EMPLOYEE BENEFIT PLAN OF HUDSON VALLEY SENIOR RESIDENCE, INC.
|
2020
|
141364545
|
2021-03-02
|
HUDSON VALLEY SENIOR RESIDENCE
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
8453310630
|
Plan sponsor’s
address |
80 WASHINGTON AVE, KINGSTON, NY, 124014834
|
Signature of
Role |
Plan administrator |
Date |
2021-03-02 |
Name of individual signing |
LARAINE FELLEGARA |
|
Role |
Employer/plan sponsor |
Date |
2021-03-02 |
Name of individual signing |
LARAINE FELLEGARA |
|
|
EMPLOYEE BENEFIT PLAN OF HUDSON VALLEY SENIOR RESIDENCE, INC.
|
2019
|
141364545
|
2021-01-19
|
HUDSON VALLEY SENIOR RESIDENCE
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
9143656365
|
Plan sponsor’s
address |
80 WASHINGTON AVE, KINGSTON, NY, 124014834
|
Signature of
Role |
Plan administrator |
Date |
2021-01-19 |
Name of individual signing |
LARAINE FELLEGARA |
|
Role |
Employer/plan sponsor |
Date |
2021-01-19 |
Name of individual signing |
LARAINE FELLEGARA |
|
|
EMPLOYEE BENEFIT PLAN OF THE HUDSON VALLEY SENIOR RESIDENCE
|
2013
|
141364545
|
2015-12-31
|
HUDSON VALLEY SENIOR RESIDENCE
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
8453310630
|
Plan sponsor’s mailing address |
80 WASHINGTON AVENUE, KINGSTON, NY, 12401
|
Plan sponsor’s
address |
80 WASHINGTON AVENUE, KINGSTON, NY, 12401
|
Number of participants as of the end of the plan year
Active participants |
6 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
5 |
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 |
11 |
Signature of
Role |
Plan administrator |
Date |
2015-10-21 |
Name of individual signing |
LARAINE FELLEGARA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-21 |
Name of individual signing |
LARAINE FELLEGARA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF THE HUDSON VALLEY SENIOR RESIDENCE
|
2012
|
141364545
|
2015-12-31
|
HUDSON VALLEY SENIOR RESIDENCE
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
8453310630
|
Plan sponsor’s mailing address |
80 WASHINGTON AVENUE, KINGSTON, NY, 12401
|
Plan sponsor’s
address |
80 WASHINGTON AVENUE, KINGSTON, NY, 12401
|
Number of participants as of the end of the plan year
Active participants |
9 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
3 |
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 |
12 |
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 |
2015-10-21 |
Name of individual signing |
LARAINE FELLEGARA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-21 |
Name of individual signing |
LARAINE FELLEGARA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF THE HUDSON VALLEY SENIOR RESIDENCE
|
2011
|
141364545
|
2015-12-31
|
HUDSON VALLEY SENIOR RESIDENCE
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
8453310630
|
Plan sponsor’s mailing address |
80 WASHINGTON AVENUE, KINGSTON, NY, 12401
|
Plan sponsor’s
address |
80 WASHINGTON AVENUE, KINGSTON, NY, 12401
|
Plan administrator’s name and address
Administrator’s EIN |
141364545 |
Plan administrator’s name |
HUDSON VALLEY SENIOR RESIDENCE |
Plan administrator’s
address |
80 WASHINGTON AVENUE, KINGSTON, NY, 12401 |
Administrator’s telephone number |
8453310630 |
Number of participants as of the end of the plan year
Active participants |
10 |
Other
retired or separated participants entitled to future benefits |
2 |
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 |
13 |
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 |
2015-10-21 |
Name of individual signing |
LARAINE FELLEGARA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-21 |
Name of individual signing |
LARAINE FELLEGARA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF THE HUDSON VALLEY SENIOR RESIDENCE
|
2009
|
141364545
|
2010-07-30
|
HUDSON VALLEY SENIOR RESIDENCE
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
8453310630
|
Plan sponsor’s mailing address |
80 WASHINGTON AVENUE, KINGSTON, NY, 12401
|
Plan sponsor’s
address |
80 WASHINGTON AVENUE, KINGSTON, NY, 12401
|
Plan administrator’s name and address
Administrator’s EIN |
141364545 |
Plan administrator’s name |
HUDSON VALLEY SENIOR RESIDENCE |
Plan administrator’s
address |
80 WASHINGTON AVENUE, KINGSTON, NY, 12401 |
Administrator’s telephone number |
8453310630 |
Number of participants as of the end of the plan year
Active participants |
11 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
4 |
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 |
15 |
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 |
2010-07-30 |
Name of individual signing |
COLLEEN KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|