YOURWAY HRA BENEFIT PLAN OF LUTHERAN SOCIAL SERVICES GROUP INC.
|
2023
|
161548940
|
2024-08-15
|
LUTHERAN SOCIAL SERVICES GROUP INC.
|
96
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2022-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7166658147
|
Plan sponsor’s
address |
715 FALCONER ST, JAMESTOWN, NY, 14701
|
Signature of
Role |
Plan administrator |
Date |
2024-08-15 |
Name of individual signing |
JASON BECKWITH |
|
|
YOURWAY HRA BENEFIT PLAN OF LUTHERAN SOCIAL SERVICES GROUP INC.
|
2022
|
161548940
|
2023-09-28
|
LUTHERAN SOCIAL SERVICES GROUP INC.
|
93
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2022-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7166658147
|
Plan sponsor’s
address |
715 FALCONER ST, JAMESTOWN, NY, 14701
|
Signature of
Role |
Plan administrator |
Date |
2023-09-25 |
Name of individual signing |
KELLIE MOLE |
|
|
LUTHERAN SOCIAL SERVICES GROUP, INC. HEALTH AND WELFARE BENEFITS PLAN
|
2020
|
161548940
|
2021-07-13
|
LUTHERAN SOCIAL SERVICES GROUP, INC.
|
374
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1972-06-15
|
Business code |
623000
|
Sponsor’s telephone number |
7166658147
|
Plan sponsor’s mailing address |
715 FALCONER STREET, JAMESTOWN, NY, 14701
|
Plan sponsor’s
address |
715 FALCONER STREET, JAMESTOWN, NY, 14701
|
Number of participants as of the end of the plan year
Active participants |
216 |
Retired or separated participants receiving
benefits |
7 |
Signature of
Role |
Plan administrator |
Date |
2021-07-13 |
Name of individual signing |
LYNNETTE REALE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-13 |
Name of individual signing |
LYNNETTE REALE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUTHERAN SOCIAL SERVICES GROUP, INC. HEALTH AND WELFARE BENEFITS PLAN
|
2019
|
161548940
|
2020-07-23
|
LUTHERAN SOCIAL SERVICES GROUP, INC.
|
385
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1972-06-15
|
Business code |
623000
|
Sponsor’s telephone number |
7166658147
|
Plan sponsor’s mailing address |
715 FALCONER ST, JAMESTOWN, NY, 147011935
|
Plan sponsor’s
address |
715 FALCONER ST, JAMESTOWN, NY, 147011935
|
Number of participants as of the end of the plan year
Active participants |
369 |
Retired or separated participants receiving
benefits |
6 |
Signature of
Role |
Plan administrator |
Date |
2020-07-23 |
Name of individual signing |
LYNNETTE REALE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUTHERAN SOCIAL SERVICES GROUP, INC, HEALTH AND WELFARE BENEFITS PLAN
|
2018
|
161548940
|
2019-07-30
|
LUTHERAN SOCIAL SERVICES GROUP, INC
|
403
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1972-06-15
|
Business code |
623000
|
Sponsor’s telephone number |
7166658147
|
Plan sponsor’s mailing address |
715 FALCONER STREET, JAMESTOWN, NY, 14701
|
Plan sponsor’s
address |
715 FALCONER STREET, JAMESTOWN, NY, 14701
|
Number of participants as of the end of the plan year
Active participants |
388 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2019-07-30 |
Name of individual signing |
LYNNETTE REALE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUTHERAN SOCIAL SERVICES GROUP, INC. HEALTH AND WELFARE BENEFITS PLAN
|
2017
|
161548940
|
2018-07-27
|
LUTHERAN SOCIAL SERVICES GROUP, INC
|
412
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1972-06-15
|
Business code |
623000
|
Sponsor’s telephone number |
7166658147
|
Plan sponsor’s mailing address |
715 FALCONER STREET, JAMESTOWN, NY, 14701
|
Plan sponsor’s
address |
715 FALCONER STREET, JAMESTOWN, NY, 14701
|
Number of participants as of the end of the plan year
Active participants |
409 |
Retired or separated participants receiving
benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2018-07-27 |
Name of individual signing |
LYNNETTE REALE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUTHERAN SOCIAL SERVICES GROUP, INC. HEALTH AND WELFARE BENEFITS PLAN
|
2016
|
161548940
|
2017-07-20
|
LUTHERAN SOCIAL SERVICES GROUP, INC.
|
412
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1972-06-15
|
Business code |
623000
|
Sponsor’s telephone number |
7166658147
|
Plan sponsor’s mailing address |
715 FALCONER STREET, JAMESTOWN, NY, 14701
|
Plan sponsor’s
address |
715 FALCONER STREET, JAMESTOWN, NY, 14701
|
Number of participants as of the end of the plan year
Active participants |
410 |
Retired or separated participants receiving
benefits |
6 |
Signature of
Role |
Plan administrator |
Date |
2017-07-20 |
Name of individual signing |
LYNNETTE REALE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUTHERAN SOCIAL SERVICES GROUP, INC, HEALTH AND WELFARE BENEFITS PLAN
|
2015
|
161548940
|
2016-07-28
|
LUTHERAN SOCIAL SERVICES GROUP, INC
|
421
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1972-06-15
|
Business code |
623000
|
Sponsor’s telephone number |
7166658147
|
Plan sponsor’s mailing address |
715 FALCONER STREET, JAMESTOWN, NY, 14701
|
Plan sponsor’s
address |
715 FALCONER STREET, JAMESTOWN, NY, 14701
|
Number of participants as of the end of the plan year
Active participants |
408 |
Retired or separated participants receiving
benefits |
11 |
Signature of
Role |
Plan administrator |
Date |
2016-07-28 |
Name of individual signing |
LYNNETTE REALE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUTHERAN SOCIAL SERVICES GROUP, INC. HEALTH AND WELFARE BENEFITS PLAN
|
2014
|
161548940
|
2015-07-31
|
LUTHERAN SOCIAL SERVICES GROUP, INC
|
415
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1972-06-15
|
Business code |
623000
|
Sponsor’s telephone number |
7166658147
|
Plan sponsor’s mailing address |
715 FALCONER STREET, JAMESTOWN, NY, 14701
|
Plan sponsor’s
address |
715 FALCONER STREET, JAMESTOWN, NY, 14701
|
Number of participants as of the end of the plan year
Active participants |
427 |
Retired or separated participants receiving
benefits |
7 |
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
LYNNETTE REALE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUTHERAN SOCIAL SERVICES GROUP, INC. HEALTH AND WELFARE BENEFITS PLAN
|
2012
|
161548940
|
2013-07-11
|
LUTHERAN SOCIAL SERVICES GROUP, INC
|
410
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1972-06-15
|
Business code |
623000
|
Sponsor’s telephone number |
7166654905
|
Plan sponsor’s mailing address |
715 FALCONER STREET, JAMESTOWN, NY, 14701
|
Plan sponsor’s
address |
715 FALCONER STREET, JAMESTOWN, NY, 14701
|
Number of participants as of the end of the plan year
Active participants |
406 |
Retired or separated participants receiving
benefits |
6 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Employer/plan sponsor |
Date |
2013-07-11 |
Name of individual signing |
KATRINA JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|