GROUP MEDICAL INSURANCE FOR THE EMPLOYEES OF DOLCE & GABBANA USA, INC
|
2022
|
133910342
|
2023-10-27
|
DOLCE & GABBANA USA INC.
|
288
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2003-03-01
|
Business code |
448190
|
Sponsor’s telephone number |
2127500055
|
Plan sponsor’s mailing address |
546 5TH AVE FL 10, NEW YORK, NY, 100365000
|
Plan sponsor’s
address |
546 5TH AVE FL 10, NEW YORK, NY, 100365000
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-10-27 |
Name of individual signing |
PATRICIA STEWART |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP MEDICAL INSURANCE FOR THE EMPLOYEES OF DOLCE & GABBANA USA, INC.
|
2018
|
133910342
|
2019-10-30
|
DOLCE & GABBANA USA, INC.
|
305
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2003-03-01
|
Business code |
448190
|
Sponsor’s telephone number |
2127500055
|
Plan sponsor’s mailing address |
660 MADISON AVE FL 10, NEW YORK, NY, 100658423
|
Plan sponsor’s
address |
660 MADISON AVE FL 10, NEW YORK, NY, 100658423
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-10-30 |
Name of individual signing |
PATRICIA STEWART |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP MEDICAL INSURANCE FOR THE EMPLOYEES OF DOLCE & GABBANA USA, INC.
|
2017
|
133910342
|
2018-10-03
|
DOLCE & GABBANA USA, INC.
|
345
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2003-03-01
|
Business code |
448190
|
Sponsor’s telephone number |
2127500055
|
Plan sponsor’s mailing address |
660 MADISON AVE FL 10, NEW YORK, NY, 100658423
|
Plan sponsor’s
address |
660 MADISON AVE FL 10, NEW YORK, NY, 100658423
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-10-03 |
Name of individual signing |
PATRICIA STEWART |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP MEDICAL INSURANCE FOR THE EMPLOYEES OF DOLCE & GABBANA USA, INC.
|
2015
|
133910342
|
2016-10-17
|
DOLCE & GABBANA USA, INC.
|
374
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2003-03-01
|
Business code |
448190
|
Sponsor’s telephone number |
2127500055
|
Plan sponsor’s mailing address |
148 LAFAYETTE STREET, NEW YORK, NY, 10013
|
Plan sponsor’s
address |
148 LAFAYETTE STREET, NEW YORK, NY, 10013
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
PATRICIA STEWART |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP MEDICAL INSURANCE FOR THE EMPLOYEES OF DOLCE & GABBANA USA, INC.
|
2015
|
133910342
|
2016-10-11
|
DOLCE & GABBANA USA, INC.
|
374
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2003-03-01
|
Business code |
448190
|
Sponsor’s telephone number |
2127500055
|
Plan sponsor’s mailing address |
148 LAFAYETTE STREET, NEW YORK, NY, 10013
|
Plan sponsor’s
address |
148 LAFAYETTE STREET, NEW YORK, NY, 10013
|
Number of participants as of the end of the plan year
Signature of
Role |
Employer/plan sponsor |
Date |
2016-10-11 |
Name of individual signing |
PATRICIA STEWART |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP MEDICAL INSURANCE FOR THE EMPLOYEES OF DOLCE & GABBANA USA, INC.
|
2014
|
133910342
|
2015-09-30
|
DOLCE & GABBANA USA, INC.
|
374
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2003-03-01
|
Business code |
448190
|
Sponsor’s telephone number |
2127500055
|
Plan sponsor’s mailing address |
148 LAFAYETTE STREET, NEW YORK, NY, 10013
|
Plan sponsor’s
address |
148 LAFAYETTE STREET, NEW YORK, NY, 10013
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-09-30 |
Name of individual signing |
LOUIS ZOLLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LONG TERM DISABILITY FOR THE EMPLOYEES OF DOLCE & GABBANA USA, INC.
|
2013
|
133910342
|
2014-09-23
|
DOLCE & GABBANA USA, INC.
|
200
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2002-04-01
|
Business code |
448190
|
Sponsor’s telephone number |
2127500055
|
Plan sponsor’s mailing address |
148 LAFAYETTE STREET, NEW YORK, NY, 10013
|
Plan sponsor’s
address |
148 LAFAYETTE STREET, NEW YORK, NY, 10013
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-09-22 |
Name of individual signing |
LOUIS ZOLLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-22 |
Name of individual signing |
LOUIS ZOLLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF DOLCE & GABBANA USA INC
|
2013
|
133910342
|
2014-09-23
|
DOLCE & GABBANA USA, INC.
|
201
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2005-04-01
|
Business code |
448190
|
Sponsor’s telephone number |
2127500055
|
Plan sponsor’s mailing address |
148 LAFAYETTE STREET, NEW YORK, NY, 10013
|
Plan sponsor’s
address |
148 LAFAYETTE STREET, NEW YORK, NY, 10013
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-09-22 |
Name of individual signing |
LOUIS ZOLLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-22 |
Name of individual signing |
LOUIS ZOLLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP DENTAL INSURANCE FOR THE EMPLOYEES OF DOLCE & GABBANA USA, INC.
|
2013
|
133910342
|
2014-09-23
|
DOLCE & GABBANA USA, INC.
|
187
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2003-03-01
|
Business code |
448190
|
Sponsor’s telephone number |
2127500055
|
Plan sponsor’s mailing address |
148 LAFAYETTE STREET, NEW YORK, NY, 10013
|
Plan sponsor’s
address |
148 LAFAYETTE STREET, NEW YORK, NY, 10013
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-09-22 |
Name of individual signing |
LOUIS ZOLLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-22 |
Name of individual signing |
LOUIS ZOLLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP MEDICAL INSURANCE FOR THE EMPLOYEES OF DOLCE & GABBANA USA, INC.
|
2013
|
133910342
|
2014-09-23
|
DOLCE & GABBANA USA, INC.
|
374
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2003-03-01
|
Business code |
448190
|
Sponsor’s telephone number |
2127500055
|
Plan sponsor’s mailing address |
148 LAFAYETTE STREET, NEW YORK, NY, 10013
|
Plan sponsor’s
address |
148 LAFAYETTE STREET, NEW YORK, NY, 10013
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-09-22 |
Name of individual signing |
LOUIS ZOLLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-22 |
Name of individual signing |
LOUIS ZOLLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|