WAGNER MILLWORK EMPLOYEE HEALTH PLAN
|
2019
|
161127121
|
2020-11-24
|
WAGNER MILLWORK, LLC
|
162
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-01-01
|
Business code |
321110
|
Sponsor’s telephone number |
6076875362
|
Plan sponsor’s mailing address |
4060 GASKILL RD, OWEGO, NY, 138274741
|
Plan sponsor’s
address |
4060 GASKILL RD, OWEGO, NY, 138274741
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-11-24 |
Name of individual signing |
LESLIE WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAGNER MILLWORK EMPLOYEE HEALTH PLAN
|
2018
|
161127121
|
2019-07-25
|
WAGNER MILLWORK, LLC
|
175
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-01-01
|
Business code |
321110
|
Sponsor’s telephone number |
6076875362
|
Plan sponsor’s mailing address |
4060 GASKILL RD, OWEGO, NY, 138274741
|
Plan sponsor’s
address |
4060 GASKILL RD, OWEGO, NY, 138274741
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-25 |
Name of individual signing |
LESLIE WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-25 |
Name of individual signing |
LESLIE WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAGNER MILLWORK EMPLOYEE HEALTH PLAN
|
2017
|
161127121
|
2018-08-14
|
WAGNER MILLWORK, LLC
|
173
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-01-01
|
Business code |
321110
|
Sponsor’s telephone number |
6076875362
|
Plan sponsor’s mailing address |
4060 GASKILL RD, OWEGO, NY, 138274741
|
Plan sponsor’s
address |
4060 GASKILL RD, OWEGO, NY, 138274741
|
Number of participants as of the end of the plan year
Active participants |
172 |
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 |
Signature of
Role |
Plan administrator |
Date |
2018-08-14 |
Name of individual signing |
LESLIE WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-08-14 |
Name of individual signing |
LESLIE WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAGNER MILLWORK EMPLOYEE HEALTH PLAN
|
2016
|
161127121
|
2017-06-27
|
WAGNER MILLWORK, LLC
|
184
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-01-01
|
Business code |
321110
|
Sponsor’s telephone number |
6076875362
|
Plan sponsor’s mailing address |
4060 GASKILL RD, OWEGO, NY, 138274741
|
Plan sponsor’s
address |
4060 GASKILL RD, OWEGO, NY, 138274741
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-06-27 |
Name of individual signing |
LESLIE WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-27 |
Name of individual signing |
LESLIE WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAGNER MILLWORK EMPLOYEE HEALTH PLAN
|
2014
|
161127121
|
2015-08-17
|
WAGNER MILLWORK, LLC
|
176
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-01-01
|
Business code |
321110
|
Sponsor’s telephone number |
6076875362
|
Plan sponsor’s mailing address |
4060 GASKILL ROAD, OWEGO, NY, 13827
|
Plan sponsor’s
address |
4060 GASKILL ROAD, OWEGO, NY, 13827
|
Number of participants as of the end of the plan year
Active participants |
174 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-08-17 |
Name of individual signing |
LESLIE WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-08-17 |
Name of individual signing |
LESLIE WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAGNER MILLWORK EMPLOYEE HEALTH PLAN
|
2013
|
161127121
|
2014-07-23
|
WAGNER MILLWORK, LLC
|
171
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-01-01
|
Business code |
321110
|
Sponsor’s telephone number |
6076875362
|
Plan sponsor’s mailing address |
4060 GASKILL ROAD, OWEGO, NY, 13827
|
Plan sponsor’s
address |
4060 GASKILL ROAD, OWEGO, NY, 13827
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-07-23 |
Name of individual signing |
LESLIE WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAGNER LUMBER EMPLOYEE HEALTH PLAN
|
2012
|
161127121
|
2013-07-17
|
WAGNER MILLWORK, LLC
|
155
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-01-01
|
Business code |
321110
|
Sponsor’s telephone number |
6076875362
|
Plan sponsor’s mailing address |
4060 GASKILL ROAD, OWEGO, NY, 13827
|
Plan sponsor’s
address |
4060 GASKILL ROAD, OWEGO, NY, 13827
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-17 |
Name of individual signing |
LESLIE WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-17 |
Name of individual signing |
LESLIE WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|