ELDERWOOD ADMINISTRATIVE SERVICES, LLC HEALTH AND WELFARE BENEFITS PLAN
|
2023
|
900899191
|
2024-12-04
|
ELDERWOOD ADMINISTRATIVE SERVICES, LLC
|
4887
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2016-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
7166333900
|
Plan sponsor’s mailing address |
500 SENECA ST, BUFFALO, NY, 142041963
|
Plan sponsor’s
address |
500 SENECA ST, BUFFALO, NY, 142041963
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-12-04 |
Name of individual signing |
CHARLENE HINCKLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-12-04 |
Name of individual signing |
CHARLENE HINCKLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELDERWOOD ADMINISTRATIVE SERVICES, LLC HEALTH AND WELFARE BENEFITS PLAN
|
2022
|
900899191
|
2023-11-27
|
ELDERWOOD ADMINISTRATIVE SERVICES, LLC
|
4443
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2016-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
7166333900
|
Plan sponsor’s mailing address |
500 SENECA ST, BUFFALO, NY, 142041963
|
Plan sponsor’s
address |
500 SENECA ST, BUFFALO, NY, 142041963
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-11-27 |
Name of individual signing |
BENJAMIN BAIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-11-27 |
Name of individual signing |
BENJAMIN BAIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELDERWOOD ADMINISTRATIVE SERVICES, LLC HEALTH AND WELFARE BENEFITS PLAN
|
2021
|
900899191
|
2023-02-14
|
ELDERWOOD ADMINISTRATIVE SERVICES, LLC
|
5402
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2016-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
7166333900
|
Plan sponsor’s mailing address |
500 SENECA ST, BUFFALO, NY, 142041963
|
Plan sponsor’s
address |
500 SENECA ST, BUFFALO, NY, 142041963
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-02-14 |
Name of individual signing |
BENJAMIN BAIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELDERWOOD ADMINISTRATIVE SERVICES, LLC HEALTH AND WELFARE BENEFITS PLAN
|
2020
|
900899191
|
2021-11-29
|
ELDERWOOD ADMINISTRATIVE SERVICES, LLC
|
5402
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2016-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
7166333900
|
Plan sponsor’s mailing address |
500 SENECA ST, BUFFALO, NY, 142041963
|
Plan sponsor’s
address |
500 SENECA ST, BUFFALO, NY, 142041963
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-11-29 |
Name of individual signing |
BENJAMIN BAIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELDERWOOD ADMINISTRATIVE SERVICES, LLC HEALTH AND WELFARE BENEFITS PLAN
|
2019
|
900899191
|
2020-11-18
|
ELDERWOOD ADMINISTRATIVE SERVICES, LLC
|
5402
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2016-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
7166333900
|
Plan sponsor’s mailing address |
500 SENECA ST, BUFFALO, NY, 142041963
|
Plan sponsor’s
address |
500 SENECA ST, BUFFALO, NY, 142041963
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-11-17 |
Name of individual signing |
NIKKI OFFHAUS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELDERWOOD ADMINISTRATIVE SERVICES, LLC HEALTH AND WELFARE BENEFITS PLAN
|
2018
|
900899191
|
2019-11-25
|
ELDERWOOD ADMINISTRATIVE SERVICES, LLC
|
4880
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2016-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
7166333900
|
Plan sponsor’s mailing address |
500 SENECA ST, BUFFALO, NY, 142041963
|
Plan sponsor’s
address |
500 SENECA ST, BUFFALO, NY, 142041963
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-11-25 |
Name of individual signing |
NIKKI OFFHAUS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELDERWOOD ADMINISTRATIVE SERVICES, LLC HEALTH AND WELFARE BENEFITS PLAN
|
2017
|
900899191
|
2018-11-20
|
ELDERWOOD ADMINISTRATIVE SERVICES, LLC
|
3970
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2016-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
7166333900
|
Plan sponsor’s mailing address |
500 SENECA ST, BUFFALO, NY, 142041963
|
Plan sponsor’s
address |
500 SENECA ST, BUFFALO, NY, 142041963
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-11-19 |
Name of individual signing |
NIKKI OFFHAUS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELDERWOOD ADMINISTRATIVE SERVICES, LLC HEALTH AND WELFARE BENEFITS PLAN
|
2016
|
900899191
|
2017-11-30
|
ELDERWOOD ADMINISTRATIVE SERVICES, LLC
|
3728
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2016-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
7166333900
|
Plan sponsor’s mailing address |
500 SENECA ST, BUFFALO, NY, 142041963
|
Plan sponsor’s
address |
500 SENECA ST, BUFFALO, NY, 142041963
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-11-30 |
Name of individual signing |
NIKKI OFFHAUS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELDERWOOD ADMINISTRATIVE SERVICES LLC CAFETERIA PLAN
|
2015
|
900899191
|
2016-10-20
|
ELDERWOOD ADMINISTRATIVE SERVICES, LLC
|
180
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-09-01
|
Business code |
623000
|
Sponsor’s telephone number |
7166333900
|
Plan sponsor’s mailing address |
7 LIMESTONE DR, WILLIAMSVILLE, NY, 142217051
|
Plan sponsor’s
address |
7 LIMESTONE DR, WILLIAMSVILLE, NY, 142217051
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-10-20 |
Name of individual signing |
NIKKI OFFHAUS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|