EMPIRE MERCHANTS HEALTH & WELFARE BENEFITS PLAN FOR NON-BARGAINING EMPLOYEES
|
2021
|
205431037
|
2022-11-07
|
EMPIRE MERCHANTS, LLC
|
355
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-02-01
|
Business code |
424800
|
Sponsor’s telephone number |
7183835500
|
Plan sponsor’s mailing address |
16 BRIDGEWATER ST, BROOKLYN, NY, 112223804
|
Plan sponsor’s
address |
16 BRIDGEWATER ST, BROOKLYN, NY, 112223804
|
Number of participants as of the end of the plan year
Active participants |
349 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2022-11-07 |
Name of individual signing |
TERRENCE ARLOTTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-11-07 |
Name of individual signing |
TERRENCE ARLOTTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPIRE MERCHANTS HEALTH & WELFARE BENEFITS PLAN FOR NON-BARGAINING EMPLOYEES
|
2020
|
205431037
|
2021-08-31
|
EMPIRE MERCHANTS, LLC
|
389
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-02-01
|
Business code |
424800
|
Sponsor’s telephone number |
7183835500
|
Plan sponsor’s mailing address |
16 BRIDGEWATER ST, BROOKLYN, NY, 112223804
|
Plan sponsor’s
address |
16 BRIDGEWATER ST, BROOKLYN, NY, 112223804
|
Number of participants as of the end of the plan year
Active participants |
355 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-08-30 |
Name of individual signing |
TERRENCE ARLOTTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-08-30 |
Name of individual signing |
TERRENCE ARLOTTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPIRE MERCHANTS HEALTH & WELFARE BENEFITS PLAN FOR NON-BARGAINING EMPLOYEES
|
2019
|
205431037
|
2020-08-13
|
EMPIRE MERCHANTS, LLC
|
358
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-02-01
|
Business code |
424800
|
Sponsor’s telephone number |
7183835500
|
Plan sponsor’s mailing address |
16 BRIDGEWATER ST, BROOKLYN, NY, 112223804
|
Plan sponsor’s
address |
16 BRIDGEWATER ST, BROOKLYN, NY, 112223804
|
Number of participants as of the end of the plan year
Active participants |
386 |
Retired or separated participants receiving
benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2020-08-13 |
Name of individual signing |
TERRENCE ARLOTTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-08-13 |
Name of individual signing |
TERRENCE ARLOTTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPIRE MERCHANTS HEALTH & WELFARE BENEFITS PLAN FOR NON-BARGAINING EMPLOYEES
|
2018
|
205431037
|
2019-10-02
|
EMPIRE MERCHANTS, LLC
|
351
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-02-01
|
Business code |
424800
|
Sponsor’s telephone number |
7183835500
|
Plan sponsor’s mailing address |
16 BRIDGEWATER ST, BROOKLYN, NY, 112223804
|
Plan sponsor’s
address |
16 BRIDGEWATER ST, BROOKLYN, NY, 112223804
|
Number of participants as of the end of the plan year
Active participants |
358 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-10-02 |
Name of individual signing |
TERRENCE ARLOTTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-02 |
Name of individual signing |
TERRENCE ARLOTTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPIRE MERCHANTS HEALTH & WELFARE BENEFITS PLAN FOR NON-BARGAINING EMPLOYEES
|
2017
|
205431037
|
2018-10-30
|
EMPIRE MERCHANTS, LLC
|
354
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-02-01
|
Business code |
424800
|
Sponsor’s telephone number |
7183835500
|
Plan sponsor’s mailing address |
16 BRIDGEWATER ST, BROOKLYN, NY, 112223804
|
Plan sponsor’s
address |
16 BRIDGEWATER ST, BROOKLYN, NY, 112223804
|
Number of participants as of the end of the plan year
Active participants |
345 |
Retired or separated participants receiving
benefits |
6 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-10-19 |
Name of individual signing |
