LIFEPLAN CCO NY, LLC HEALTH AND WELFARE BENEFIT PLAN
|
2023
|
823070045
|
2025-01-30
|
LIFEPLAN CCO NY, LLC
|
848
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-05-01
|
Business code |
624100
|
Sponsor’s telephone number |
3155652612
|
Plan sponsor’s mailing address |
258 GENESEE ST, UTICA, NY, 135024636
|
Plan sponsor’s
address |
258 GENESEE ST, UTICA, NY, 135024636
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2025-01-30 |
Name of individual signing |
DEAN JOHNSTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2025-01-30 |
Name of individual signing |
DEAN JOHNSTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFEPLAN CCO NY, LLC HEALTH AND WELFARE BENEFIT PL
|
2022
|
823070045
|
2024-01-29
|
LIFEPLAN CCO NY, LLC
|
804
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-05-01
|
Business code |
624100
|
Sponsor’s telephone number |
3155652612
|
Plan sponsor’s mailing address |
258 GENESEE ST, UTICA, NY, 135024636
|
Plan sponsor’s
address |
258 GENESEE ST, UTICA, NY, 135024636
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-01-27 |
Name of individual signing |
DEAN JOHNSTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-01-27 |
Name of individual signing |
DEAN JOHNSTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFEPLAN CCO NY, LLC HEALTH AND WELFARE BENEFIT PL
|
2021
|
823070045
|
2023-01-27
|
LIFEPLAN CCO NY, LLC
|
791
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-05-01
|
Business code |
624100
|
Sponsor’s telephone number |
3155652612
|
Plan sponsor’s mailing address |
258 GENESEE ST, UTICA, NY, 135024636
|
Plan sponsor’s
address |
258 GENESEE ST, UTICA, NY, 135024636
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-01-25 |
Name of individual signing |
DEAN JOHNSTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-01-25 |
Name of individual signing |
DEAN JOHNSTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFEPLAN CCO 401(K) RETIREMENT PLAN
|
2018
|
823070045
|
2019-09-30
|
LIFEPLAN CCO NY, LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
3155521105
|
Plan sponsor’s
address |
258 GENESEE STREET, MEZZANINE LEVEL, UTICA, NY, 13502
|
Signature of
Role |
Plan administrator |
Date |
2019-09-30 |
Name of individual signing |
DEAN JOHNSTON |
|
|