EXCELLUS BLUE CROSS BLUE SHIELD
|
2011
|
161526149
|
2012-07-30
|
M S KENNEDY CORP
|
147
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1999-04-01
|
Business code |
334410
|
Sponsor’s telephone number |
3157016751
|
Plan
sponsor’s DBA name |
SAME
|
Plan sponsor’s mailing address |
4707 DEY RD, LIVERPOOL, NY, 13088
|
Plan sponsor’s
address |
4707 DEY RD, LIVERPOOL, NY, 13088
|
Plan administrator’s name and address
Administrator’s EIN |
161526149 |
Plan administrator’s name |
M S KENNEDY CORP |
Plan administrator’s
address |
4707 DEY RD, LIVERPOOL, NY, 13088 |
Administrator’s telephone number |
3157016751 |
Number of participants as of the end of the plan year
Active participants |
141 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
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 |
0 |
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 |
2012-07-30 |
Name of individual signing |
JONI JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
M.S. KENNEDY CORP ESOP PLAN
|
2010
|
161526149
|
2011-07-27
|
M. S. KENNEDY CORP
|
139
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-09-01
|
Business code |
334410
|
Sponsor’s telephone number |
3157016751
|
Plan sponsor’s mailing address |
4707 DEY RD, LIVERPOOL, NY, 13088
|
Plan sponsor’s
address |
4707 DEY RD, LIVERPOOL, NY, 13088
|
Plan administrator’s name and address
Administrator’s EIN |
161526149 |
Plan administrator’s name |
M. S. KENNEDY CORP |
Plan administrator’s
address |
4707 DEY RD, LIVERPOOL, NY, 13088 |
Administrator’s telephone number |
3157016751 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
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 |
0 |
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 |
2011-07-27 |
Name of individual signing |
SANDRA RAPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST REHABILITATION LIFE INS CO OF AMERICA
|
2010
|
161526149
|
2011-07-14
|
M S KENNEDY CORP
|
128
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2001-04-01
|
Business code |
334410
|
Sponsor’s telephone number |
3157016751
|
Plan
sponsor’s DBA name |
SAME
|
Plan sponsor’s mailing address |
4707 DEY RD, LIVERPOOL, NY, 13088
|
Plan sponsor’s
address |
4707 DEY RD, LIVERPOOL, NY, 13088
|
Plan administrator’s name and address
Administrator’s EIN |
161526149 |
Plan administrator’s name |
M S KENNEDY CORP |
Plan administrator’s
address |
4707 DEY RD, LIVERPOOL, NY, 13088 |
Administrator’s telephone number |
3157016751 |
Number of participants as of the end of the plan year
Active participants |
128 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
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 |
0 |
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 |
2011-07-14 |
Name of individual signing |
JONI JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST REHABILITATION INS CO OF AMERICA
|
2010
|
161526149
|
2011-07-14
|
M S KENNEDY CORP
|
171
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2001-04-01
|
Business code |
334410
|
Sponsor’s telephone number |
3157016751
|
Plan
sponsor’s DBA name |
SAME
|
Plan sponsor’s mailing address |
4707 DEY RD, LIVERPOOL, NY, 13088
|
Plan sponsor’s
address |
4707 DEY RD, LIVERPOOL, NY, 13088
|
Plan administrator’s name and address
Administrator’s EIN |
161526149 |
Plan administrator’s name |
M S KENNEDY CORP |
Plan administrator’s
address |
4707 DEY RD, LIVERPOOL, NY, 13088 |
Administrator’s telephone number |
3157016751 |
Number of participants as of the end of the plan year
Active participants |
171 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
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 |
0 |
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 |
2011-07-14 |
Name of individual signing |
JONI JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST REHABILITATION LIFE INS CO OF AMERICA
|
2010
|
161526149
|
2011-07-14
|
M S KENNEDY CORP
|
131
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2001-04-01
|
Business code |
334410
|
Sponsor’s telephone number |
3157016751
|
Plan
sponsor’s DBA name |
SAME
|
Plan sponsor’s mailing address |
4707 DEY RD, LIVERPOOL, NY, 13088
|
Plan sponsor’s
address |
4707 DEY RD, LIVERPOOL, NY, 13088
|
Plan administrator’s name and address
Administrator’s EIN |
161526149 |
Plan administrator’s name |
M S KENNEDY CORP |
Plan administrator’s
address |
4707 DEY RD, LIVERPOOL, NY, 13088 |
Administrator’s telephone number |
3157016751 |
Number of participants as of the end of the plan year
Active participants |
131 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
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 |
0 |
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 |
2011-07-14 |
Name of individual signing |
