SHULTS AUTO GROUP HEALTH INSURANCE PLAN
|
2023
|
161483470
|
2024-10-14
|
SHULTS MANAGEMENT GROUP INC
|
155
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
7167631551
|
Plan sponsor’s mailing address |
181 EAST FAIRMOUNT AVENUE, SUITE 200, LAKEWOOD, NY, 14750
|
Plan sponsor’s
address |
181 EAST FAIRMOUNT AVENUE, SUITE 200, LAKEWOOD, NY, 14750
|
Plan administrator’s name and address
Administrator’s EIN |
161483470 |
Plan administrator’s name |
SHULTS MANAGEMENT GROUP INC |
Plan administrator’s
address |
181 EAST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750 |
Administrator’s telephone number |
7167631551 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-10-14 |
Name of individual signing |
TIM M SHULTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-14 |
Name of individual signing |
TIM M SHULTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHULTS AUTO GROUP HEALTH INSURANCE PLAN
|
2022
|
161483470
|
2023-10-11
|
SHULTS MANAGEMENT GROUP INC
|
270
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
7167631551
|
Plan sponsor’s mailing address |
181 EAST FAIRMOUNT AVENUE, SUITE 200, LAKEWOOD, NY, 14750
|
Plan sponsor’s
address |
181 EAST FAIRMOUNT AVENUE, SUITE 200, LAKEWOOD, NY, 14750
|
Plan administrator’s name and address
Administrator’s EIN |
161483470 |
Plan administrator’s name |
SHULTS MANAGEMENT GROUP INC |
Plan administrator’s
address |
181 EAST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750 |
Administrator’s telephone number |
7167631551 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-10-09 |
Name of individual signing |
TIM M SHULTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-09 |
Name of individual signing |
TIM M SHULTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHULTS AUTO GROUP HEALTH INSURANCE PLAN
|
2021
|
161483470
|
2022-10-17
|
SHULTS MANAGEMENT GROUP INC
|
275
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
7167631551
|
Plan sponsor’s mailing address |
181 EAST FAIRMOUNT AVENUE, SUITE 200, LAKEWOOD, NY, 14750
|
Plan sponsor’s
address |
181 EAST FAIRMOUNT AVENUE, SUITE 200, LAKEWOOD, NY, 14750
|
Plan administrator’s name and address
Administrator’s EIN |
161483470 |
Plan administrator’s name |
SHULTS MANAGEMENT GROUP INC |
Plan administrator’s
address |
181 EAST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750 |
Administrator’s telephone number |
7167631551 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-10-17 |
Name of individual signing |
TIM M SHULTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-17 |
Name of individual signing |
TIM M SHULTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHULTS AUTO GROUP HEALTH INSURANCE PLAN
|
2020
|
161483470
|
2021-10-15
|
SHULTS MANAGEMENT GROUP INC
|
267
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
7167631551
|
Plan sponsor’s mailing address |
181 EAST FAIRMOUNT AVENUE, SUITE 200, LAKEWOOD, NY, 14750
|
Plan sponsor’s
address |
181 EAST FAIRMOUNT AVENUE, SUITE 200, LAKEWOOD, NY, 14750
|
Plan administrator’s name and address
Administrator’s EIN |
161483470 |
Plan administrator’s name |
SHULTS MANAGEMENT GROUP INC |
Plan administrator’s
address |
181 EAST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750 |
Administrator’s telephone number |
7167631551 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-10-15 |
Name of individual signing |
TIM M SHULTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-15 |
Name of individual signing |
TIM M SHULTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHULTS AUTO GROUP HEALTH INSURANCE PLAN
|
2019
|
161483470
|
2020-10-13
|
SHULTS MANAGEMENT GROUP INC
|
291
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
7167631551
|
Plan sponsor’s mailing address |
181 EAST FAIRMOUNT AVENUE, SUITE 200, LAKEWOOD, NY, 14750
|
Plan sponsor’s
address |
181 EAST FAIRMOUNT AVENUE, SUITE 200, LAKEWOOD, NY, 14750
|
Plan administrator’s name and address
Administrator’s EIN |
161483470 |
Plan administrator’s name |
SHULTS MANAGEMENT GROUP INC |
Plan administrator’s
address |
181 EAST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750 |
Administrator’s telephone number |
7167631551 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-10-13 |
Name of individual signing |
TIM M SHULTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-13 |
Name of individual signing |
TIM M SHULTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHULTS AUTO GROUP HEALTH INSURANCE PLAN
