BONACIO CONSTRUCTION, INC. WELFARE BENEFIT PLAN
|
2021
|
141735519
|
2023-02-15
|
BONACIO CONSTRUCTION INC
|
106
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2016-09-01
|
Business code |
236200
|
Sponsor’s telephone number |
5185849007
|
Plan sponsor’s mailing address |
18 DIVISION ST STE 401, SARATOGA SPRINGS, NY, 128663154
|
Plan sponsor’s
address |
18 DIVISION ST STE 401, SARATOGA SPRINGS, NY, 128663154
|
Number of participants as of the end of the plan year
Active participants |
111 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-02-15 |
Name of individual signing |
CYNTHIA FLANSBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BONACIO CONSTRUCTION, INC. WELFARE BENEFIT PLAN
|
2020
|
141735519
|
2022-03-09
|
BONACIO CONSTRUCTION INC
|
168
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2016-09-01
|
Business code |
236200
|
Sponsor’s telephone number |
5185849007
|
Plan sponsor’s mailing address |
18 DIVISION ST STE 401, SARATOGA SPRINGS, NY, 128663154
|
Plan sponsor’s
address |
18 DIVISION ST STE 401, SARATOGA SPRINGS, NY, 128663154
|
Number of participants as of the end of the plan year
Active participants |
106 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-03-09 |
Name of individual signing |
CYNTHIA FLANSBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BONACIO HEALTH INSURANCE PLAN
|
2019
|
141735519
|
2021-03-15
|
BONACIO CONSTRUCTION INC
|
172
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2016-09-01
|
Business code |
236200
|
Sponsor’s telephone number |
5185849007
|
Plan sponsor’s mailing address |
18 DIVISION ST STE 401, SARATOGA SPRINGS, NY, 128663154
|
Plan sponsor’s
address |
18 DIVISION ST STE 401, SARATOGA SPRINGS, NY, 128663154
|
Number of participants as of the end of the plan year
Active participants |
168 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-03-15 |
Name of individual signing |
CYNTHIA FLANSBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BONACIO DENTAL AND VISION PLAN
|
2019
|
141735519
|
2021-03-15
|
BONACIO CONSTRUCTION INC
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2015-09-01
|
Business code |
236200
|
Sponsor’s telephone number |
5185849007
|
Plan sponsor’s mailing address |
18 DIVISION ST STE 401, SARATOGA SPRINGS, NY, 128663154
|
Plan sponsor’s
address |
18 DIVISION ST STE 401, SARATOGA SPRINGS, NY, 128663154
|
Number of participants as of the end of the plan year
Active participants |
110 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-03-15 |
Name of individual signing |
CYNTHIA FLANSBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BONACIO HEALTH INSURANCE PLAN
|
2018
|
141735519
|
2020-03-18
|
BONACIO CONSTRUCTION INC
|
102
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2016-09-01
|
Business code |
236200
|
Sponsor’s telephone number |
5185849007
|
Plan sponsor’s mailing address |
18 DIVISION ST STE 401, SARATOGA SPRINGS, NY, 128663154
|
Plan sponsor’s
address |
18 DIVISION ST STE 401, SARATOGA SPRINGS, NY, 128663154
|
Number of participants as of the end of the plan year
Active participants |
172 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-03-18 |
Name of individual signing |
CYNTHIA FLANSBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BONACIO DENTAL AND VISION PLAN
|
2018
|
141735519
|
2020-03-24
|
BONACIO CONSTRUCTION INC
|
117
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2015-09-01
|
Business code |
236200
|
Sponsor’s telephone number |
5185849007
|
Plan sponsor’s mailing address |
18 DIVISION ST STE 401, SARATOGA SPRINGS, NY, 128663154
|
Plan sponsor’s
address |
18 DIVISION ST STE 401, SARATOGA SPRINGS, NY, 128663154
|
Number of participants as of the end of the plan year
Active participants |
114 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-03-24 |
Name of individual signing |
CYNTHIA FLANSBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BONACIO DENTAL AND VISION PLAN
|
2017
|
141735519
|
2019-06-20
|
BONACIO CONSTRUCTION INC
|
108
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2015-09-01
|
Business code |
236200
|
Sponsor’s telephone number |
5185849007
|
Plan sponsor’s mailing address |
18 DIVISION ST STE 401, SARATOGA SPRINGS, NY, 128663154
|
Plan sponsor’s
address |
18 DIVISION ST STE 401, SARATOGA SPRINGS, NY, 128663154
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-06-20 |
Name of individual signing |
CYNTHIA FLANSBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BONACIO HEALTH INSURANCE PLAN
|
2017
|
141735519
|
2019-06-20
|
BONACIO CONSTRUCTION INC
|
104
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2016-09-01
|
Business code |
236200
|
Sponsor’s telephone number |
5185849007
|
Plan sponsor’s mailing address |
18 DIVISION ST STE 401, SARATOGA SPRINGS, NY, 128663154
|
Plan sponsor’s
address |
18 DIVISION ST STE 401, SARATOGA SPRINGS, NY, 128663154
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-06-20 |
Name of individual signing |
CYNTHIA FLANSBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BONACIO DENTAL AND VISION PLAN
|
2017
|
141735519
|
2019-06-07
|
BONACIO CONSTRUCTION INC
|
108
|
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2015-09-01
|
Business code |
236200
|
Sponsor’s telephone number |
5185849007
|
Plan sponsor’s mailing address |
18 DIVISION ST STE 401, SARATOGA SPRINGS, NY, 128663154
|
Plan sponsor’s
address |
18 DIVISION ST STE 401, SARATOGA SPRINGS, NY, 128663154
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-06-07 |
Name of individual signing |
CYNTHIA FLANSBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BONACIO HEALTH INSURANCE PLAN
|
2017
|
141735519
|
2019-06-07
|
BONACIO CONSTRUCTION INC
|
104
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2016-09-01
|
Business code |
236200
|
Sponsor’s telephone number |
5185849007
|
Plan sponsor’s mailing address |
18 DIVISION ST STE 401, SARATOGA SPRINGS, NY, 128663154
|
Plan sponsor’s
address |
18 DIVISION ST STE 401, SARATOGA SPRINGS, NY, 128663154
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-06-07 |
Name of individual signing |
CYNTHIA FLANSBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|