ATSI TRAVEL ACCIDENT PLAN
|
2023
|
141647762
|
2024-08-19
|
ATSI, INC.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1977-04-28
|
Business code |
541330
|
Sponsor’s telephone number |
7166919200
|
Plan sponsor’s mailing address |
415 COMMERCE DR, AMHERST, NY, 142282304
|
Plan sponsor’s
address |
415 COMMERCE DR, AMHERST, NY, 142282304
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-08-19 |
Name of individual signing |
CAROL PONTRELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ATSI LONG TERM DISABILITY PLAN
|
2023
|
141647762
|
2024-08-19
|
ATSI, INC.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1977-04-28
|
Business code |
541330
|
Sponsor’s telephone number |
7166919200
|
Plan sponsor’s mailing address |
415 COMMERCE DR, AMHERST, NY, 142282304
|
Plan sponsor’s
address |
415 COMMERCE DR, AMHERST, NY, 142282304
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-08-19 |
Name of individual signing |
CAROL PONTRELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ATSI HEALTH INSURANCE PLAN
|
2023
|
141647762
|
2024-06-17
|
ATSI, INC.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1977-04-28
|
Business code |
541330
|
Sponsor’s telephone number |
7166919200
|
Plan sponsor’s mailing address |
415 COMMERCE DR, AMHERST, NY, 142282304
|
Plan sponsor’s
address |
415 COMMERCE DR, AMHERST, NY, 142282304
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-06-17 |
Name of individual signing |
CAROL PONTRELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ATSI GROUP TERM LIFE INSURANCE PLAN
|
2023
|
141647762
|
2024-06-17
|
ATSI, INC.
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1977-04-28
|
Business code |
541330
|
Sponsor’s telephone number |
7166919200
|
Plan sponsor’s mailing address |
415 COMMERCE DR, AMHERST, NY, 142282304
|
Plan sponsor’s
address |
415 COMMERCE DR, AMHERST, NY, 142282304
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-06-17 |
Name of individual signing |
CAROL PONTRELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ATSI SHORT TERM DISABILITY PLAN
|
2023
|
141647762
|
2024-06-17
|
ATSI, INC.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
1977-04-28
|
Business code |
541330
|
Sponsor’s telephone number |
7166919200
|
Plan sponsor’s mailing address |
415 COMMERCE DR, AMHERST, NY, 142282304
|
Plan sponsor’s
address |
415 COMMERCE DR, AMHERST, NY, 142282304
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-06-17 |
Name of individual signing |
CAROL PONTRELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ATSI TRAVEL ACCIDENT PLAN
|
2022
|
141647762
|
2023-10-17
|
ATSI, INC.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1977-04-28
|
Business code |
541330
|
Sponsor’s telephone number |
7166919200
|
Plan sponsor’s mailing address |
415 COMMERCE DR, AMHERST, NY, 142282304
|
Plan sponsor’s
address |
415 COMMERCE DR, AMHERST, NY, 142282304
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-10-17 |
Name of individual signing |
CAROL PONTRELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ATSI LONG TERM DISABILITY PLAN
|
2022
|
141647762
|
2023-10-18
|
ATSI, INC.
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1977-04-28
|
Business code |
541330
|
Sponsor’s telephone number |
7166919200
|
Plan sponsor’s mailing address |
415 COMMERCE DR, AMHERST, NY, 142282304
|
Plan sponsor’s
address |
415 COMMERCE DR, AMHERST, NY, 142282304
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-10-18 |
Name of individual signing |
CAROL PONTRELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ATSI HEALTH INSURANCE PLAN
|
2022
|
141647762
|
2023-06-28
|
ATSI, INC.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1977-04-28
|
Business code |
541330
|
Sponsor’s telephone number |
7166919200
|
Plan sponsor’s mailing address |
415 COMMERCE DR, AMHERST, NY, 142282304
|
Plan sponsor’s
address |
415 COMMERCE DR, AMHERST, NY, 142282304
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-06-28 |
Name of individual signing |
CAROL PONTRELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ATSI GROUP TERM LIFE INSURANCE PLAN
|
2022
|
141647762
|
2023-06-28
|
ATSI, INC.
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1977-04-28
|
Business code |
541330
|
Sponsor’s telephone number |
7166919200
|
Plan sponsor’s mailing address |
415 COMMERCE DR, AMHERST, NY, 142282304
|
Plan sponsor’s
address |
415 COMMERCE DR, AMHERST, NY, 142282304
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-06-28 |
Name of individual signing |
CAROL PONTRELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ATSI SHORT TERM DISABILITY PLAN
|
2022
|
141647762
|
2023-06-27
|
ATSI, INC.
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
1977-04-28
|
Business code |
541330
|
Sponsor’s telephone number |
7166919200
|
Plan sponsor’s mailing address |
415 COMMERCE DR, AMHERST, NY, 142282304
|
Plan sponsor’s
address |
415 COMMERCE DR, AMHERST, NY, 142282304
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-06-27 |
Name of individual signing |
CAROL PONTRELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|