DON SIMMONS BENEFIT CONVERSION PLAN
|
2022
|
231664884
|
2023-08-08
|
DON SIMMONS INC
|
174
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1998-04-01
|
Business code |
441110
|
Sponsor’s telephone number |
6073244444
|
Plan sponsor’s mailing address |
1160 CTY RTE 66, HORNELL, NY, 14843
|
Plan sponsor’s
address |
1160 CTY RTE 66, HORNELL, NY, 14843
|
Number of participants as of the end of the plan year
Active participants |
221 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-08-08 |
Name of individual signing |
LISA SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-08-08 |
Name of individual signing |
LISA SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DON SIMMONS BENEFIT CONVERSION PLAN
|
2021
|
231664884
|
2022-06-30
|
DON SIMMONS INC
|
195
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1998-04-01
|
Business code |
441110
|
Sponsor’s telephone number |
6073244444
|
Plan sponsor’s mailing address |
1160 CTY RTE 66, HORNELL, NY, 14843
|
Plan sponsor’s
address |
1160 CTY RTE 66, HORNELL, NY, 14843
|
Number of participants as of the end of the plan year
Active participants |
174 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-06-30 |
Name of individual signing |
LISA SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DON SIMMONS BENEFIT CONVERSION PLAN
|
2020
|
231664884
|
2021-06-18
|
DON SIMMONS INC
|
198
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1998-04-01
|
Business code |
441110
|
Sponsor’s telephone number |
6073244444
|
Plan sponsor’s mailing address |
1160 CTY RTE 66, HORNELL, NY, 14843
|
Plan sponsor’s
address |
1160 CTY RTE 66, HORNELL, NY, 14843
|
Number of participants as of the end of the plan year
Active participants |
195 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-06-18 |
Name of individual signing |
LISA SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-18 |
Name of individual signing |
LISA SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DON SIMMONS BENEFIT CONVERSION PLAN
|
2019
|
231664884
|
2020-07-14
|
DON SIMMONS INC
|
193
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1998-04-01
|
Business code |
441110
|
Sponsor’s telephone number |
6073244444
|
Plan sponsor’s mailing address |
1160 CTY RTE 66, HORNELL, NY, 14843
|
Plan sponsor’s
address |
1160 CTY RTE 66, HORNELL, NY, 14843
|
Number of participants as of the end of the plan year
Active participants |
198 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-07-14 |
Name of individual signing |
LISA SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-14 |
Name of individual signing |
LISA SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DON SIMMONS BENEFIT CONVERSION PLAN
|
2018
|
231664884
|
2019-09-11
|
DON SIMMONS INC
|
191
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1998-04-01
|
Business code |
441110
|
Sponsor’s telephone number |
6073244444
|
Plan sponsor’s mailing address |
1160 CTY RTE 66, HORNELL, NY, 14843
|
Plan sponsor’s
address |
1160 CTY RTE 66, HORNELL, NY, 14843
|
Number of participants as of the end of the plan year
Active participants |
193 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-09-11 |
Name of individual signing |
LISA SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-11 |
Name of individual signing |
LISA SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DON SIMMONS BENEFIT CONVERSION PLAN
|
2017
|
231664884
|
2018-10-10
|
DON SIMMONS INC
|
208
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1998-04-01
|
Business code |
441110
|
Sponsor’s telephone number |
6073244444
|
Plan sponsor’s mailing address |
1160 CTY RTE 66, HORNELL, NY, 14843
|
Plan sponsor’s
address |
1160 CTY RTE 66, HORNELL, NY, 14843
|
Number of participants as of the end of the plan year
Active participants |
191 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-10-10 |
Name of individual signing |
LISA SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-10 |
Name of individual signing |
LISA SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DON SIMMONS BENEFIT CONVERSION PLAN
|
2016
|
231664884
|
2017-10-05
|
DON SIMMONS INC
|
208
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1998-04-01
|
Business code |
441110
|
Sponsor’s telephone number |
6073244444
|
Plan sponsor’s mailing address |
1160 CTY RTE 66, HORNELL, NY, 14843
|
Plan sponsor’s
address |
1160 CTY RTE 66, HORNELL, NY, 14843
|
Plan administrator’s name and address
Administrator’s EIN |
231664884 |
Plan administrator’s name |
DON SIMMONS INC |
Plan administrator’s
address |
1160 CTY RTE 66, HORNELL, NY, 14843 |
Administrator’s telephone number |
6073244444 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-10-05 |
Name of individual signing |
BRIAN LIDDY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-05 |
Name of individual signing |
BRIAN LIDDY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DON SIMMONS BENEFIT CONVERSION PLAN
|
2015
|
231664884
|
2016-09-08
|
DON SIMMONS INC
|
189
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1998-04-01
|
Business code |
441110
|
Sponsor’s telephone number |
6073244444
|
Plan sponsor’s mailing address |
1160 CTY RTE 66, HORNELL, NY, 14843
|
Plan sponsor’s
address |
1160 CTY RTE 66, HORNELL, NY, 14843
|
Plan administrator’s name and address
Administrator’s EIN |
231664884 |
Plan administrator’s name |
DON SIMMONS INC |
Plan administrator’s
address |
1160 CTY RTE 66, HORNELL, NY, 14843 |
Administrator’s telephone number |
6073244444 |
Number of participants as of the end of the plan year
Active participants |
208 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-09-08 |
Name of individual signing |
BRIAN LIDDY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-08 |
Name of individual signing |
BRIAN LIDDY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DON SIMMONS BENEFIT CONVERSION PLAN
|
2014
|
231664884
|
2015-08-25
|
DON SIMMONS INC
|
182
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1998-04-01
|
Business code |
441110
|
Sponsor’s telephone number |
6073244444
|
Plan sponsor’s mailing address |
1160 CTY RTE 66, HORNELL, NY, 14843
|
Plan sponsor’s
address |
1160 CTY RTE 66, HORNELL, NY, 14843
|
Plan administrator’s name and address
Administrator’s EIN |
231664884 |
Plan administrator’s name |
DON SIMMONS INC |
Plan administrator’s
address |
1160 CTY RTE 66, HORNELL, NY, 14843 |
Administrator’s telephone number |
6073244444 |
Number of participants as of the end of the plan year
Active participants |
189 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-08-25 |
Name of individual signing |
BRIAN LIDDY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-08-25 |
Name of individual signing |
BRIAN LIDDY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DON SIMMONS BENEFIT CONVERSION PLAN
|
2013
|
231664884
|
2014-09-24
|
DON SIMMONS INC
|
196
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1998-04-01
|
Business code |
441110
|
Sponsor’s telephone number |
6073244444
|
Plan sponsor’s mailing address |
1160 CTY RTE 66, HORNELL, NY, 14843
|
Plan sponsor’s
address |
1160 CTY RTE 66, HORNELL, NY, 14843
|
Plan administrator’s name and address
Administrator’s EIN |
231664884 |
Plan administrator’s name |
DON SIMMONS INC |
Plan administrator’s
address |
1160 CTY RTE 66, HORNELL, NY, 14843 |
Administrator’s telephone number |
6073244444 |
Number of participants as of the end of the plan year
Active participants |
182 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-09-24 |
Name of individual signing |
BRIAN LIDDY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-24 |
Name of individual signing |
BRIAN LIDDY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|