GROSS POLOWY, LLC WELFARE BENEFITS PLAN
|
2019
|
453998320
|
2021-02-19
|
GROSS POLOWY, LLC
|
174
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2015-08-01
|
Business code |
541110
|
Sponsor’s telephone number |
7162041798
|
Plan sponsor’s mailing address |
1775 WEHRLE DR STE 100, WILLIAMSVILLE, NY, 142217093
|
Plan sponsor’s
address |
1775 WEHRLE DR STE 100, WILLIAMSVILLE, NY, 142217093
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-02-19 |
Name of individual signing |
AMY LOVULLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROSS POLOWY, LLC WELFARE BENEFITS PLAN
|
2018
|
453998320
|
2020-02-10
|
GROSS POLOWY, LLC
|
153
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2015-08-01
|
Business code |
541110
|
Sponsor’s telephone number |
7162041798
|
Plan sponsor’s mailing address |
1775 WEHRLE DR STE 100, WILLIAMSVILLE, NY, 142217093
|
Plan sponsor’s
address |
1775 WEHRLE DR STE 100, WILLIAMSVILLE, NY, 142217093
|
Plan administrator’s name and address
Administrator’s EIN |
453998320 |
Plan administrator’s name |
GROSS POLOWY, LLC |
Plan administrator’s
address |
1775 WEHRLE DR STE 100, WILLIAMSVILLE, NY, 142217093 |
Administrator’s telephone number |
7162041798 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-02-10 |
Name of individual signing |
AMY LOVULLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROSS POLOWY, LLC WELFARE BENEFITS PLAN
|
2017
|
453998320
|
2018-09-14
|
GROSS POLOWY, LLC
|
121
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2015-08-01
|
Business code |
541110
|
Sponsor’s telephone number |
7162041798
|
Plan sponsor’s mailing address |
1775 WEHRLE DR STE 100, WILLIAMSVILLE, NY, 142217093
|
Plan sponsor’s
address |
1775 WEHRLE DR STE 100, WILLIAMSVILLE, NY, 142217093
|
Plan administrator’s name and address
Administrator’s EIN |
453998320 |
Plan administrator’s name |
GROSS POLOWY, LLC |
Plan administrator’s
address |
1775 WEHRLE DR STE 100, WILLIAMSVILLE, NY, 142217093 |
Administrator’s telephone number |
7162041798 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-09-14 |
Name of individual signing |
AMY LOVULLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-14 |
Name of individual signing |
AMY LOVULLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROSS POLOWY, LLC WELFARE BENEFITS PLAN
|
2016
|
453998320
|
2018-01-08
|
GROSS POLOWY, LLC
|
106
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2015-08-01
|
Business code |
541110
|
Sponsor’s telephone number |
7162041798
|
Plan sponsor’s mailing address |
1775 WEHRLE DR STE 100, WILLIAMSVILLE, NY, 142217093
|
Plan sponsor’s
address |
1775 WEHRLE DR STE 100, WILLIAMSVILLE, NY, 142217093
|
Plan administrator’s name and address
Administrator’s EIN |
453998320 |
Plan administrator’s name |
GROSS POLOWY, LLC |
Plan administrator’s
address |
1775 WEHRLE DR STE 100, WILLIAMSVILLE, NY, 142217093 |
Administrator’s telephone number |
7162041798 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-01-05 |
Name of individual signing |
AMY LOVULLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROSS POLOWY, LLC WELFARE BENEFITS PLAN
|
2015
|
453998320
|
2017-02-08
|
GROSS POLOWY, LLC
|
148
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2015-08-01
|
Business code |
541110
|
Sponsor’s telephone number |
7162041798
|
Plan sponsor’s mailing address |
1775 WEHRLE DR STE 100, WILLIAMSVILLE, NY, 142217093
|
Plan sponsor’s
address |
1775 WEHRLE DR STE 100, WILLIAMSVILLE, NY, 142217093
|
Plan administrator’s name and address
Administrator’s EIN |
453998320 |
Plan administrator’s name |
GROSS POLOWY, LLC |
Plan administrator’s
address |
1775 WEHRLE DR STE 100, WILLIAMSVILLE, NY, 142217093 |
Administrator’s telephone number |
7162041798 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-02-08 |
Name of individual signing |
AMY LOVULLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROSS POLOWY, LLC 401(K) PLAN
|
2014
|
453998320
|
2015-05-18
|
GROSS POLOWY, LLC
|
82
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-09-01
|
Business code |
541110
|
Sponsor’s telephone number |
7162041700
|
Plan sponsor’s
address |
1775 WEHRLE DRIVE, WILLIAMSVILLE, NY, 14221
|
Plan administrator’s name and address
Administrator’s EIN |
453998320 |
Plan administrator’s name |
GROSS POLOWY, LLC |
Plan administrator’s
address |
1775 WEHRLE DRIVE, WILLIAMSVILLE, NY, 14221 |
Administrator’s telephone number |
7162041700 |
Signature of
Role |
Plan administrator |
Date |
2015-05-18 |
Name of individual signing |
AMY LOVULLO |
|
|