VAN WAGNER GROUP
|
2017
|
133984032
|
2019-11-06
|
VAN WAGNER GROUP
|
142
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2017-01-01
|
Business code |
531390
|
Sponsor’s telephone number |
2126998400
|
Plan sponsor’s mailing address |
800 3RD AVE FL 28, NEW YORK, NY, 100227604
|
Plan sponsor’s
address |
800 3RD AVE FL 28, NEW YORK, NY, 100227604
|
Plan administrator’s name and address
Administrator’s EIN |
113293162 |
Plan administrator’s name |
INTERNATIONAL BENEFITS ADMINISTRATORS |
Plan administrator’s
address |
100 GARDEN CITY PLZ STE 110, GARDEN CITY, NY, 115303201 |
Administrator’s telephone number |
5167391060 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-11-06 |
Name of individual signing |
MICHAEL LAGALANTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-11-06 |
Name of individual signing |
MICHAEL LAGALANTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VAN WAGNER GROUP HEALTH BENEFIT PLAN
|
2016
|
133984032
|
2017-03-29
|
VAN WAGNER GROUP
|
144
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-01-01
|
Business code |
531390
|
Sponsor’s telephone number |
2126998400
|
Plan sponsor’s mailing address |
800 3RD AVE FL 28, NEW YORK, NY, 100227604
|
Plan sponsor’s
address |
800 3RD AVE FL 28, NEW YORK, NY, 100227604
|
Plan administrator’s name and address
Administrator’s EIN |
113293162 |
Plan administrator’s name |
INTERNATIONAL BENEFITS ADMINISTRATORS |
Plan administrator’s
address |
100 GARDEN CITY PLZ STE 102, GARDEN CITY, NY, 115303201 |
Administrator’s telephone number |
5167391060 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-03-29 |
Name of individual signing |
MICHAEL LAGALANTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VAN WAGNER GROUP HEALTH BENEFIT PLAN
|
2015
|
133984032
|
2016-03-08
|
VAN WAGNER GROUP
|
143
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2015-01-01
|
Business code |
531390
|
Sponsor’s telephone number |
2126998400
|
Plan sponsor’s mailing address |
800 3RD AVE FL 28, NEW YORK, NY, 100227604
|
Plan sponsor’s
address |
800 3RD AVE FL 28, NEW YORK, NY, 100227604
|
Plan administrator’s name and address
Administrator’s EIN |
113293162 |
Plan administrator’s name |
INTERNATIONAL BENEFITS ADMINISTRATORS |
Plan administrator’s
address |
100 GARDEN CITY PLZ STE 102, GARDEN CITY, NY, 115303201 |
Administrator’s telephone number |
5167391060 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-03-08 |
Name of individual signing |
MICHAEL LAGALANTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|