GREEN FUNERAL HOME, INC. 401(K) PLAN
|
2018
|
150616879
|
2019-02-07
|
GREEN FUNERAL HOME, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812210
|
Plan sponsor’s
address |
33 PARK STREET, GOVERNEUR, NY, 13642
|
Signature of
Role |
Plan administrator |
Date |
2019-02-07 |
Name of individual signing |
MICHAEL V. GREEN |
|
|
GREEN FUNERAL HOME, INC 401(K) PLAN
|
2017
|
150616879
|
2018-11-06
|
GREEN FUNERAL HOME, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812210
|
Sponsor’s telephone number |
3152871330
|
Plan sponsor’s
address |
33 PARK STREET, GOVERNEUR, NY, 13642
|
Signature of
Role |
Plan administrator |
Date |
2018-11-06 |
Name of individual signing |
MICHAEL V. GREEN |
|
|
GREEN FUNERAL HOME, INC 401(K) PLAN
|
2016
|
150616879
|
2017-11-09
|
GREEN FUNERAL HOME, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812210
|
Sponsor’s telephone number |
3152871330
|
Plan sponsor’s
address |
33 PARK STREET, GOVERNEUR, NY, 13642
|
Signature of
Role |
Plan administrator |
Date |
2017-11-09 |
Name of individual signing |
MICHAEL V. GREEN |
|
|
GREEN FUNERAL HOME, INC 401(K) PLAN
|
2015
|
150616879
|
2016-11-02
|
GREEN FUNERAL HOME, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812210
|
Sponsor’s telephone number |
3152871330
|
Plan sponsor’s
address |
33 PARK STREET, GOVERNEUR, NY, 13642
|
Signature of
Role |
Plan administrator |
Date |
2016-11-02 |
Name of individual signing |
MICHAEL V. GREEN |
|
|
GREEN FUNERAL HOME, INC 401(K) PLAN
|
2014
|
150616879
|
2015-09-01
|
GREEN FUNERAL HOME, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812210
|
Sponsor’s telephone number |
3152871330
|
Plan sponsor’s
address |
33 PARK STREET, GOVERNEUR, NY, 13642
|
Signature of
Role |
Plan administrator |
Date |
2015-09-01 |
Name of individual signing |
MICHAEL V. GREEN |
|
|
GREEN FUNERAL HOME, INC 401(K) PLAN
|
2013
|
150616879
|
2014-12-29
|
GREEN FUNERAL HOME, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812210
|
Sponsor’s telephone number |
3152871330
|
Plan sponsor’s
address |
33 PARK STREET, GOVERNEUR, NY, 13642
|
Signature of
Role |
Plan administrator |
Date |
2014-11-03 |
Name of individual signing |
MICHAEL V. GREEN |
|
|
GREEN FUNERAL HOME, INC 401(K) PLAN
|
2012
|
150616879
|
2013-09-10
|
GREEN FUNERAL HOME, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812210
|
Sponsor’s telephone number |
3152871330
|
Plan sponsor’s
address |
33 PARK STREET, GOVERNEUR, NY, 13642
|
Signature of
Role |
Plan administrator |
Date |
2013-09-10 |
Name of individual signing |
MICHAEL V. GREEN |
|
|
GREEN FUNERAL HOME, INC 401(K) PLAN
|
2011
|
150616879
|
2012-11-30
|
GREEN FUNERAL HOME, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812210
|
Sponsor’s telephone number |
3152871330
|
Plan sponsor’s
address |
33 PARK STREET, GOVERNEUR, NY, 13642
|
Plan administrator’s name and address
Administrator’s EIN |
150616879 |
Plan administrator’s name |
GREEN FUNERAL HOME, INC. |
Plan administrator’s
address |
33 PARK STREET, GOVERNEUR, NY, 13642 |
Administrator’s telephone number |
3152871330 |
Signature of
Role |
Plan administrator |
Date |
2012-11-30 |
Name of individual signing |
MICHAEL V. GREEN |
|
|
GREEN FUNERAL HOME, INC 401(K) PLAN
|
2010
|
150616879
|
2011-10-27
|
GREEN FUNERAL HOME, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812210
|
Sponsor’s telephone number |
3152871330
|
Plan sponsor’s
address |
33 PARK STREET, GOVERNEUR, NY, 13642
|
Plan administrator’s name and address
Administrator’s EIN |
150616879 |
Plan administrator’s name |
GREEN FUNERAL HOME, INC. |
Plan administrator’s
address |
33 PARK STREET, GOVERNEUR, NY, 13642 |
Administrator’s telephone number |
3152871330 |
Signature of
Role |
Plan administrator |
Date |
2011-10-27 |
Name of individual signing |
MICHAEL GREEN |
|
|
GREEN FUNERAL HOME, INC 401(K) PLAN
|
2009
|
150616879
|
2010-08-24
|
GREEN FUNERAL HOME, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812210
|
Sponsor’s telephone number |
3152871330
|
Plan sponsor’s
address |
33 PARK STREET, GOVERNEUR, NY, 13642
|
Plan administrator’s name and address
Administrator’s EIN |
150616879 |
Plan administrator’s name |
GREEN FUNERAL HOME, INC. |
Plan administrator’s
address |
33 PARK STREET, GOVERNEUR, NY, 13642 |
Administrator’s telephone number |
3152871330 |
Signature of
Role |
Plan administrator |
Date |
2010-08-24 |
Name of individual signing |
MICHAEL GREEN |
|
|