ST. LAWRENCE HEALTH ALLIANCE 401(K) PROFIT SHARING PLAN
|
2019
|
161489843
|
2020-07-23
|
ST. LAWRENCE HEALTH ALLIANCE
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
3153947542
|
Plan sponsor’s
address |
3 LYON PLACE, OGDENSBURG, NY, 13669
|
Signature of
Role |
Plan administrator |
Date |
2020-07-23 |
Name of individual signing |
BETH STEMPLES |
|
Role |
Employer/plan sponsor |
Date |
2020-07-23 |
Name of individual signing |
BETH STEMPLES |
|
|
ST. LAWRENCE HEALTH ALLIANCE 401(K) PROFIT SHARING PLAN
|
2018
|
161489843
|
2019-05-23
|
ST. LAWRENCE HEALTH ALLIANCE
|
81
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
3153947542
|
Plan sponsor’s
address |
3 LYON PLACE, OGDENSBURG, NY, 13669
|
Signature of
Role |
Plan administrator |
Date |
2019-05-23 |
Name of individual signing |
BETH STEMPLES |
|
Role |
Employer/plan sponsor |
Date |
2019-05-23 |
Name of individual signing |
BETH STEMPLES |
|
|
ST. LAWRENCE HEALTH ALLIANCE 401(K) PROFIT SHARING PLAN
|
2017
|
161489843
|
2018-04-23
|
ST. LAWRENCE HEALTH ALLIANCE
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
3153947542
|
Plan sponsor’s
address |
3 LYON PLACE, OGDENSBURG, NY, 13669
|
Signature of
Role |
Plan administrator |
Date |
2018-04-23 |
Name of individual signing |
BETH STEMPLES |
|
Role |
Employer/plan sponsor |
Date |
2018-04-23 |
Name of individual signing |
BETH STEMPLES |
|
|
ST. LAWRENCE HEALTH ALLIANCE 401(K) PROFIT SHARING PLAN
|
2016
|
161489843
|
2017-07-31
|
ST. LAWRENCE HEALTH ALLIANCE
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
3153947542
|
Plan sponsor’s
address |
3 LYON PLACE, OGDENSBURG, NY, 13669
|
Signature of
Role |
Plan administrator |
Date |
2017-07-31 |
Name of individual signing |
BETH STEMPLES |
|
Role |
Employer/plan sponsor |
Date |
2017-07-31 |
Name of individual signing |
BETH STEMPLES |
|
|
ST. LAWRENCE HEALTH ALLIANCE 401(K) PROFIT SHARING PLAN
|
2015
|
161489843
|
2016-06-27
|
ST. LAWRENCE HEALTH ALLIANCE
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
3153947542
|
Plan sponsor’s
address |
3 LYON PLACE, OGDENSBURG, NY, 13669
|
Signature of
Role |
Plan administrator |
Date |
2016-06-27 |
Name of individual signing |
BETH STEMPLES |
|
Role |
Employer/plan sponsor |
Date |
2016-06-27 |
Name of individual signing |
BETH STEMPLES |
|
|
ST. LAWRENCE HEALTH ALLIANCE 401(K) PROFIT SHARING PLAN
|
2014
|
161489843
|
2015-07-02
|
ST. LAWRENCE HEALTH ALLIANCE
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
3153947542
|
Plan sponsor’s
address |
3 LYON PLACE, OGDENSBURG, NY, 13669
|
Signature of
Role |
Plan administrator |
Date |
2015-07-01 |
Name of individual signing |
BETH STEMPLES |
|
Role |
Employer/plan sponsor |
Date |
2015-07-01 |
Name of individual signing |
BETH STEMPLES |
|
|
ST. LAWRENCE HEALTH ALLIANCE 401(K) PROFIT SHARING PLAN
|
2013
|
161489843
|
2014-10-10
|
ST. LAWRENCE HEALTH ALLIANCE
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
3153947542
|
Plan sponsor’s
address |
3 LYON PLACE, OGDENSBURG, NY, 13669
|
Signature of
Role |
Plan administrator |
Date |
2014-10-10 |
Name of individual signing |
BETH STEMPLES |
|
Role |
Employer/plan sponsor |
Date |
2014-10-10 |
Name of individual signing |
BETH STEMPLES |
|
|
ST. LAWRENCE HEALTH ALLIANCE 401(K) PROFIT SHARIN
|
2012
|
161489843
|
2013-10-07
|
ST. LAWRENCE HEALTH ALLIANCE
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
3153947542
|
Plan sponsor’s
address |
3 LYON PLACE, OGDENSBURG, NY, 13669
|
Signature of
Role |
Plan administrator |
Date |
2013-10-07 |
Name of individual signing |
VALERI R. DEDICH, ERPA, QPA, QKA |
|
|
ST. LAWRENCE HEALTH ALLIANCE 401(K) PROFIT SHARING PLAN
|
2010
|
161489843
|
2011-10-19
|
ST. LAWRENCE HEALTH ALLIANCE
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
3153947542
|
Plan sponsor’s mailing address |
3 LYON PLACE, OGDENSBURG, NY, 13669
|
Plan sponsor’s
address |
3 LYON PLACE, OGDENSBURG, NY, 13669
|
Plan administrator’s name and address
Administrator’s EIN |
161489843 |
Plan administrator’s name |
ST. LAWRENCE HEALTH ALLIANCE |
Plan administrator’s
address |
3 LYON PLACE, OGDENSBURG, NY, 13669 |
Administrator’s telephone number |
3153947542 |
Number of participants as of the end of the plan year
Active participants |
30 |
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 |
30 |
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 |
2011-10-19 |
Name of individual signing |
MELANIE MORGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. LAWRENCE HEALTH ALLIANCE 401(K) PROFIT SHARING PLAN
|
2009
|
161489843
|
2010-10-08
|
ST. LAWRENCE HEALTH ALLIANCE
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
3153947542
|
Plan sponsor’s mailing address |
3 LYON PLACE, OGDENSBURG, NY, 13669
|
Plan sponsor’s
address |
3 LYON PLACE, OGDENSBURG, NY, 13669
|
Plan administrator’s name and address
Administrator’s EIN |
161489843 |
Plan administrator’s name |
ST. LAWRENCE HEALTH ALLIANCE |
Plan administrator’s
address |
3 LYON PLACE, OGDENSBURG, NY, 13669 |
Administrator’s telephone number |
3153947542 |
Number of participants as of the end of the plan year
Active participants |
43 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
7 |
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 |
27 |
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 |
MELINE MORGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|