HSRP PLAN FOR EPISCOPAL HEALTH SERVICES INC.
|
2023
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111665825
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2024-10-08
|
EPISCOPAL HEALTH SERVICES, INC.
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96
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File |
View Page
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Three-digit plan number (PN) |
005
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Effective date of plan |
1987-01-01
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Business code |
622000
|
Sponsor’s telephone number |
7188697000
|
Plan sponsor’s
address |
327 BEACH 19TH STREET, FAR ROCKWAY, NY, 11691
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Signature of
Role |
Plan administrator |
Date |
2024-10-08 |
Name of individual signing |
JAY WEINMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-08 |
Name of individual signing |
JAY WEINMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EPISCOPAL HEALTH SERVICES
|
2016
|
111665825
|
2017-10-16
|
EPISCOPAL HEALTH SERVICES
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1964-07-01
|
Business code |
622000
|
Sponsor’s telephone number |
7188697650
|
Plan sponsor’s
address |
700 HICKSVILLE ROAD, STE 210, BETHPAGE, NY, 11714
|
Signature of
Role |
Plan administrator |
Date |
2017-10-16 |
Name of individual signing |
SHARIKA GORDON |
|
|
EPISCOPAL HEALTH SERVICES
|
2015
|
111665825
|
2016-10-13
|
EPISCOPAL HEALTH SERVICES
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1964-07-01
|
Business code |
622000
|
Sponsor’s telephone number |
7188697650
|
Plan sponsor’s
address |
700 HICKSVILLE ROAD, STE 210, BETHPAGE, NY, 11714
|
Signature of
Role |
Plan administrator |
Date |
2016-10-13 |
Name of individual signing |
SHARIKA GORDON |
|
|
EPISCOPAL HEALTH SERVICES
|
2014
|
111665825
|
2015-10-12
|
EPISCOPAL HEALTH SERVICES
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1964-07-01
|
Business code |
622000
|
Sponsor’s telephone number |
7188697650
|
Plan sponsor’s
address |
700 HICKSVILLE ROAD, STE 210, BETHPAGE, NY, 11714
|
Signature of
Role |
Plan administrator |
Date |
2015-10-12 |
Name of individual signing |
SHARIKA GORDON |
|
|
EPISCOPAL HEALTH SERVICES
|
2013
|
111665825
|
2014-10-24
|
EPISCOPAL HEALTH SERVICES
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1964-07-01
|
Business code |
622000
|
Sponsor’s telephone number |
7188697650
|
Plan sponsor’s
address |
700 HICKSVILLE ROAD, STE 210, BETHPAGE, NY, 11714
|
Signature of
Role |
Plan administrator |
Date |
2014-10-24 |
Name of individual signing |
SHARIKA GORDON |
|
|
EPISCOPAL HEALTH SERVICES
|
2012
|
111665825
|
2013-10-15
|
EPISCOPAL HEALTH SERVICES
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1964-07-01
|
Business code |
622000
|
Sponsor’s telephone number |
5163495266
|
Plan sponsor’s
address |
700 HICKSVILLE ROAD, BETHPAGE, NY, 11714
|
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
SHARIKA GORDON |
|
|
EPISCOPAL HEALTH SERVICES
|
2011
|
111665825
|
2012-10-01
|
EPISCOPAL HEALTH SERVICES
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1964-07-01
|
Business code |
622000
|
Sponsor’s telephone number |
5163495227
|
Plan sponsor’s
address |
700 HICKSVILLE ROAD, BETHPAGE, NY, 11714
|
Plan administrator’s name and address
Administrator’s EIN |
111665825 |
Plan administrator’s name |
EPISCOPAL HEALTH SERVICES |
Plan administrator’s
address |
700 HICKSVILLE ROAD, BETHPAGE, NY, 11714 |
Administrator’s telephone number |
5163495227 |
Signature of
Role |
Plan administrator |
Date |
2012-10-01 |
Name of individual signing |
CHERIAN PALATHRA |
|
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