INNOVATIVE SERVICES, LTD
|
2023
|
161223844
|
2024-05-28
|
INNOVATIVE SERVICES INC
|
112
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2023-03-01
|
Business code |
621610
|
Sponsor’s telephone number |
3158531280
|
Plan
sponsor’s DBA name |
UPSTATE HOMECARE
|
Plan sponsor’s mailing address |
7506 STATE ROUTE 5, CLINTON, NY, 133233654
|
Plan sponsor’s
address |
7506 STATE ROUTE 5, CLINTON, NY, 133233654
|
Number of participants as of the end of the plan year
Active participants |
117 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2024-05-28 |
Name of individual signing |
DEANA SAPORITO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-05-28 |
Name of individual signing |
DEANA SAPORITO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INNOVATIVE SERVICES, INC EMPLOYEE ASSISTANCE PROGRAM
|
2023
|
161223844
|
2024-05-28
|
INNOVATIVE SERVICES INC
|
130
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2023-04-01
|
Business code |
621610
|
Sponsor’s telephone number |
3158531280
|
Plan
sponsor’s DBA name |
UPSTATE HOMECARE
|
Plan sponsor’s mailing address |
7506 STATE ROUTE 5, CLINTON, NY, 133233654
|
Plan sponsor’s
address |
7506 STATE ROUTE 5, CLINTON, NY, 133233654
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-05-28 |
Name of individual signing |
DEANA SAPORITO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-05-28 |
Name of individual signing |
DEANA SAPORITO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INNOVATIVE SERVICES, INC EMPLOYEE ASSISTANCE PROGRAM
|
2022
|
161223844
|
2023-07-11
|
INNOVATIVE SERVICES, INC
|
130
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2022-04-01
|
Business code |
621610
|
Sponsor’s telephone number |
3157953531
|
Plan
sponsor’s DBA name |
UPSTATE HOMECARE
|
Plan sponsor’s mailing address |
7506 STATE ROUTE 5, CLINTON, NY, 133233654
|
Plan sponsor’s
address |
7506 STATE ROUTE 5, CLINTON, NY, 133233654
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-11 |
Name of individual signing |
DEANA SAPORITO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-11 |
Name of individual signing |
DEANA SAPORITO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INNOVATIVE SERVICES, LTD
|
2022
|
161223844
|
2023-07-06
|
INNOVATIVE SERVICES, INC
|
110
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2022-03-01
|
Business code |
621610
|
Sponsor’s telephone number |
3157953531
|
Plan
sponsor’s DBA name |
UPSTATE HOMECARE
|
Plan sponsor’s mailing address |
7506 STATE ROUTE 5, CLINTON, NY, 133233654
|
Plan sponsor’s
address |
7506 STATE ROUTE 5, CLINTON, NY, 133233654
|
Number of participants as of the end of the plan year
Active participants |
112 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2023-07-06 |
Name of individual signing |
DEANA SAPORITO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-06 |
Name of individual signing |
DEANA SAPORITO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INNOVATIVE SERVICES INC EMPLOYEE ASSISTANCE PROGRAM
|
2021
|
161223844
|
2022-05-17
|
INNOVATIVE SERVICES INC
|
133
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2017-04-01
|
Business code |
621610
|
Sponsor’s telephone number |
3158531280
|
Plan
sponsor’s DBA name |
UPSTATE HOMECARE
|
Plan sponsor’s mailing address |
7506 STATE ROUTE 5, CLINTON, NY, 133233654
|
Plan sponsor’s
address |
7506 STATE ROUTE 5, CLINTON, NY, 133233654
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-05-17 |
Name of individual signing |
DEANA SAPORITO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-17 |
Name of individual signing |
DEANA SAPORITO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INNOVATIVE SERVICES, LTD
|
2021
|
161223844
|
2022-05-17
|
INNOVATIVE SERVICES, INC
|
108
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2013-03-01
|
Business code |
621610
|
Sponsor’s telephone number |
3158531280
|
Plan
sponsor’s DBA name |
UPSTATE HOMECARE
|
Plan sponsor’s mailing address |
7506 STATE ROUTE 5, CLINTON, NY, 133233654
|
Plan sponsor’s
address |
7506 STATE ROUTE 5, CLINTON, NY, 133233654
|
Number of participants as of the end of the plan year
Active participants |
110 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2022-05-17 |
Name of individual signing |
DEANA SAPORITO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-17 |
Name of individual signing |
DEANA SAPORITO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INNOVATICE SERVICES INC EMPLOYEE ASSISTANCE PROGRAM
|
2020
|
161223844
|
2021-07-14
|
INNOVATIVE SERVICES, INC
|
133
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2017-04-01
|
Business code |
621610
|
Sponsor’s telephone number |
3158531280
|
Plan
sponsor’s DBA name |
UPSTATE HOMECARE
|
Plan sponsor’s mailing address |
7506 STATE ROUTE 5, CLINTON, NY, 133233654
|
Plan sponsor’s
address |
7506 STATE ROUTE 5, CLINTON, NY, 133233654
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-14 |
Name of individual signing |
DEANA SAPORITO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-14 |
Name of individual signing |
DEANA SAPORITO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INNOVATIVE SERVICES, LTD
|
2020
|
161223844
|
2021-07-14
|
INNOVATIVE SERVICES, INC
|
113
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2013-03-01
|
Business code |
621610
|
Sponsor’s telephone number |
3158531280
|
Plan
sponsor’s DBA name |
UPSTATE HOMECARE
|
Plan sponsor’s mailing address |
7506 STATE ROUTE 5, CLINTON, NY, 133233654
|
Plan sponsor’s
address |
7506 STATE ROUTE 5, CLINTON, NY, 133233654
|
Number of participants as of the end of the plan year
Active participants |
108 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-07-14 |
Name of individual signing |
DEANA SAPORITO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-14 |
Name of individual signing |
DEANA SAPORITO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INNOVATIVE SERVICES, LTD
|
2019
|
161223844
|
2020-07-14
|
INNOVATIVE SERVICES INC.
|
111
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2013-03-01
|
Business code |
621610
|
Sponsor’s telephone number |
3158531280
|
Plan
sponsor’s DBA name |
UPSTATE HOMECARE
|
Plan sponsor’s mailing address |
7506 STATE ROUTE 5, CLINTON, NY, 133233654
|
Plan sponsor’s
address |
7506 STATE ROUTE 5, CLINTON, NY, 133233654
|
Number of participants as of the end of the plan year
Active participants |
113 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2020-07-14 |
Name of individual signing |
DEANA SAPORITO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-14 |
Name of individual signing |
DEANA SAPORITO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INNOVATIVE SERVICES INC EMPLOYEE ASSISTANCE PROGRAM
|
2019
|
161223844
|
2020-07-14
|
INNOVATIVE SERVICES INC
|
130
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2017-04-01
|
Business code |
621610
|
Sponsor’s telephone number |
3158531280
|
Plan
sponsor’s DBA name |
UPSTATE HOMECARE
|
Plan sponsor’s mailing address |
7506 STATE ROUTE 5, CLINTON, NY, 133233654
|
Plan sponsor’s
address |
7506 STATE ROUTE 5, CLINTON, NY, 133233654
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-14 |
Name of individual signing |
DEANA SAPORITO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-14 |
Name of individual signing |
DEANA SAPORITO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|