TERRENCE ARLOTTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPIRE MERCHANTS HEALTH & WELFARE BENEFITS PLAN FOR NON-BARGAINING EMPLOYEES
|
2016
|
205431037
|
2017-10-18
|
EMPIRE MERCHANTS, LLC
|
298
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-02-01
|
Business code |
424800
|
Sponsor’s telephone number |
7183835500
|
Plan sponsor’s mailing address |
16 BRIDGEWATER STREET, BROOKLYN, NY, 11222
|
Plan sponsor’s
address |
16 BRIDGEWATER STREET, BROOKLYN, NY, 11222
|
Plan administrator’s name and address
Administrator’s EIN |
205431037 |
Plan administrator’s name |
EMPIRE MERCHANTS, LLC |
Plan administrator’s
address |
16 BRIDGEWATER STREET, BROOKLYN, NY, 11222 |
Administrator’s telephone number |
7183835500 |
Number of participants as of the end of the plan year
Active participants |
351 |
Retired or separated participants receiving
benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2017-10-18 |
Name of individual signing |
TERRENCE ARLOTTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPIRE MERCHANTS HEALTH & WELFARE BENEFITS PLAN FOR NON-BARGAINING EMPLOYEES
|
2015
|
205431037
|
2016-11-09
|
EMPIRE MERCHANTS, LLC
|
333
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-02-01
|
Business code |
424800
|
Sponsor’s telephone number |
7183835500
|
Plan sponsor’s mailing address |
16 BRIDGEWATER STREET, BROOKLYN, NY, 11222
|
Plan sponsor’s
address |
16 BRIDGEWATER STREET, BROOKLYN, NY, 11222
|
Number of participants as of the end of the plan year
Active participants |
296 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2016-11-09 |
Name of individual signing |
TERRENCE ARLOTTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPIRE MERCHANTS HEALTH & WELFARE BENEFITS PLAN FOR NON-BARGAINING EMPLOYEES
|
2014
|
205431037
|
2015-11-09
|
EMPIRE MERCHANTS, LLC
|
332
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-02-01
|
Business code |
424800
|
Sponsor’s telephone number |
7183835500
|
Plan sponsor’s mailing address |
16 BRIDGEWATER STREET, BROOKLYN, NY, 11222
|
Plan sponsor’s
address |
16 BRIDGEWATER STREET, BROOKLYN, NY, 11222
|
Number of participants as of the end of the plan year
Active participants |
329 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-11-09 |
Name of individual signing |
TERRENCE ARLOTTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-11-06 |
Name of individual signing |
TERRENCE ARLOTTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPIRE MERCHANTS HEALTH & WELFARE BENEFITS PLAN FOR NON-BARGAINING UNIT EMPLOYEES
|
2013
|
205431037
|
2014-11-10
|
EMPIRE MERCHANTS, LLC
|
352
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-02-01
|
Business code |
424800
|
Sponsor’s telephone number |
7183835500
|
Plan sponsor’s mailing address |
16 BRIDGEWATER STREET, BROOKLYN, NY, 11222
|
Plan sponsor’s
address |
16 BRIDGEWATER STREET, BROOKLYN, NY, 11222
|
Number of participants as of the end of the plan year
Active participants |
329 |
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-11-10 |
Name of individual signing |
TERRENCE ARLOTTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-11-10 |
Name of individual signing |
TERRENCE ARLOTTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPIRE MERCHANTS HEALTH & WELFARE BENEFITS PLAN FOR NON-BARGAINING UNIT EMPLOYEES
|
2012
|
205431037
|
2013-11-12
|
EMPIRE MERCHANTS, LLC
|
335
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-02-01
|
Business code |
424800
|
Sponsor’s telephone number |
7183835500
|
Plan sponsor’s mailing address |
16 BRIDGEWATER STREET, BROOKLYN, NY, 11222
|
Plan sponsor’s
address |
16 BRIDGEWATER STREET, BROOKLYN, NY, 11222
|
Number of participants as of the end of the plan year
Active participants |
348 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-11-12 |
Name of individual signing |
TERRENCE ARLOTTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|