TOWNSEND LEATHER GROUP MEDICAL PLAN
|
2021
|
141819836
|
2022-07-21
|
TOWNSEND LEATHER COMPANY INC
|
80
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2016-01-01
|
Business code |
316110
|
Sponsor’s telephone number |
5187832665
|
Plan
sponsor’s DBA name |
441110
|
Plan sponsor’s mailing address |
PO BOX 669, JOHNSTOWN, NY, 120950669
|
Plan sponsor’s
address |
PO BOX 669, JOHNSTOWN, NY, 120950669
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-07-21 |
Name of individual signing |
TRICIA MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOWNSEND LEATHER GROUP MEDICAL PLAN
|
2020
|
141819836
|
2021-07-26
|
TOWNSEND LEATHER COMPANY INC
|
158
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2016-01-01
|
Business code |
316110
|
Sponsor’s telephone number |
5187832665
|
Plan
sponsor’s DBA name |
441110
|
Plan sponsor’s mailing address |
PO BOX 669, JOHNSTOWN, NY, 120950669
|
Plan sponsor’s
address |
PO BOX 669, JOHNSTOWN, NY, 120950669
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-26 |
Name of individual signing |
TRICIA MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOWNSEND LEATHER GROUP MEDICAL PLAN
|
2019
|
141819836
|
2020-07-27
|
TOWNSEND LEATHER COMPANY INC
|
177
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2016-01-01
|
Business code |
316110
|
Sponsor’s telephone number |
5187832665
|
Plan
sponsor’s DBA name |
441110
|
Plan sponsor’s mailing address |
PO BOX 669, JOHNSTOWN, NY, 120950669
|
Plan sponsor’s
address |
PO BOX 669, JOHNSTOWN, NY, 120950669
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-27 |
Name of individual signing |
TRICIA MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOWNSEND LEATHER TELEMEDICINE PLAN
|
2019
|
141819836
|
2020-07-27
|
TOWNSEND LEATHER COMPANY INC
|
85
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2017-01-01
|
Business code |
316110
|
Sponsor’s telephone number |
5187832665
|
Plan sponsor’s mailing address |
PO BOX 669, JOHNSTOWN, NY, 120950669
|
Plan sponsor’s
address |
PO BOX 669, JOHNSTOWN, NY, 120950669
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-27 |
Name of individual signing |
TRICIA MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-27 |
Name of individual signing |
TRICIA MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOWNSEND LEATHER GROUP DENTAL AND VISION PLAN
|
2019
|
141819836
|
2020-07-27
|
TOWNSEND LEATHER COMPANY INC
|
83
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2019-01-01
|
Business code |
316110
|
Sponsor’s telephone number |
5187622764
|
Plan sponsor’s mailing address |
PO BOX 669, JOHNSTOWN, NY, 120950669
|
Plan sponsor’s
address |
PO BOX 669, JOHNSTOWN, NY, 120950669
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-27 |
Name of individual signing |
TRICIA MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-27 |
Name of individual signing |
TRICIA MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOWNSEND LEATHER TELEMEDICINE PLAN
|
2018
|
141819836
|
2019-06-10
|
TOWNSEND LEATHER COMPANY INC
|
136
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2017-01-01
|
Business code |
316110
|
Sponsor’s telephone number |
5187832665
|
Plan sponsor’s mailing address |
PO BOX 669, JOHNSTOWN, NY, 120950669
|
Plan sponsor’s
address |
PO BOX 669, JOHNSTOWN, NY, 120950669
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-06-10 |
Name of individual signing |
TRICIA MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOWNSEND LEATHER GROUP MEDICAL PLAN
|
2018
|
141819836
|
2019-06-10
|
TOWNSEND LEATHER COMPANY INC
|
166
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2016-01-01
|
Business code |
316110
|
Sponsor’s telephone number |
5187832665
|
Plan
sponsor’s DBA name |
441110
|
Plan sponsor’s mailing address |
PO BOX 669, JOHNSTOWN, NY, 120950669
|
Plan sponsor’s
address |
PO BOX 669, JOHNSTOWN, NY, 120950669
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-06-10 |
Name of individual signing |
TRICIA MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-10 |
Name of individual signing |
TRICIA MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOWNSEND LEATHER TELEMEDICINE PLAN
|
2017
|
141819836
|
2018-07-16
|
TOWNSEND LEATHER COMPANY INC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2017-01-01
|
Business code |
316110
|
Sponsor’s telephone number |
5187832665
|
Plan
sponsor’s DBA name |
441110
|
Plan sponsor’s mailing address |
PO BOX 669, JOHNSTOWN, NY, 120950669
|
Plan sponsor’s
address |
PO BOX 669, JOHNSTOWN, NY, 120950669
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-16 |
Name of individual signing |
KIM RUSSO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOWNSEND LEATHER GROUP MEDICAL PLAN
|
2017
|
141819836
|
2018-07-16
|
TOWNSEND LEATHER COMPANY INC
|
172
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2016-01-01
|
Business code |
316110
|
Sponsor’s telephone number |
5187832665
|
Plan
sponsor’s DBA name |
441110
|
Plan sponsor’s mailing address |
PO BOX 669, JOHNSTOWN, NY, 120950669
|
Plan sponsor’s
address |
PO BOX 669, JOHNSTOWN, NY, 120950669
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-16 |
Name of individual signing |
KIM RUSSO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOWNSEND LEATHER GROUP MEDICAL PLAN
|
2016
|
141819836
|
2017-04-14
|
TOWNSEND LEATHER COMPANY INC
|
170
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2016-01-01
|
Business code |
316110
|
Sponsor’s telephone number |
5187622764
|
Plan sponsor’s mailing address |
PO BOX 669, JOHNSTOWN, NY, 120950669
|
Plan sponsor’s
address |
PO BOX 669, JOHNSTOWN, NY, 120950669
|
Number of participants as of the end of the plan year
Retired or separated participants receiving
benefits |
172 |
Signature of
Role |
Plan administrator |
Date |
2017-04-14 |
Name of individual signing |
TRICIA MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|