TRAVEL ACCIDENT INSURANCE
|
2016
|
222629993
|
2017-02-23
|
SAAB SENSIS CORPORATION
|
414
|
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2005-09-01
|
Business code |
334500
|
Sponsor’s telephone number |
3154455006
|
Plan sponsor’s mailing address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 130578800
|
Plan sponsor’s
address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 130578800
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-02-23 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-02-23 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE ASSISTANCE PLAN
|
2016
|
222629993
|
2017-02-23
|
SAAB SENSIS CORPORATION
|
414
|
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1994-01-01
|
Business code |
541330
|
Sponsor’s telephone number |
3154455006
|
Plan sponsor’s mailing address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 130578800
|
Plan sponsor’s
address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 130578800
|
Number of participants as of the end of the plan year
Active participants |
469 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
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 |
2017-02-23 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-02-23 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRAVEL ACCIDENT INSURANCE
|
2015
|
222629993
|
2016-07-21
|
SAAB SENSIS CORPORATION
|
405
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2005-09-01
|
Business code |
541330
|
Sponsor’s telephone number |
3154455006
|
Plan sponsor’s mailing address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 130578800
|
Plan sponsor’s
address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 130578800
|
Number of participants as of the end of the plan year
Active participants |
414 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-07-21 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-21 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GUARDIAN GROUP INSURANCE PLAN
|
2015
|
222629993
|
2016-07-19
|
SAAB SENSIS CORPORATION
|
436
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1990-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
3154455006
|
Plan sponsor’s mailing address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 130578800
|
Plan sponsor’s
address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 130578800
|
Number of participants as of the end of the plan year
Active participants |
411 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-07-19 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-19 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE ASSISTANCE PLAN
|
2015
|
222629993
|
2016-07-19
|
SAAB SENSIS CORPORATION
|
405
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1994-01-01
|
Business code |
541330
|
Sponsor’s telephone number |
3154455006
|
Plan sponsor’s mailing address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 130578800
|
Plan sponsor’s
address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 130578800
|
Number of participants as of the end of the plan year
Active participants |
414 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-07-19 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-19 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRAVEL ACCIDENT INSURANCE
|
2014
|
222629993
|
2015-07-28
|
SAAB SENSIS CORPORATION
|
429
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2005-09-01
|
Business code |
334500
|
Sponsor’s telephone number |
3154455006
|
Plan sponsor’s mailing address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057
|
Plan sponsor’s
address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057
|
Number of participants as of the end of the plan year
Active participants |
405 |
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 |
Signature of
Role |
Plan administrator |
Date |
2015-07-28 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-28 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE ASSISTANCE PLAN
|
2014
|
222629993
|
2015-07-28
|
SAAB SENSIS CORPORATION
|
429
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1994-01-01
|
Business code |
334500
|
Sponsor’s telephone number |
3154455006
|
Plan sponsor’s mailing address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057
|
Plan sponsor’s
address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057
|
Number of participants as of the end of the plan year
Active participants |
405 |
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 |
Signature of
Role |
Plan administrator |
Date |
2015-07-28 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-28 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GUARDIAN GROUP INSURANCE PLAN
|
2014
|
222629993
|
2015-07-28
|
SAAB SENSIS CORPORATION
|
467
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1990-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
3154455006
|
Plan sponsor’s mailing address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057
|
Plan sponsor’s
address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057
|
Number of participants as of the end of the plan year
Active participants |
436 |
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 |
Signature of
Role |
Plan administrator |
Date |
2015-07-28 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-28 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH BENEFIT PLAN
|
2014
|
222629993
|
2015-07-28
|
SAAB SENSIS CORPORATION
|
426
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
3154455006
|
Plan sponsor’s mailing address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057
|
Plan sponsor’s
address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057
|
Number of participants as of the end of the plan year
Active participants |
402 |
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 |
Signature of
Role |
Plan administrator |
Date |
2015-07-28 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-28 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRAVEL ACCIDENT INSURANCE
|
2013
|
222629993
|
2014-07-31
|
SAAB SENSIS CORPORATION
|
474
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2005-09-01
|
Business code |
334500
|
Sponsor’s telephone number |
3154455005
|
Plan sponsor’s mailing address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057
|
Plan sponsor’s
address |
85 COLLAMER CROSSINGS, EAST SYRACUSE, NY, 13057
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-07-31 |
Name of individual signing |
KATHERINE ROSSLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|