GROUP COVERAGE INC. 401(K) PLAN
|
2023
|
113391081
|
2024-08-22
|
GROUP COVERAGE INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5165760007
|
Plan sponsor’s
address |
PO BOX 480, W. ISLIP, NY, 11795
|
Signature of
Role |
Plan administrator |
Date |
2024-08-22 |
Name of individual signing |
LAURA SCHAAKE |
|
|
GROUP COVERAGE INC. 401(K) PLAN
|
2022
|
113391081
|
2023-10-04
|
GROUP COVERAGE INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5165760007
|
Plan sponsor’s
address |
PO BOX 480, W. ISLIP, NY, 11795
|
Signature of
Role |
Plan administrator |
Date |
2023-10-04 |
Name of individual signing |
LAURA SCHAAKE |
|
|
GROUP COVERAGE INC. 401(K) PLAN
|
2021
|
113391081
|
2022-09-03
|
GROUP COVERAGE INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5165760007
|
Plan sponsor’s
address |
PO BOX 480, W. ISLIP, NY, 11795
|
Signature of
Role |
Plan administrator |
Date |
2022-09-02 |
Name of individual signing |
LAURA SCHAAKE |
|
|
GROUP COVERAGE INC. 401(K) PLAN
|
2020
|
113391081
|
2021-07-14
|
GROUP COVERAGE INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5165760007
|
Plan sponsor’s
address |
PO BOX 480, W. ISLIP, NY, 11795
|
Signature of
Role |
Plan administrator |
Date |
2021-07-14 |
Name of individual signing |
LAURA SCHAAKE |
|
Role |
Employer/plan sponsor |
Date |
2021-07-14 |
Name of individual signing |
LAURA SCHAAKE |
|
|
GROUP COVERAGE INC. 401(K) PLAN
|
2019
|
113391081
|
2020-07-10
|
GROUP COVERAGE INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5165760007
|
Plan sponsor’s
address |
55 W. AMES CT., STE. 400, PLAINVIEW, NY, 11803
|
Signature of
Role |
Plan administrator |
Date |
2020-07-10 |
Name of individual signing |
LAURA SCHAAKE |
|
Role |
Employer/plan sponsor |
Date |
2020-07-10 |
Name of individual signing |
LAURA SCHAAKE |
|
|
GROUP COVERAGE INC. 401(K) PLAN
|
2018
|
113391081
|
2019-05-20
|
GROUP COVERAGE INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5165760007
|
Plan sponsor’s
address |
55 W. AMES CT., STE. 400, PLAINVIEW, NY, 11803
|
Signature of
Role |
Plan administrator |
Date |
2019-05-17 |
Name of individual signing |
LAURA SCHAAKE |
|
Role |
Employer/plan sponsor |
Date |
2019-05-17 |
Name of individual signing |
LAURA SCHAAKE |
|
|
GROUP COVERAGE INC. 401(K) PLAN
|
2017
|
113391081
|
2018-05-11
|
GROUP COVERAGE INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5165760007
|
Plan sponsor’s
address |
55 W. AMES CT., STE. 400, PLAINVIEW, NY, 11803
|
Signature of
Role |
Plan administrator |
Date |
2018-05-11 |
Name of individual signing |
LAURA SCHAAKE |
|
|
GROUP COVERAGE INC. 401(K) PLAN
|
2016
|
113391081
|
2017-07-17
|
GROUP COVERAGE INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5165760007
|
Plan sponsor’s
address |
55 W. AMES CT., STE. 400, PLAINVIEW, NY, 11803
|
Signature of
Role |
Plan administrator |
Date |
2017-07-17 |
Name of individual signing |
LAURA SCHAAKE |
|
|
GROUP COVERAGE INC. 401(K) PLAN
|
2015
|
113391081
|
2016-05-11
|
GROUP COVERAGE INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5165760007
|
Plan sponsor’s
address |
55 W. AMES CT., STE. 400, PLAINVIEW, NY, 11803
|
Signature of
Role |
Plan administrator |
Date |
2016-05-11 |
Name of individual signing |
LAURA SCHAAKE |
|
|
GROUP COVERAGE INC. 401(K) PLAN
|
2014
|
113391081
|
2015-04-30
|
GROUP COVERAGE INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5165760007
|
Plan sponsor’s
address |
55 W. AMES CT., STE. 400, PLAINVIEW, NY, 11803
|
Signature of
Role |
Plan administrator |
Date |
2015-04-30 |
Name of individual signing |
LAURA SCHAAKE |
|
|