INSCAPE, INC. GROUP INSURANCE PLAN
|
2018
|
510391804
|
2019-07-02
|
INSCAPE , INC.
|
104
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
7166656210
|
Plan sponsor’s mailing address |
221 LISTER AVE, FALCONER, NY, 147331459
|
Plan sponsor’s
address |
221 LISTER AVE, FALCONER, NY, 147331459
|
Number of participants as of the end of the plan year
Active participants |
104 |
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 |
Employer/plan sponsor |
Date |
2019-07-02 |
Name of individual signing |
AMANDA DEGNAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INSCAPE, INC. GROUP INSURANCE PLAN
|
2018
|
510391804
|
2019-07-09
|
INSCAPE , INC.
|
104
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
7166656210
|
Plan sponsor’s mailing address |
221 LISTER AVE, FALCONER, NY, 147331459
|
Plan sponsor’s
address |
221 LISTER AVE, FALCONER, NY, 147331459
|
Number of participants as of the end of the plan year
Active participants |
104 |
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 |
2019-07-09 |
Name of individual signing |
AMANDA DEGNAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INSCAPE, INC. GROUP INSURANCE PLAN
|
2017
|
510391804
|
2018-06-01
|
INSCAPE, INC.
|
115
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2017-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
7166656210
|
Plan sponsor’s mailing address |
221 LISTER AVE, FALCONER, NY, 147331459
|
Plan sponsor’s
address |
221 LISTER AVE, FALCONER, NY, 147331459
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-06-01 |
Name of individual signing |
ANGIE TURNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INSCAPE, INC. GROUP INSURANCE PLAN
|
2015
|
510391804
|
2016-03-23
|
INSCAPE, INC.
|
119
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2015-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
7166656210
|
Plan
sponsor’s DBA name |
INSCAPE CORPORATION
|
Plan sponsor’s mailing address |
221 LISTER AVE, FALCONER, NY, 147331459
|
Plan sponsor’s
address |
221 LISTER AVE, FALCONER, NY, 147331459
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-03-23 |
Name of individual signing |
ANGIE TURNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INSCAPE, INC. GROUP INSURANCE PLAN
|
2014
|
510391804
|
2015-03-17
|
INSCAPE, INC.
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
7166656210
|
Plan sponsor’s mailing address |
221 LISTER AVENUE, FALCONER, NY, 14733
|
Plan sponsor’s
address |
221 LISTER AVENUE, FALCONER, NY, 14733
|
Signature of
Role |
Plan administrator |
Date |
2015-03-16 |
Name of individual signing |
ANGIE TURNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|