ST CATHERINE'S WRAP BENEFIT PLAN
|
2017
|
141338455
|
2019-04-11
|
ST CATHERINE'S CENTER FOR CHILDREN
|
259
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2015-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
5184536700
|
Plan
sponsor’s DBA name |
ST CATHERINE'S CENTER FOR CHILDREN
|
Plan sponsor’s mailing address |
40 N MAIN AVE, ALBANY, NY, 12203
|
Plan sponsor’s
address |
40 NORTH MAIN AVE, ALBANY, NY, 12203
|
Number of participants as of the end of the plan year
Active participants |
246 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-04-11 |
Name of individual signing |
RICHARD T MARINI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST CATHERINE'S WRAP BENEFIT PLAN
|
2016
|
141338455
|
2018-03-14
|
ST CATHERINE'S CENTER FOR CHILDREN
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2015-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
5184536700
|
Plan
sponsor’s DBA name |
ST CATHERINE'S CENTER FOR CHILDREN
|
Plan sponsor’s mailing address |
40 N MAIN AVE, ALBANY, NY, 122031481
|
Plan sponsor’s
address |
40 N MAIN AVE, ALBANY, NY, 122031481
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-03-14 |
Name of individual signing |
LESLIE MCGREGOR-SIEGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-03-14 |
Name of individual signing |
LESLIE MCGREGOR-SIEGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST CATHERINE'S WRAP BENEFIT PLAN
|
2015
|
141338455
|
2016-12-28
|
ST CATHERINE'S CENTER FOR CHILDREN
|
193
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2015-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
5184536700
|
Plan sponsor’s mailing address |
40 N MAIN AVE, ALBANY, NY, 122031481
|
Plan sponsor’s
address |
40 N MAIN AVE, ALBANY, NY, 122031481
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-12-28 |
Name of individual signing |
LESLIE MCGREGOR-SIEGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-12-28 |
Name of individual signing |
LESLIE MCGREGOR-SIEGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST CATHERINE'S CENTER FOR CHILDREN
|
2014
|
141338455
|
2015-11-16
|
ST CATHERINE'S CENTER FOR CHILDREN
|
177
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
5184536700
|
Plan sponsor’s mailing address |
40 N MAIN AVE, ALBANY, NY, 12203
|
Plan sponsor’s
address |
40 N MAIN AVE, ALBANY, NY, 12203
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-11-16 |
Name of individual signing |
LESLIE MCGREGOR-SIEGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-11-16 |
Name of individual signing |
LESLIE MCGREGOR-SIEGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST CATHERINE'S CENTER FOR CHILDREN HEALTH INSURANCE PLAN
|
2014
|
141338455
|
2015-11-16
|
ST CATHERINE'S CENTER FOR CHILDREN
|
113
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2011-04-01
|
Business code |
624100
|
Sponsor’s telephone number |
5184536700
|
Plan sponsor’s mailing address |
40 N MAIN AVE, ALBANY, NY, 12203
|
Plan sponsor’s
address |
40 N MAIN AVE, ALBANY, NY, 12203
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-11-16 |
Name of individual signing |
LESLIE MCGREGOR-SIEGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-11-16 |
Name of individual signing |
LESLIE MCGREGOR-SIEGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST CATHERINE'S CENTER FOR CHILDREN HEALTH INSURANCE PLAN
|
2014
|
141338455
|
2015-11-16
|
ST CATHERINE'S CENTER FOR CHILDREN
|
111
|
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2011-04-01
|
Business code |
624100
|
Sponsor’s telephone number |
5184536700
|
Plan sponsor’s mailing address |
40 N MAIN AVE, ALBANY, NY, 12203
|
Plan sponsor’s
address |
40 N MAIN AVE, ALBANY, NY, 12203
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-11-10 |
Name of individual signing |
LESLIE MCGREGOR-SIEGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-11-10 |
Name of individual signing |
LESLIE MCGREGOR-SIEGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST CATHERINE'S CENTER FOR CHILDREN
|
2013
|
141338455
|
2015-09-10
|
ST CATHERINE'S CENTER FOR CHILDREN
|
152
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
5185436700
|
Plan sponsor’s mailing address |
40 N MAIN AVE, ALBANY, NY, 12203
|
Plan sponsor’s
address |
40 N MAIN AVE, ALBANY, NY, 12203
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-09-10 |
Name of individual signing |
LESLIE MCGREGOR-SIEGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-10 |
Name of individual signing |
LESLIE MCGREGOR-SIEGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST CATHERINE'S CENTER FOR CHILDREN HEALTH INSURANCE PLAN
|
2013
|
141338455
|
2015-11-16
|
ST CATHERINE'S CENTER FOR CHILDREN
|
101
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2011-04-01
|
Business code |
624100
|
Sponsor’s telephone number |
5184536700
|
Plan sponsor’s mailing address |
40 N MAIN AVE, ALBANY, NY, 12203
|
Plan sponsor’s
address |
40 N MAIN AVE, ALBANY, NY, 12203
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-11-16 |
Name of individual signing |
LESLIE MCGREGOR-SIEGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-11-16 |
Name of individual signing |
LESLIE MCGREGOR-SIEGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST CATHERINE'S CENTER FOR CHILDREN HEALTH INSURANCE PLAN
|
2012
|
141338455
|
2015-11-16
|
ST CATHERINE'S CENTER FOR CHILDREN
|
112
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2011-04-01
|
Business code |
624100
|
Sponsor’s telephone number |
5184536700
|
Plan sponsor’s mailing address |
40 N MAIN AVE, ALBANY, NY, 12203
|
Plan sponsor’s
address |
40 N MAIN AVE, ALBANY, NY, 12203
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-11-10 |
Name of individual signing |
LESLIE MCGREGOR-SIEGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-11-10 |
Name of individual signing |
LESLIE MCGREGOR-SIEGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST CATHERINE'S CENTER FOR CHILDREN DENTAL PLAN
|
2012
|
141338455
|
2015-08-25
|
ST CATHERINE'S CENTER FOR CHILDREN
|
74
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2012-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
5184536700
|
Plan sponsor’s mailing address |
40 N MAIN AVE, ALBANY, NY, 12203
|
Plan sponsor’s
address |
40 N MAIN AVE, ALBANY, NY, 12203
|
Number of participants as of the end of the plan year
Active participants |
66 |
Retired or separated participants receiving
benefits |
6 |
Signature of
Role |
Plan administrator |
Date |
2015-08-25 |
Name of individual signing |
LESLIE MCGREGOR-SIEGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-08-25 |
Name of individual signing |
LESLIE MCGREGOR-SIEGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|