NATIONAL HEALTHCARE PLAN FOR MEMBERS AND ASSOCIATES OF AGRICULTURE
|
2023
|
161564790
|
2024-06-24
|
AGRI-SERVICES AGENCY LLC
|
2634
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1989-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8774669089
|
Plan sponsor’s mailing address |
5001 BRITTONFIELD PKWY, EAST SYRACUSE, NY, 130579201
|
Plan sponsor’s
address |
5001 BRITTONFIELD PKWY, EAST SYRACUSE, NY, 130579201
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-06-24 |
Name of individual signing |
BRANDON FISCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL HEALTHCARE PLAN FOR MEMBERS AND ASSOCIATES OF AGRICULTURE
|
2022
|
161564790
|
2023-06-27
|
AGRI-SERVICES AGENCY LLC
|
2902
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1989-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8774669089
|
Plan sponsor’s mailing address |
5001 BRITTONFIELD PKWY, EAST SYRACUSE, NY, 130579201
|
Plan sponsor’s
address |
5001 BRITTONFIELD PKWY, EAST SYRACUSE, NY, 130579201
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-06-27 |
Name of individual signing |
BRANDON FISCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL HEALTHCARE PLAN FOR MEMBERS AND ASSOCIATES OF AGRICULTURE
|
2021
|
161564790
|
2022-06-22
|
AGRI-SERVICES AGENCY LLC
|
3214
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1989-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8774669089
|
Plan sponsor’s mailing address |
5001 BRITTONFIELD PKWY, EAST SYRACUSE, NY, 130579201
|
Plan sponsor’s
address |
5001 BRITTONFIELD PKWY, EAST SYRACUSE, NY, 130579201
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-06-22 |
Name of individual signing |
BRANDON FISCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL HEALTHCARE PLAN FOR MEMBERS AND ASSOCIATES OF AGRICULTURE
|
2020
|
161564790
|
2021-07-28
|
AGRI-SERVICES AGENCY LLC
|
3566
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1989-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8774669089
|
Plan sponsor’s mailing address |
5001 BRITTONFIELD PKWY, EAST SYRACUSE, NY, 130579201
|
Plan sponsor’s
address |
5001 BRITTONFIELD PKWY, EAST SYRACUSE, NY, 130579201
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-28 |
Name of individual signing |
BRANDON FISCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL HEALTHCARE PLAN FOR MEMBERS AND ASSOCIATES OF AGRICULTURE
|
2019
|
161564790
|
2020-07-21
|
AGRI-SERVICES AGENCY LLC
|
3967
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1989-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3154330100
|
Plan sponsor’s mailing address |
5001 BRITTONFIELD PKWY, EAST SYRACUSE, NY, 130579201
|
Plan sponsor’s
address |
5001 BRITTONFIELD PKWY, EAST SYRACUSE, NY, 130579201
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-21 |
Name of individual signing |
SAM DEEB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL HEALTHCARE PLAN FOR MEMBERS AND ASSOCIATES OF AGRICULTURE
|
2012
|
161564790
|
2013-09-13
|
AGRI-SERVICES AGENCY, LLC
|
10867
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1989-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3154330100
|
Plan sponsor’s mailing address |
PO BOX 4844, 5001 BRITTONFIELD PARKWAY, SYRACUSE, NY, 13221
|
Plan sponsor’s
address |
5001 BRITTONFIELD PKWY, EAST SYRACUSE, NY, 13057
|
Number of participants as of the end of the plan year
Active participants |
10048 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-09-13 |
Name of individual signing |
ELLEN OCONNOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL HEALTHCARE PLAN FOR MEMBERS AND ASSOCIATES OF AGRICULTURE
|
2012
|
161564790
|
2013-07-23
|
AGRI-SERVICES AGENCY, LLC
|
10867
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1989-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3154330100
|
Plan sponsor’s mailing address |
PO BOX 4844, 5001 BRITTONFIELD PARKWAY, SYRACUSE, NY, 13221
|
Plan sponsor’s
address |
5001 BRITTONFIELD PKWY, EAST SYRACUSE, NY, 13057
|
Number of participants as of the end of the plan year
Active participants |
10048 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-23 |
Name of individual signing |
ELLEN OCONNOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL HEALTHCARE PLAN FOR MEMBERS AND ASSOCIATES OF AGRICULTURE
|
2011
|
161564790
|
2012-07-21
|
AGRI-SERVICES AGENCY, LLC
|
11733
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1989-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3154330100
|
Plan sponsor’s mailing address |
PO BOX 4844, 5001 BRITTONFIELD PKWY, SYRACUSE, NY, 13221
|
Plan sponsor’s
address |
5001 BRITTONFIELD PKWY, EAST SYRACUSE, NY, 13057
|
Plan administrator’s name and address
Administrator’s EIN |
161564790 |
Plan administrator’s name |
AGRI-SERVICES AGENCY, LLC |
Plan administrator’s
address |
PO BOX 4844, 5001 BRITTONFIELD PKWY, SYRACUSE, NY, 13221 |
Administrator’s telephone number |
3154330100 |
Number of participants as of the end of the plan year
Active participants |
10867 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-07-20 |
Name of individual signing |
ELLEN OCONNOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL HEALTHCARE PLAN FOR MEMBERS AND ASSOCIATES OF AGRICULTURE
|
2010
|
161564790
|
2011-07-12
|
AGRI-SERVICES AGENCY, LLC
|
14743
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1989-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3154330100
|
Plan sponsor’s mailing address |
PO BOX 4844, 5001 BRITTONFIELD PKWY, SYRACUSE, NY, 13221
|
Plan sponsor’s
address |
5001 BRITTONFIELD PKWY, EAST SYRACUSE, NY, 13057
|
Plan administrator’s name and address
Administrator’s EIN |
161564790 |
Plan administrator’s name |
AGRI-SERVICES AGENCY, LLC |
Plan administrator’s
address |
PO BOX 4844, 5001 BRITTONFIELD PKWY, SYRACUSE, NY, 13221 |
Administrator’s telephone number |
3154330100 |
Number of participants as of the end of the plan year
Active participants |
11733 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-07-11 |
Name of individual signing |
ELLEN OCONNOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|