, INC.
|
2009
|
112944360
|
2010-10-08
|
ARTHRITIS FOUNDATION, LONG ISLAND CHAPTER, INC.
|
13
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-07-01
|
Business code |
813000
|
Sponsor’s telephone number |
6314278272
|
Plan sponsor’s mailing address |
501 WALT WHITMAN RD., MELVILLE, NY, 11747
|
Plan sponsor’s
address |
501 WALT WHITMAN RD., MELVILLE, NY, 11747
|
Plan administrator’s name and address
Administrator’s EIN |
112944360 |
Plan administrator’s name |
ARTHRITIS FOUNDATION, LONG ISLAND CHAPTER, INC. |
Plan administrator’s
address |
501 WALT WHITMAN RD., MELVILLE, NY, 11747 |
Administrator’s telephone number |
6314278272 |
Number of participants as of the end of the plan year
Active participants |
16 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
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 |
13 |
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 |
2010-10-08 |
Name of individual signing |
PATRICK MCASEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF ARTHRITIS FOUNDATION, LONG ISLAND CHAPTER, INC.
|
2009
|
112944360
|
2010-10-08
|
ARTHRITIS FOUNDATION, LONG ISLAND CHAPTER, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-07-01
|
Business code |
813000
|
Sponsor’s telephone number |
6314278272
|
Plan sponsor’s
address |
501 WALT WHITMAN RD., MELVILLE, NY, 11747
|
Plan administrator’s name and address
Administrator’s EIN |
112944360 |
Plan administrator’s name |
ARTHRITIS FOUNDATION, LONG ISLAND CHAPTER, INC. |
Plan administrator’s
address |
501 WALT WHITMAN RD., MELVILLE, NY, 11747 |
Administrator’s telephone number |
6314278272 |
Signature of
Role |
Plan administrator |
Date |
2010-10-08 |
Name of individual signing |
PATRICK MCASEY |
|
|
EMPLOYEE BENEFIT PLAN OF ARTHRITIS FOUNDATION, LONG ISLAND CHAPTER, INC.
|
2009
|
112944360
|
2010-10-08
|
ARTHRITIS FOUNDATION, LONG ISLAND CHAPTER, INC.
|
13
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-07-01
|
Business code |
813000
|
Sponsor’s telephone number |
6314278272
|
Plan sponsor’s
address |
501 WALT WHITMAN RD., MELVILLE, NY, 11747
|
Plan administrator’s name and address
Administrator’s EIN |
112944360 |
Plan administrator’s name |
ARTHRITIS FOUNDATION, LONG ISLAND CHAPTER, INC. |
Plan administrator’s
address |
501 WALT WHITMAN RD., MELVILLE, NY, 11747 |
Administrator’s telephone number |
6314278272 |
Signature of
Role |
Plan administrator |
Date |
2010-10-08 |
Name of individual signing |
PATRICK MCASEY |
|
|
EMPLOYEE BENEFIT PLAN OF ARTHRITIS FOUNDATION, LONG ISLAND CHAPTER, INC.
|
2009
|
112944360
|
2010-10-08
|
ARTHRITIS FOUNDATION, LONG ISLAND CHAPTER, INC.
|
13
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-07-01
|
Business code |
813000
|
Sponsor’s telephone number |
6314278272
|
Plan sponsor’s
address |
501 WALT WHITMAN RD., MELVILLE, NY, 11747
|
Plan administrator’s name and address
Administrator’s EIN |
112944360 |
Plan administrator’s name |
ARTHRITIS FOUNDATION, LONG ISLAND CHAPTER, INC. |
Plan administrator’s
address |
501 WALT WHITMAN RD., MELVILLE, NY, 11747 |
Administrator’s telephone number |
6314278272 |
Signature of
Role |
Plan administrator |
Date |
2010-10-08 |
Name of individual signing |
PATRICK MCASEY |
|
|