DELTA SONIC CARWASH SYSTEMS, INC. LIFE INSURANCE PLAN
|
2018
|
160972035
|
2019-07-31
|
DELTA SONIC CARWASH SYSTEMS INC.
|
668
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1990-01-01
|
Business code |
811190
|
Sponsor’s telephone number |
7168860931
|
Plan sponsor’s mailing address |
570 DELAWARE AVE, BUFFALO, NY, 142021206
|
Plan sponsor’s
address |
570 DELAWARE AVE, BUFFALO, NY, 142021206
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-31 |
Name of individual signing |
BRIAN EVERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DELTA SONIC CARWASH SYSTEMS, INC. HEALTH CARE PLAN
|
2018
|
160972035
|
2019-07-31
|
DELTA SONIC CARWASH SYSTEMS, INC.
|
444
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-05-01
|
Business code |
811190
|
Sponsor’s telephone number |
7168860931
|
Plan sponsor’s mailing address |
570 DELAWARE AVE, BUFFALO, NY, 142021206
|
Plan sponsor’s
address |
570 DELAWARE AVE, BUFFALO, NY, 142021206
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-31 |
Name of individual signing |
BRIAN EVERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DELTA SONIC CARWASH SYSTEMS, INC. HEALTH CARE PLAN
|
2017
|
160972035
|
2018-07-30
|
DELTA SONIC CARWASH SYSTEMS, INC.
|
419
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-05-01
|
Business code |
811190
|
Sponsor’s telephone number |
7168860931
|
Plan sponsor’s mailing address |
570 DELAWARE AVE, BUFFALO, NY, 142021206
|
Plan sponsor’s
address |
570 DELAWARE AVE, BUFFALO, NY, 142021206
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-30 |
Name of individual signing |
BRIAN EVERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-30 |
Name of individual signing |
BRIAN EVERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DELTA SONIC CARWASH SYSTEMS, INC. LIFE INSURANCE PLAN
|
2017
|
160972035
|
2018-07-30
|
DELTA SONIC CARWASH SYSTEMS INC.
|
623
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1990-01-01
|
Business code |
811190
|
Sponsor’s telephone number |
7168860931
|
Plan sponsor’s mailing address |
570 DELAWARE AVE, BUFFALO, NY, 142021206
|
Plan sponsor’s
address |
570 DELAWARE AVE, BUFFALO, NY, 142021206
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-30 |
Name of individual signing |
BRIAN EVERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-30 |
Name of individual signing |
BRIAN EVERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DELTA SONIC CARWASH SYSTEMS, INC. LIFE INSURANCE PLAN
|
2016
|
160972035
|
2017-07-31
|
DELTA SONIC CARWASH SYSTEMS INC.
|
636
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1990-01-01
|
Business code |
811190
|
Sponsor’s telephone number |
7168860931
|
Plan sponsor’s mailing address |
570 DELAWARE AVE, BUFFALO, NY, 142021206
|
Plan sponsor’s
address |
570 DELAWARE AVE, BUFFALO, NY, 142021206
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-31 |
Name of individual signing |
BRIAN EVERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DELTA SONIC CARWASH SYSTEMS, INC. HEALTH CARE PLAN
|
2016
|
160972035
|
2017-07-31
|
DELTA SONIC CARWASH SYSTEMS, INC.
|
384
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-05-01
|
Business code |
811190
|
Sponsor’s telephone number |
7168860931
|
Plan sponsor’s mailing address |
570 DELAWARE AVE, BUFFALO, NY, 142021206
|
Plan sponsor’s
address |
570 DELAWARE AVE, BUFFALO, NY, 142021206
|
Number of participants as of the end of the plan year
Active participants |
398 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-07-31 |
Name of individual signing |
BRIAN EVERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DELTA SONIC CARWASH SYSTEMS, INC. HEALTH CARE PLAN
|
2015
|
160972035
|
2016-07-27
|
DELTA SONIC CARWASH SYSTEMS, INC.
|
381
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-05-01
|
Business code |
811190
|
Sponsor’s telephone number |
7168860931
|
Plan sponsor’s mailing address |
570 DELAWARE AVE, BUFFALO, NY, 142021206
|
Plan sponsor’s
address |
570 DELAWARE AVE, BUFFALO, NY, 142021206
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-27 |
Name of individual signing |
BRIAN EVERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-27 |
Name of individual signing |
BRIAN EVERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DELTA SONIC CARWASH SYSTEMS, INC. LIFE INSURANCE PLAN
|
2015
|
160972035
|
2016-07-27
|
DELTA SONIC CARWASH SYSTEMS INC.
|
631
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1990-01-01
|
Business code |
811190
|
Sponsor’s telephone number |
7168860931
|
Plan sponsor’s mailing address |
570 DELAWARE AVE, BUFFALO, NY, 142021206
|
Plan sponsor’s
address |
570 DELAWARE AVE, BUFFALO, NY, 142021206
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-27 |
Name of individual signing |
BRIAN EVERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-27 |
Name of individual signing |
BRIAN EVERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DELTA-SONIC CARWASH SYSTEMS, INC SHORT TERM DISABILITY PLAN
|
2014
|
160972035
|
2015-10-14
|
DELTA-SONIC CARWASH SYSTEMS, INC
|
167
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1970-05-01
|
Business code |
447100
|
Sponsor’s telephone number |
7168860931
|
Plan sponsor’s mailing address |
570 DELAWARE AVENUE, BUFFALO, NY, 14202
|
Plan sponsor’s
address |
570 DELAWARE AVENUE, BUFFALO, NY, 14202
|
Plan administrator’s name and address
Administrator’s EIN |
160972035 |
Plan administrator’s name |
DELTA-SONIC CARWASH SYSTEMS, INC |
Plan administrator’s
address |
570 DELAWARE AVENUE, BUFFALO, NY, 14202 |
Administrator’s telephone number |
7168860931 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
BRIAN EVERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-14 |
Name of individual signing |
BRIAN EVERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DELTA-SONIC CARWASH SYSTEMS, INC SHORT TERM DISABILITY PLAN
|
2013
|
160972035
|
2014-10-15
|
DELTA-SONIC CARWASH SYSTEMS, INC
|
265
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1970-05-01
|
Business code |
447110
|
Sponsor’s telephone number |
7168860931
|
Plan sponsor’s mailing address |
570 DELAWARE AVENUE, BUFFALO, NY, 14202
|
Plan sponsor’s
address |
570 DELAWARE AVENUE, BUFFALO, NY, 14202
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
BRIAN EVERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-15 |
Name of individual signing |
BRIAN EVERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|