UNITY HOUSE OF CAYUGA COUNTY EMPLOYEE BENEFITS PLAN
|
2023
|
161081372
|
2024-10-09
|
UNITY HOUSE OF CAYUGA COUNTY INC.
|
211
|
|
File |
View Page
|
Three-digit plan number (PN) |
520
|
Effective date of plan |
2022-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3152536227
|
Plan sponsor’s mailing address |
217 GENESEE ST STE 14, AUBURN, NY, 130213533
|
Plan sponsor’s
address |
217 GENESEE ST STE 14, AUBURN, NY, 130213533
|
Number of participants as of the end of the plan year
Active participants |
209 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2024-10-09 |
Name of individual signing |
ELIZABETH SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITY HOUSE OF CAYUGA COUNTY EMPLOYEE BENEFITS PLAN
|
2022
|
161081372
|
2024-01-30
|
UNITY HOUSE OF CAYUGA COUNTY INC.
|
221
|
|
File |
View Page
|
Three-digit plan number (PN) |
520
|
Effective date of plan |
2022-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3152536227
|
Plan sponsor’s mailing address |
217 GENESEE ST STE 14, AUBURN, NY, 130213533
|
Plan sponsor’s
address |
217 GENESEE ST STE 14, AUBURN, NY, 130213533
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-08-17 |
Name of individual signing |
ELIZABETH SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITY HOUSE OF CAYUGA COUNTY, INC. SECTION 105(H) HEALTH REIMBURSEMENT ARRANGEMENT
|
2021
|
161081372
|
2024-03-26
|
UNITY HOUSE OF CAYUGA COUNTY, INC.
|
140
|
|
File |
View Page
|
Three-digit plan number (PN) |
525
|
Effective date of plan |
2011-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3152536227
|
Plan sponsor’s mailing address |
217 GENESEE ST APT 4, AUBURN, NY, 130213533
|
Plan sponsor’s
address |
217 GENESEE ST APT 4, AUBURN, NY, 130213533
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-03-26 |
Name of individual signing |
ELIZABETH SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITY HOUSE OF CAYUGA COUNTY'S FLEXIBLE BENEFITS PLAN
|
2021
|
161081372
|
2024-03-26
|
UNITY HOUSE OF CAYUGA COUNTY, INC.
|
146
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3152536227
|
Plan sponsor’s mailing address |
217 GENESEE ST APT 4, AUBURN, NY, 130213533
|
Plan sponsor’s
address |
217 GENESEE ST APT 4, AUBURN, NY, 130213533
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-03-26 |
Name of individual signing |
ELIZABETH SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITY HOUSE OF CAYUGA COUNTY, INC.
|
2021
|
161081372
|
2022-09-26
|
UNITY HOUSE OF CAYUGA COUNTY, INC
|
274
|
|
File |
View Page
|
Three-digit plan number (PN) |
520
|
Effective date of plan |
2004-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3152536227
|
Plan sponsor’s mailing address |
217 GENESEE ST STE 14, AUBURN, NY, 130213533
|
Plan sponsor’s
address |
217 GENESEE ST STE 14, AUBURN, NY, 130213533
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-09-26 |
Name of individual signing |
ELIZABETH SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITY HOUSE OF CAYUGA COUNTY, INC. HEALTH REIMBURSEMENT ACCOUNT
|
2009
|
161081372
|
2010-07-13
|
UNITY HOUSE OF CAYUGA COUNTY, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
1996-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
3152536227
|
Plan sponsor’s mailing address |
34 WRIGHT AVE. SUITE C, AUBURN, NY, 13021
|
Plan sponsor’s
address |
34 WRIGHT AVE. SUITE C, AUBURN, NY, 13021
|
Plan administrator’s name and address
Administrator’s EIN |
161081372 |
Plan administrator’s name |
UNITY HOUSE OF CAYUGA COUNTY, INC. |
Plan administrator’s
address |
34 WRIGHT AVE. SUITE C, AUBURN, NY, 13021 |
Administrator’s telephone number |
3152536227 |
Number of participants as of the end of the plan year
Active participants |
284 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-07-13 |
Name of individual signing |
MAXWELL HAINES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITY HOUSE OF CAYUGA COUNTY, INC. HEALTH REIMBURSEMENT ACCOUNT
|
2009
|
161081372
|
2010-07-13
|
UNITY HOUSE OF CAYUGA COUNTY, INC.
|
0
|
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
1996-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
3152536227
|
Plan sponsor’s mailing address |
34 WRIGHT AVE. SUITE C, AUBURN, NY, 13021
|
Plan sponsor’s
address |
34 WRIGHT AVE. SUITE C, AUBURN, NY, 13021
|
Plan administrator’s name and address
Administrator’s EIN |
161081372 |
Plan administrator’s name |
UNITY HOUSE OF CAYUGA COUNTY, INC. |
Plan administrator’s
address |
34 WRIGHT AVE. SUITE C, AUBURN, NY, 13021 |
Administrator’s telephone number |
3152536227 |
Number of participants as of the end of the plan year
Active participants |
284 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-07-13 |
Name of individual signing |
MAXWELL HAINES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITY HOUSE OF CAYUGA COUNTY, INC. HEALTH REIMBURSEMENT ACCOUNT
|
2009
|
161081372
|
2010-07-13
|
UNITY HOUSE OF CAYUGA COUNTY, INC.
|
0
|
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
1996-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
3152536227
|
Plan sponsor’s mailing address |
34 WRIGHT AVE. SUITE C, AUBURN, NY, 13021
|
Plan sponsor’s
address |
34 WRIGHT AVE. SUITE C, AUBURN, NY, 13021
|
Plan administrator’s name and address
Administrator’s EIN |
161081372 |
Plan administrator’s name |
UNITY HOUSE OF CAYUGA COUNTY, INC. |
Plan administrator’s
address |
34 WRIGHT AVE. SUITE C, AUBURN, NY, 13021 |
Administrator’s telephone number |
3152536227 |
Number of participants as of the end of the plan year
Active participants |
284 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-07-13 |
Name of individual signing |
MAXWELL HAINES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|