TRY-IT DISTRIBUTING GROUP HEALTH PLAN
|
2022
|
160666490
|
2023-07-26
|
TRY-IT DISTRIBUTING
|
480
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-07-01
|
Business code |
424800
|
Sponsor’s telephone number |
7166513551
|
Plan sponsor’s mailing address |
4155 WALDEN AVE, LANCASTER, NY, 140861512
|
Plan sponsor’s
address |
4155 WALDEN AVE, LANCASTER, NY, 140861512
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-26 |
Name of individual signing |
MIKE CAVANAUGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-26 |
Name of individual signing |
MIKE CAVANAUGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRY-IT DISTRIBUTING GROUP HEALTH PLAN
|
2021
|
160666490
|
2023-07-26
|
TRY-IT DISTRIBUTING
|
476
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-07-01
|
Business code |
424800
|
Sponsor’s telephone number |
7166513551
|
Plan sponsor’s mailing address |
4155 WALDEN AVE, LANCASTER, NY, 140861512
|
Plan sponsor’s
address |
4155 WALDEN AVE, LANCASTER, NY, 140861512
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-26 |
Name of individual signing |
MIKE CAVANAUGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-26 |
Name of individual signing |
MIKE CAVANAUGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRY-IT DISTRIBUTING GROUP HEALTH PLAN
|
2021
|
160666490
|
2022-10-17
|
TRY-IT DISTRIBUTING
|
476
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-07-01
|
Business code |
424800
|
Sponsor’s telephone number |
7166513551
|
Plan sponsor’s mailing address |
4155 WALDEN AVE, LANCASTER, NY, 140861512
|
Plan sponsor’s
address |
4155 WALDEN AVE, LANCASTER, NY, 140861512
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-10-17 |
Name of individual signing |
MIKE CAVANAUGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-17 |
Name of individual signing |
MIKE CAVANAUGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRY-IT DISTRIBUTING GROUP HEALTH PLAN
|
2020
|
160666490
|
2021-07-30
|
TRY-IT DISTRIBUTING
|
496
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-07-01
|
Business code |
424800
|
Sponsor’s telephone number |
7166513551
|
Plan sponsor’s mailing address |
4155 WALDEN AVE, LANCASTER, NY, 140861512
|
Plan sponsor’s
address |
4155 WALDEN AVE, LANCASTER, NY, 140861512
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-30 |
Name of individual signing |
JOSEPH EMMERLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-30 |
Name of individual signing |
JOSEPH EMMERLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRY-IT DISTRIBUTING GROUP HEALTH PLAN
|
2019
|
160666490
|
2020-07-28
|
TRY-IT DISTRIBUTING
|
474
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-07-01
|
Business code |
424800
|
Sponsor’s telephone number |
7166513551
|
Plan sponsor’s mailing address |
4155 WALDEN AVE, LANCASTER, NY, 140861512
|
Plan sponsor’s
address |
4155 WALDEN AVE, LANCASTER, NY, 140861512
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-28 |
Name of individual signing |
JOSEPH EMMERLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-28 |
Name of individual signing |
JOSEPH EMMERLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRY-IT DISTRIBUTING GROUP HEALTH PLAN
|
2018
|
160666490
|
2019-10-03
|
TRY-IT DISTRIBUTING
|
461
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-07-01
|
Business code |
424800
|
Sponsor’s telephone number |
7166513551
|
Plan sponsor’s mailing address |
4155 WALDEN AVE, LANCASTER, NY, 140861512
|
Plan sponsor’s
address |
4155 WALDEN AVE, LANCASTER, NY, 140861512
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-10-03 |
Name of individual signing |
JOSEPH EMMERLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-03 |
Name of individual signing |
JOSEPH EMMERLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRY-IT DISTRIBUTING GROUP HEALTH PLAN
|
2017
|
160666490
|
2018-07-27
|
TRY-IT DISTRIBUTING
|
499
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-07-01
|
Business code |
424800
|
Sponsor’s telephone number |
7166513551
|
Plan sponsor’s mailing address |
4155 WALDEN AVE, LANCASTER, NY, 140861512
|
Plan sponsor’s
address |
4155 WALDEN AVE, LANCASTER, NY, 140861512
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-27 |
Name of individual signing |
JOSEPH EMMERLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-27 |
Name of individual signing |
JOSEPH EMMERLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRY-IT DISTRIBUTING GROUP HEALTH PLAN
|
2016
|
160666490
|
2017-06-21
|
TRY-IT DISTRIBUTING
|
499
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-07-01
|
Business code |
424800
|
Sponsor’s telephone number |
7166513551
|
Plan sponsor’s mailing address |
4155 WALDEN AVE, LANCASTER, NY, 140861512
|
Plan sponsor’s
address |
4155 WALDEN AVE, LANCASTER, NY, 140861512
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-06-20 |
Name of individual signing |
JOSEPH EMMERLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-20 |
Name of individual signing |
JOSEPH EMMERLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRY-IT DISTRIBUTING GROUP HEALTH PLAN
|
2015
|
160666490
|
2016-07-26
|
TRY-IT DISTRIBUTING
|
499
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-07-01
|
Business code |
424800
|
Sponsor’s telephone number |
7166513551
|
Plan sponsor’s mailing address |
4155 WALDEN AVE, LANCASTER, NY, 140861512
|
Plan sponsor’s
address |
4155 WALDEN AVE, LANCASTER, NY, 140861512
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-26 |
Name of individual signing |
JOSEPH EMMERLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-26 |
Name of individual signing |
JOSEPH EMMERLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|