AMERICAN CORADIUS INTERNATIONAL LLC LIFE, DISABILITY, DENTAL, VISION PLAN
|
2021
|
331118210
|
2022-07-22
|
AMERICAN CORADIUS INTERNATIONAL LLC
|
127
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2010-01-01
|
Business code |
561440
|
Sponsor’s telephone number |
7164187200
|
Plan sponsor’s mailing address |
2420 SWEET HOME RD SUITE 150, AMHERST, NY, 14228
|
Plan sponsor’s
address |
2420 SWEET HOME RD SUITE 150, AMHERST, NY, 14228
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-07-22 |
Name of individual signing |
BRIAN PEEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN CORADIUS INTERNATIONAL LLC LIFE AND DISABILITY PLAN
|
2021
|
331118210
|
2022-07-22
|
AMERICAN CORADIUS INTERNATIONAL LLC
|
92
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2010-01-01
|
Business code |
561440
|
Sponsor’s telephone number |
7164187200
|
Plan sponsor’s mailing address |
2420 SWEET HOME RD SUITE 150, AMHERST, NY, 14228
|
Plan sponsor’s
address |
2420 SWEET HOME RD SUITE 150, AMHERST, NY, 14228
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-07-22 |
Name of individual signing |
BRIAN PEEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN CORADIUS INTERNATION LLC HEALTH BENEFIT PLAN
|
2021
|
331118210
|
2022-07-22
|
AMERICAN CORADIUS INTERNATIONAL LLC
|
173
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-01-01
|
Business code |
561440
|
Sponsor’s telephone number |
7164187200
|
Plan sponsor’s mailing address |
2420 SWEET HOME RD SUITE 150, AMHERST, NY, 14228
|
Plan sponsor’s
address |
2420 SWEET HOME RD SUITE 150, AMHERST, NY, 14228
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-07-22 |
Name of individual signing |
BRIAN PEEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN CORADIUS INTERNATIONAL LLC LIFE AND DISABILITY PLAN
|
2020
|
331118210
|
2021-07-23
|
AMERICAN CORADIUS INTERNATIONAL LLC
|
102
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2010-01-01
|
Business code |
561440
|
Sponsor’s telephone number |
7164187200
|
Plan sponsor’s mailing address |
2420 SWEET HOME RD SUITE 150, AMHERST, NY, 14228
|
Plan sponsor’s
address |
2420 SWEET HOME RD SUITE 150, AMHERST, NY, 14228
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-23 |
Name of individual signing |
BRIAN PEEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-23 |
Name of individual signing |
BRIAN PEEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN CORADIUS INTERNATIONAL LLC LIFE, DISABILITY, DENTAL, VISION PLAN
|
2020
|
331118210
|
2021-07-23
|
AMERICAN CORADIUS INTERNATIONAL LLC
|
132
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2010-01-01
|
Business code |
561440
|
Sponsor’s telephone number |
7164187200
|
Plan sponsor’s mailing address |
2420 SWEET HOME RD SUITE 150, AMHERST, NY, 14228
|
Plan sponsor’s
address |
2420 SWEET HOME RD SUITE 150, AMHERST, NY, 14228
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-23 |
Name of individual signing |
BRIAN PEEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-23 |
Name of individual signing |
BRIAN PEEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN CORADIUS INTERNATION LLC HEALTH BENEFIT PLAN
|
2020
|
331118210
|
2021-07-23
|
AMERICAN CORADIUS INTERNATIONAL LLC
|
188
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-01-01
|
Business code |
561440
|
Sponsor’s telephone number |
7164187200
|
Plan sponsor’s mailing address |
2420 SWEET HOME RD SUITE 150, AMHERST, NY, 14228
|
Plan sponsor’s
address |
2420 SWEET HOME RD SUITE 150, AMHERST, NY, 14228
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-23 |
Name of individual signing |
BRIAN PEEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-23 |
Name of individual signing |
BRIAN PEEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN CORADIUS INTERNATION LLC HEALTH BENEFIT PLAN
|
2019
|
331118210
|
2020-07-30
|
AMERICAN CORADIUS INTERNATIONAL LLC
|
182
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-01-01
|
Business code |
561440
|
Sponsor’s telephone number |
7164187200
|
Plan sponsor’s mailing address |
2420 SWEET HOME RD SUITE 150, AMHERST, NY, 14228
|
Plan sponsor’s
address |
2420 SWEET HOME RD SUITE 150, AMHERST, NY, 14228
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-30 |
Name of individual signing |
BRIAN PEEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-30 |
Name of individual signing |
BRIAN PEEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN CORADIUS INTERNATIONAL LLC LIFE AND DISABILITY PLAN
|
2019
|
331118210
|
2020-07-30
|
AMERICAN CORADIUS INTERNATIONAL LLC
|
88
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2010-01-01
|
Business code |
561440
|
Sponsor’s telephone number |
7164187200
|
Plan sponsor’s mailing address |
2420 SWEET HOME RD SUITE 150, AMHERST, NY, 14228
|
Plan sponsor’s
address |
2420 SWEET HOME RD SUITE 150, AMHERST, NY, 14228
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-30 |
Name of individual signing |
BRIAN PEEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-30 |
Name of individual signing |
BRIAN PEEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN CORADIUS INTERNATIONAL LLC LIFE, DISABILITY, DENTAL, VISION PLAN
|
2019
|
331118210
|
2020-07-30
|
AMERICAN CORADIUS INTERNATIONAL LLC
|
117
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2010-01-01
|
Business code |
561440
|
Sponsor’s telephone number |
7164187200
|
Plan sponsor’s mailing address |
2420 SWEET HOME RD SUITE 150, AMHERST, NY, 14228
|
Plan sponsor’s
address |
2420 SWEET HOME RD SUITE 150, AMHERST, NY, 14228
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-30 |
Name of individual signing |
BRIAN PEEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-30 |
Name of individual signing |
BRIAN PEEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN CORADIUS INTERNATIONAL LLC LIFE, DISABILITY, DENTAL, VISION PLAN
|
2018
|
331118210
|
2019-07-30
|
AMERICAN CORADIUS INTERNATIONAL LLC
|
134
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2010-01-01
|
Business code |
561440
|
Sponsor’s telephone number |
7164187200
|
Plan sponsor’s mailing address |
2420 SWEET HOME RD SUITE 150, AMHERST, NY, 14228
|
Plan sponsor’s
address |
2420 SWEET HOME RD SUITE 150, AMHERST, NY, 14228
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-30 |
Name of individual signing |
BRIAN PEEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-30 |
Name of individual signing |
BRIAN PEEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|