COMMUNITY, WORK AND INDEPENDENCE, INC. 401(K) PLAN
|
2022
|
141470091
|
2023-10-11
|
COMMUNITY, WORK AND INDEPENDENCE, INC.
|
230
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2008-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
5187458084
|
Plan sponsor’s mailing address |
P.O. BOX 303, GLENS FALLS, NY, 12801
|
Plan sponsor’s
address |
37 EVERTS AVENUE, GLENS FALLS, NY, 12801
|
Number of participants as of the end of the plan year
Active participants |
156 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
63 |
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 |
140 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
3 |
Signature of
Role |
Plan administrator |
Date |
2023-10-12 |
Name of individual signing |
LISA CRUZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY, WORK AND INDEPENDENCE, INC. RETIREMENT PLAN
|
2022
|
141470091
|
2023-10-11
|
COMMUNITY, WORK AND INDEPENDENCE, INC.
|
309
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1980-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
5187934700
|
Plan sponsor’s mailing address |
P.O. BOX 303, GLENS FALLS, NY, 12801
|
Plan sponsor’s
address |
37 EVERTS AVENUE, GLENS FALLS, NY, 12801
|
Number of participants as of the end of the plan year
Active participants |
161 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
140 |
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 |
282 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
3 |
Signature of
Role |
Plan administrator |
Date |
2023-10-12 |
Name of individual signing |
LISA CRUZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY, WORK AND INDEPENDENCE, INC. RETIREMENT PLAN
|
2021
|
141470091
|
2022-10-12
|
COMMUNITY, WORK AND INDEPENDENCE, INC.
|
391
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1980-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
5187934700
|
Plan sponsor’s mailing address |
P.O. BOX 303, GLENS FALLS, NY, 12801
|
Plan sponsor’s
address |
37 EVERTS AVENUE, GLENS FALLS, NY, 12801
|
Number of participants as of the end of the plan year
Active participants |
178 |
Retired or separated participants receiving
benefits |
10 |
Other
retired or separated participants entitled to future benefits |
120 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
305 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
6 |
Signature of
Role |
Plan administrator |
Date |
2022-10-12 |
Name of individual signing |
LISA CRUZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-12 |
Name of individual signing |
LISA CRUZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY, WORK AND INDEPENDENCE, INC. 401(K) PLAN
|
2021
|
141470091
|
2022-10-12
|
COMMUNITY, WORK AND INDEPENDENCE, INC.
|
271
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2008-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
5187458084
|
Plan sponsor’s mailing address |
P.O. BOX 303, GLENS FALLS, NY, 12801
|
Plan sponsor’s
address |
37 EVERTS AVENUE, GLENS FALLS, NY, 12801
|
Number of participants as of the end of the plan year
Active participants |
147 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
82 |
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 |
187 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
5 |
Signature of
Role |
Plan administrator |
Date |
2022-10-12 |
Name of individual signing |
LISA CRUZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-12 |
Name of individual signing |
LISA CRUZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY, WORK AND INDEPENDENCE, INC. 401(K) PLAN
|
2020
|
141470091
|
2021-10-14
|
COMMUNITY, WORK AND INDEPENDENCE, INC.
|
263
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2008-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
5187458084
|
Plan sponsor’s mailing address |
P.O. BOX 303, GLENS FALLS, NY, 12801
|
Plan sponsor’s
address |
37 EVERTS AVENUE, GLENS FALLS, NY, 12801
|
Number of participants as of the end of the plan year
Active participants |
194 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
67 |
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 |
198 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
4 |
Signature of
Role |
Plan administrator |
Date |
2021-10-14 |
Name of individual signing |
LISA CRUZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-14 |
Name of individual signing |
LISA CRUZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY, WORK AND INDEPENDENCE, INC. RETIREMENT PLAN
|
2020
|
141470091
|
2021-10-14
|
COMMUNITY, WORK AND INDEPENDENCE, INC.
|
355
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1980-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
5187934700
|
Plan sponsor’s mailing address |
P.O. BOX 303, GLENS FALLS, NY, 12801
|
Plan sponsor’s
address |
37 EVERTS AVENUE, GLENS FALLS, NY, 12801
|
Number of participants as of the end of the plan year
Active participants |
217 |
Retired or separated participants receiving
benefits |
7 |
Other
retired or separated participants entitled to future benefits |
105 |
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 |
325 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
9 |
Signature of
Role |
Plan administrator |
Date |
2021-10-14 |
Name of individual signing |
LISA CRUZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-14 |
Name of individual signing |
LISA CRUZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY, WORK AND INDEPENDENCE, INC. RETIREMENT PLAN
|
2019
|
141470091
|
2020-10-13
|
COMMUNITY, WORK AND INDEPENDENCE, INC.
|
368
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1980-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
5187934700
|
Plan sponsor’s mailing address |
P.O. BOX 303, GLENS FALLS, NY, 12801
|
Plan sponsor’s
address |
37 EVERTS AVENUE, GLENS FALLS, NY, 12801
|
Number of participants as of the end of the plan year
Active participants |
233 |
Retired or separated participants receiving
benefits |
8 |
Other
retired or separated participants entitled to future benefits |
98 |
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 |
334 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
4 |
Signature of
Role |
Plan administrator |
Date |
2020-10-13 |
Name of individual signing |
MARK DONAHUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-13 |
Name of individual signing |
MARK DONAHUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY, WORK AND INDEPENDENCE, INC. 401(K) PLAN
|
2019
|
141470091
|
2020-10-12
|
COMMUNITY, WORK AND INDEPENDENCE, INC.
|
296
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2008-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
5187458084
|
Plan sponsor’s mailing address |
P.O. BOX 303, GLENS FALLS, NY, 12801
|
Plan sponsor’s
address |
37 EVERTS AVENUE, GLENS FALLS, NY, 12801
|
Number of participants as of the end of the plan year
Active participants |
200 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
60 |
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 |
199 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
6 |
Signature of
Role |
Plan administrator |
Date |
2020-10-12 |
Name of individual signing |
MARK DONAHUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-12 |
Name of individual signing |
MARK DONAHUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY, WORK AND INDEPENDENCE, INC. 401(K) PLAN
|
2018
|
141470091
|
2019-10-15
|
COMMUNITY, WORK AND INDEPENDENCE, INC.
|
314
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2008-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
5187458084
|
Plan sponsor’s mailing address |
P.O. BOX 303, GLENS FALLS, NY, 12801
|
Plan sponsor’s
address |
37 EVERTS AVENUE, GLENS FALLS, NY, 12801
|
Number of participants as of the end of the plan year
Active participants |
214 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
49 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
191 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
3 |
Signature of
Role |
Plan administrator |
Date |
2019-10-15 |
Name of individual signing |
MARK DONAHUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-15 |
Name of individual signing |
MARK DONAHUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY, WORK AND INDEPENDENCE, INC. RETIREMENT PLAN
|
2018
|
141470091
|
2019-10-15
|
COMMUNITY, WORK AND INDEPENDENCE, INC.
|
368
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1980-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
5187934700
|
Plan sponsor’s mailing address |
P.O. BOX 303, GLENS FALLS, NY, 12801
|
Plan sponsor’s
address |
37 EVERTS AVENUE, GLENS FALLS, NY, 12801
|
Number of participants as of the end of the plan year
Active participants |
233 |
Retired or separated participants receiving
benefits |
6 |
Other
retired or separated participants entitled to future benefits |
99 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
335 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
8 |
Signature of
Role |
Plan administrator |
Date |
2019-10-15 |
Name of individual signing |
MARK DONAHUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-15 |
Name of individual signing |
MARK DONAHUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|