GROUP TRAVEL ACCIDENT LIFE INSURANCE
|
2019
|
274034515
|
2020-07-31
|
TRUCK-LITE CO LLC
|
1187
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
1998-08-01
|
Business code |
326100
|
Sponsor’s telephone number |
7166656214
|
Plan sponsor’s mailing address |
310 E ELMWOOD AVE, FALCONER, NY, 14733
|
Plan sponsor’s
address |
310 E ELMWOOD AVE, FALCONER, NY, 14733
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-31 |
Name of individual signing |
GREGORY CERTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-31 |
Name of individual signing |
GREGORY CERTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRUCK-LITE HEALTH AND WELFARE PLAN
|
2019
|
274034515
|
2020-07-31
|
TRUCK-LITE CO LLC
|
1645
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1991-07-01
|
Business code |
326100
|
Sponsor’s telephone number |
7166656214
|
Plan sponsor’s mailing address |
310 E ELMWOOD AVE, FALCONER, NY, 14733
|
Plan sponsor’s
address |
310 E ELMWOOD AVE, FALCONER, NY, 14733
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-27 |
Name of individual signing |
GREGORY CERTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SEVERANCE PAY PLAN FOR CLASSIFIED SALARIED EMPLOYEES
|
2019
|
274034515
|
2020-07-26
|
TRUCK-LITE CO LLC
|
274
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1991-07-01
|
Business code |
326100
|
Sponsor’s telephone number |
7166656214
|
Plan sponsor’s mailing address |
310 E ELMWOOD AVE, FALCONER, NY, 14733
|
Plan sponsor’s
address |
310 E ELMWOOD AVE, FALCONER, NY, 14733
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-24 |
Name of individual signing |
GREGORY CERTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-24 |
Name of individual signing |
GREGORY CERTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTHCARE REIMBURSEMENT ACCOUNT
|
2018
|
274034515
|
2019-07-19
|
TRUCK-LITE CO LLC
|
158
|
|
File |
View Page
|
Three-digit plan number (PN) |
509
|
Effective date of plan |
1996-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
7166656214
|
Plan sponsor’s mailing address |
310 E ELMWOOD AVE, FALCONER, NY, 14733
|
Plan sponsor’s
address |
310 E ELMWOOD AVE, FALCONER, NY, 14733
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-18 |
Name of individual signing |
GREGORY CERTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-18 |
Name of individual signing |
GREGORY CERTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SEVERANCE PAY PLAN FOR CLASSIFIED SALARIED EMPLOYEES
|
2018
|
274034515
|
2019-07-19
|
TRUCK-LITE CO LLC
|
261
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1991-07-01
|
Business code |
326100
|
Sponsor’s telephone number |
7166656214
|
Plan sponsor’s mailing address |
310 E ELMWOOD AVE, FALCONER, NY, 14733
|
Plan sponsor’s
address |
310 E ELMWOOD AVE, FALCONER, NY, 14733
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-18 |
Name of individual signing |
GREGORY CERTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP TRAVEL ACCIDENT LIFE INSURANCE
|
2018
|
274034515
|
2019-07-19
|
TRUCK-LITE CO LLC
|
1034
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
1998-08-01
|
Business code |
326100
|
Sponsor’s telephone number |
7166656214
|
Plan sponsor’s mailing address |
310 E ELMWOOD AVE, FALCONER, NY, 14733
|
Plan sponsor’s
address |
310 E ELMWOOD AVE, FALCONER, NY, 14733
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-19 |
Name of individual signing |
GREGORY CERTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRUCK-LITE HEALTH AND WELFARE PLAN
|
2018
|
274034515
|
2019-07-19
|
TRUCK-LITE CO LLC
|
1570
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1991-07-01
|
Business code |
326100
|
Sponsor’s telephone number |
7166656214
|
Plan sponsor’s mailing address |
310 E ELMWOOD AVE, FALCONER, NY, 14733
|
Plan sponsor’s
address |
310 E ELMWOOD AVE, FALCONER, NY, 14733
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-19 |
Name of individual signing |
GREGORY CERTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTHCARE REIMBURSEMENT ACCOUNT
|
2017
|
274034515
|
2018-07-30
|
TRUCK-LITE CO LLC
|
166
|
|
File |
View Page
|
Three-digit plan number (PN) |
509
|
Effective date of plan |
1996-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
7166656214
|
Plan sponsor’s mailing address |
310 E ELMWOOD AVE, FALCONER, NY, 14733
|
Plan sponsor’s
address |
310 E ELMWOOD AVE, FALCONER, NY, 14733
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-27 |
Name of individual signing |
GREGORY CERTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP TRAVEL ACCIDENT LIFE INSURANCE
|
2017
|
274034515
|
2018-07-30
|
TRUCK-LITE CO LLC
|
221
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
1998-08-01
|
Business code |
326100
|
Sponsor’s telephone number |
7166656214
|
Plan sponsor’s mailing address |
310 E ELMWOOD AVE, FALCONER, NY, 14733
|
Plan sponsor’s
address |
310 E ELMWOOD AVE, FALCONER, NY, 14733
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-27 |
Name of individual signing |
GREGORY CERTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SEVERANCE PAY PLAN FOR CLASSIFIED SALARIED EMPLOYEES
|
2017
|
274034515
|
2018-07-30
|
TRUCK-LITE CO LLC
|
249
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1991-07-01
|
Business code |
326100
|
Sponsor’s telephone number |
7166656214
|
Plan sponsor’s mailing address |
310 E ELMWOOD AVE, FALCONER, NY, 14733
|
Plan sponsor’s
address |
310 E ELMWOOD AVE, FALCONER, NY, 14733
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-27 |
Name of individual signing |
GREGORY CERTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|