JONI JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST REHABILITATION INS CO OF AMERICA
|
2010
|
161526149
|
2011-07-14
|
M S KENNEDY CORP
|
130
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2001-04-01
|
Business code |
334410
|
Sponsor’s telephone number |
3157016751
|
Plan
sponsor’s DBA name |
SAME
|
Plan sponsor’s mailing address |
4707 DEY RD, LIVERPOOL, NY, 13088
|
Plan sponsor’s
address |
4707 DEY RD, LIVERPOOL, NY, 13088
|
Plan administrator’s name and address
Administrator’s EIN |
161526149 |
Plan administrator’s name |
M S KENNEDY CORP |
Plan administrator’s
address |
4707 DEY RD, LIVERPOOL, NY, 13088 |
Administrator’s telephone number |
3157016751 |
Number of participants as of the end of the plan year
Active participants |
130 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
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 |
0 |
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 |
2011-07-14 |
Name of individual signing |
JONI JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST REHABILITATION LIFE INS CO OF AMERICA
|
2010
|
161526149
|
2011-07-14
|
M S KENNEDY CORP
|
128
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2001-04-01
|
Business code |
334410
|
Sponsor’s telephone number |
3157016751
|
Plan
sponsor’s DBA name |
SAME
|
Plan sponsor’s mailing address |
4707 DEY RD, LIVERPOOL, NY, 13088
|
Plan sponsor’s
address |
4707 DEY RD, LIVERPOOL, NY, 13088
|
Plan administrator’s name and address
Administrator’s EIN |
161526149 |
Plan administrator’s name |
M S KENNEDY CORP |
Plan administrator’s
address |
4707 DEY RD, LIVERPOOL, NY, 13088 |
Administrator’s telephone number |
3157016751 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-07-14 |
Name of individual signing |
JONI JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST REHABILITATION INS CO OF AMERICA
|
2010
|
161526149
|
2011-07-14
|
M S KENNEDY CORP
|
136
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2001-04-01
|
Business code |
334410
|
Sponsor’s telephone number |
3147016751
|
Plan
sponsor’s DBA name |
SAME
|
Plan sponsor’s mailing address |
4707 DEY RD, LIVERPOOL, NY, 13088
|
Plan sponsor’s
address |
4707 DEY RD, LIVERPOOL, NY, 13088
|
Plan administrator’s name and address
Administrator’s EIN |
161526149 |
Plan administrator’s name |
M S KENNEDY CORP |
Plan administrator’s
address |
4707 DEY RD, LIVERPOOL, NY, 13088 |
Administrator’s telephone number |
3147016751 |
Number of participants as of the end of the plan year
Active participants |
136 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
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 |
0 |
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 |
2011-07-14 |
Name of individual signing |
JONI JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXCELLUS BLUECROSS BLUE SHIELD
|
2010
|
161526149
|
2011-07-14
|
M S KENNEDY CORP
|
147
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1999-04-01
|
Business code |
334410
|
Sponsor’s telephone number |
3157016751
|
Plan
sponsor’s DBA name |
SAME
|
Plan sponsor’s mailing address |
4707 DEY RD, LIVERPOOL, NY, 13088
|
Plan sponsor’s
address |
4707 DEY RD, LIVERPOOL, NY, 13088
|
Plan administrator’s name and address
Administrator’s EIN |
161526149 |
Plan administrator’s name |
M S KENNEDY CORP |
Plan administrator’s
address |
4707 DEY RD, LIVERPOOL, NY, 13088 |
Administrator’s telephone number |
3157016751 |
Number of participants as of the end of the plan year
Active participants |
147 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
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 |
0 |
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 |
2011-07-14 |
Name of individual signing |
JONI JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST REHABILITATION LIFE INS CO OF AMERICA
|
2010
|
161526149
|
2011-07-14
|
M S KENNEDY CORP
|
123
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2001-04-01
|
Business code |
334410
|
Sponsor’s telephone number |
3157016751
|
Plan
sponsor’s DBA name |
SAME
|
Plan sponsor’s mailing address |
4707 DEY RD, LIVERPOOL, NY, 13088
|
Plan sponsor’s
address |
4707 DEY RD, LIVERPOOL, NY, 13088
|
Plan administrator’s name and address
Administrator’s EIN |
161526149 |
Plan administrator’s name |
M S KENNEDY CORP |
Plan administrator’s
address |
4707 DEY RD, LIVERPOOL, NY, 13088 |
Administrator’s telephone number |
3157016751 |
Number of participants as of the end of the plan year
Active participants |
123 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
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 |
0 |
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 |
2011-07-14 |
Name of individual signing |
JONI JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|