NIAGARA LUTHERAN DEVELOPMENT, INC. HEALTH PLAN
|
2022
|
161502150
|
2023-09-13
|
NIAGARA LUTHERAN DEVELOPMENT, INC.
|
164
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1990-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
7166840202
|
Plan
sponsor’s DBA name |
GREENFIELD HEALTH & REHABILITATION CENTER
|
Plan sponsor’s mailing address |
5959 BROADWAY ST, LANCASTER, NY, 140869523
|
Plan sponsor’s
address |
5949 BROADWAY ST, LANCASTER, NY, 14086
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-09-13 |
Name of individual signing |
STEVEN CHIZUK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NIAGARA LUTHERAN DEVELOPMENT, INC. HEALTH PLAN
|
2021
|
161502150
|
2022-10-11
|
NIAGARA LUTHERAN DEVELOPMENT, INC.
|
207
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1990-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
7166840202
|
Plan
sponsor’s DBA name |
GREENFIELD HEALTH & REHABILITATION CENTER
|
Plan sponsor’s mailing address |
5959 BROADWAY ST, LANCASTER, NY, 140869523
|
Plan sponsor’s
address |
5949 BROADWAY ST, LANCASTER, NY, 14086
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-10-10 |
Name of individual signing |
STEVEN CHIZUK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NIAGARA LUTHERAN DEVELOPMENT, INC. HEALTH PLAN
|
2020
|
161502150
|
2021-10-12
|
NIAGARA LUTHERAN DEVELOPMENT, INC.
|
207
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1990-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
7166840202
|
Plan
sponsor’s DBA name |
GREENFIELD HEALTH & REHABILITATION CENTER
|
Plan sponsor’s mailing address |
5959 BROADWAY ST, LANCASTER, NY, 140869523
|
Plan sponsor’s
address |
5949 BROADWAY ST, LANCASTER, NY, 14086
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-10-12 |
Name of individual signing |
LAURIE JANKOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NIAGARA LUTHERAN DEVELOPMENT, INC. HEALTH PLAN
|
2019
|
161502150
|
2020-10-13
|
NIAGARA LUTHERAN DEVELOPMENT, INC.
|
201
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1990-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
7166840202
|
Plan
sponsor’s DBA name |
GREENFIELD HEALTH & REHABILITATION CENTER
|
Plan sponsor’s mailing address |
5959 BROADWAY ST, LANCASTER, NY, 140869523
|
Plan sponsor’s
address |
5949 BROADWAY ST, LANCASTER, NY, 14086
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-10-13 |
Name of individual signing |
LAURIE JANKOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NIAGARA LUTHERAN DEVELOPMENT, INC. HEALTH PLAN
|
2018
|
161502150
|
2019-10-24
|
NIAGARA LUTHERAN DEVELOPMENT, INC.
|
205
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1990-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
7166840202
|
Plan
sponsor’s DBA name |
GREENFIELD HEALTH & REHABILITATION CENTER
|
Plan sponsor’s mailing address |
5959 BROADWAY ST, LANCASTER, NY, 140869523
|
Plan sponsor’s
address |
5949 BROADWAY STREET, LANCASTER, NY, 14086
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-10-24 |
Name of individual signing |
LAURIE JANKOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NIAGARA LUTHERAN DEVELOPMENT, INC. HEALTH PLAN
|
2017
|
161502150
|
2018-10-11
|
NIAGARA LUTHERAN DEVELOPMENT, INC.
|
213
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1990-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
7166840202
|
Plan
sponsor’s DBA name |
GREENFIELD HEALTH & REHABILITATION CENTER
|
Plan sponsor’s mailing address |
5959 BROADWAY ST, LANCASTER, NY, 140869523
|
Plan sponsor’s
address |
5949 BROADWAY STREET, LANCASTER, NY, 14086
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-10-11 |
Name of individual signing |
LAURIE JANKOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NIAGARA LUTHERAN DEVELOPMENT, INC. HEALTH PLAN
|
2016
|
161502150
|
2017-10-26
|
NIAGARA LUTHERAN DEVELOPMENT, INC.
|
213
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1990-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
7166840202
|
Plan
sponsor’s DBA name |
GREENFIELD HEALTH & REHABILITATION CENTER
|
Plan sponsor’s mailing address |
5959 BROADWAY ST, LANCASTER, NY, 140869523
|
Plan sponsor’s
address |
5949 BROADWAY STREET, LANCASTER, NY, 14086
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-10-26 |
Name of individual signing |
LAURIE JANKOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NIAGARA LUTHERAN DEVELOPMENT, INC. HEALTH PLAN
|
2016
|
161502150
|
2017-07-25
|
NIAGARA LUTHERAN DEVELOPMENT, INC.
|
197
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1990-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
7166840202
|
Plan
sponsor’s DBA name |
GREENFIELD HEALTH & REHABILITATION CENTER
|
Plan sponsor’s mailing address |
5959 BROADWAY ST, LANCASTER, NY, 140869523
|
Plan sponsor’s
address |
5949 BROADWAY ST, LANCASTER, NY, 14086
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-25 |
Name of individual signing |
LAURIE JANKOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NIAGARA LUTHERAN DEVELOPMENT, INC. HEALTH PLAN
|
2015
|
161502150
|
2016-07-27
|
NIAGARA LUTHERAN DEVELOPMENT, INC.
|
183
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1990-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
7166840202
|
Plan
sponsor’s DBA name |
GREENFIELD HEALTH & REHABILITATION CENTER, INC.
|
Plan sponsor’s mailing address |
5959 BROADWAY ST, LANCASTER, NY, 140869523
|
Plan sponsor’s
address |
5949 BROADWAY ST, LANCASTER, NY, 14086
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-27 |
Name of individual signing |
LAURIE JANKOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NIAGARA LUTHERAN DEVELOPMENT, INC. HEALTH PLAN
|
2014
|
161502150
|
2015-07-14
|
NIAGARA LUTHERAN DEVELOPMENT, INC.
|
213
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1990-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
7166840202
|
Plan
sponsor’s DBA name |
GREENFIELD HEALTH & REHABILITATION CENTER, INC.
|
Plan sponsor’s mailing address |
5959 BROADWAY STREET, LANCASTER, NY, 14086
|
Plan sponsor’s
address |
5949 BROADWAY STREET, LANCASTER, NY, 14086
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-07-14 |
Name of individual signing |
LAURIE JANKOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|