TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
|
2017
|
141338386
|
2019-02-21
|
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1969-10-01
|
Business code |
622000
|
Sponsor’s telephone number |
5183863670
|
Plan sponsor’s
address |
1270 BELMONT AVENUE, SCHENECTADY, NY, 12308
|
Signature of
Role |
Plan administrator |
Date |
2019-02-21 |
Name of individual signing |
BRIAN CHURCH |
|
Role |
Employer/plan sponsor |
Date |
2019-02-21 |
Name of individual signing |
EDWARD EISENMAN |
|
|
TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
|
2016
|
141338386
|
2017-10-27
|
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
|
8
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1969-10-01
|
Business code |
622000
|
Sponsor’s telephone number |
5183863670
|
Plan sponsor’s
address |
1270 BELMONT AVENUE, SCHENECTADY, NY, 12308
|
Signature of
Role |
Plan administrator |
Date |
2017-10-27 |
Name of individual signing |
BRIAN CHURCH |
|
Role |
Employer/plan sponsor |
Date |
2017-10-27 |
Name of individual signing |
EDWARD EISENMAN |
|
|
TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
|
2016
|
141338386
|
2017-10-30
|
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1969-10-01
|
Business code |
622000
|
Sponsor’s telephone number |
5183863670
|
Plan sponsor’s
address |
1270 BELMONT AVENUE, SCHENECTADY, NY, 12308
|
Signature of
Role |
Plan administrator |
Date |
2017-10-27 |
Name of individual signing |
BRIAN CHURCH |
|
Role |
Employer/plan sponsor |
Date |
2017-10-30 |
Name of individual signing |
EDWARD EISENMAN |
|
|
TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
|
2015
|
141338386
|
2016-08-16
|
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1969-10-01
|
Business code |
622000
|
Sponsor’s telephone number |
5183863670
|
Plan sponsor’s
address |
1270 BELMONT AVENUE, SCHENECTADY, NY, 12308
|
Signature of
Role |
Plan administrator |
Date |
2016-08-10 |
Name of individual signing |
MEGHAN GLOWA |
|
Role |
Employer/plan sponsor |
Date |
2016-08-16 |
Name of individual signing |
EDWARD EISENMAN |
|
|
TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
|
2014
|
141338386
|
2015-09-21
|
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1969-10-01
|
Business code |
622000
|
Sponsor’s telephone number |
5183863670
|
Plan sponsor’s
address |
1270 BELMONT AVENUE, SCHENECTADY, NY, 12308
|
Signature of
Role |
Plan administrator |
Date |
2015-09-21 |
Name of individual signing |
MEGHAN GLOWA |
|
Role |
Employer/plan sponsor |
Date |
2015-09-21 |
Name of individual signing |
EDWARD EISENMAN |
|
|
TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
|
2013
|
141338386
|
2014-09-10
|
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1969-10-01
|
Business code |
622000
|
Sponsor’s telephone number |
5183863670
|
Plan sponsor’s
address |
1270 BELMONT AVENUE, SCHENECTADY, NY, 12308
|
Signature of
Role |
Plan administrator |
Date |
2014-09-10 |
Name of individual signing |
MEGHAN GLOWA |
|
Role |
Employer/plan sponsor |
Date |
2014-09-10 |
Name of individual signing |
EDWARD EISENMAN |
|
|
TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
|
2012
|
141338386
|
2013-10-10
|
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1969-10-01
|
Business code |
622000
|
Sponsor’s telephone number |
5183863670
|
Plan sponsor’s
address |
1270 BELMONT AVENUE, SCHENECTADY, NY, 12308
|
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
MEGHAN GLOWA |
|
Role |
Employer/plan sponsor |
Date |
2013-10-10 |
Name of individual signing |
EDWARD EISENMAN |
|
|
TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
|
2011
|
141338386
|
2012-07-05
|
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1969-10-01
|
Business code |
622000
|
Sponsor’s telephone number |
5183863670
|
Plan sponsor’s
address |
1270 BELMONT AVENUE, SCHENECTADY, NY, 12308
|
Plan administrator’s name and address
Administrator’s EIN |
141338386 |
Plan administrator’s name |
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER |
Plan administrator’s
address |
1270 BELMONT AVENUE, SCHENECTADY, NY, 12308 |
Administrator’s telephone number |
5183863670 |
Signature of
Role |
Plan administrator |
Date |
2012-07-05 |
Name of individual signing |
MEGHAN GLOWA |
|
Role |
Employer/plan sponsor |
Date |
2012-07-05 |
Name of individual signing |
EDWARD EISENMAN |
|
|
TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
|
2010
|
141338386
|
2011-10-11
|
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1969-10-01
|
Business code |
622000
|
Sponsor’s telephone number |
5183863670
|
Plan sponsor’s
address |
1270 BELMONT AVENUE, SCHENECTADY, NY, 12308
|
Plan administrator’s name and address
Administrator’s EIN |
141338386 |
Plan administrator’s name |
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER |
Plan administrator’s
address |
1270 BELMONT AVENUE, SCHENECTADY, NY, 12308 |
Administrator’s telephone number |
5183863670 |
Signature of
Role |
Plan administrator |
Date |
2011-10-07 |
Name of individual signing |
MEGHAN GLOWA |
|
Role |
Employer/plan sponsor |
Date |
2011-10-11 |
Name of individual signing |
EDWARD EISENMAN |
|
|
CAPITAL DISTRICT PHYSICIAN HEALTH PLAN INC SVR B
|
2009
|
141338386
|
2010-07-26
|
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
|
107
|
|
File |
View Page
|
Three-digit plan number (PN) |
535
|
Effective date of plan |
2008-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
5182715058
|
Plan sponsor’s mailing address |
1270 BELMONT AVENUE, SCHENECTADY, NY, 12308
|
Plan sponsor’s
address |
1270 BELMONT AVENUE, SCHENECTADY, NY, 12308
|
Plan administrator’s name and address
Administrator’s EIN |
141338386 |
Plan administrator’s name |
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER |
Plan administrator’s
address |
1270 BELMONT AVENUE, SCHENECTADY, NY, 12308 |
Administrator’s telephone number |
5182715058 |
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 |
2010-07-26 |
Name of individual signing |
BARBARA MCCANDLESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|