FORTENT AMERICAS GROUP MEDICAL
|
2009
|
134019978
|
2010-08-02
|
FORTENT AMERICAS, INC.
|
121
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-05-01
|
Business code |
511210
|
Sponsor’s telephone number |
2126611325
|
Plan sponsor’s mailing address |
99 PARK AVENUE, 11TH FLOOR, NEW YORK, NY, 10016
|
Plan sponsor’s
address |
99 PARK AVENUE, 11TH FLOOR, NEW YORK, NY, 10016
|
Plan administrator’s name and address
Administrator’s EIN |
134019978 |
Plan administrator’s name |
FORTENT AMERICAS, INC. |
Plan administrator’s
address |
99 PARK AVENUE, 11TH FLOOR, NEW YORK, NY, 10016 |
Administrator’s telephone number |
2126611325 |
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 |
Signature of
Role |
Plan administrator |
Date |
2010-08-02 |
Name of individual signing |
KATHLEEN QUIGLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORTENT AMERICAS GROUP MEDICAL
|
2009
|
134019978
|
2010-08-02
|
FORTENT AMERICAS, INC.
|
121
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-05-01
|
Business code |
511210
|
Sponsor’s telephone number |
2126611325
|
Plan sponsor’s mailing address |
99 PARK AVENUE, 11TH FLOOR, NEW YORK, NY, 10016
|
Plan sponsor’s
address |
99 PARK AVENUE, 11TH FLOOR, NEW YORK, NY, 10016
|
Plan administrator’s name and address
Administrator’s EIN |
134019978 |
Plan administrator’s name |
FORTENT AMERICAS, INC. |
Plan administrator’s
address |
99 PARK AVENUE, 11TH FLOOR, NEW YORK, NY, 10016 |
Administrator’s telephone number |
2126611325 |
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 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-08-02 |
Name of individual signing |
KATHLEEN QUIGLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORTENT AMERICAS LIFE & DISABILITY GROUP
|
2009
|
134019978
|
2010-08-02
|
FORTENT AMERICAS, INC.
|
138
|
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2009-04-01
|
Business code |
511210
|
Sponsor’s telephone number |
2126611325
|
Plan sponsor’s mailing address |
99 PARK AVENUE, 11TH FLOOR, NEW YORK, NY, 10016
|
Plan sponsor’s
address |
99 PARK AVENUE, 11TH FLOOR, NEW YORK, NY, 10016
|
Plan administrator’s name and address
Administrator’s EIN |
134019978 |
Plan administrator’s name |
FORTENT AMERICAS, INC. |
Plan administrator’s
address |
99 PARK AVENUE, 11TH FLOOR, NEW YORK, NY, 10016 |
Administrator’s telephone number |
2126611325 |
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 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-08-02 |
Name of individual signing |
KATHLEEN QUIGLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORTENT AMERICAS GROUP DENTAL
|
2009
|
134019978
|
2010-08-02
|
FORTENT AMERICAS, INC.
|
135
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2009-05-01
|
Business code |
511210
|
Sponsor’s telephone number |
2126611325
|
Plan sponsor’s mailing address |
99 PARK AVENUE, 11TH FLOOR, NEW YORK, NY, 10016
|
Plan sponsor’s
address |
99 PARK AVENUE, 11TH FLOOR, NEW YORK, NY, 10016
|
Plan administrator’s name and address
Administrator’s EIN |
134019978 |
Plan administrator’s name |
FORTENT AMERICAS, INC. |
Plan administrator’s
address |
99 PARK AVENUE, 11TH FLOOR, NEW YORK, NY, 10016 |
Administrator’s telephone number |
2126611325 |
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 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-08-02 |
Name of individual signing |
KATHLEEN QUIGLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORTENT AMERICAS LIFE & DISABILITY GROUP
|
2009
|
134019978
|
2010-08-02
|
FORTENT AMERICAS, INC.
|
138
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2009-04-01
|
Business code |
511210
|
Sponsor’s telephone number |
2126611325
|
Plan sponsor’s mailing address |
99 PARK AVENUE, 11TH FLOOR, NEW YORK, NY, 10016
|
Plan sponsor’s
address |
99 PARK AVENUE, 11TH FLOOR, NEW YORK, NY, 10016
|
Plan administrator’s name and address
Administrator’s EIN |
134019978 |
Plan administrator’s name |
FORTENT AMERICAS, INC. |
Plan administrator’s
address |
99 PARK AVENUE, 11TH FLOOR, NEW YORK, NY, 10016 |
Administrator’s telephone number |
2126611325 |
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 |
Signature of
Role |
Plan administrator |
Date |
2010-08-02 |
Name of individual signing |
KATHLEEN QUIGLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORTENT AMERICAS GROUP DENTAL
|
2009
|
134019978
|
2010-08-02
|
FORTENT AMERICAS, INC.
|
135
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2009-05-01
|
Business code |
511210
|
Sponsor’s telephone number |
2126611325
|
Plan sponsor’s mailing address |
99 PARK AVENUE, 11TH FLOOR, NEW YORK, NY, 10016
|
Plan sponsor’s
address |
99 PARK AVENUE, 11TH FLOOR, NEW YORK, NY, 10016
|
Plan administrator’s name and address
Administrator’s EIN |
134019978 |
Plan administrator’s name |
FORTENT AMERICAS, INC. |
Plan administrator’s
address |
99 PARK AVENUE, 11TH FLOOR, NEW YORK, NY, 10016 |
Administrator’s telephone number |
2126611325 |
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 |
Signature of
Role |
Plan administrator |
Date |
2010-08-02 |
Name of individual signing |
KATHLEEN QUIGLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|