UPSTATE AGENCY, INC. 401(K) PLAN
|
2012
|
141797927
|
2013-01-08
|
UPSTATE AGENCY, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5184942417
|
Plan sponsor’s
address |
P.O. BOX 138, CHESTERTOWN, NY, 12817
|
Signature of
Role |
Plan administrator |
Date |
2013-01-08 |
Name of individual signing |
BRENDA CARPENTER |
|
Role |
Employer/plan sponsor |
Date |
2013-01-08 |
Name of individual signing |
BRENDA CARPENTER |
|
|
UPSTATE AGENCY, INC. 401(K) PLAN
|
2011
|
141797927
|
2012-05-07
|
UPSTATE AGENCY, INC.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5184942417
|
Plan sponsor’s
address |
P.O. BOX 138, CHESTERTOWN, NY, 12817
|
Plan administrator’s name and address
Administrator’s EIN |
141797927 |
Plan administrator’s name |
UPSTATE AGENCY, INC. |
Plan administrator’s
address |
P.O. BOX 138, CHESTERTOWN, NY, 12817 |
Administrator’s telephone number |
5184942417 |
Signature of
Role |
Plan administrator |
Date |
2012-04-27 |
Name of individual signing |
BRENDA CARPENTER |
|
Role |
Employer/plan sponsor |
Date |
2012-04-27 |
Name of individual signing |
BRENDA CARPENTER |
|
|
UPSTATE AGENCY, INC. 401(K) PLAN
|
2010
|
141797927
|
2011-03-25
|
UPSTATE AGENCY, INC.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5184942417
|
Plan sponsor’s
address |
P.O. BOX 138, CHESTERTOWN, NY, 12817
|
Plan administrator’s name and address
Administrator’s EIN |
141797927 |
Plan administrator’s name |
UPSTATE AGENCY, INC. |
Plan administrator’s
address |
P.O. BOX 138, CHESTERTOWN, NY, 12817 |
Administrator’s telephone number |
5184942417 |
Signature of
Role |
Plan administrator |
Date |
2011-03-24 |
Name of individual signing |
BRENDA CARPENTR |
|
Role |
Employer/plan sponsor |
Date |
2011-03-24 |
Name of individual signing |
BRENDA CARPENTR |
|
|
UPSTATE AGENCY, INC. 401(K) PLAN
|
2009
|
141797927
|
2010-08-19
|
UPSTATE AGENCY, INC.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5184942417
|
Plan sponsor’s
address |
P.O. BOX 138, CHESTERTOWN, NY, 12817
|
Plan administrator’s name and address
Administrator’s EIN |
141797927 |
Plan administrator’s name |
UPSTATE AGENCY, INC. |
Plan administrator’s
address |
P.O. BOX 138, CHESTERTOWN, NY, 12817 |
Administrator’s telephone number |
5184942417 |
Signature of
Role |
Plan administrator |
Date |
2010-08-12 |
Name of individual signing |
BRENDA CARPENTER |
|
Role |
Employer/plan sponsor |
Date |
2010-08-12 |
Name of individual signing |
BRENDA CARPENTER |
|
|