BUFFALO LODGING ASSOCIATES, LLC HEALTH INSURANCE PLAN
|
2015
|
161585175
|
2016-07-29
|
BUFFALO LODGING ASSOCIATES, LLC
|
447
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2000-02-29
|
Business code |
721110
|
Sponsor’s telephone number |
7168789369
|
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 |
2016-07-29 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-29 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BUFFALO LODGING ASSOCIATES, LLC FLEXIBLE BENEFIT PLAN
|
2015
|
161585175
|
2016-07-29
|
BUFFALO LODGING ASSOCIATES, LLC
|
75
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2000-02-29
|
Business code |
721110
|
Sponsor’s telephone number |
7168789369
|
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 |
2016-07-29 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-29 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BUFFALO LODGING ASSOCIATES, LLC SHORT TERM DISABILITY PLAN
|
2015
|
161585175
|
2016-07-29
|
BUFFALO LODGING ASSOCIATES, LLC
|
866
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2000-02-29
|
Business code |
721110
|
Sponsor’s telephone number |
7168789369
|
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 |
2016-07-29 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-29 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BUFFALO LODGING ASSOCIATES, LLC DENTAL PLAN
|
2015
|
161585175
|
2016-07-29
|
BUFFALO LODGING ASSOCIATES, LLC
|
522
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2000-02-29
|
Business code |
721110
|
Sponsor’s telephone number |
7168789369
|
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 |
2016-07-29 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-29 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BUFFALO LODGING ASSOCIATES, LLC LIFE INSURANCE PLAN
|
2015
|
161585175
|
2016-07-29
|
BUFFALO LODGING ASSOCIATES, LLC
|
921
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2000-02-29
|
Business code |
721110
|
Sponsor’s telephone number |
7168789369
|
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 |
2016-07-29 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-29 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BUFFALO LODGING ASSOCIATES, LLC DENTAL PLAN
|
2014
|
161585175
|
2015-07-31
|
BUFFALO LODGING ASSOCIATES, LLC
|
411
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2000-02-29
|
Business code |
721110
|
Sponsor’s telephone number |
7168789369
|
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 |
2015-07-31 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-31 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BUFFALO LODGING ASSOCIATES, LLC SHORT TERM DISABILITY PLAN
|
2014
|
161585175
|
2015-07-31
|
BUFFALO LODGING ASSOCIATES, LLC
|
850
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2000-02-29
|
Business code |
721110
|
Sponsor’s telephone number |
7168789369
|
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 |
2015-07-31 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-31 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BUFFALO LODGING ASSOCIATES, LLC LIFE INSURANCE PLAN
|
2014
|
161585175
|
2015-07-31
|
BUFFALO LODGING ASSOCIATES, LLC
|
838
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2000-02-29
|
Business code |
721110
|
Sponsor’s telephone number |
7168789369
|
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 |
2015-07-31 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-31 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BUFFALO LODGING ASSOCIATES, LLC HEALTH INSURANCE PLAN
|
2014
|
161585175
|
2015-07-31
|
BUFFALO LODGING ASSOCIATES, LLC
|
381
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2000-09-29
|
Business code |
721110
|
Sponsor’s telephone number |
7168789369
|
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 |
2015-07-31 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-31 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BUFFALO LODGING ASSOCIATES, LLC SHORT TERM DISABILITY PLAN
|
2013
|
161585175
|
2014-10-15
|
BUFFALO LODGING ASSOCIATES, LLC
|
690
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2000-02-29
|
Business code |
721110
|
Sponsor’s telephone number |
7168789369
|
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 |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-15 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|