CASE SUPPLY, INC. 401(K) PROFIT SHARING PLAN
|
2019
|
150597539
|
2020-10-02
|
CASE SUPPLY, INC.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-31
|
Business code |
423990
|
Sponsor’s telephone number |
3154251801
|
Plan sponsor’s
address |
601 WEST FAYETTE STREET, SYRACUSE, NY, 13204
|
Signature of
Role |
Plan administrator |
Date |
2020-10-02 |
Name of individual signing |
SHANNON C HARVEY |
|
|
CASE SUPPLY, INC. 401(K) PROFIT SHARING PLAN
|
2019
|
150597539
|
2020-10-22
|
CASE SUPPLY, INC.
|
21
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-31
|
Business code |
423990
|
Sponsor’s telephone number |
3154251801
|
Plan sponsor’s
address |
601 WEST FAYETTE STREET, SYRACUSE, NY, 13204
|
Signature of
Role |
Plan administrator |
Date |
2020-10-22 |
Name of individual signing |
SHANNON HARVEY |
|
|
CASE SUPPLY, INC. 401(K) PROFIT SHARING PLAN
|
2019
|
150597539
|
2020-10-29
|
CASE SUPPLY, INC.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-31
|
Business code |
423990
|
Sponsor’s telephone number |
3154251801
|
Plan sponsor’s
address |
601 WEST FAYETTE STREET, SYRACUSE, NY, 13204
|
Signature of
Role |
Plan administrator |
Date |
2020-10-29 |
Name of individual signing |
SHANNON HARVEY |
|
|
CASE SUPPLY, INC. 401(K) PROFIT SHARING PLAN
|
2018
|
150597539
|
2019-10-09
|
CASE SUPPLY, INC.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-31
|
Business code |
423990
|
Sponsor’s telephone number |
3154251801
|
Plan sponsor’s
address |
601 WEST FAYETTE ST, SYRACUSE, NY, 13204
|
Signature of
Role |
Plan administrator |
Date |
2019-10-09 |
Name of individual signing |
JOSEPH S. CICCI |
|
Role |
Employer/plan sponsor |
Date |
2019-10-09 |
Name of individual signing |
JOSEPH S. CICCI |
|
|
CASE SUPPLY, INC. 401(K) PROFIT SHARING PLAN
|
2017
|
150597539
|
2018-10-10
|
CASE SUPPLY, INC.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-31
|
Business code |
423990
|
Sponsor’s telephone number |
3154251801
|
Plan sponsor’s
address |
601 WEST FAYETTE ST, SYRACUSE, NY, 13204
|
Signature of
Role |
Plan administrator |
Date |
2018-10-10 |
Name of individual signing |
JOSEPH S. CICCI |
|
Role |
Employer/plan sponsor |
Date |
2018-10-10 |
Name of individual signing |
JOSEPH S. CICCI |
|
|
CASE SUPPLY, INC. 401(K) PROFIT SHARING PLAN
|
2016
|
150597539
|
2017-05-01
|
CASE SUPPLY, INC.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-31
|
Business code |
423990
|
Sponsor’s telephone number |
3154251801
|
Plan sponsor’s
address |
601 WEST FAYETTE ST, SYRACUSE, NY, 13204
|
Signature of
Role |
Plan administrator |
Date |
2017-05-01 |
Name of individual signing |
JOSEPH S. CICCI |
|
Role |
Employer/plan sponsor |
Date |
2017-05-01 |
Name of individual signing |
JOSEPH S. CICCI |
|
|
CASE SUPPLY, INC. 401(K) PROFIT SHARING PLAN
|
2015
|
150597539
|
2016-07-19
|
CASE SUPPLY, INC.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-31
|
Business code |
423990
|
Sponsor’s telephone number |
3154251801
|
Plan sponsor’s
address |
601 WEST FAYETTE ST, SYRACUSE, NY, 13204
|
Signature of
Role |
Plan administrator |
Date |
2016-07-19 |
Name of individual signing |
JOSEPH S. CICCI |
|
Role |
Employer/plan sponsor |
Date |
2016-07-19 |
Name of individual signing |
JOSEPH S. CICCI |
|
|
CASE SUPPLY, INC. 401(K) PROFIT SHARING PLAN
|
2014
|
150597539
|
2015-09-30
|
CASE SUPPLY, INC.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-31
|
Business code |
423990
|
Sponsor’s telephone number |
3154251801
|
Plan sponsor’s
address |
601 WEST FAYETTE ST, SYRACUSE, NY, 13204
|
Signature of
Role |
Plan administrator |
Date |
2015-09-30 |
Name of individual signing |
JOSEPH S. CICCI |
|
Role |
Employer/plan sponsor |
Date |
2015-09-30 |
Name of individual signing |
JOSEPH S. CICCI |
|
|
CASE SUPPLY, INC. 401(K) PROFIT SHARING PLAN
|
2013
|
150597539
|
2014-06-24
|
CASE SUPPLY, INC.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-31
|
Business code |
423990
|
Sponsor’s telephone number |
3154251801
|
Plan sponsor’s
address |
601 WEST FAYETTE ST, SYRACUSE, NY, 13204
|
Signature of
Role |
Plan administrator |
Date |
2014-06-24 |
Name of individual signing |
STEPHEN CICCI |
|
Role |
Employer/plan sponsor |
Date |
2014-06-24 |
Name of individual signing |
STEPHEN CICCI |
|
|
CASE SUPPLY, INC. 401(K) PROFIT SHARING PLAN
|
2012
|
150597539
|
2013-05-08
|
CASE SUPPLY, INC.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-31
|
Business code |
423990
|
Sponsor’s telephone number |
3154251801
|
Plan sponsor’s
address |
601 WEST FAYETTE ST, SYRACUSE, NY, 13204
|
Plan administrator’s name and address
Administrator’s EIN |
150597539 |
Plan administrator’s name |
CASE SUPPLY, INC. |
Plan administrator’s
address |
601 WEST FAYETTE ST, SYRACUSE, NY, 13204 |
Administrator’s telephone number |
3154251801 |
Signature of
Role |
Plan administrator |
Date |
2013-05-08 |
Name of individual signing |
STEPHEN CICCI |
|
Role |
Employer/plan sponsor |
Date |
2013-05-08 |
Name of individual signing |
STEPHEN CICCI |
|
|