|
BENEFIT RESOURCE, LLC HEALTH AND WELFARE BENEFIT PLAN
|
2023
|
161428488
|
2024-04-25
|
BENEFIT RESOURCE LLC
|
216
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
504
|
| Effective date of plan |
2021-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
5854245200
|
| Plan sponsor’s mailing address |
245 KENNETH DR, ROCHESTER, NY, 14623
|
| Plan sponsor’s
address |
245 KENNETH DR, ROCHESTER, NY, 14623
|
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 |
|
|
BENEFIT RESOURCE HEALTH INSURANCE PLAN
|
2019
|
161428488
|
2020-07-31
|
BENEFIT RESOURCE LLC
|
191
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2019-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
5854245200
|
| Plan sponsor’s mailing address |
245 KENNETH DRIVE, ROCHESTER, NY, 146234277
|
| Plan sponsor’s
address |
245 KENNETH DRIVE, ROCHESTER, NY, 146234277
|
Number of participants as of the end of the plan year
| Active participants |
191 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2020-07-31 |
| Name of individual signing |
RACHEL KIELON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-07-31 |
| Name of individual signing |
RACHEL KIELON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BENEFIT RESOURCE LIFE INSURANCE PLAN
|
2019
|
161428488
|
2020-07-31
|
BENEFIT RESOURCE LLC
|
153
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
2000-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
5854245200
|
| Plan sponsor’s mailing address |
245 KENNETH DRIVE, ROCHESTER, NY, 146234277
|
| Plan sponsor’s
address |
245 KENNETH DRIVE, ROCHESTER, NY, 146234277
|
Number of participants as of the end of the plan year
| Active participants |
191 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2020-07-31 |
| Name of individual signing |
RACHEL KIELON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-07-31 |
| Name of individual signing |
RACHEL KIELON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BENEFIT RESOURCE VISION PLAN
|
2019
|
161428488
|
2020-07-31
|
BENEFIT RESOURCE LLC
|
121
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
503
|
| Effective date of plan |
2019-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
5854245200
|
| Plan sponsor’s mailing address |
245 KENNETH DRIVE, ROCHESTER, NY, 146234277
|
| Plan sponsor’s
address |
245 KENNETH DRIVE, ROCHESTER, NY, 146234277
|
Number of participants as of the end of the plan year
| Active participants |
121 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2020-07-31 |
| Name of individual signing |
RACHEL KIELON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-07-31 |
| Name of individual signing |
RACHEL KIELON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