|
2018
|
161483470
|
2019-10-11
|
SHULTS MANAGEMENT GROUP INC
|
286
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
7167631551
|
Plan sponsor’s mailing address |
181 EAST FAIRMOUNT AVENUE, SUITE 200, LAKEWOOD, NY, 14750
|
Plan sponsor’s
address |
181 EAST FAIRMOUNT AVENUE, SUITE 200, LAKEWOOD, NY, 14750
|
Plan administrator’s name and address
Administrator’s EIN |
161483470 |
Plan administrator’s name |
SHULTS MANAGEMENT GROUP INC |
Plan administrator’s
address |
181 EAST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750 |
Administrator’s telephone number |
7167631551 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-09-17 |
Name of individual signing |
TIM M SHULTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-17 |
Name of individual signing |
TIM M SHULTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHULTS AUTO GROUP HEALTH INSURANCE PLAN
|
2017
|
161483470
|
2018-09-14
|
SHULTS MANAGEMENT GROUP INC
|
286
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
7167631551
|
Plan sponsor’s mailing address |
181 EAST FAIRMOUNT AVENUE, SUITE 200, LAKEWOOD, NY, 14750
|
Plan sponsor’s
address |
181 EAST FAIRMOUNT AVENUE, SUITE 200, LAKEWOOD, NY, 14750
|
Plan administrator’s name and address
Administrator’s EIN |
161483470 |
Plan administrator’s name |
SHULTS MANAGEMENT GROUP INC |
Plan administrator’s
address |
181 EAST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750 |
Administrator’s telephone number |
7167631551 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-09-07 |
Name of individual signing |
TIM M SHULTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-07 |
Name of individual signing |
TIM M SHULTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHULTS AUTO GROUP HEALTH INSURANCE PLAN
|
2016
|
161483470
|
2017-10-03
|
SHULTS MANAGEMENT GROUP INC
|
290
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
7167631551
|
Plan sponsor’s mailing address |
181 EAST FAIRMOUNT AVENUE, SUITE 200, LAKEWOOD, NY, 14750
|
Plan sponsor’s
address |
181 EAST FAIRMOUNT AVENUE, SUITE 200, LAKEWOOD, NY, 14750
|
Plan administrator’s name and address
Administrator’s EIN |
161483470 |
Plan administrator’s name |
SHULTS MANAGEMENT GROUP INC |
Plan administrator’s
address |
181 EAST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750 |
Administrator’s telephone number |
7167631551 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-09-08 |
Name of individual signing |
TIM M SHULTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-09-08 |
Name of individual signing |
TIM M SHULTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHULTS AUTO GROUP HEALTH INSURANCE PLAN
|
2015
|
161483470
|
2016-10-05
|
SHULTS MANAGEMENT GROUP INC
|
288
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
7167631551
|
Plan sponsor’s mailing address |
181 EAST FAIRMOUNT AVENUE, SUITE 200, LAKEWOOD, NY, 14750
|
Plan sponsor’s
address |
181 EAST FAIRMOUNT AVENUE, SUITE 200, LAKEWOOD, NY, 14750
|
Plan administrator’s name and address
Administrator’s EIN |
161483470 |
Plan administrator’s name |
SHULTS MANAGEMENT GROUP INC |
Plan administrator’s
address |
181 EAST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750 |
Administrator’s telephone number |
7167631551 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-09-23 |
Name of individual signing |
TIM M SHULTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-23 |
Name of individual signing |
TIM M SHULTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHULTS AUTO GROUP HEALTH INSURANCE PLAN
|
2014
|
161483470
|
2015-10-10
|
SHULTS MANAGEMENT GROUP INC
|
302
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
7167631551
|
Plan sponsor’s mailing address |
181 EAST FAIRMOUNT AVENUE, SUITE 200, LAKEWOOD, NY, 14750
|
Plan sponsor’s
address |
181 EAST FAIRMOUNT AVENUE, SUITE 200, LAKEWOOD, NY, 14750
|
Plan administrator’s name and address
Administrator’s EIN |
161483470 |
Plan administrator’s name |
SHULTS MANAGEMENT GROUP INC |
Plan administrator’s
address |
181 EAST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750 |
Administrator’s telephone number |
7167631551 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-10-09 |
Name of individual signing |
TIM M SHULTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-09 |
Name of individual signing |
TIM M SHULTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|