CLADDAGH COMMISSION, INC. 401(K) PLAN
|
2017
|
161096096
|
2018-09-11
|
CLADDAGH COMMISSION, INC.
|
380
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
7165496495
|
Plan sponsor’s mailing address |
960 W MAPLE CT, ELMA, NY, 140599397
|
Plan sponsor’s
address |
960 W MAPLE CT, ELMA, NY, 140599397
|
Number of participants as of the end of the plan year
Active participants |
0 |
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
with
account balances as of the end of the plan year |
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 |
2018-09-11 |
Name of individual signing |
SHAWN CUNNINGHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLADDAGH COMMISSION INC. GROUP MEDICAL PLAN
|
2013
|
161096096
|
2014-07-31
|
CLADDAGH COMMISSION INC.
|
171
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2004-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
7169475857
|
Plan sponsor’s mailing address |
P.O. BOX 266, DERBY, NY, 14047
|
Plan sponsor’s
address |
7030 ERIE ROAD, DERBY, NY, 14047
|
Number of participants as of the end of the plan year
Active participants |
164 |
Retired or separated participants receiving
benefits |
3 |
|
CLADDAGH COMMISSION INC. HEALTH REIMBURSEMENT ARRANGEMENT
|
2013
|
161096096
|
2014-07-30
|
CLADDAGH COMMISSION INC.
|
296
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-01-01
|
Business code |
813000
|
Plan sponsor’s mailing address |
P.O. BOX 266, DERBY, NY, 14047
|
Plan sponsor’s
address |
7030 ERIE ROAD, DERBY, NY, 14047
|
Number of participants as of the end of the plan year
|
CLADDAGH COMMISSION INC. GROUP LIFE INSURANCE
|
2013
|
161096096
|
2014-07-30
|
CLADDAGH COMMISSION INC.
|
206
|
|
File |
View Page
|
Three-digit plan number (PN) |
586
|
Effective date of plan |
2004-01-01
|
Business code |
813000
|
Plan sponsor’s mailing address |
P.O. BOX 266, DERBY, NY, 14047
|
Plan sponsor’s
address |
7030 ERIE ROAD, DERBY, NY, 14047
|
Number of participants as of the end of the plan year
Active participants |
185 |
Retired or separated participants receiving
benefits |
1 |
|
CLADDAGH COMMISSION INC. GROUP MEDICAL PLAN
|
2012
|
161096096
|
2013-10-09
|
CLADDAGH COMMISSION INC.
|
167
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2004-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
7169475857
|
Plan sponsor’s mailing address |
P.O. BOX 266, DERBY, NY, 14047
|
Plan sponsor’s
address |
7030 ERIE ROAD, DERBY, NY, 14047
|
Number of participants as of the end of the plan year
Active participants |
167 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2013-08-31 |
Name of individual signing |
BARBARA LAMOREAUX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLADDAGH COMMISSION INC. GROUP LIFE INSURANCE
|
2012
|
161096096
|
2013-09-30
|
CLADDAGH COMMISSION INC.
|
196
|
|
File |
View Page
|
Three-digit plan number (PN) |
586
|
Effective date of plan |
2004-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
7169475857
|
Plan sponsor’s mailing address |
P.O. BOX 266, DERBY, NY, 14047
|
Plan sponsor’s
address |
7030 ERIE ROAD, DERBY, NY, 14047
|
Number of participants as of the end of the plan year
Active participants |
205 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2013-08-31 |
Name of individual signing |
BARBARA LAMOREAUX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLADDAGH COMMISSION INC. HEALTH REIMBURSEMENT ARRANGEMENT
|
2012
|
161096096
|
2013-09-30
|
CLADDAGH COMMISSION INC.
|
299
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
7169475857
|
Plan sponsor’s mailing address |
P.O. BOX 266, DERBY, NY, 14047
|
Plan sponsor’s
address |
7030 ERIE ROAD, DERBY, NY, 14047
|
Number of participants as of the end of the plan year
Active participants |
296 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-08-31 |
Name of individual signing |
BARBARA LAMOREAUX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLADDAGH COMMISSION INC. HEALTH REIMBURSEMENT ARRANGEMENT
|
2011
|
161096096
|
2012-08-15
|
CLADDAGH COMMISSION INC.
|
293
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
7169475857
|
Plan sponsor’s mailing address |
P.O. BOX 266, DERBY, NY, 14047
|
Plan sponsor’s
address |
7030 ERIE ROAD, DERBY, NY, 14047
|
Plan administrator’s name and address
Administrator’s EIN |
161096096 |
Plan administrator’s name |
CLADDAGH COMMISSION INC. |
Plan administrator’s
address |
P.O. BOX 266, DERBY, NY, 14047 |
Administrator’s telephone number |
7169475857 |
Number of participants as of the end of the plan year
Active participants |
299 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-08-15 |
Name of individual signing |
BARBARA LAMOREAUX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLADDAGH COMMISSION INC. GROUP MEDICAL PLAN
|
2011
|
161096096
|
2012-07-02
|
CLADDAGH COMMISSION INC.
|
165
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2004-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
7169475857
|
Plan sponsor’s mailing address |
P.O. BOX 266, DERBY, NY, 14047
|
Plan sponsor’s
address |
7030 ERIE ROAD, DERBY, NY, 14047
|
Plan administrator’s name and address
Administrator’s EIN |
161096096 |
Plan administrator’s name |
CLADDAGH COMMISSION INC. |
Plan administrator’s
address |
P.O. BOX 266, DERBY, NY, 14047 |
Administrator’s telephone number |
7169475857 |
Number of participants as of the end of the plan year
Active participants |
164 |
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-07-02 |
Name of individual signing |
BARBARA LAMOREAUX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLADDAGH COMMISSION INC. GROUP LIFE INSURANCE
|
2011
|
161096096
|
2012-07-02
|
CLADDAGH COMMISSION INC.
|
200
|
|
File |
View Page
|
Three-digit plan number (PN) |
586
|
Effective date of plan |
2004-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
7169475857
|
Plan sponsor’s mailing address |
P.O. BOX 266, DERBY, NY, 14047
|
Plan sponsor’s
address |
7030 ERIE ROAD, DERBY, NY, 14047
|
Plan administrator’s name and address
Administrator’s EIN |
161096096 |
Plan administrator’s name |
CLADDAGH COMMISSION INC. |
Plan administrator’s
address |
P.O. BOX 266, DERBY, NY, 14047 |
Administrator’s telephone number |
7169475857 |
Number of participants as of the end of the plan year
Active participants |
195 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-07-02 |
Name of individual signing |
BARBARA LAMOREAUX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|