TRI-STATE PENSION PLAN
|
2012
|
061568936
|
2013-07-12
|
TRI-STATE CONSORTIUM INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
123
|
Effective date of plan |
2003-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
6313571069
|
Plan sponsor’s
address |
16 WENDOVER ROAD, SAYVILLE, NY, 11782
|
Signature of
Role |
Plan administrator |
Date |
2013-07-12 |
Name of individual signing |
JEANETTE BUONORA |
|
|
TRI-STATE CONSORTIUM DEFINED CONTRIBUTION PLAN
|
2012
|
061568936
|
2013-07-12
|
TRI-STATE CONSORTIUM INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-03-01
|
Business code |
611000
|
Sponsor’s telephone number |
6313571069
|
Plan sponsor’s
address |
16 WENDOVER ROAD, SAYVILLE, NY, 11782
|
Signature of
Role |
Plan administrator |
Date |
2013-07-12 |
Name of individual signing |
JEANETTE BUONORA |
|
|
TRI-STATE CONSORTIUM DEFINED CONTRIBUTION PLAN
|
2011
|
061568936
|
2012-07-27
|
TRI-STATE CONSORTIUM INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-03-01
|
Business code |
611000
|
Sponsor’s telephone number |
6313571069
|
Plan sponsor’s
address |
16 WENDOVER ROAD, SAYVILLE, NY, 11782
|
Plan administrator’s name and address
Administrator’s EIN |
061568936 |
Plan administrator’s name |
TRI-STATE CONSORTIUM INC |
Plan administrator’s
address |
16 WENDOVER ROAD, SAYVILLE, NY, 11782 |
Administrator’s telephone number |
6313571069 |
Signature of
Role |
Plan administrator |
Date |
2012-07-27 |
Name of individual signing |
JEANETTE BUONORA |
|
|
TRI-STATE PENSION PLAN
|
2011
|
061568936
|
2012-07-27
|
TRI-STATE CONSORTIUM INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
123
|
Effective date of plan |
2003-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
6313571069
|
Plan sponsor’s
address |
16 WENDOVER ROAD, SAYVILLE, NY, 11782
|
Plan administrator’s name and address
Administrator’s EIN |
061568936 |
Plan administrator’s name |
TRI-STATE CONSORTIUM INC |
Plan administrator’s
address |
16 WENDOVER ROAD, SAYVILLE, NY, 11782 |
Administrator’s telephone number |
6313571069 |
Signature of
Role |
Plan administrator |
Date |
2012-07-27 |
Name of individual signing |
JEANETTE BUONORA |
|
|
TRI-STATE PENSION PLAN
|
2010
|
061568936
|
2011-11-02
|
TRI-STATE CONSORTIUM INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
123
|
Effective date of plan |
2003-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
6313571069
|
Plan sponsor’s
address |
16 WENDOVER ROAD, SAYVILLE, NY, 11782
|
Plan administrator’s name and address
Administrator’s EIN |
061568936 |
Plan administrator’s name |
TRI-STATE CONSORTIUM INC |
Plan administrator’s
address |
16 WENDOVER ROAD, SAYVILLE, NY, 11782 |
Administrator’s telephone number |
6313571069 |
Signature of
Role |
Plan administrator |
Date |
2011-11-02 |
Name of individual signing |
JEANETTE BUONORA |
|
|
TRI-STATE CONSORTIUM DEFINED CONTRIBUTION PLAN
|
2010
|
061568936
|
2011-10-12
|
TRI-STATE CONSORTIUM INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-03-01
|
Business code |
611000
|
Sponsor’s telephone number |
6313571069
|
Plan sponsor’s
address |
16 WENDOVER ROAD, SAYVILLE, NY, 11782
|
Plan administrator’s name and address
Administrator’s EIN |
061568936 |
Plan administrator’s name |
TRI-STATE CONSORTIUM INC |
Plan administrator’s
address |
16 WENDOVER ROAD, SAYVILLE, NY, 11782 |
Administrator’s telephone number |
6313571069 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
JEANETTE BUONORA |
|
|
TRI-STATE PENSION PLAN
|
2010
|
061568936
|
2011-11-02
|
TRI-STATE CONSORTIUM INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
123
|
Effective date of plan |
2003-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
6313571069
|
Plan sponsor’s mailing address |
16 WENDOVER ROAD, SAYVILLE, NY, 11782
|
Plan sponsor’s
address |
16 WENDOVER ROAD, SAYVILLE, NY, 11782
|
Plan administrator’s name and address
Administrator’s EIN |
061568936 |
Plan administrator’s name |
TRI-STATE CONSORTIUM INC |
Plan administrator’s
address |
16 WENDOVER ROAD, SAYVILLE, NY, 11782 |
Administrator’s telephone number |
6313571069 |
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 |
2011-11-02 |
Name of individual signing |
JEANETTE BUONORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-STATE CONSORTIUM DEFINED CONTRIBUTION PLAN
|
2010
|
061568936
|
2011-10-12
|
TRI-STATE CONSORTIUM INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-03-01
|
Business code |
611000
|
Sponsor’s telephone number |
6313571069
|
Plan sponsor’s mailing address |
16 WENDOVER ROAD, SAYVILLE, NY, 11782
|
Plan sponsor’s
address |
16 WENDOVER ROAD, SAYVILLE, NY, 11782
|
Plan administrator’s name and address
Administrator’s EIN |
061568936 |
Plan administrator’s name |
TRI-STATE CONSORTIUM INC |
Plan administrator’s
address |
16 WENDOVER ROAD, SAYVILLE, NY, 11782 |
Administrator’s telephone number |
6313571069 |
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 |
2011-10-12 |
Name of individual signing |
JEANETTE BUONORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-STATE CONSORTIUM DEFINED CONTRIBUTION PLAN
|
2009
|
061568936
|
2011-10-12
|
TRI-STATE CONSORTIUM INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-03-01
|
Business code |
611000
|
Sponsor’s telephone number |
6313571069
|
Plan sponsor’s
address |
16 WENDOVER ROAD, SAYVILLE, NY, 11782
|
Plan administrator’s name and address
Administrator’s EIN |
061568936 |
Plan administrator’s name |
TRI-STATE CONSORTIUM INC |
Plan administrator’s
address |
16 WENDOVER ROAD, SAYVILLE, NY, 11782 |
Administrator’s telephone number |
6313571069 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
JEANETTE BUONORA |
|
|